NCG551633_Owner (Name Change)_20220114

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
January 14, 2022
Alison S. Bowes
811 Valmet Drive
Durham, NC 27703
Subject: General Permit NCG550000
Certificate of Coverage (CoC) NCG551633
811 Valmet Drive
Durham County
Dear Permittee:
The Division has approved your request to transfer coverage under the subject General Permit.
Accordingly, the Division hereby issues you a revised version of NCG551633, along with a copy of
NCG550000. Discard any earlier versions of the permit and use this version until further notice. This CoC
is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the Memorandum of
Agreement between North Carolina and the US Environmental Protection agency dated October 15, 2007 [or
as subsequently amended].
PLEASE NOTE: Your facility discharges to a class WS-IV NSW waterbody. Therefore, you will use
the limits and monitoring frequencies found in Part I, section C. (3.) of NCG550000.
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
This CoC is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the CoC. Contact the Raleigh Regional Office prior to any
sale or transfer of the permitted facility. Regional Office staff will assist you in documenting the
transfer of this CoC.
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
governmental permit that may be required. If you have any questions concerning the requirements of the
General Permit, please contact Derek Denard of the NPDES staff [[e-mail]].
cc: NPDES file
NORTH Ro N
Department of Environmental Quality
Sincerely,
/-1 Vatrq
for S. Daniel Smith
Director, Division of Water Resources
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551633
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Alison S. Bowes
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
811 Valmet Drive
Durham
Durham County
to receiving waters designated as an unnamed tributary to Chunky Pipe Creek, currently a class
WS-IV NSW stream in subbasin 03-04-01 of the Neuse River Basin in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts I, II, and III hereof.
This certificate of coverage takes effect 1/14/2022.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day 1/14/2022
ii 144
for S. Daniel Smith
Director, Division of Water Resources
By Authority of the Environmental Management Commission

1
ROY COOPER
Gar ernar
ELIZABETH 5. BISER
irrmark
S. DANIEL SMITH
Direr c r
NORTH CAROLINA
,Environmental Quality
NPDES Certificate of Coverage (CoC)
NCG550000 OWNERSHIP CHANGE FORM
Please enter the CoC number for which the change is requested.
Certificate of Coverage
N tffUiBU3t.
11. Please provide the following for the requested change (revised CoC).
a Request for change is a result of: `,3Change in ownership of the residence/property
El Narne change of the facility or owner
If other please ex -plain:
b. CoC will be issued to (person's name n C
or company name, if applicable): a llSd n 7 ) u
c. Owner: person legally responsible for
CoC: .1\ L.`Sc„ rl t7 CS.
Firm Mt Last
Title
e 1 \ \G�ima --c
Permit Holder Mailin Address
City state Zip
( )(q) 35 •3(e5T3 tb.50r1 . -5.6 k.t.)t'. eSnr\CC)1
Phone E-mail Address
d. Facility name (if applicable):
e. Facility address: ESL aD O f,
Address
f. Facility contact person:
[if different from Owner] First
M. Contact person (if different from the person legally responsible for the CoC)
Phone E-mail Address
First MI
City
Phase
Title
Mailing Address
State - Zip
E-mail Address
North Carolina Department of Environmental Quality I Division of Water Resources
22 North Salisbury Street ? 16177 Mail Scrvke Center i Raleigh, North Carolina 27644-1617
919.707.9000

IV_
V.
NC05110000 OWNERSHIP CHANGE FORM
Page 2af2
Will this permitted facility continue to discharge the same volume and type of wastewater as
prior to this ownership or name change?
D Yt%
[� No (please explain)
Required Items: THIS APPLICATION Will BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
gP This completed application is required for both facility -name change and/or facility ownership
change requests.
Legal documentation of the transfer of ownership (such as a property deed, relevant pages of a
contract, or a bill of sale) is required for an ownership change request.
The certifications below must be completed and signed by the new applicant in the case of an ownership
change request.
APPL ANT CERTIFICATION
1 ;; r / attest that this application for a nameiownership change has been reviewed and is accurate and
complete to the bet of my knowledge. l understand that if all required parts of this application are not
completed and that if all required supporting information is noincluded, this application package will be
returned as incomplete.
attire
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Mr. Charles H. Weaver
NC DEQ r DWR I N.PDES
161'7 Mail Service Center
Raleigh, NC 27699-1617
[e-mail]
rev

