NC0020567_Owner Name Change_20100803

NPDES DOCUHENT SCANNING COVER SHEET
NC0020567
Elkin / YVSA WWTP
NPDES Permit:
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Correspondence
Owner Name Change
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
August 3, 2010
'Whim document los pririted on reu+ee paper - ignore any
content on the re -weir -sae aide

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 3, 2010
NICOLE B JOHNSTON
EXECUTIVE DIRECTOR
YADKIN VALLEY SEWER AUTHORITY INC
PO BOX 828
ELKIN NC 28621
Subject: NPDES Permit Modification- Name and/or
Ownership Change
Permit Number NC0020567
Yadkin Valley Sewer Auth WWTP
Surry County
Dear Ms. Johnston:
Division personnel have reviewed and approved your request to transfer ownership of the subject permit, received
on July 19, 2010. This permit modification documents the change of ownership.
Please find enclosed the revised permit. All other terms and conditions contained in the original permit remain
unchanged and in full effect. This permit modification is issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection
Agency.
If you have any questions concerning this permit modification, please contact the Point Source Branch at (919)
807-6304.
Sincerely,
Coleen H. Sullins
of
cc: Central Files
Winston-Salem Regional Office, Surface Water Protection
NPDES Unit File NC0020567
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer
NorthCarolina
Naturally

Permit NC0020567
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions 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, the
Yadkin Valley Sewer Authority, Inc
is hereby authorized to discharge wastewater from a facility located at the
Yadkin Valley Sewer Auth WWTP
211 Marion Road
Elkin
Surry County
to receiving waters designated as the Yadkin River in the Yadkin -Pee Dee River
Basin in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective August 3, 2010.
This permit and authorization to discharge shall expire at midnight on January 31, 2014.
Signed this day August 3, 2010.
�oleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0020567
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked. As of
this permit issuance, any previously issued permit bearing this number is no longer effective. Therefore, the
exclusive authority to operate and discharge from this facility arises under the permit conditions, requirements,
terms, and provisions included herein.
The Yadkin Valley Sewer Authority, Inc is hereby authorized to:
1. Continue to operate a 1.8 MGD wastewater treatment facility that includes
the following components:
> Mechanical bar screen
> Grit chamber
> Influent flume
> Continuous recording flow measurement
> Primary clarifiers
> Trickling filter
> Aeration basin
> Dual secondary clarifiers
> Chlorine contact chamber
> Dechlorination
> Automatic sampler
> Aerobic digester
> Sludge holding tanks
> Sludge drying beds
This facility is located at the Yadkin Valley Sewer Auth WWTP off Marion Road
near Elkin in Surry County.
2. Discharge from said treatment works at the location specified on the attached
map into the Yadkin River, classified C waters in the Yadkin -Pee Dee River
Basin.

Latitude: 36°14'51"
Longitude: 80°49'55"
Quad # C I5NE
Receiving Stream: Yadkin River
Stream Class: C
Subbasin: 30702
NC0020567
Yadkin Valley Auth
WWTP
Facility
Location
North
SCALE 1:24000

Permit NC0020567
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS -FINAL
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample Location -
Flow
1.8 MGD
Continuous
Recording
Influent or Effluent
BOD, 5-day (20°C)1
30.0 mg/L
45.0 mg/L
3/Week
Composite
Effluent, Influent
Total Suspended Solids1
30.0 mg/L
45.0 mg/L
3/Week .
Composite
Effluent, Influent
NH3 as N
Weekly
Composite
Effluent
Fecal Coliform
(geometric mean)
200 / 100 ml
400 / 100 ml
3/Week
Grab
Effluent
pH
Between 6.0 and 9.0 standard units
3/Week
Grab
Effluent
Total Residual Chlorine2
28 µg/L
3/Week
Grab
Effluent
Temperature (°C)
3/Week
Grab
Effluent
Total Nitrogen
(NO2+NO3 +TKN)
Weekly
Composite
Effluent
Total Phosphorus
Weekly
Composite
Effluent
Chronic Toxicity3
Quarterly
Composite
Effluent
Notes:
1. The monthly average BOD5 and Total Suspended Solids concentrations shall not exceed 15% of
the respective influent value (85% removal) .
2. The Division shall consider all effluent total residual chlorine values reported below 50 µg/1 to be
in compliance with the permit. However, the Permittee shall continue to record and submit all
values reported by a North Carolina certified laboratory (including field certified), even if these
values fall below 50
3. Chronic Toxicity (Ceriodaphnia) P/F at 0.87%; tests shall be conducted in March, June,
September and December. See Part A. (2.) for further details.
There shall be no discharge of floating solids or visible foam in other than trace
amounts.

