SW8990413_Historical File_20090423

MINUTES
Kure Estates Homeowners Board of Director's Meeting
June 17, 2006
RECEI p
APR 0 9 0009
3
Acting President, Butch VonCannon called the meeting to order at 4:15. Board
members present included Ed Davis, Tyrone Byrd and Kathleen Baylies.
Outgoing President, Steve Adams, was also present.
Kathleen announced meeting minutes of the previous board meeting, held May
29, 2006 can't be found.
OLD BUSINESS
Outgoing President, Steve Adams passed on pertinent HOA.dbcuments to the
board, including giving his copy of the pool house key to Ed Davis.
Tyrone reported our bank balance is $43,132.96
The sign reminding people that no one under 16 may swim without supervision
has been posted. There was some discussion about the number of kids who
don't follow the rules.
It was decided the minutes from the annual home owners' association meeting
will be reviewed at the next board meeting.
NEW BUSINESS
Tyrone Tom Forrest with the Kure Beach Village Home Owners Association
asked if their members could use our beach access while they're repairing theirs.
We decided we would allow that. Tyrone also got the name of the company
(Mike Melvin) who will be adding gravel to the Kure Beach Village gazebo lot.
Kathleen made motion that we contract with Mike Melvin to add gravel to our
gazebo parking lot. Tyrone seconded. Motion passed unanimously.
Tyrone reported that the cleaning of the gazebo has been changed from twice a
week to once a week.
Tyrone has asked Ryan Bradshaw to put rain sensors on the irrigation system.
Ed Davis made motion we turn off the irrigation system around the pond and turn
it on during dry spells. Butch VonCannon second. Motion passed unanimously.
Ed Davis mentioned we need to set up a date for the July 0' neighborhood party,
and send out notice to our members. Ed suggested having at the .pool and using
his garage as a rain date. Kathleen made a motion that we set the party for
5:30pm, on Saturday, July 1. Butch seconded the motion. It passed

Page3 Kure Estates Annual Meeting 5/l/04 =0,,99
Insurance: Given by Joe Hearne
Joe advise anyone interested in reviewing the policy, may see it in the office.
Ed Davis asked if it covered:"wind and hail", the answer was yes.
The Election of the Directors was next on the agenda.
Each lot owner was given a ballot for each lot owned in Kure Estates. Proxies
were mailed to each member, to be used if unable to attend. These were collected
at admission and sign in, and ballots were distributed at that time.
Joe Hearne, Acting President, presented the slate for the Board of Directors
for the 2004-2007 years. The terms will be rotated, 1,2 and 3 year terms,
to be determined by the board. There will be 6 directors on the board.
The motion to approve a new board, and establish rotating terms, with 6
board members, was made by Perry Barwick, and seconded by Cris Kaprantzas.
The vote was passed by a unanimous vote.
The slate of directors was presented to the membership by Joe Hearne as follows:
Joe Hearne, Steve Adams, Tyrone Byrd,
Butch von Cannon, Bob McClosky, and Barbara Ervin.
The membership was asked if there were any nominations from the floor, there
being none, a motion .to accept the. slate of directors was made by Tom .Souflas,
and seconded by Linda Souflas. The board of directors slate was elected by
unanimous vote.
Tom Souflas raised the question if we do not have people to
be on the board, Joe advised a professional company could be hired.
The next item was Ratification of the Budget: There were questions. from.the
membership as follows: Frank Magestro asked what would- happen if we lost
our reserve, Joe Hearne explained we would have a "special assessment" if
we need it.

