Transmittal Date: Thursday, September 20, 2018 To: From: Mr. Amede Dimonnay, MBA Broward County Environmental Protection and Growth Management Department Environmental Engineering and Permitting Division Waste Regulation Section 1 North University Drive, Mailbox 201 Plantation, FL 33324 Matt Schafer, E.I. HDR Engineering, Inc. 3250 West Commercial Boulevard, Suite 100 Fort Lauderdale, FL 33309 Matthew.Schafer@hdrinc.com Subject: Lindimar Material Recovery Facility Solid Waste Permit Transfer (WACS ID 103196) We are sending you: Attached Under separate cover via the following items: Shop drawings Prints Plans Samples Specifications Copy of letter Change Order Other: Copies Date No. Description 1 1 Broward County Application for Transfer of License 1 2 Proof of Property Ownership (Special Warranty Deed) 1 3 Broward County License Transfer Fee of $100 2 4 Application for Transfer of Permit or Notification of Name Change - FDEP FORM # 62-701.900(8), FAC 1 5 FDEP Permit Transfer Fee of $50 These are transmitted as checked below: For your approval Approved as submitted Resubmit For your use Approved as noted Submit As requested Returned for corrections Return For review/comment Other: Copy to: Brendon Pantano, Coastal Waste & Recycling, Inc. Brenda Clark, P.E., HDR Engineering, Inc. Chad Abell, Coastal Waste & Recycling, Inc. Paul Buehler, Whiteman Osterman & Hanna, LLP. Signed: Matt Schafer, HDR Engineering, Inc.
BROWARD COUNTY APPLICATION FOR TRANSFER OF LICENSE
Environmental Protection and Growth Management Department Environmental Engineering and Permitting Division Waste Regulation Section 1 North University Drive, Mailbox #201 Plantation, Florida 33324 954-519-1483 FAX 954-519-1412 broward.org/environment Application for Transfer of License This form and affidavit must be completed and submitted to Broward County Environmental Engineering and Permitting Division (EEPD) along with a check for the applicable fees made payable to Broward County Board of County Commissioners. Project Name (as it appears on License) Broward County License Number: Fee: $100.00 Date issued: Date Expires: Previous Owner/Licensee Name: Phone No.: Address: City: State: Zip Code: New Owner / Licensee Name of Owner/Corporation: Phone No.: Address: City: State: Zip Code: Sworn to and subscribed before me at County,, this day of Notary Public Signature of Licensee: Attach notarized letter of authorization if other than owner or corporate officer. State of My Commission Expires: Enclosed are the following documents: o Recorded copy of documents effectuating transfer of ownership o Transfer Permit Application Fee The above-signed hereby notifies the EEPD of his/her having acquired title to this facility. He/she further states that he/ she has examined the application and documents submitted by the current licensee, the basis on which License No. was issued by the EEPD, and states that they accurately and completely describe the licensed activity or project. He/she further states that he/she is familiar with the license, agrees to comply with its terms and condition, and agrees to assume the rights and liabilities contained therein. He/she also agrees to promptly notify the EEPD of any future change in ownership of, or responsibility for, the licensed activity or project. Please submit all application packages to: EEPD Waste Regulation Section 1 North University Drive, Mailbox 201 Plantation, Florida 33324 954-519-1483 FAX 954-519-1412 broward.org/environment Revised 07/2017
PROOF OF PROPERTY OWNERSHIP (Special Warranty Deed)
This instrument prepared by or under the supervision of (and after recording should be returned to); Gardner. Bist. Bowden, Bush, Dee. LaVia & Wright. P.A. 1300 Thomaswood Drive Tallahassee. Florida 32308 Attention: Benjamin B. Bush (Space Reserved for Clerk of Court) Parcel I.D. No,: 4842 2217 0010 SPECIAL WARRANTY DEED THAT, LINDIMAR MANAGEMENT INC, a Florida corporation ("Grantor"), for and in consideration of the sum of Ten and No/100 Dollars ($10,00) cash in hand paid by COASTAL WASTE & RECYCLING OF BROWARD COUNTY, LLC, a Delaware limited liability company ('"Grantee"'), whose address is 150 Palmetto Park Road, Suite 800, Boca Raton, Florida 33432, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged by Grantor, has GRANTED, BARGAINED, SOLD, and CONVEYED, and by these presents does GRANT, BARGAIN, SELL, and CONVEY unto Grantee, that certain tract of real property situated in BROWARD COUNTY, FLORIDA, and described in Exhibit "A" attached hereto and made a part hereof for all purposes, together with all and singular the rights, privileges, tenements, hereditaments, and appurtenances pertaining to such real property, including any and all buildings, improvements and fixtures currently attached to and located thereon (the "Property"), This conveyance is being made by Grantor and accepted by Grantee subject to the following, which are not hereby reimposed: 1. Taxes for the year 2018 and subsequent years which are not yet due and payable. 