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HomeMy WebLinkAboutNCS000299_Name-Owner Change Form and Supporting Docs_20220429NORT. H C:,ROLINA Environmental Quality RECEIVE g[ NC DEPARTMENT OF ENVIRONMENTAL QUALITY nrlsloN OF Energy, Mineral, and Land Resources =ter 0EMI-R-5tormwater Program STORMWATER PROGRAM NPDES STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM CURRENT PERMIT INFORMATION: Permit Number: NCS_L_/_ /Q/_,/_�_/_01_ or NCG_J_I_J__J_/_ 1. Facility Name (prior to change): Co0iA 7 rT- - NWTu p fOOYr- NEW OWNER/NAME INFORMATION: 2. This request for a name change is a result of: V/1'a. Change in ownership of property/company b. Name change only (Facility and/or Company) c. Other (please explain): (for example, facility address update. Include additional attachments if necessary.) 3. New owner's name (name to be put on permit as Permittee): 4. New owner's or signing official's name and title: 1)P%nCn)nQ `� Cu1� Q (Person legally responsible for permit) mi mbe.r (Title) 5. Mailing address: wH a=?,ho� City: Frefyw,l , N e- State: N li Zip Code: fig 0 E-mail address: Phone: ( q �q ) a'13'33L{ Q 6. New facility name (if applicable): L-cdair tJ FeP_ci,� 7. Effective date of transfer or name change:: z?/9 1al w North Carolina Department of Environmental Quality I Division of Energy. Mineral and Land Itesources 512 North Salisbury street 14,12 Mail Service Ccntcr Raleigh. North Carolina 276991b12 919.707.9200 NPDES Stormwater Permit Name/Ownership Change Page 2 of 2 PERMIT AND FACILITY CONTACT INFORMATION 8. New permit contact's name and title: 24-4res\ lJoAdX, (Permit Contact) 9. KVjMbtA- (Title) Mailing address: 9�0&City: Fr''eJMar%k State:Zip Code: 3 D Phone: ( 0jk4( E-mail address:�� ��4C4.t'�CeS �nC• Cd_ 10. New facility contact's name and title: 10-Deboyel \ c A"a" (Facility Contact) (Title) 11. Mailing address: kQgg0Vj*-V\ City: State: Zip Code: �e630 Phone:( al 16L ) D nl-S4>4 �t E-mail address: >mSc • C 12. New billing contact's name: L'e r"L° ecj ( lling Contact) 13. Mailing address: uq -I ewtm � � a0lity: ' State: 1Qt Zip Code: YI%36 E-mail address: Phone: ( q ig L ) 4-105 - I IV. FACILITY ACTIVITIES AND DISCHARGE INFORMATION 1. Will industrial activities at the facility remain the same as under the previous owner? Yes [0/No ❑ 2. Will the stormwater discharge location(s) remain the same? Yes VNo ❑ NOTE: If either of these questions is answered "No," then more information is needed to review the request. Please attach documentation to describe and explain the changes to the facility activities, stormwater discharges, and/or outfall location. Depending on the information provided, the Division may require that the new ownerfile a new permit application. Last Revised 3/13/2022 NPDES Stormwater Permit Name/Ownership Change Page 2 of 2 THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE ITEMS LISTED BELOW ARE INCLUDED. REQUIRED ITEMS: 1. This completed application form (with original signature) 2. Legal documentation of transfer of ownership (such as relevant pages of a deed or a bill of sale) is required for an ownership change request. Articles of incorporation are not sufficient for an ownership change but can be provided for a name change. 