Permit NC0020567
A. (2) CHRONIC TOXICITY PERMIT LIMIT (Quarterly) - FINAL
The effluent discharge shall at no time exhibit observable inhibition of reproduction or
significant mortality to Ceriodaphnia dubia at an effluent concentration of 0.87%.
The permit holder shall perform at a minimum, _quarterly monitoring using test procedures
outlined in the "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February
1998, or subsequent versions or "North Carolina Phase II Chronic Whole Effluent Toxicity Test
Procedure" (Revised -February 1998) or subsequent versions. The tests will be performed during
the months of March, June, September and December. Effluent sampling for this testing shall be
performed at the NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or
ChV below the permit limit, then multiple -concentration testing shall be performed at a minimum, in
each of the two following months as described in "North Carolina Phase II Chronic Whole Effluent
Toxicity Test Procedure" (Revised -February 1998) or subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric
mean of the highest concentration having no detectable impairment of reproduction or survival and
the lowest concentration that does have a detectable impairment of reproduction or survival. The
definition of "detectable impairment," collection methods, exposure regimes, and further statistical
methods are specified in the "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure"
(Revised -February 1998) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the
Effluent Discharge Monitoring Form (MR-1) for the months in which tests were performed. If
reporting pass/fail results using the parameter code TGP3B, DWQ Form AT-1 (original) is sent to the
below address. If reporting Chronic Value results using the parameter code THP3B, DWQ Form AT-3
(original) is to be sent to the following address:
Attention: NC DENR / DWQ / Environmental Sciences Section
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no
later than 30 days after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical
measurements and all concentration/response data, and be certified by laboratory supervisor and
ORC or approved designate signature. Total residual chlorine of the effluent toxicity sample must be
measured and reported if chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity
monitoring is required, the permittee will complete the information located at the top of the aquatic
toxicity (AT) test form indicating the facility name, permit number, pipe number, county, and the
month/year of the report with the notation of "No Flow" in the comment area of the form. The report
shall be submitted to the Environmental Sciences Section at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required,
monitoring will be required during the following month.
Should any test data from this monitoring requirement or tests performed by the North
Carolina Division of Water Quality indicate potential impacts to the receiving stream, this permit may
be re -opened and modified to include alternate monitoring requirements or limits.
If the Permittee monitors any pollutant more frequently then required by this permit, the
results of such monitoring shall be included in the calculation and reporting of the data submitted on
the DMR and all AT Forms submitted.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum
control organism survival, minimum control organism reproduction, and appropriate environmental
controls, shall constitute an invalid test and will require immediate follow-up testing to be completed
no later than the last day of the month following the month of the initial monitoring.

Permit NC0020567
A. (3.) EFFLUENT POLLUTANT SCAN- FINAL
The Permittee shall perform an annual Effluent Pollutant Scan for all parameters listed in the attached table.
The analytical methods shall be in accordance with 40 CFR Part 136 and shall be sufficiently
sensitive to determine whether parameters are present in concentrations greater than applicable
standards and criteria. Samples shall represent seasonal variations. Unless otherwise indicated,
metals shall be analyzed as "total recoverable."
Ammonia (as N) Trans-1,2-dichloroethylene Bis (2-chloroethyl) ether
Chlorine (total•residual, TRC) 1,1-dichloroethylene Bis (2-chloroisopropyl) ether
Dissolved oxygen 1,2-dichloropropane • Bis (2-ethyihexyl) phthalate
Nitrate/Nitrite 1,3-dichloropropylene 4-bromophenyl phenyl ether
Kjeldahl nitrogen Ethylbenzene Butyl benzyl phthalate
Oil and grease Methyl bromide 2-chloronaphthalene
Phosphorus Methyl chloride 4-chlorophenyl phenyl ether
Total dissolved solids Methylene chloride Chrysene
Hardness 1,1,2,2-tetrachloroethane Di-n-butyl phthalate
Antimony Tetrachloroethylene Di-n-octyl phthalate
Arsenic Toluene Dibenzo(a,h)anthracene
Beryllium 1,1,1-trichloroethane 1,2-dichlorobenzene
Cadmium 1,1,2-trichloroethane 1,3-dichlorobenzene
Chromium Trichloroethylene 1,4-dichlorobenzene
Copper Vinyl chloride 3,3-dichlorobenzidine
Lead Acid -extractable compounds: Diethyl phthalate
Mercury P-chloro-m-cresol Dimethyl phthalate
Nickel 2-chlorophenol 2,4-dinitrotoluene
Selenium 2,4-dichlorophenol 2,6-dinitrotoluene
Silver - 2,4-dimethylphenol 1,2-diphenylhydrazine
Thallium 4,6-dinitro-o-cresol Fluoranthene
Zinc 2,4-dinitrophenol Fluorene
Cyanide 2-nitrophenol Hexachlorobenzene
Total phenolic compounds 4-nitrophenol Hexachlorobutadiene
Volatile organic compounds: Pentachlorophenol Hexachlorocyclo-pentadiene
Acrolein Phenol Hexachloroethane
Acrylonitrile 2,4,6-trichlorophenol lndeno(1,2,3-cd)pyrene
Benzene Base -neutral compounds: lsophorone
Bromoform Acenaphthene Naphthalene
Carbon tetrachloride Aoenaphthylene Nitrobenzene
Chlorobenzene Anthracene N-nitrosodi-n-propylamine
Chlorodibromomethane Benzidine N-nitrosodimethylamine
Chloroethane Benzo(a)anthracene N-nitrosodiphenylamine
2-chloroethylvinyl ether Benzo(a)pyrene Phenanthrene
Chloroform 3,4 benzofluoranthene Pyrene
Dichlorobromomethane Benzo(ghi)perylene 1,2,4-trichlorobenzene
1,1-dichloroethane Benzo(k)fluoranthene
1,2-dichloroethane Bis (2-chloroethoxy) methane
Test results shall be reported to the Division in DWQ Form- A MR-PPA1 or in a form approved
by the Director within 90 days of sampling. The report shall be submitted to the following
address: Division of Water Quality, Surface Water Protection Section, Central Files, 1617 Mail
Service Center, Raleigh, North Carolina 27699-1617.

CHAIRMAN
Wayne Moore
VICE -CHAIR
J. L. Lowe, Jr.
EXECUTIVE DIRECTOR
Nicole Johnston
ADMINISTRATIVE ASSISTANT
Susan White
SECRETARY/TREASURER
John W. Holcomb
DIVISION OF WATER QUALITY
SURFACE WATER PROTECTION SECTION
1617 Mail Service Center
Raleigh, NC 27699-1617
July 13`", 2010
Dear Sir:
DIRECTORS
Tommy Casstevens
Victor Varela
Harold Lee Wagoner
ADVISORY STAFF
Lloyd Wm. Payne, Jr.
Scott Buffkin
Tim Collins
Robert Fuller
Please find enclosed a completed a Surface Water Protection Section Permit Name/Ownership Change
Form for the transfer of the Town of Elkin WWTP Permit (NPDES Permit # NC0020567) to the
Yadkin Valley Sewer Authority. Please note that since we are a 'new' entity, we are still working on
establishing the operations for the YVSA and are still determining items that may still need to be
addressed. However, please note that operations for the YVSA became effective on JULY 1st, 2010.
At 12:01am, transfer of ownership for the entire collections systems for the Towns of Elkin, Jonesville
and Ronda were rolled over to the YVSA. Please note that legal documentation of the transfer of
ownership is attached to this application.
Please let me know if you need anything further. Thank you for your assistance in this matter!!
Sincerely,
Nicole B. Johnston
Executive Director, YVSA
P. O. Box 828 — 209 Memorial Park Drive - Elkin, NC 28621
Phone [phone] - Fax [phone]