2. Conditions, restrictions, limitations and easements of record, if any, none of which shall be deemed to be reimposed by this instrument. 3. Laws, zoning and other ordinances, regulations or restrictions as may be imposed by applicable governmental authorities. TO HAVE AND TO HOLD the Property, together with, all and singular, the rights and appurtenances thereto in anywise belonging, to Grantee and Grantee's successors and assigns forever; and subject to the exceptions set forth on the attached Exhibit "B". Grantor does hereby bind Grantor and Grantor's successors and assigns to warrant and forever defend, all and singular, the Property unto the Grantee and Grantee's successors and assigns, against every PAGE 1 OF 5
person whomsoever lawfully claiming or to claim the same, or any part thereof, by, through or under Grantor, but not otherwise. [SEE SIGNATURE ON THE FOLLOWING PAGE] PAGE 2 OF 5
EXECUTED to be effective as of the 15th day of August, 2018. GRANTOR: WITNESSES: LIND1MAR MANAGEMENT INC a Florida corporation?mm>t Name: s\ ( Linda Polly Title: President Narro: STATE OF FLORIDA COUNTY OF BROWARD ) ) ) ss: On August 3J), 2018, before me, the undersigned, a Notary Public in and for said State, personally appeared Linda Polly, as President of LINDIMAR MANAGEMENT INC, a Florida corporation, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. (SEAL) Notary Public in and for the said State LUISA.DE ARMAS Commission # GG 162081 Expires November 21, 2021 SonM Ihu BudetOMxy Swvlcw PAGE 3 OF 5
EXHIBIT "A" The Property The land referred to herein below is situated in the County of Broward, State of Florida, and is described as follows: PARCEL 1: Parcels A and B, of ROWAN PLAT NO. 1, according to the Plat thereof, as recorded in Plat Book 102, at Page 35, of the Public Records of Broward County, Florida. Together with a portion of Northwest 32nd Street adjacent to "ROWAN PLAT NO. 1", as recorded in Plat Book 102, at Page 35, of the Public Records of Broward County, Florida, being more particularly described as follows: Beginning at the Northeast corner of Parcel "B" of said to "ROWAN PLAT NO. 1"; thence North 89 28'48" West, along the North line of said Parcel "B", a distance of 108.75 feet to a point on the arc of a circular curve to the left at which a radial line bears North 52 36'36" West; thence Northerly along the arc of said curve having a radius of 50.00 feet and a central angle of 73 44'25" a distance of 64.35 feet; thence South 89 28'48" East along the South line of Parcel "A" of said "ROWAN PLAT NO. 1", a distance of 109.08 feet to the Southeast corner of said Parcel "A"; thence South 00 49'53" West, a distance of 60,00 feet to the Point of Beginning. Less those dedication parcels conveyed to the City of Pompano Beach by Quit Claim Deed, filed March 8, 2005, in Official Records Book 39193, at Page 248 of the Public Records of Broward County, Florida, PARCEL 2: Parcel A of Sills Properties Plat No. 3, according to the plat thereof, as recorded in Plat Book 141, at Page 7, of the Public Records of Broward County, Florida. PAGE 4 OF 5
`EXHIBIT "B" The Permitted Exceptions Permitted Exceptions on Parcel 1 : 1. Restrictions, dedications, conditions, reservations, easements and other matters shown on the plat of ROWAN PLAT NO. 1, as recorded in Plat Book 102, at Page 35, but deleting any covenant, condition or restriction indicating a preference, limitation or discrimination based on race, color, religion, sex, handicap, familial status or national origin to the extent such covenants, conditions or restrictions violate 42 USC 3604(c). 2. Owner's Agreement with Broward County, filed September 11, 1981, in Official Records Book 9790, at Page 44 1. 3. Unity of Use Agreement as set forth in instrument recorded in Official Records Book 50864, Page 448 of the Public Records of Broward County, Florida. 