Page 2 5/12/04 r 1119
LBY:.---a brief discussion of a vending machine. There will not be any now. Butch
suggested a clock is needed by the pool. The lot next to pools will be cut,
when needed so parking can be done on it, if needed.
Retention Pond: Joe Hearne suggested .a service to keep the pond clean, he will
get information together on that subject.
Architectural Committee: Joe Hearne said we must start enforcing the painting of
fences and other offenses. Steve Adams will take a walk through neighborhood,
and check homeowners. Offenders will receive a letter to correct the problem.
THE RESOLUTION WAS PASSED BY UNANIMOUS VOTE BY THE BOARD
OF DIRECTORS AS FOLLOWS:
IT IS REQUIRED THAT ALL EXTERIOR SIDING AND SHOWER
ENCLOSURES BE PAINTED. THE COLOR TO BE APPROVED BY TFIE
ARCHITECTURAL COMMITTEE. IT IS REQUIRED, ALL EXTERIOR
DECK RAILS. PICKETS AND POSTS BE PAINTED WHITE. FENCES ARE
TO BE PAINTED WHITE, ANY OTHER COLOR FENCE MUST BE
APPROVED BY THE COMMITTEE. VINYL FENCES ARE TO BE
APPRO
l�CVIVIY! C
The Directors elected the officers for the following positions and terms of service:
Steve Adams
President
Term 3 years
Butch von Cannon
Vice Pres.
Term 2 years
Barbara Ervin
Secretary
Term 1 year
Tyrone Byrd
'treasurer
Term 2 years
Joe Hearne
Director
Term 3 years
Bob McClosky
Director
Term 1 year

Kure Beach Home Owners Association
Board of Directors Meeting 3/29/04
Acting President Joe Hearne called meeting to order at 5:10 P.M.
RECF TED
APR 0 9 l009
BY:
Present were: Joe Hearne, Bob McClosky, Butch von Cannon, Steve Adams,
Tyrone Byrd, Barbara Ervin
Joe Hearne announced that this was his temporary board, until officers were
elected at annual meeting.
Minutes from the annual meeting were distributed.
The Financial Report was distributed and discussed and explained.
The temporary treasurer will be Tyrone Byrd, temporary secretary will be
Barbara Ervin.
A discussion of the Home Owners Association followed and what will take place
at the annual meeting. The proxies will be sent to all homeowners by mail to their
New Hanover real estate addresscs. The annual meeting will take place May1,
2004, at the Community Building in Kure Beach, if they have no other booking.
The follow up meeting will take place on April 5, 2004 at 5PM
The meeting was adjourned at 6:45PM
Respectively submitted,
Barbara Ervin
Temporary Secretary

MINUTES
Kure Estates Homeowners .Board of Director's Meeting
February 12, 2007
REC ,Pv
APR 0 9 7009
BY:
President Butch VonCannon called -the meeting to order at.4:16 p.m. Board
members present included Ed Davis, Tyrone Byrd and Kathleen Baylies:.
The minutes from the June 17, 2006 were -reviewed. Butch VonCannon made a
motion the minutes be accepted. Ed Davis seconded. Motion passed
unanimously.
NEW BUSINESS
Ed Davis volunteered to contact Progress Energy to .find out if our rate is the
appropriate rate and whether or not it may be possible to get a lower rate.
Tyrone Byrd reported on the homeowners dues.. To date we've collected 54 out
of 85 dues from homeowners. The deadline for dues is February 28.
Tyrone has talked to the HOA's insurance agent and the agent seemed to think
our rate might go down. Our insurance is due February 26. The agent will be
reviewing all four of our policies with Tyrone in the coming weeks.
We discussed what the time 'requirements* are for notifying members of the
annual meeting in order for us to conform to the rules.
Since our last meeting, Jeff Becken and Butch VonCannon measured the depth
of the retention pond to make sure it meets depth requirements. Once a month,
Jeff looks at the pond and makes a report. Jeff has told Butch he will submit a
report on ways to improve the maintenance of the pond.
Tyrone Byrd reported that he has filed the tax return for the HOA.
Butch VonCannon brought up the fact that there are people who are using
parking passes who are not members of the HOA. Tyrone says he will produce
new signs with the name and address of each HOA member, by using the old
signs that we still have in stock and addinga sticker with the name and address
of the owner. We will send out new signs with the sticker and send a letter to
each HOA member to explain the need to.use the new signs. in the letter, we
will let owners know it is their responsibility to let their long-term renters know the
details of the pool and gazebo parking rules.
Tyrone reported someone broke into the pool bathrooms by "carding them" after
the water had been turned off for the winter. Tyrone then installed deadbolts to
prevent use while the water is off for the winter.