Beverly Eaves Perdue. Governor
Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins. Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION J.
PERMIT NAME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N
C
0
0
2
0
5
6
7
II. Permit status prior to status change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
G
5
Town of Elkin
Robert
Fuller
First MI
Public Works Director
Last
Title
125 Carter Mill Road (PO Box 857)
Permit Holder Mailing Address
Elkin NC 28621
City State Zip
[phone] [phone]
Phone Fax
c. Facility name (discharge): Elkin WWTP
d. Facility address: 211 Marion Road
Elkin
Address
NC
28621
City
e. Facility contact person: Hal Transou
First / MI / Last
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of:
If other please explain:
State
Zip
[phone]
Phone
® Change in ownership of the facility
❑ Name change of the facility or owner
b. Permit issued to (company name):
c. Person legall res.s i ible for permit:
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
Yadkin Valley Sewer Authority
Nicole
B Johnston
First
MI
Executive Director
Last
Title
PO Box 828
Permit Holder Mailing Address
Elkin NC 28621
City State
[phone] [e-mail]
Phone
E-mail Address
Zip
Yadkin Valley Sewer Authority WWTP
211 Marion Road
Elkin
Address
NC
28621
City
Hal
State
Zip
Transou
First
[phone]
MI
Last
[e-mail]
Phone E-mail Address
Revised t/2009

. PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
V.
VI.
First
MI Last
Title
Mailing Address
City State Zip
( )
Phone E-mail Address
Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
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 contract 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, Robert Fuller, 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 is not included, this application package will be
retu - d as incomplete.
b
Signature Date
APPLICANT CERTIFICATION
I, Nicole Johnston, 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 is not included, this application
package will be returned as incomplete.
- 3o- -2o /b
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 1/2009

JAMES N. FREEMAN, JR., P.C.
ATTORNEY AT LAW
117 CHURCH STREET
POST OFFICE Box 347
ELKIN, NORTH CAROLINA 28621
TELEPHONE [phone]
FACSIMILE [phone]
E-MAIL: jfreemanQrivercto.net
July 9, 2010
Ms. Nicole Johnston
Executive Director
Yadkin Valley Sewer Authority
Post Office Box 828
Elkin, N. C. 28621
Re: Recorded Easements and Deeds from Towns of Elkin and Jonesville and Lake District
Properties
Dear Nicole:
Enclosed you will find the originals of the following:
1. The deed of the pump stations and water treatment plant from the Town of Elkin;
2. The Blanket Assignment of Rights of Way and Easements for Sewer Facilities;
3. The deed of the pump station sites from the Town of Jonesville;
4. The Blanket Assignment of Rights of Way and Easements for Sewer Facilities from the
Town of Jonesville;
5. The new Sanitary Sewer Easement from Lake District Properties;
6. The North Carolina Release Deed from Surrey Bank and Trust releasing the area
comprised in the new easement from Lake District Properties; and
7. The Release of Prior Easement which returns the area of the prior easement to Lake
District Properties.
As discussed in my e-mail, I am awaiting Victor to execute the deed and easements from
the Town of Ronda and once I have those, I will record and forward those to you also.
Should have any questions, please do not hesitate to contact me.
Very truly yours,
James ' . Freeman,
JNFj/jnk

Surry Co. Tax Dept.
W1AJ ,
Excise Tax $
III IIIIIHIIIIIIIIIIIIIIIIIIIII III
Doc No: 579080
Recorded: 07/07/2010 at 02:44:35 PM
Fee Amt: $31.00 Page 1 of 5
Surry County North Carolina
Carolyn M. Comer Reg of Deeds
u1332 ^e892-896
Recording Time, Both and Page
Mail after recording to: GRANTEE- Post Office Box 828, Elkin, NC 28621
GRANTEE (s) assumes responsibility for listing taxes, and updating of correct mailing address
to the SURRY County Tax Collector.
This instrument was prepared by: RAYMOND A. PARKER (01-1679)
FINGER, PARKER, BROWN & ROEMER, L.L.P.
Post Office Drawer 8, Jonesville, North Carolina, 28642
THIS DEED WAS PREPARED WITHOUT A TITLE SEARCH AND NO OPINION AS TO
TITLE OR OWNERSHIP IS EXPRESSED OR IMPLIED BY THE PREPARATION OF THIS
INSTRUMENT.
Brief description for the Index:
Parcel ID: SEE: Tax Parcel Numbers following property descriptions on Page 2 of this Deed
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED, made this the 7th day of June, 2010 by and between
GRANTOR GRANTEE
TOWN OF ELKIN
(a North Carolina Municipal Corporation
ADDRESS: P.O. Box 857
Elfin, NC 28621
[ 31 PRINCIPAL RESIDENCE
) YADKIN VALLEY SEWER
) AUTHORITY, INC.
)
) ADDRESS: P.O. Box 828
Elkin, NC 28621