4. Indemnification Agreement as set forth in instrument recorded in Official Records Book 51204 Page 1334 of the Public Records of Broward County, Florida. Permitted Exceptions on Parcel 2: 1. Easements, restrictions and right of way as shown on the Plat of Sills Properties Plat No. 3, as recorded in Plat Book 141, Page 7. 2. Easement granted to Florida Power & Light Company recorded in Official Records Book 231, Page 408. 3. Easement granted to L.P. Smoak by instrument recorded in Official Records Book 1 133, Page 415 of the Public Records of Broward County, Florida. 4, Easement granted to American Telephone and Telegraph Company and road right of way as set forth in Special Warranty Deed recorded in Deed Book 464, Page 81. 5. Easement for Conservation Easement, recorded in Instrument Number 1 13300434 of the Public Records of Broward County, Florida. 6. Order executed by the City of Pompano Beach, Florida recorded in Official Records Book 50573, Page 1 163 of the Public Records of Broward County, Florida. 7. Declaration of Unity of Title recorded in Instrument Number 115091047 of the Public Records of Broward County, Florida. PAGE 5 OF 5
BROWARD COUNTY LICENSE TRANSFER FEE
COASTAL WASTE & RECYCLING OF BROWARD COUNTY LLC 1700 NW 33RO STREET POMPANO BEACH, FL 33064 10-4/220 09/17/2018 10020 PAY TO THE ORDER OF Florida Department of Environmental Protection $ so.oo Fifty and 00/1 oo ******** DOLLARS Florida Department of Environmental Protection MEMO ffshield AUTHORIZED SIGNATURE 11 00000 ~DD 2011,: 2 20000... bl: COASTAL WASTE & RECYCLING OF BROWARD COUNTY LLC 09/17/2018 Date 09/17/2018 Type Bill Florida Department of Environmental Protection Reference SW-WP02974-16 Original Amount 50.00 Check Amount Balance Due 50.00 10020 Payment 50.00 50.00 10110 M&T Operatin~ 50.00
Save Form Reset Form Print Form Florida Department of Environmental Protection Bob Martinez Center 2600 Blair Stone Road Tallahassee, Florida 32399-2400 DEP Form #: 62-701.900(8), F.A.C. Form Title: Permit Transfer Form Effective Date: January 6, 2010 Incorporated in Rule: 62-701.320(11), F.A.C. APPLICATION FOR TRANSFER OF PERMIT OR NOTIFICATION OF NAME CHANGE GENERAL REQUIREMENT: Permit transfers for Solid Waste Management Facilities shall be permitted in accordance with Florida Administrative Code (F.A.C.) Rule 62-701.320(11). A transfer of permit is required upon the sale or transfer of a facility. A transfer of permit is also required if a new or different person takes ownership or control of the facility. A transfer of permit is not required if the facility or permittee simply changes its name, although the permittee must notify the Department of such a change. Two copies of this form shall be submitted to the Department District Office having jurisdiction over the facility for either the Notification of Name Change or Transfer of Permit. PART I. GENERAL INFORMATION TO BE COMPLETED BY THE CURRENT PERMITTEE Permit No. Date Issued: Date Expires: Existing Facility Name: Facility Location: (Street or Road Do Not Use P.O. Box) County: City: Permittee: Authorized Representative or Permittee: (Company or Legal Entity Name as Listed on the Permit) (Print or Type Name of Person) Title: Email: Telephone: ( ) Mailing address: (Street or P.O. Box) (City, State and Zip) PART II. CHECK ALL BOXES THAT APPLY AND COMPLETE AS DIRECTED 1. Permit requires financial assurance documentation. You must attach a copy of documentation to this form indicating that the financial assurance mechanism has been or will be modified to reflect proposed name changes (facility or legal entity name) of the current permittee or if the permit is to be transferred, the applicant (proposed new permittee) must provide new proof of financial assurance. Send original signature financial assurance documentation with a copy of this form to: Solid Waste Financial Coordinator Department of Environmental Protection 2600 Blair Stone Road, MS 4565 Tallahassee, Florida 32399-2400 For further financial assurance information, visit www.dep.state.fl.us/waste/categories/swfr/ or call the financial coordinator at 850-245-8732. If box 1 is checked and you believe financial assurance does not need to be modified, attach an explanation of why no modification is required. 2. The current Permittee (Owner or Operator) will remain the same, however the facility name and / or name of the permittee (company or legal entity name) will change. Complete Part III. Northwest District Northeast District Central District Southwest District South District Southeast District 160 Governmental Center 7825 Baymeadows Way, Ste. B200 3319 Maguire Blvd., Ste. 232 3804 Coconut Palm Dr. 2295 Victoria Ave., Ste. 364 400 North Congress Ave. Pensacola, FL 32501-5794 850-595-8300 Jacksonville, FL 32256-7590 904-807-3300 Orlando, FL 32803-3767 407-894-7555 Tampa, FL 33619 813-632-7600 Fort Myers, FL 33901-3881 239-332-6975 West Palm Beach, FL 33401 561-681-6600