3. Information to document facility, industrial activities, stormwater discharges, or outfall changes as noted in item IV above (if appropriate) Why is this information needed? Regulations in 40 CFR §122.63 allow for minor modifications to NPDES permits for a change of ownership or operational control of a facility, provided that information supports that no other change in the permit are necessary. Why does this form need to be mailed in? Permittees and applicants must fulfill signatory requirements in the NPDES federal regulations in 40 CFR §122.22 (please see those regulations for guidance). Until NCDEQ's electronic submission process meets Cross -Media Electronic Reporting (CROMERR) requirements, this original signed (not digital signature) form must be mailed to the address below. The uploaded copy is stored as part of the permit record in the Division's digital repository. Applicant's Certification: I,bOa llancti , attest that the application for a name and/or ownership change submitted has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed, or if all required supporting information is not included, this application package will be considered incomplete and may be returned. Signature: Zu,t.CD,*& Date: ^I' Z-X2 THE COMPLETED APPLICATION AND ALL SUPPORTING INFORMATION SHOULD BE SENT TO: DEMLR Stormwater Program 512 North Salisbury Street, 61^ Floor (Office 640K) 1612 Mail Service Center Raleigh, NC 27699-1612 Last Revised 3/13/2022 Transfer Tax: $ This certifies that there are no delinquent ad valorem real estate taxes, which the Wilson County Tax Collector is charged with collecting, that are a lien on: Property Identification Number 3720101168 This is not a certification that the Wilson County Property Identification Number matches this Deed description. Wilson Co. Tax Collections Manager Clerk Record and return to: First American Title Insurance Company 1212 South 8th Street, Suite 1250 Minneapolis, MN 55402 Attn: Laurie K. Ingberg NCS-1018860-MPLS Prepared by: Brooke Tassoni Attorney at Law 15407 McGinley Road, MS-24 Wayzata, MN 55391 GENERAL WARRANTY DEED Dater'fime THIS GENERAL WARRANTY DEED (this "Deed") is made effective as of March 9 , 2021, by and between Cargill, Incorporated, a Delaware corporation, with a mailing address of 15407 McGinty Road West, Wayzata, Minnesota 55391 (hereinafter "Grantor"), and Legacy Feeds, LLC, a North Carolina limited liability company, with a principal mailing address of 604 Benton Pond Place, Fremont, North Carolina 27830 (hereinafter "Grantee"). Grantor, in consideration of the sum of One and no/100 Dollar ($1.00) and other good and valuable consideration, to it paid by Grantee, the receipt of which is hereby acknowledged, conveys, confirms and warrants to Grantee, its successors and assigns, in fee simple the following described real estate in Wilson County, North Carolina, more particularly described in Exhibit A (attached hereto and made a part hereof) (the "Property"), together with all hereditaments and appurtenances belonging thereto and all improvements and buildings thereon, subject to those exceptions set forth in Exhibit B (attached hereto and made a part hereof) and to the extent they lawfully affect the Property (the "Permitted Exceptions'). The Property having been previously conveyed to Grantor by instruments recorded in Book 1360, Page 96 of the Wilson County Recorder's Office, Book 992, Page 588 of the Wilson County Record's Office, and Book 994, Page 271 of the Wilson County Recorder's Office. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. AND Grantor hereby covenants with Grantee, and its successors in interest, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever, except for those matters which are Permitted Exceptions, but against no others. GRANTEE, ITS SUCCESSORS AND ASSIGNS AND INCLUDING ANY TENANT OR OPERATOR OF THE PROPERTY, WILL NOT, AND WILL NOT PERMIT ANY THIRD PARTY, for a period of four (4) years from and after the date of this Deed, without Grantor's prior written consent, produce at, and/or sell bagged feeds from, the Property. FURTHERMORE, the Property may not be sold to a competitor of Grantor for a period of two (2) years following the date of this Deed. The