y
The designation Grantor and Grantee as used herein shall include said parties, their heirs,
successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required
by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey
unto the Grantee in fee simple, all that certain lot or parcel of land situated in the City of ELKIN
ELKIN Township, SURRY County, North Carolina and more particularly described as follows:
TRACT ONE: All that certain tract or parcel of land described in Deed Book 544,
page 1335, SCR, said tract having been assigned a Map Number of: 495112 96 5949
by the Surry County Tax Office.
TRACT TWO: All that certain tract or parcel of land described in Deed Book 282,
page 647, SCR, said tract having been assigned a Map Number of: 495115 54 2801
by the Surry County Tax Office.
TRACT THREE: All that certain tract or parcel of land described in Deed Book 212,
page 139, SCR, said tract having been assigned a Map Number of: 495116 94 6913
by the Surry County Tax Office.
TRACT FOUR: All that certain tract or parcel of land described in Deed Book 280,
page 137, SCR, said tract having been assigned a Map Number of: 495218 301341 by
the Surry County Tax Office.
TRACT FIVE: All that certain tract or parcel of land described in Deed Book 530,
page 1459, SCR, said tract having been assigned a Map Number of: 4952 0017 7702
by the Surry County Tax Office.
TRACT SIX: All that certain tract or parcel of land described on Attachment to
Warranty Deed describing 0.108 acre, more or less and a non-exclusive perpetual
right of way and easement, said tract having been assigned a Map Number of:
4962-00-12-4302 (portion of), by the Surry County Tax Office.
For further reference see: Both , page
A map of the above described property is recorded in Plat Book _, Page

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 the Grantor covenants with the Grantee, 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 the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
This property is conveyed subject to all restrictions and easements of record, if any, and all
easements and rights of way visible upon the ground
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has
caused this instrument to be signed in its corporate name by its duly authorized officers and its seal
to be hereunto affixed by authority of its Board of Directors, the day and year first above written.
TOWN OF.ELKIN
BY
AME: LESTINE HUTCHENS
TITLE : MAYOR
(SEAL)
STATE OF NORTH CAROLINA, COUNTY OF Gl c3 d lLi�✓
I, a Notary Public of the County and State aforesaid, do hereby certify that LESTINE HUTCHENS
personally appeared before me this date and acknowledged that she is Mayor of THE TOWN OF
ELKIN, a North Carolina municipal corporation, and that by authority duly given and as the act of
the corporation, the foregoing instrument was signed in its name on its ehalf as its act and deed.
WITNESS my hand and official stamp or seal, this 2 pm day of _ n � � . , 2010.
Ec.)/v.)
Signature of Notary Public
LDVLJL
Printed Name of Notary Public
My Commission Expires: ttfJ j 03, 2 D 14
R,4,Notary Public • North Carolina
1 YADKIN COUNTY
` LORI WELLS
LI„v,iy Commission Expires

ATTACHMENT TO WARRANTY DEED
FROM: TOWN OF ELKIN
TO: YADKIN VALLEY SEWER AUTHORITY
Property Description
Prepared For
The Town of Elkin
Parcel Identification Number: 4962-00-12-4302 (portion thereof)
Being a certain lot, tract or parcel of land situated within the municipal
boundaries of the Town of Elkin, Elkin Township, Surry County, State of North
Carolina; bounded by natural boundaries and/or lands now or formerly owned by
or in possession of the following persons: on the north by the Town of Elkin
(Deed Book 619, Page 313 and Deed Book 629, Page 991 — remainder); on the
east by the western controlled access right of way boundary of Interstate 77
(Project No. 8.1760002); on the south and west by the Town of Elkin (Deed Book
619, Page 313 and Deed Book 629, Page 991 — remainder); the property
described herein is a portion of the Town of Elkin lands (Deed Book 619, Page
313 and Deed Book 629, Page 991) upon which a sewer pumping (lift) station is
located and being more specifically delineated hereafter, to wit:
Commencing on an existing 1 inch iron pipe situated on the western right of way
boundary of Interstate 77 (1-77), the northeastern corner for the Town of Elkin
and a common southeastern corner for James W. Partin, et alli, (Record Book
557, Page 256 and Record Book 764, Page 179 — remainder, west side of 1-77),
runs thence with the western right of way boundary of 1-77, S 04 deg. 28 min. 58
sec. W a distance of 108.27 feet to a new 7/8 inch iron pipe, the northeastern
corner and True Point of Beginning of the lands described herein; proceeding
thence from said point of beginning and continuing with the western right of way
boundary of 1-77, S 04 deg. 28 min. 58 sec. W a distance of 94.49 feet to a new
7/8 inch iron pipe which is further located N 04 deg. 28 min. 58 sec. E a distance
of 100.63 feet from an existing concrete right of way monument; thence with a
new northern, eastern and southern boundary for the Town of Elkin, the following
three respective courses: 1- N 89 deg. 30 min. 11 sec. W a distance of 46.63 feet
to a new 7/8 inch iron pipe; 2- N 00 deg. 29 min. 57 sec. E a distance of 94.27
feet to a new 7/8 inch iron pipe; 3- S 89 deg. 30 min. 10 sec. E a distance of
53.20 feet to the point of beginning, containing an area of 0.108 acre (4705
square feet), more or less as per plat of survey prepared by James R. Smith, Jr.,
PLS-2722, Foothills Forestry & Surveying (Business Firm License No. F-0260),
job number 10-5148, dated June 16, 2010, the bearings thereon being relative to
the N.C. Grid Meridian (NAD '83/86).

Included herewith are all rights and privileges in and to that certain existing 60
foot easement in favor of the Town of Elkin as described in Deed Book 619,
Page 313 (Deed Book 629, Page 991) to which further reference is made.
Also included herewith is a nonexclusive perpetual 60 foot access and utility
easement across the lands of the grantor (Town of Elkin) as described hereafter:
Beginning on a new 7/8 inch iron pipe located at the northeastern right of way
terminus of that certain existing 60 foot easement recorded in Deed Book 619,
Page 313 (Deed Book 629, Page 991) and in the common boundary of the Town
of Elkin and Fred G. Eidson, Trustee (Deed Book 1231, Page 1046), further
situated S 01 deg. 44 min. 14 sec. W a distance of 95.03 feet from an existing 1
inch iron pipe marking a common northwestern corner for the Town of Elkin and
southwestern corner for James W. Partin, et alli. (Record Book 557, Page 256
and Record Book 764, Page 179 — remainder, west side of 1-77), proceeding
thence from said beginning point, S 84 deg. 19 min. 23 sec. E a distance of
207.68 feet to a new 7/8 inch iron pipe marking the northwestern corner of the
0.108 acre fee parcel described herein; thence with the western boundary of
same, S 00 deg. 29 min. 57 sec. W a distance of 60.32 feet to a point; thence N
84 deg. 19 min. 23 sec. W a distance of 208.98 feet to a point in the eastern
boundary of Fred G. Eidson, Trustee; thence with same, N 01 deg. 44 min. 14
sec. E a distance of 60.22 feet to the point of beginning.
Prepared by:
James R. Smith, Jr., PLS, RF

