NCG060364_Name Ownership Change_20170207

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NCDENR
I.
Division of 1Jnergy, Mineral &Land Resom•ces
Land Quality Section/Stormwater Permitting
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
Please enter the permit number for which the change is requested.
NPDES Permit (or)
N C G 0 6 0 3 6 4
II. Permit status prior to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
cart; fi rate of Coveraee
Goldsboro Milling Compan
James B Jacobs
First MI Last
Feed Mill Manager
rue
P.O. Box 1009
Permit 1-roldor Mailing Address
Goldsboro NC 27532
City State Zip
[phone] ( )
Phone Fas
Farmville Feed MiII
3648 South Fields St
Address
Farmville NC 27828
City State Zip
JamesJabobs (252-351-9001)
First / MI /Last
Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ®Change in ownership of the facility
❑ Name change of the facility or owner
If other• please esplairr
b. Permit issued to (company name): Butterball
c. Person legally responsible for permit: Lankford Ruffin
First MI Last
d. Facility name (discharge):
e. Facility address:
f•. Facility contact person:
Coruorate Environmental Manager
Title
One Butterball Lane
Permit Holder Mailing Address
Garner
NC 27529
City
Smte Lip
(919)255-
7900x7989
h'affin(n�butterball.com
t'hone
E-mail Address
Same as above
Address
City Slate Zip
Last
Revised Jan. 27, 2014
Phone E-mail Address

NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible forthe permit)
Permit contact: __ _„ , ��,
Title
Mailing Address
City State ZiP
PUone Ii-mail Address
Will the permitted facility continue to conduct the same industrial activities conducted prior
V' to this ownership or name change?
Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a conb•act deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
........................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, James Jacobs, attest that this application for aname/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. [understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package Will be
returned as incomplete.
a� ,� /-30-1�
Sign re Date
APPLICANT CERTIFICATION
I, Lankford Ruffin, attest that this application for aname/ownership change 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 and that if all required supporting information is not included, this application
package will be returned as incomplete.
_� �t� -/ 2 -3 - I'�
Signature Date
.....................................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

Type: CONSOLIDATED REAL PROPERTY
Recorded: 12130/2016 8:44:40 AM
Fee Amt: $29,468.00 Page 1 of 4
Revenue Tax: $29,442.00
it County, NC
Lisa P. Nichols REG OF DEEDS
BK 3511 PG 497 • 500
':I hi, 'r l.rur /,'rn., �•t:J jiel,'a.�,v!'u;,• tlel:r
Parcel Nos. 07386, 07387, 0033866 Return To:
Womble Carlyle sandridge & Rice, LLP (Lim
Deed Stamps: $ 297442,00 555 rayetceville Street, suite 1100
Raleigh, NC 27601
STATE OE NORTH CAROLLNA
COUNTY OP PITT
THIS DEED, is made and enteied into this C'A)C'xYNCday of December, 2016, by and between
GOLDSBORO MILLING COMPANY, allortlt Carolina corporation, whose mailing address is P.O.
f,.
Box 10009, Goldsboro, North Carolina27532, hereinafter called Grrmtot•, and BUTTF.RF3ALL, LLC,
a North Carolina limited liability company, whose address is One Butterball Lane, Goldsboro, NC
27529-5971, hereinafter called Grantee.
WTTNESSETII:
Thatthe Grantor, in considet'ation of Ten Dollars and other valuable eonsideratiou to it paid
by the Grantee, the receipt of which is hereby aclatowledged, has bargained and sold, and by these
presents does grant, bargain, sell and convey unto the Grantee, its successors and assigns, the parcel
of land lying and being in the City of ) armville, Pitt County, North Carolina, and more particularly
described as follows:
P1•epared hy: Henry C, Smith, Attorltey
WARREN, I{ERR, W ALSTON, TAYt.OR & SMITI'I, L,LP
The attorney preparing this ins•triwnent has male no recordsearch or lille
examination as to the property lterein des•crihetl.
- suhmi tted elertroni tally by "tvomhle carlyle 5andr•i dge & Rice LLR-rtal ei gh"
'in compliance rvi Ch North Carolina statutes gave rni ny reco rdahle donmieuts
and the terms ofi the suhnd tter agreement with the ni tt County Register of Oeeds.
Book: 35i 1 Pege; 497 Puge 1 of A