March 4, 2009
North Carolina Department of
Environment and Natural Resources
Attn: Ms. Angela Hammers
127 Cardinal Drive Extension
Wilmington, NC 28405
Dear Ms. Hammers,
Kure Estate Homeowner's Association is requesting a renewal of the State
Stormwater Management Permit number SW8990413. This renewal is in
response to a letter dated January 13, 2009 from Ms. Georgette Scott of the
Surface Water Protection Section. Information is attached for your consideration
in the evaluation of our renewal package. A portion of this information is based
on a recent meeting I had with Ms. Mary Jean Naugle regarding the renewal
process for this project.
Please find the following documents enclosed:
o Renewal permit application processing fee of $ 505.00 for application
review.
o A completed Stormwater Management Permit Renewal Application Form
based on the current version from Surface Water Protection Section
Website. Please note that this form is the version that Ms. Naugle.
o A copy of the acknowledgement of the change in signing official for the
subject project. Please note that the letter from Ms. Scott was sent to an
incorrect person and address. Please forward all future correspondences
to the person and address listed with the attached acknowledgement
letter.
o A copy of the designer certification is also attached. Based on the
information provided in the letter from Ms. Scott, it appears that your office
does not have a copy of this certification on file.
o A copy of the original State Stormwater Management permit for your use.
Please note that none of the stormwater management features referenced
within this original permit have changed since the designer certification
was completed.
Please feel free to contact me at 910-458-4615 (Home phone) or 910-443-1961
(Mobile phone) if you have any questions or comments.
Regards;-,
JeLery K. Becken
Stormwater Committee Chairman
Enclosures
r - CEIVED
$Y:
MAR 0 4 2009

April 8, 2009
North Carolina Department of
Environment and Natural Resources
Attn: Ms. Christine Nelson
127 Cardinal Drive Extension
Wilmington, NC 28405
Re: Additional Requested Information for Renewal of
Stormwater Permit No. SW8 990413
Kure Estates, Phase III
Kure Beach, New Hanover County, North Carolina
Dear Ms. Nelson,
APR 0. 9 Z009
Kure Estate Homeowner's Association recently received your letter dated March
18, 2009 requesting additional information on the officer of our Homeowner's
Association along with a revised Page 1 of the renewal application. Please find
enclosed the following documents enclosed:
o A revised Page 1 of the Stormwater Management Permit Renewal
Application Form that was previously submitted to your office.
o Minutes from the Board of Directors Meeting on 3/29/04. The home
owner's association was started at that time with the directors being
appointed by the President — Joe Hearn. Joe Hearn was the original
signature authority of the original permit.
o Meeting minutes from the association's annual meeting in which the
directors were elected to the board.
o The positions of the board is determined by the elected directors. Steve
Adams became the President of the Board on May 12, 2004, per the
attached meeting minutes from that date. Steve Adam's signed the most
recently approved Stormwater Permit and authorized me to be the signing
official.
o Butch VonCannon became the board president during a board meeting on
June 17, 2006, as indicated by the attached minutes from that meeting.
o As indicated by the February 12, 2007 meeting minutes, Butch
VonCannon was still president at that time.
o A notarized document of the current board members and their respective
positions is attached for your reference. As indicated, Butch VonCannon is
currently the President of the Kure Estate Homeowner's Association.

Page 2 of 2
April 8, 2009
Please feel free to contact me at 910-458-4615 (Home phone) or 910-443-1961
(Mobile phone) if you have any questions or additional comments.
Regan s,®
?efferyv K. Becken
Stcrmwater C30mmittee ChairMan
Enclosures

Ki
RCME�NR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 18, 2009
Mr. Jeffery K. Becken, Stormwater Committee Chairman
Kure Estates Homeowner's Association, Inc.
122 Clementree Lane
Kure Beach, NC 28449
Subiect- Request for Additional Information
Stormwater Permit No. SW8 990413
Kure Estates, Phase III
New Hanover County
Dear Mr. Becken:
The Wilmington Regional Office received a Stormwater Management Permit Renewal
Application for Kure Estates, Phase III on March 4, 2009. A preliminary review of that
information has determined that the application is not complete. Only the following checked
information is needed to continue the stormwater review:
® Permit Renewal Application. The permittee identified in Section 1.3 of the renewal
application must be a principal executive officer of at least the level of vice-president of
the corporation per NCAC 2H.1003(e). To ensure the permittee is a principal executive
officer of the corporation, they must be registered with the NC Secretary of State or
official documentation from the corporation can be provided supporting the permittee as
a principal executive officer.
In the letter from DWQ dated November 28, 2006, Mr. Becken was acknowledged as
one of the signing officials for the corporation, however the permit was not transferred
from Mr. Adams. This acknowledgement allows Mr. Becken to sign on behalf of the
principal executive officer of the corporation, however the permit will still be issued to the
person identified in Section 1.3 of the application.
Please re -submit page 1 of the application with the correct permittee identified in Section
1.3 along with documentation supporting that individual's position within the corporation.
❑ Operation and Maintenance Agreement. Original signatures must be on the operation
and maintenance agreement. The operation and maintenance agreement received by'
this office appears to be a copy.
❑ A signed Operation and Maintenance Agreement. An Operation and Maintenance
Agreement Form is attached for your convenience.
❑ Name/Ownership Change Form. The enclosed Name/Ownership Change Form,
submitted as part of the Stormwater Management Permit Renewal Application Package,
must be signed by both the Current Owner and the New Owner. The application you
submitted was only signed by the current or new owner.
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 One
Phone: [phone] FAX [phone] Customer Service:1-877-623-6748 NO Carolina
lntemet: www.ncwaterquality.org )tur,al!
An Equal Opportunity 1 Affirmalive Action Employer e/