III IIIIIllhIII1IIIIIIII1II1I N I IN
Doc No: 579081
Recorded: 07/07/2010 at 02:44:36 PM
Fee Amt: $17.00 Page 1 of 2
Surry County North Carolina
Carolyn M. Comer Reg of Deeds
ak1332Pe897-898
STATE OF NORTH CAROLINA ) BLANKET ASSIGNMENT OF RIGHTS
: OF WAY AND EASEMENTS FOR
COUNTY OF SURRY/YADKIN ) SEWER FACILITIES
THIS BLANKET ASSIGNMENT OF HTS OF WAY AND EASEMENTS
dated this ZS)7 day of 0 u rie. , 2010 from THE
TOWN OF ELKIN, a North Carolina municipal corporation (hereinafter
"assignor") to THE YADKIN VALLEY SEWER AUTHORITY, INC., a duly
organized "sewer authority" (hereinafter "assignee").
FOR AND IN CONSIDERATION OF THE SUM OF TEN DOLLARS AND
OTHER GOOD AND VALUABLE CONSIDERATIONS, the receipt of which
are hereby acknowledged, the assignor does hereby set over, transfer,
assign and convey all of its rights of way and easements for sewer
lines, locations of pumping stations and transfer stations, and any and
all other uses in conjunction with the Town of Elkin's former sewer
treatment operations, including all recorded and unrecorded rights of
way and easements, including those acquired by prescriptive use,
together with all sewer lines, pumping stations and transfer stations
located within any of said rights of way and easements.
The assignor represents that it is the owner of these rights of way and
easements and that by a resolution, duly adopted by the Board of
Commissioners, is authorized to transfer and assign these rights of
way and easements to the assignee for the purpose of the Yadkin
Valley Sewer Authority assuming ownership and operation of the entire
sewer processing operation formerly owned and conducted by the
Town of Elkin.
WITNESS the signature of the Mayor of the Town of Elkin and
witnessed by the Town Clerk, the day and year first above written.
i
0]
li

TOWN OF ELKIN
EST
ATTEST:
E HUTCHENS - MAYOR
CATHERINE TILLEY - TOWN CL
STATE OF NORTH CAROLINA, COUNTY OF t/3di/&>
I, a Notary Public of the County and State aforesaid, do hereby certify
that CATHERINE TILLEY personally appeared before me this date and
acknowledged that she is Town Clerk of THE TOWN OF ELKIN, a North
Carolina municipal corporation, and that by authority duly given and as
the act of the corporation, the foregoing instrument was signed in its
name on its behalf as its act and deed. WJTNESS my hand and official
stamp or seal, this 2S)day of L./u46. , 2010.
[cu. fire,1,10)
Signature of Notary Public
Lov We lb
Printed Name of Notary Public
My Commission Expires:
u
S
D.3, Zo lY
OFFICIAL SEAL 4 Notary Public • North Carolina
YADKIN COUNTY 5
LORI WELLS
My Commission Expires

R8981 P0344
e uc Collector._
Land I arda:lMkt
No Taxable Consideration
FILED
YADKIN COUNTY, NC
KAREN H. WAGONER
REGISTER OF DEEDS
FILED Jul 07, 2010
AT 02:01:24 pm
BOOK 00981
START PAGE 0344
END PAGE 0346
INSTRUMENT # 02650
Excise Tax $ Recording Time,Book and Page
Mail after recording to: GRANTEE: Post Office Box 828, Elkin, NC 28621
GRANTEE (s) assumes responsibility for listing taxes, and updating of correct mailing address to the
YADKIN County Tax Collector.
This instrument was prepared by: M. Neil Finger
FINGER, PARKER, BROWN & ROEMER, L.L.P., Post Office Drawer 8, Jonesville,
North Carolina, 28642
Brief description for the Index:
Parcel ID:
NORTH CAROLINA NON -WARRANTY DEED
THIS DEED, made this the 7th day of June, 2010 by and between
GRANTOR: GRANTEE:
TOWN OF JONESVILLE ) YADKIN VALLEY SEWER
a North Carolina Municipal ) AUTHORITY, INC.
Corporation )
ADDRESS: 1503 NC 67 Hwy. ADDRESS: P.O. Box 828
Jonesville, NC 28642 Elkin, NC 28621
The designation Grantor and Grantee as used herein shall include said parties, their heirs,
successors, and assigns, and shall include singular, plural, masculine, feminine or neuter
as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the
receipt of which is hereby acknowledged, has and by these presents does grant, bargain,
sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land
situated in the City of JONESVILLE, KNOBS Township, YADKIN County, State of

RB981 P0345
North Carolina and more particularly described as follows:
SEWER PUMING SITES AS FOLLOWS:
1. Influent Pump Station (sewer plant) — 167 Winston Road- 'l9 `l - Z° - 4 S7 '
2. Hampton Inn Pump Station — 1636 Hampton Inn Lane i 3Y
3. River Road Lift Station — 217 River Road / 23? 8 3
4. Phillips Van Heusen Lift Station —1000 PVH Drive iL'f yo R
5. Osborne Street Lift Station — Osborne Street I Z z 71 i
6. Welborn Street Lift Station — Welborn Street f z Z.' s
7. Ghant Street Lift Station — Ghant Street
iz3'f? I
PERSONAL RESIDENCE: n/a
Grantor acquired the property described hereinabove by instrument recorded in Deed
Book , Page , County Registry.
A map of the above described property is recorded in Plat Book , Page
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.
The Grantor(s) make(s) no warranty, express or implied, as to title to the property
hereinabove described.
This property is conveyed subject to all restrictions and easements of record, if any, and
all easements and rights of way visible upon the ground
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if
corporate, has caused this instrument to be signed in its corporate name by its duly
authorized officers and its seal to be hereunto affixed by authority of its Board of
Directors, the day and year first above written.
TOWN OF JONEVILLE
(SEAL)