BEING all of Tract No. 1, consisting of 13.26 acres, more or less, as shown on a map
entitled `Boundary Survey for Goldsboro Milling Co. "Southern States Grain Mill Site",
Farmville Twp., Pitt Co„ N.C." dated November 24, 2014, as appears of record in Map
Book 78, Page 72 in the Pitt County Registry.
And described by metes and bounds per ALTA/P15PS Laud Title Survey prepared for
Butterball, LLC, dated August 09, 2016, prepared by R. ScottBarrett, PLS L-4513, Job No.
16-088 on behalf of Bock & Clark, Professional Laud Surveyor, BAC Project No.
201602580-001, as follows:
BEGINNING at a point located at the intersection of the western side of South Fields Street
and the south side ofNorfolk and Southern Railroad, from said Beginning Point along the
western right-of-way of South Fields Street, South 456 44' 05" West 648.96 feet to a 5/8"
rebar found; thence along the northern boundary line of the property of Southern States
Cooperative, Inc. (now or formerly) as described in a deed recorded in Book 886, Page 184,
Pitt County Registry, in two (2) calls as follows: (1) North 75' 54' 46" West 355.51 feet
to a %s" rebar set; thence (2) North 85' 2I' 56" West 902.23 foot to a 1" open top pipe
found; thence along the eastern boundary line of the property of W.A. Allen, IV Executor•,
W.A. Allen, III Estate (now or formerly) as described in Estate File No. 2010-E-657, Pitt
County Clerk of Court, Estates Division, North 11' 48' 57" East 353.47 feet to a 1.5" open
top pipe found; thence alongthe southern boundary line o f tlneNorfolk & Southern Railroad,
South 880 1 V II" East 11466,52 feet to the Point or Place of Beginning, containing 13.268
acres or 577,940 square feet.
This conveyance is made subject to restrictions and easements described in the attached
1 Exhibit B entitled "Permitted Exceptions" and 2016 Pitt County ad valorem taxes which are to be
prorated between the parties hereto.
TO HAVE. AND TO I4OLD the aforesaid parcel of land and all privileges and
appurtenances thereurito belonging to the said Grantee, its successors and assigns forever.
And the said Grantor, for itself and its successors, covenants with the Grantee, its
successors and assigns that it is seized of said premises in fee and has the right to convey the
same in fee simple; that the same are free from encumbrances except as herein set forth; and that
it will warrant and defend the said title to the same against the claims of all persons whomsoever.
IN WITNESS WIiEREOF, the Grantor has caused this instrument to be executed in its
company name by its duly authorized manager, this day and year first above written.
Book: 3511 Pngo: 497 Pnae 2 of 4

UOLDSBORO MILLINU COMPANY
J re alter Pelletier, III, President
NORTH CAR.OLINA
WAYNB COUNTY
I,, ,10.mm� v4 • `.3iV'�c.� 1Q�'�t � , a Notary Public of Wayne County, North Cuolina, do
hereby certify that Jere Walter Pelletier, III, personally came before me this day and
acltnowledged that lie is President of Goldsboro Milling Company, �imiterk}nd�iJtgaop°sp�3�ation
and that he, as President, being authorized to do so, executed the foregoing on behalf of the
company, 1
WITNESS my hand and official seal, this day of December, 2016.
Op,nuun11/i taiy Public
My commission expires: o`O\ 5TI
�pTAR). '•
�UBOO
1+e co�ra,�S
Book: 3511 Page: dal Pago 3 of A

EXMBrr B
PERMITTED EXCEPTIONS
1, Easements uid any other facts shown rot plat recorded in Map Book 33, Page 65 and Map
Book 78, Page 72, Pitt County Registry,
2• Notice of Residual Petroleum recorded in Book 3283, Page 620, Pitt Cotmty Registty.
3. Terms and provisions of that certain umecorded Lease executed by Goldsboro Milling
Company to Southern States Cooperative, Incorporated dated December 19, 2014, as
evidenced by a Memorandum of Lease recorded in Book 3294, Page 81.5, Pitt County
Registry, as assigned by Assignment from Goldsboro Milling Company to Butterball, LLC,
as evidenced by Assignment and Assumption of Memorandum of Lease recorded of even
date herewith in the Pitt County Registry.
4. Right(s) of way to Pitt -Greene Electric Membership Cothoration recorded iu Book M2Z,
Page 142 and Book B33, Page 141, Pitt County Registry.
5, Right(s) of way to American Cyanamid Company recorded in Book M29, Page 61, Pitt
County Registry.
6, Rigltt(s) of way to North Carolina Natural Gas recorded in Book E31, Page 55 and Book
E38, Page 462, Pitt County Registry.
7. Rights of way for raih'oad, switch tracks, spur Uacks, railway facilities and other related
railroad easements, if any, on and across the Property.
$. Riparian rights of others in and to the ditches.
9. Easements to Carolina Telephone &Telegraph Company recorded itt Boole X21, Page 416,
Book F26, Page 101, Book F29, Page 381 and Boole tJ30, Page 229, Pitt County Registry
10. Survey dated August 9, 2016 and signed September 22, 2016, by R. Scott Barrett, PLS L-
4513, .Tob No. 1G-088 (BAC Project No. 201602580-001) on behalf of Bock & Clat'le,
Professional Land Surveyor, reveals the following: a. water lines, meters, valves, manholes;
b. utility lines with poles, guy wires; c, fiber optic cable markers; d. sigu(s); e. tattles; f. grain
bin(s); g• storm drain lines, manholes, drop inlets; h, telephone vaults; i, frame building
crosses over tax parcel line.
Book: 3571 Page: Aa7 Page A of 4