❑ Designer's Certification. This office has not received a Designer's Certification for the
Stormwater Management System associated with your facility. Systems that are
certified on or after the date of this letter will need to have the original signature of the
certifying person. A Designer's Certification Form is attached for your convenience.
Please note that this request for additional information is in response to a preliminary review.
The requested information should be received by this Office prior to April 20, 2009. If you need
additional time to submit the information, please mail or fax your request for a time extension to
the Division at the address and fax number at the bottom of this letter. The request must
indicate the date by which you expect to submit the required information.
Please reference the State assigned project number on all correspondence. Any original
documents that need to be revised are enclosed. All original documents must be returned or
new originals must be provided. Copies are not acceptable.
You should be aware that failure to provide the requested information and the operation of a
stormwater treatment facility without a valid permit are violations of NC General Statute 143-
215-1 and may result in appropriate enforcement action including the assessment of civil
penalties. If you have any questions concerning this matter please feel free to call meat (910)
796-7215.
Sincerely,
CL-Zft�- lk&�
Christine Nelson
Envionmental Engineer
GDS/can: S:1WQSISTORMWATERIRENEWALSIADDINFO120091990413.mar09
cc: Christine Nelson
Wilmington Regional Office
Page 2 of 2

KURE ESTATES HOA
122 CLEMENTREE LANE
KURE BEACH, NC 28449
RECEIVED
APR 0 9 1009
BY:
T his document acknowledges that the duly elected officers, directors and committee
chairs of the Kure Estates Phase I, II and III Homeowner's Association are as follows:
Butch Von Cannon, President
Ed Davis, Vice President
Kathleen Baylies, Secretary
Tyrone Byrd, Treasurer
Bill Niemi, Director
Jeff Becken, Stormwater Committee Chair
vc;�� y"'c�, oc-- President
Butch Von Cannon
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER
I, R � ti"'o I) s , a Notary Public in and for the State and County
aforesaid, certify that Q,.,� (c,,,,,,`,o , personally came before me this day
and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official seal, this 14 day of , \ 2009
tary Public --
My commission expires: \T� 110L

North Carolina Secretary of State
Page I of I
North Carolina
Elaine F Marshall DEPARTMENT OF THE
Secretary SECRETARYOFSTATE
PO Box 29622 Raleigh. NC 27626-0622 [phone]
CORPORATIONS
Corporations Home
Search By Corporate Name
Search For New & Dissolved
Search By Registered Agent
Important Notice
Resale of Tickets Online
Corporations FAQ
Homeowners' Association FAQ
Tobacco Manufacturers
Unincorporated Non -Profits
Dissolution Reports
Non -Profit Reports
Verify Certification
Online Annuai Reports
LINKS & LEGISLATION
KBBE B213 Annual Reports
SOSID Number Correction
2001 Bill Summaries
1999 Senate Bills
Annual Reports 1997
Corporations 1997
Professional Corporations
Register for E-Procurement
Dept. of Revenue
ONLINE ORDERS
Start An Order
New Payment Procedures
CONTACT US
Corporations Division
TOOLS
Secretary of State Home
Secretary of State Site Map
Printable Page
Corporate Filings For: KURE ESTATES PHASE I, II, &
III HOMEOWNERS' ASSOCIATION. INC.
image.
Date
Document Id
Document
12/17/2002
223519033
INC - Articles of Incorporation
Click here for help downloading forms.
http://www.secretary.state.nc.us/corporations/Filings.aspx`!PItemId=_5595352 3/I7/2009