Save Form Reset Form Print Form Florida Department of Environmental Protection Bob Martinez Center 2600 Blair Stone Road Tallahassee, Florida 32399-2400 DEP Form #: 62-701.900(8), F.A.C. Form Title: Permit Transfer Form Effective Date: January 6, 2010 Incorporated in Rule: 62-701.320(11), F.A.C. APPLICATION FOR TRANSFER OF PERMIT OR NOTIFICATION OF NAME CHANGE GENERAL REQUIREMENT: Permit transfers for Solid Waste Management Facilities shall be permitted in accordance with Florida Administrative Code (F.A.C.) Rule 62-701.320(11). A transfer of permit is required upon the sale or transfer of a facility. A transfer of permit is also required if a new or different person takes ownership or control of the facility. A transfer of permit is not required if the facility or permittee simply changes its name, although the permittee must notify the Department of such a change. Two copies of this form shall be submitted to the Department District Office having jurisdiction over the facility for either the Notification of Name Change or Transfer of Permit. PART I. GENERAL INFORMATION TO BE COMPLETED BY THE CURRENT PERMITTEE Permit No. Date Issued: Date Expires: Existing Facility Name: Facility Location: (Street or Road Do Not Use P.O. Box) County: City: Permittee: Authorized Representative or Permittee: (Company or Legal Entity Name as Listed on the Permit) (Print or Type Name of Person) Title: Email: Telephone: ( ) Mailing address: (Street or P.O. Box) (City, State and Zip) PART II. CHECK ALL BOXES THAT APPLY AND COMPLETE AS DIRECTED 1. Permit requires financial assurance documentation. You must attach a copy of documentation to this form indicating that the financial assurance mechanism has been or will be modified to reflect proposed name changes (facility or legal entity name) of the current permittee or if the permit is to be transferred, the applicant (proposed new permittee) must provide new proof of financial assurance. Send original signature financial assurance documentation with a copy of this form to: Solid Waste Financial Coordinator Department of Environmental Protection 2600 Blair Stone Road, MS 4565 Tallahassee, Florida 32399-2400 For further financial assurance information, visit www.dep.state.fl.us/waste/categories/swfr/ or call the financial coordinator at 850-245-8732. If box 1 is checked and you believe financial assurance does not need to be modified, attach an explanation of why no modification is required. 2. The current Permittee (Owner or Operator) will remain the same, however the facility name and / or name of the permittee (company or legal entity name) will change. Complete Part III. Northwest District Northeast District Central District Southwest District South District Southeast District 160 Governmental Center 7825 Baymeadows Way, Ste. B200 3319 Maguire Blvd., Ste. 232 3804 Coconut Palm Dr. 2295 Victoria Ave., Ste. 364 400 North Congress Ave. Pensacola, FL 32501-5794 850-595-8300 Jacksonville, FL 32256-7590 904-807-3300 Orlando, FL 32803-3767 407-894-7555 Tampa, FL 33619 813-632-7600 Fort Myers, FL 33901-3881 239-332-6975 West Palm Beach, FL 33401 561-681-6600
FDEP PERMIT TRANSFER FEE
~.ti COASTAL WASTE & RECYCLING ~.Gt. OF BROWARD COUNTY LLC 1700 NW 33RD STREET r 10-4/220 POMPANO BEACH, FL 33064 09/17/2018 10019 TOTHE DER OF Broward County Board of County Commissioners $ **100.00 One hundred and 00/100********************************************************************************************* DOLLARS MO Broward County Board of County Commissioners 1 North University Dr. Mailbox #201 Plantation, FL 33324 11 0 0 0 0 0 0 0 ', 11 : 0 2 2 0 0 0 0 '1 E; : 0Shield AUTHORIZED SIGNATURE :j=i Sli@Qurl#l;\NI/, B#l MW# l;f-j'm, : :j=i s~ TAL WASTE & RECYCLING OF BROWARD COUNTY LLC 09/17/2018 Date 09/17/2018 Type Bill Broward County Board of County Commissioners Reference Original Amount SW-WP02974-16 100.00 Check Amount Balance Due 100.00 10019 Payment 100.00 100.00 1 o M&T Operatinr 100.00