RB981 P0346
STATE OF NORTH CAROLINA, COUNTY OF 1 ( k5
I, a Notary Public of the County and State aforesaid, do hereby certify that
ndi 19P i - (S CE I m personally appeared before me this date and
acknowledged that he is Mayor of TOWN OF JONESVILLE a North Carolina
municipal corporation, and that by authority duly given and as the act of the corporation,
the foregoing instrument was signed in its name on its behalf as its act and deed.
WITNESS my hand and official stamp or seal, this I 4. day of
)1,, ,2010.
I Witt .
Signature of Notary Public
Printed Name of Notary Public
My Commission Expires:
.4.411 IE CARTER SHORE
NOTARY PUBLIC
Wilkes County, North Caroiinn
'.r Co remission Expires ^ o? — cav/
TAMM1E CARTER SHORE
NOTARY PUBLIC
Wilkes County, North Carolina
My Commission Expires - a -‘90Ai

• RB981 P034r
FILED
YADKIN COUNTY, NC
KAREN H. WAGONER
REGISTER OF DEEDS
FILED Jul 07, 2010
AT 02:02:04 pm
BOOK 00981
START PAGE 0347
END PAGE 0348
INSTRUMENT # 02651
STATE OF NORTH CAROLINA ) BLANKET ASSIGNMENT OF RIGHTS
OF WAY AND EASEMENTS FOR
COUNTY OF YADKIN ) SEWER FACILITIES
THIS BLANKET ASSIGNMENT OF RIGHTS OF WAY AND EASEMENTS
dated this 5t day of ,J u %.,l , 2010 from THE
TOWN OF JONESVILLE, a North Carolina municipal corporation
(hereinafter "assignor") to THE YADKIN VALLEY SEWER AUTHORITY,
INC., a duly organized "sewer authority" (hereinafter "assignee").
FOR AND IN CONSIDERATION OF THE SUM OF TEN DOLLARS AND
OTHER GOOD AND VALUABLE CONSIDERATIONS, the receipt of which
are hereby acknowledged, the assignor does hereby set over, transfer,
assign and convey all of its rights of way and easements for sewer
lines, locations of pumping stations and transfer stations, Jonesville
Operations Station and waste water treatment plant as recorded in
Book 89, page 274, YCR, and any and all other uses in conjunction
with the Town of Jonesville's former sewer treatment operations,
including all recorded and unrecorded rights of way and easements,
including those acquired by prescriptive use, together with all sewer
lines, pumping stations and transfer stations located within any of said
rights of way and easements.
The assignor represents that it is the owner of these rights of way and
easements and that by a resolution, duly adopted by the Town
Council, is authorized to transfer and assign these rights of way and
easements to the assignee for the purpose of the Yadkin Valley Sewer
Authority assuming ownership and operation of the entire sewer
processing operation formerly owned and conducted by the Town of
Jonesville.
WITNESS the signature of the Mayor of the Town of Jonesville and
witnessed by the Town Clerk, the day and year first above written.

RB981 P0348
TOWN OF JONESVILLE
BY:
ATTEST:
)-?
- TOWN CLERK
cq /
- MAYOR
/6_,Le ,c_o_t/t
STATE OF NORTH CAROLINA, COUNTY OF W1Ve.5
I, a Notary Pub is of the County and State aforesaid, do hereby certify
that Li' in d r h vn — L ,n e\ 1 ri vet-4-e. personally
me�Jthis date and acknowledged that she is Town Clerk
appeared before 9
of THE TOWN OF JONESVILLE, a North Carolina municipal corporation,
and that by authority duly given and as the act of the corporation, the
foregoing instrument was signed in its name on its behalf as its act and
deed. WITNESS my hand and official stamp or seal, this 1'5- day
of 757.4lam` , 2010.
(iezth _
Signature of Notary Public
Th'nnn; P O 2r7LLQr S%1O d' .
Printed Name of Notary Public
My Commission Expires:
JONESVILLE.ASSIGNMENT.SEWER ROW & EASEMENTS
TAMMIE CARTER SHORE
NOTARY PUBLIC
Wilkes County, North Carolina
My Commission Expires

/
NORTH CAROLINA
SURRY COUNTY
Ill ii
III III
Doc No: 579082
Recorded: $22 Page
/00 at
of:24:37 PM
FeeAmt
Surry County North Carolina
Carolyn M. Comer Reg of Deeds
Bk1332Pg899-900
SANITARY SEWER EASEMENT
THIS EASEMENT, made this day of &Ai , 2010, by and between
Lake District Properties, LLC, (hereinafter "Party of the First Part"); and The Yadkin Valley
Sewer Authority (hereinafter "Party of the Second Part");
WITNESSETH:
That whereas said Party of the First Part owns a certain tract of land more fully described
in Record Book 1051, Page 225 of the Surry County Registry, located South of N. C. Highway
268 and North of the Yadkin River, and further bounded on the East by the lands of Harold and
Barbara Adams, and on the South and West by the lands of CMC Holding Corp.; and whereas,
the Party of the Second Part desires to construct a sewer line main across the said lands of the
Party of the First Part;
NOW THEREFORE, said Party of the First Part for and in consideration of the sum of
$10.00, and other valuable consideration, to it in hand paid, the receipt of which is hereby
acknowledged, does hereby give, grant and convey unto said Party of the Second Part a perpetual
right and easement to construct and maintain across and upon said land of the Party of the First
Part an underground sewer line and necessary manholes upon the thirty foot sewer line easement
hereinafter described and to go upon said lands hereinafter described whenever the same is
reasonably necessary for the purpose of inspecting, maintaining and repairing said sewer line and
necessary manholes; provided, that in constructing and repairing said sewer line and necessary
manholes, Party of the Second Part will remove all surplus earth, make level the surface of the
ground above said sewer line, and interfere as little as is reasonably possible with any plants,
fences, or other improvements upon the land of the Party of the First Part.
The thirty foot sewer line easement across the lands of the Party of the First Part is
described as follows:
The sewer line easement across the lands of the party of the first part is described as
follows: TO FIND THE TRUE POINT OF BEGINNING Commence at the intersection of the
southeastern right-of-way line of the Piedmont & Atlantic Railroad (having a 100 - foot right-of-
way width) and the northwest corner of said property; thence running generally south along the
property line as follows: South 39°05'46" East 14.70'; thence South 75°20'11" East 30.23'; thence
North 72°33'37" East 19.96'; to the TRUE POINT OF BEGINNING; from the True Point of
Beginning as thus established, thence leaving the property line and running with the southern
most existing sewer line easement (having a 20' easement) North 53°39'21" East 128.92'; thence
with the new sewer line easement North 53°40'13" East 50.69'; thence running along the

property line as follows: North 68°16'26" East 46.86'; thence North 69°14'34" East 97.42'; thence
North 68°57'37" East 211.84'; thence North 68 5127 East 119.51'; thence to the Duke Power
Right -of -Way, North 68°30'41" East 4.37'; thence leaving property line and running as follows:
thence South 73°06'48" East 80.68'; thence running along the property line as follows: thence
South 13°59'28" East 38.16'; thence leaving property line and running as follows: thence North
68°41'00" West 85.24', to the Duke Power Right -of -Way; (creating a variable easement in the
Duke Power Right -of -Way); thence South 68°51'27" West 119.82'; thence South 68°57'37" West
211.94'; thence South 69°14'34" West 97.24'; thence South 68°16'26" West 82.41' (creating a
thirty foot sewer line easement); thence South 53°39'28" West 139.57'; thence running with the
property line as follows: North 28°28'14" West 19.91'; thence North 72°33'37" East 0.85'
(creating a twenty foot sewer line easement) to the True Point of Beginning. Creating an
easement of 0.47 acres.
IN WITNESS WHEREOF, said Party of the First Part has caused these presents to be
signed on this day and year first above written.
LAKE.0IS CT PROP ' TIES LLC
i.
B is , L A164- Ce
Title: �a
STATE OF NORTH CAROLINA
COUNTY OF SURRY
1
State of North Carolina — County of ,I('v'
I, the undersigned No ry Public of the County and State aforesaid, certify that
Ai ,. personally came before me this day
and ac owledgA that _he is the k of Lake District Properties, LLC, a North
Carolina limited liability company, and that by authority duly given and as the act of such entity,
_he signed the foregoing instrument in its ame on its behalf as its act and deed. Witness my
hand and Notarial stampor seal, this day of .j (ice. 010.
��
otary
My Commission Expires: V25-. ;E?/
Notary ' u orth Carolina
James N. Freeman, Jr.
Surry County
Mxopmis sion Expires

III IiIilllhllIlllIIllIlIIIlIIlI III
Doc No: 579083
Recorded: 07/07/2010 at 02:44:38 PM
Fee Amt: $22.00 Page 1 of 2
Surry County North Carolina
Carolyn M. Comer Reg of Deeds
�1332P=901-902
Do NOT write above this line. Recording: Time, Book and Page
North Carolina Release Deed
This instrument prepared by: JAMES N. FREEMAN, JR., POST OFFICE BOX 347, ELKIN, N. C. 28621
Brief description for the Index:
This Release Deed made this day of , 2010, by and between Grantor, Trustee and Beneficiary (Note Holder):
Enter in appropriate block for each party as listed in the original document: Name, address, county, state and if appropriate entity
(i.e. corporation, partnership). The designation Grantor and Grantee as used herein shall include all parties, their heirs, successors
and assigns and shall include singular, plural, masculine, feminine or neuter as required by context.
Grantor: Lake District Properties, LLC
Trustee: Edward C. Ashby, Ill
Beneficiary: Surrey Bank and Trust
Post Office Box 1227
Mount Airy, N. C. 27030
(Note Holder)
Deed of Trust: the executed Deed of Trust is dated 06/01/2005 and recorded in Book 1077, Page 813 , Surry County.
Release of Lien: Trustee and Beneficiary (Note Holder), for a valuable consideration paid by Grantor, the receipt of which is hereby
acknowledged, has remised and released and does hereby remise and release forever to the Grantor, the Property described below:
Property: City of Elkin ,North Carolina.
Township of Elkin , County of Surry
This property was acquired by Grantor by an instrument recorded in Book 1051 , Page 225 Surry County.
A map showing the property is recorded in Plat Book , Page County.
The legal description of the Property is:
The sewer line easement across the lands of the party of the first part is described as follows: TO FIND THE TRUE POINT
OF BEGINNING commence at the intersection of the southeastern right-of-way line of the Piedmont & Atlantic Railroad (having a
100 — foot right-of-way width) and the northwest corner of said property; thence running generally South along the property line as
follows: South 39 degrees 05 minutes 46 seconds East 14.70 feet; thence South 75 degrees 20 minutes 11 seconds East 30.23 feet;
thence North 72 degrees 33 minutes 37 seconds East 19.96 feet; to the TRUE POINT OF BEGINNING; from the True Point of
Beginning as thus established, thence leaving the property line and running with the southern most existing sewer line easement
(having a 20 foot easement) North 53 degrees 39 minutes 21 seconds East 128.92 feet; thence with the new sewer line easement North
53 degrees 40 minutes 13 seconds East 50.69 feet; thence running along the property line as follows: North 68 degrees 16 minutes 26
seconds East 46.86 feet; thence North 69 degrees 14 minutes 34 seconds East 97.42 feet; thence North 68 degrees 57 minutes 37
seconds East 211.84 feet; thence North 68 degrees 51 minutes 27 seconds East 119.51 feet; thence to the Duke Power Right -of -Way,
North 68 degrees 30 minutes 41 seconds East 4.37 feet; thence leaving property line and running as follows: thence South 73 degrees
06 minutes 48 seconds East 80.68 feet; thence running along the property line as follows: thence South 13 degrees 59 minutes 28
seconds East 38.16 feet; thence leaving property line and running as follows: thence North 68 degrees 41 minutes 00 seconds West
85.24 feet, to the Duke Power Right -of -Way (creating a variable easement in the Duke Power Right -of -Way); thence South 68
degrees 51 minutes 27 seconds West 119.82 feet; thence South 68 degrees 57 minutes 37 seconds West 211.94 feet; thence South 69
degrees 14 minutes 34 seconds West 97.24 feet; thence South 68 degrees 16 minutes 26 seconds West 82.41 feet (creating a thirty
foot sewer line easement); thence South 53 degrees 39 minutes 28 seconds West 139.57 feet; thence running with the property line as
follows: North 28 degrees 28 minutes 14 seconds West 19.91 feet; thence North 72 degrees 33 minutes 37 seconds East 0.85 feet
(creating a twenty foot sewer line easement) to the True Point of Beginning.
Continued on Page 2
After recording mail to: Tax Lot No.
Parcel Identifier No.
Verified By County,
on the day of , 2007
By:
Page 1 of 2 Initial
Z
C:Library/Forms/North Carolina Release Deed