North Carolina Secretary of State
Page 1 of 1
North Carolina
Elaine F. Marshall DEPARTMENTOF THE
Secretary SECRETARY O STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone]
CORPORATIONS
Corporations Home
Search By Corporate Name
Search For New & Dissolved
Search By Registered Agent
Important Notice
Resale of Tickets Online
Corporations FAQ
Homeowners' Association FAQ
Tobacco Manufacturers
Unincorporated Non -Profits
Dissolution Reports
Non -Profit Reports
Verify Certification
Online Annual Reports
LINKS & LEGISLATION
KBBE 132B Annual Reports
SOSID Number Correction
2001 Bill Summaries
1999 Senate Bills
Annual Reports 1997
Corporations 1997
Professional Corporations
Register for E-Procurement
Dept. of Revenue
ONLINE ORDERS
Start An Order
New Payment Procedures
CONTACT US
Corporations Division
i OOLS
Secretary of State Home
Secretary of State Site Map
Printable Page I
Date: 3/17/2009
Click here to:
View Document Filings I Sign Up for E-Notifications I
Corporation Names
Name Name Type
NC KURE ESTATES PHASE Legal
I, II, & III HOMEOWNERS'
ASSOCIATION, INC.
Non -Profit Corporation Information
SOSID:
0666349
Status:
Current -Active
Date Formed:
12/17/2002
Citizenship:
Domestic
State of Inc.:
NC
Duration:
Perpetual
Registered Agent
Agent Name: Hearne, Joseph C
Registered Office Address: 637 Fort Fisher Bvld, North
Kure Beach NC 28449
Registered Mailing
Address:
Principal Office Address: 637 Fort Fisher Bvid, North
Kure Beach NC 28449
Principal Mailing Address: No Address
http://www.secretary.state.nc.us/corporations/Corp.aspx?Pitemld=5595352 3/17/2009

Bevesly Eaves Perdue, Governor
Dee Freomsn, Secretary
North Cuol m Dvatmeat ofEnvocanxMt and Nen<al Resouaxs
Coleco K Sullins, Director
Division of Water Quality
January 13, 2009
Mr. Steve Adams, President
Kure Estates Homeowner's Association, Inc.
130 Heather Lane
Kure Beach, NC 28449
Subject: Stormwater Permit No. SW8990413
Kure Estates, Phase III
New Hanover County
Dear Mr. Adams:
The Division of Water Quality issued a Coastal Stormwater Management Permit, Number SW8990413
to Kure Estates Homeowner's Association, Inc. for a High Density Project on August 19,1999. This
permit expires on August 19, 2009. Section .1003(h) of 15 A NCAC 2H .1000 (the stornnuater rules)
requires that applications for permit renewals shall be submitted 180 days prior to the expiration of a
permit and must be accompanied by a processing fee, which is currently set at $505.00. If this is still an
active project please complete and submit the enclosed renewal application in a timely manner. If this
project has not been constructed and a permit is no longer needed, please submit a request to have the
pemtit resc�ded. If you have sod the project, or are no r the permittee, please provide the name,
mailing address and phone number of the person or entityiat is now responsible for this permit.
Enclosed is a form for dirge of ownership, which should be completed and submitted if the Property
has changed hands.
Your permit requires that upon completion of constriction and prior to operation of the permitted
treatment units a certification of completion be submitted to the Division from an appropriate designer for
the system installed. This is to certify that the pemnitted facility has been installed in accordance with the
permit, the approved plans, specifications and su porting documentation. Please include a copy of the
certification with your permit renewal request and processing fee. Enclosed is a copy of a sample
certification. Also enclosed is a now Operation and Maintenance agreement that should be completed
arnl submitted along with your renewal application.
You should be aware that failure to provide the Designer's Certification and the operation of a
stormwater treatment facility without a valid permit, are violations of NC General Statute 143-215.1 and
may result in appropriate enforcement action including the assessment of civil penalties of up to $10,000
per day.
If you have any questions, please feel free to contact David Cox at 910-796-7318.
Sincerely,
Georgette Scott, Stormwater Supervisor
Surface Water Protection Section
Wilmington Regional Office
Enclosures
cc: Wilmington Regional Office
Mailing Address Htoae (910) 7%-7215 Internet. www.ncwntcrauality.org PROT;ihcarol
127 Cardinal Drive Extension Fax [phone] Customer Service 14677-i23-6748 Arlandl
Wilmington, NC 28405