term "competitor" as used herein shall mean any person or entity that produces and/or sells bulk or bagged animal feeds. [SIGNATURE PAGE FOLLOWS] Executed under seal as of the date first set forth above. CARGILL, INCORPORATED, a Delaware corporation By: Name: M c Luekin Title: Vike President, Cargill Animal Nutrition Health STATE OF MINNESOTA ) •SS COUNTY OF j1paxpi n ) I certify that the following person personally appeared before me this day, acknowledging to me that he signed the foregoing document: Mark Lueking, Vice President, Cargill Animal Nutrition Health, Cargill, Incorporated. Date: 2021 yy --� S �L\ ALEXANDER RYAN seMMIM NOTARY PUBLIC•MINNErlOTA My COMMISsion Expires January 21, 2020 otary Pub Ic: My commission expires: " -) 2 1 / )iDas EXHIBIT A TO DEED Legal Description The property referred to herein below is situated in the County of Wilson, State of North Carolina, and is described as follows: BEGINNING AT A POINT ON THE SOUTHERLY RIGHT OF WAY OF WILCO BOULEVARD AT THE INTERSECTION WITH THE WESTERLY PROPERTY LINE OF SEABOARD COAST LINE RAILROAD CO., SAID POINT BEING SOUTH 28 DEG. 15' 48" EAST 100.85 FEET FROM A COORDINATE MARKER C-32, "WILCO AND BALDREE" (X=2,321,235,505Y=708,460,460). THENCE FROM SAID POINT OF BEGINNING WITH AND ALONG THE RAILROAD LINE SOUTH 00 DEG. 15' 15" EAST 1200.28 FEET TO AN IRON PIPE; CORNERING, THENCE SOUTH 80 DEG. 44' 45" WEST 400 FEET TO A POINT ON THE EASTERLY RIGHT OF WAY OF CONTENTNEA ROAD; CORNERING, THENCE ALONG SAID ROAD NORTH 00 DEG. 15' 15" WEST 1364.38 FEET TO A CONCRETE MONUMENT; CORNERING, THENCE NORTH 57 DEG. 58' 45" EAST 89.44 FEET TO A CONCRETE MARKER ON THE SOUTHERLY RIGHT OF WAY OF WILCO BLVD.; CORNERING, THENCE ALONG SAID RIGHT OF WAY SOUTH 57 DEG. 09' 15" EAST 386.71 FEET TO THE POINT OF BEGINNING. THIS BEING 12.135 ACRES MORE OR LESS AND BEING THE SAME LAND CONVEYED TO CENTRAL SOYA COMPANY, INC. BY DEED RECORDED IN BOOK 1360, PAGE 96 OF THE WILSON COUNTY REGISTRY. SEE ALSO DEEDS IN BOOK 992, PAGE 588 AND BOOK 994, PAGE 271. EXHIBIT B TO DEED Permitted Exceptions 1. Taxes and assessments for the year 2021, a lien not yet due and payable, and all subsequent years. 2. Easements, right of ways, covenants and restrictions, and other encumbrances of record, if any; provided that this reference shall not reimpose the same; 3. Zoning, roads, streets, highways, subdivision, building code and other land use laws imposed by any governmental authority; 4. Easement to City of Wilson, North Carolina, a municipal corporation recorded in Book 1114, Page 467, Wilson County Registry; 5. Agreement by and between Seaboard Coast Line Railroad Company and Central Soya of Wilson, Inc., an Indiana corporation, recorded in Book 1052, Page 40, Wilson County Registry; 6. Rural Line Permit recorded in Book 685, Page 585, Wilson County Registry; 7. Easement to Wilson County Electric Membership Corporation recorded in Book 242, Page 203; Book 238, Page 437; Book 238, Page 430; Book 238, Page 460; Book 238, Page 535; and Book 2427 Page 44, Wilson County Registry; 8. Easement to City of Wilson, a North Carolina municipal corporation recorded in Book 2691, Page 455, Wilson County Registry; 9. Rights of way for railroad, switch tracks, spur tracks, railway facilities and other related easements, if any, on and across the Land; 10. Any claim that the Title is subject to a trust or lien created under The Perishable Agricultural Commodities Act, 1930 (7 U.S.C. §§499a, et seq.) or the Packers and Stockyards Act (7 U.S.C. §§ 181 et seq.) or under similar state laws; 11. Any lien, or right to a lien for services, labor or material or rental equipment heretofore or hereafter furnished, imposed by law and not shown on the public records.