2
Continued from Page 1
TO HAVE AND TO HOLD the said Property and all privileges and appurtenances (rights) belonging to Grantee.
It is understood and agreed that this Release shall apply only to the amount of property expressly described and conveyed and that the
remainder of the property shall remain subject to the lien of the Deed of Trust and shall remain in full force and effect.
Signatures: Trustee, and/or Beneficiary(Note Holder) has duly executed the foregoing instrument, as of the day and year first written above.
Entity Individuals
Name: Edward C. Ashbv, III
By:
Title: Trustee resident - Surly Bank and Trust
By:
Title:
By:
Title:
Use Black Ink Only
INDIVIDUAL
STATE OF C..) COUNTY OF SOrYti
I, a Notary Public of the County and State aforesaid, certify that
= Edward C. Ashbv Trustee, and/or Beneficiary
x ,(Note older) personally came before me this day and ac nowledged the executio of the foregoing instrument.
'""'""""''"""'"^'"; ",' Wit ens my hand and offici I stamp or seal, this r• y of v , 2010.
��•-s OFF1G..a_ t• ��� , Notary Public
NOTARY P LIdAy Co ission Expires: --( - � _
1J- ^: C. H SLEY
C nt7i Nc� ,
liy•
,,,�r,vvwwvwr..,
use Black Ink Only
INDIVIDUAL
STATE OF COUNTY OF
I, a Notary Public of the County and State aforesaid, certify that
Trustee, and/or Beneficiary
(Note Holder) personally came before me this day and acknowledged the execution of the foregoing instrument.
Witness my hand and official stamp or seal, this day of , 2007.
My Commission Expires: , Notary Public
use Black Ink Only
ENTITY: Corporation, Limited Liability Company, General Partnership, or Limited Partnership
STATE OF COUNTY OF
I, a Notary Public of the County and State aforesaid, certify that
personally came before me this day and acknowledged that he is of
, a North Carolina or
corporation/limited liability company/general partnership/limited partnership (strike through the inapplicable)
and that by authority duly given and as an act of the entity, has signed the foregoing instrument in its name
and on its behalf as its act and deed.
Witness my hand and official stamp or seal, this day of , 2007.
The foregoing Certificate(s) of
is/are certified to be correct. This instrument and this certificate are duly registered at the date and time and in the Book and page shown on the first
page hereof. COUNTY
REGISTER OF DEEDS FOR
By Deputy/Assistant - Register of Deeds
C:Library/Forms/North Carolina Release Deed

- NH1k
I
STATE OF NORTH CAROLINA
COUNTY OF SURRY
III IIIII1IIIIIII1II1IIIIIIIIIII IU
Doc No: 579084
Recorded: 07/07/2010 at 02:44:39 PM
Fee Amt: $17.00 Page 1 of 2
Surry County North Carolina
Carolyn M. Comer Reg of Deeds
eF1332 =a903-904
RELEASE OF PRIOR EASEMENT
001
THIS RELEASE OF PRIOR EASEMENT, entered into this / day of MA
2010, by and between Lake District Properties, LLC (hereinafter "Party of the First Part") and Yadkin
Valley Sewer Authority (hereinafter "Party of the Second Part"):
WITNESSETH:
WHEREAS, Party of the First Part had previously granted an easement across their said property
for the benefit of the Party of the Second Part, to provide a sanitary sewer easement; said easement being
more particularly described in Surry County Registry Deed Book 1282, Page 521; and
WHEREAS, Party of the Second part no longer has a need of the easement described in Book
1282, Page 521;
NOW THEREFORE, the Party of the Second Part, hereby releases and quitclaims to the Party
of the First Part any right or title to the easement set out in Book 1282, Page 521 of the Surry County
Public Registry.
IN WITNESS WHEREOF, the Party of the Second Part has hereinto set their hand and seal as
of the day and year first above written.
YADKIN VALLEY SEWER AUTHORITY
(SEAL)

STATE OF NORTH CAROLINA
COUNTY OF
V t,, CiX4FM,US-
I NQQt. it Public for saihereby erti that W /
lotuc,,f
V. �; sv1 pc �� personally appeared bdfore me
this day and acknoledge the due execution of the f i egoing instrument.
Witness my hand and official seal, this the
1C
My Commission Expires: q (2.
20e .
Notary Public.North. Caro '
James N. Freemanllna
MySurry County
Jr.
Commission Expires