W ATFq
9 V
1a pG
V
r "C
November 28, 2006
Mr. Jeffrey K. Becken, Chairman
Kure Estates HOA, Inc.
Stormwater Committee
122 Clementree
Kure Beach, NC 28449
Subject: Change in Signing Official
Kure Estates
Stormwater Project No. SW8 990413
New Hanover County
Dear Mr. Becken:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
ou�
The Division of Water Quality acknowledges receipt of your request to be the signing official
regarding the State Stormwater Management permit for the subject project. The changes have
been made to the database effective today.
If you have any questions, please do not hesitate to call me at [phone].
Sincerely,
Linda Lewis
Environmental Engineer II
ENB1arl: S:\WQS\STORMWATER\LETTERS\2006\990413.novO6
cc: Steve Adams, President
Linda Lewis
_ .One Caro?;
dV[stA a,
North Carolina Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405 Phone [phone] Customer Service
Wilmington Regional Office Internet: www.ncwatergualily.org Fax [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Past Consumer Paper

RECEIVF-D
O C T 2 6 2006
BY- - -
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality W4
WATER QUALITY SECTION 5 All
COASTAL STORMWATER. PERMIT NAMEIOWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
1. Stormwater Management Permit Number: SWg
2. Permit Holder's name:_V,,&m F,50...s H%rne,Dww,'s Assne:�J-,'dl , i e_.
3. Signing official's name: S�eV� �,� Title: Pies o c(en4—
(person leg Ily re ponsibl for permit)
4. Mailing address: t 30 ecakl r Me_ City: V.1" ge�
Stated ZipCode: Phone:4.4 FAX:
(Area Code and Number) (Area Code and Number)
II. NEW OWNER I PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
a. Change in ownership of the property/company (Please complete Items #2.
#3, and #4 below)
b. Name change of project (Please complete Item #5 below)
c. Mailing address change. (Please complete Item #4 below)
AOther (please explain): � n toner's s146,0n3
2. New owner's name to be put on permit: N4�1ca��
3. New owner's signing official's name and title:
Mnw�T'f� �.Onnm•'F4� l._.1n4i S'
(Title)
4. New Mailing Address: 102 a G emeAl-tee_ City: y"M �aJ
State: C- ZipCode: Phone:`Tf0-45F-6515 FAX:
(Area Code and Number) (Area Code and Number)
5. New Project Name to be placed on permit:__
Page 1 of 2
of Celina
VAIZIly
North Carolina Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405 Phone [phone] Customer Service
Wilmington Regional Office Internet: www.ncwaterqualiry.org Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycledl10% Post Consumer Paper

PERMIT NAME/OWNERSHIP CHANGE FORM
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER
QUALITY UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED
WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed form.
2. Legal documentation of the transfer of ownership. Ilk-f
3. A copy of the recorded deed restrictions, if required by the permit. Nof p,,o 1d(
4. The designer's certification, if required by the permit. ^ 1Vai- Jam•-ov`elec(
5. A signed Operation and Maintenan a plan, if a system that requires maintenance will
change ownership. }- AloA Pr,y,1e1e j
6. Maintenance records. " AA* p't v4ec(
CERTIFICATION MUST BE COMPLETED AND SIGNED BY BOTH THE CURRENT PERMIT
HOLDER AND THE NEW APPLICANT IN THE CASE OF A CHANGE OF OWNERSHIP.
FOR NAME CHANGES, COMPLETE AND SIGN ONLY THE CURRENT PERMITTEE'S
CERTIFICATION.
Current Permittee's Certification:
1, , attest that this application for a name/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 and attachments are not included, this application package will be
returned as incomple
Signature: Date: /O — P-Lf-06
New Applicant s Certification: (Must be completed for all transfers of ownership)
I, jeg & CL'e.1 , attest that this application for an 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 and attachments are not included, this application package will be
returned as incomplete
Signature: Date: /0 5t 06
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
North Carolina Department of Environment and Natural Resources
Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
A T TN: Robert Gordon
Page 2 of 2