B0ok8972 - Page 639 Page 1 of 2
!!!!!!te.00
Parcel identifier No. 0851-01- 37-'1754
For Registration Sharon A Davis
Register of Deeds
Durham County, NC
Electronically Recorded
2020 Jun 12 12:08 PM
Book: 8972 Page: 639
NC Rev Stamp: $ 80 00 Fee. 3
Instrument Number 2020022315
DEED
NORTH CAROLi1:# GENERAL WARRANTY DEED
Matl/Boz to: Grantee
This instrument was pr.-pared hv: Kreeer Law Fero, 5001S1 tnhpar1 Dn. c. Sedan 260, flurh:snr, NC 27713
0 ct-darriptioo for the Irides. PROP-itUDSON & COPLE Y 1T42 -24 INCL
' .)v. 2UL_► . by and between
THIS DEED made this - Lay of — _.... —
GRANTOR
E n yn 7000 90w4ES
AND VIFC,
ALLISON SC$AF}' WSJEs
Alison Bowes
811 Vahnti Dn
Dire3}atn, NC 27703
GRANTEE
26 00
Utter in appropriauc block. tilt .-ash Grantor and Grantee: name. ttrmiinm aJJre..s. and. if appropriate. character o[ entity. c.g. corporation
or partnership.
The designation Grantor and Grantee as used herein shall include said parties. their heirs, smcccscor\ and assigns., and shall include
singular. plural. masculine. fantnine or neuter as reytatcd by contest.
WIT?4 SSCTFh, that the Grantor. for a valuable consideration paid by the Cirantee. the receipt of which is hereby ucknowkdged, has and
by these presents dines grant, bargain. sell and conch• unto the Grantee in fee simple. all that certain lox. parcel of land or condominittrn
unit situated in the City of 13trrawn, Durham County. North Carolina mid more particularly described as hallows:
>Ntaira1r!KC at a stake laths property lint on the 'cetera side of valnet Drive (formerly
CDp1e; Street). the northeast earner n. lot 23 of the plat hereinafter referred to
and runnirul thence along and with the property it on the western side of Valiant
Crime (formerly Copley Street) North 26° 10' Last ISO tut to a stakor thence
North 63° 5O' west 200 feet to a stake) thence South 26° 10' Wei ISO feet to a
stake, thence South 63` 5C• East 200 feet to a stake) the point and place of the
beyiun:ny and beiny Lot:: 27, re ale 21$ at the hUD 04-CctP&.t:Y SUbULV1SL©N as per
plat and survey thereof b' Hat T. SU_ea. Rosltstercd Surveyor, dated April 12. 17S7
and now on file an the office of the Registrar of ()cede of Durham County in Plat
Dates ` Page . to wh;ch refe_ence is hereby made for a more particular
description of sane.
The property hercinabnvc described was acquired by lirantor by instrument recorded in 11thd 2484 page){13.
AR or a portion of the property ax-rein cunt-evoil X Mg:lurks nr does mu iodide hers, primary residence r of a GOMM.
A malt showing die above described property i+ recorded m Pl.0 Rook W paye 111.
submitted electronically by "Kreger Law Firm"
in compliance with north carolina statutes governing recordable documents
and the terms of the subaeitter agreement with the Durham County Register of Deeds.

TO HAVE, ANt)1()110L1J the aforeatid lot or room' of Iliad inid all pro ih' ' +n.J
fCc rimy&
And the Grantor 'ammonia with the Grunter. that Ciroulur tag .cited of lite prndes.:r lrt
stover, that title is rnuketable and fhce and clear nrali cncum'brancea. and thin (lrunwr
claims of all persons w•htmsae'•er. other than !he Callon tip rveept toms.
1. Ad veianvnt saxes for the cumin yenr tend sutniequent punt
f Easement& restrictions and fthet matter of reared irffeetrnp ink In the wultieri
WITNESS WHEREOF, the (Irani or las duly executed Me Interning
(Entity Name)
Prir VF pe None
Title:
IT
Narn.
Votary
Notary's Printed or Ty-pr.
THOMAS JOHN KREGER
NOTARY PUBLIC
Durham County
North Carolina
My Commission Expires Jan 27, 2021
Idle:
,sppurteanrn:aa thereto belonging to tbo in
foe simple, has tlkt nigh! to waviri the sons to fee
n 111 *Amon and defend the sale slim *le lawfilt
t SF.AU
State oaf ,l'.0 - County or C'ily of,!
1, the undersigned hut.#ry I'tddre of the County of Oily' of ' and State
aloft -Naga c,:rtily that Kylrnerh Todd lintik, personally appeared before me lies day tad
as:lumt ledkad lite due %Accent n dike foregoing instrut lit for the pumuses therei9
1Vitri env hand and Notarial stamp or seal this day of ,t i
!Qj.
My Cc/aunts:4 n Fxpires: