NC0077968_Owner (Name Change)_20220606

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00 7 / 7 / 9 / 6 / 8 or NCG5 / / / /
1. Facility Name: REEDY FORK
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
_X_a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
Reedy Fork MHC LLC
3. New owner's or signing official's name and title: Brandon May
(Person legally responsible for permit)
Project Manager_
(Title)
4. Mailing address:12655 Birmingham Hwy Suite 302_City: Milton
State: GA
Zip Code:30004 Phone: [phone]
E-mail address: [e-mail]
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
£ D_E
NORTH CAROLINA
Department of Environmental Quality
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

NPDES Name & Ownership Change
Page 2 of 2
Applicant's Certification:
Brandon May , 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 incomplete.
Slgrlature:gmehe Brandon May (Jun 1, 20 20:36 EDT)
Date: J u n 1, 2022
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Version 7/2016

N_O_C Form 2021
Final Audit Report
2022-06-02
Created: 2022-06-01
By: Amanda Jackson ([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAA1aBztbBF4iLPwIcIGoVGadSiO-UUYNJB
"N_O_C Form 2021" History
Document created by Amanda Jackson ([e-mail])
2022-06-01 - 9:55:51 PM GMT- IP address: 174.199.224.220
Document emailed to Brandon May ([e-mail]) for signature
2022-06-01 - 9:56:48 PM GMT
Email viewed by Brandon May ([e-mail])
2022-06-02 - 0:36:05 AM GMT- IP address: 108.200.69.146
It Document e-signed by Brandon May ([e-mail])
Signature Date: 2022-06-02 - 0:36:33 AM GMT - Time Source: server- IP address: 108.200.69.146
0 Agreement completed.
2022-06-02 - 0:36:33 AM GMT
Adobe Acrobat Sign

Excise Tax: $2,600.00
Type: CONSOLIDATED REAL PROPERTY
Recorded: 5/2/2022 12:48:13 PM
Fee Amt: $2,626.00 Page 1 of 4
Revenue Tax: $2,600.00
Alamance, NC
David Barber Register of Deeds
BK 4336 PG 824 - 827
NORTH CAROLINA GENERAL WARRANTY DEED
Parcel Identifier No. 110698 Verified by
County on the day of
,20_
By:
This instrument prepared by Benjamin D. Overby, a licensed North Carolina attorney. Delinquent taxes, if
any, to be paid by the closing attorney to the county tax collector upon disbursement of closing proceeds.
This Deed was prepared without benefit of title examination or tax advice.
Prepared by: Benjamin D. Overby, The Vernon Law Firm, P.A., P.O. Drawer 2958, Burlington, NC, 27216
After recording, return to: ArentFox Schiff LLP, 1717 K Street NW, Washington DC 20006, Attn: Lewis Goss
Brief description for the Index: 3437 Shepherd Road, Elon, NC 27244
THIS DEED made this theC, / day of April, 2022, by and between
GRANTOR
REEDY FORK, L.L.C.
3437 Shepherd Road
Elon, NC 27244
GRANTEE
REEDY FORK MHC LLC
c/o Lasso Partner Holdings LLC
228 Park Ave S #33906
New York, New York 10003-1502
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 Boone Station Township, Alamance County, North Carolina and more
particularly described as follows (the "Property"):
SEE ATTACHED EXHIBIT A
This conveyance is made upon the condition that, until the time when purchase money loan of even
date herewith payable by Grantee in favor of Grantor in the amount of $1,600,000 (the "Loan") is paid
full (the "Loan Term"), Grantee agrees to use the Property as a mobile home community ("Use
Restriction"). The Loan is secured by a First Lien Deed of Trust from Grantee to Grantor of even
Reedy Fork General Warranty Deed
submitted electronically by "Kensington vanguard"
AFC in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Alamance County Register of Deeds.
Book: 4336 Page: 824 Page 1 of 4

date herewith and recorded immediately following this General Warranty Deed (the "Deed of Trust").
As a condition to the payoff of the Loan upon the expiration of the Loan Term, Grantor shall release
and discharge the Deed of Trust In the Alamance County Registry at which time the Use Restriction
shall be null and void and Grantee shall have full right without any restrictions to use the Property in
any lawful manner. In the event during the Loan Term that Grantee ceases to use the Property as a
mobile home community, then Grantor shall deliver to Grantee a written notice of default and Grantee
shall have thirty (30) days from receipt of such written notice to cure the default. 1f Grantee does not
cure the default within the cure period, Grantor shall have the right to immediately re-enter upon the
Property and take and hold possession of the Property without let or hindrance; provided, however, the
breach of any said conditions or any re-entry by reason of such breach or forfeiture of title to the Property by
reason of' such breach shall not defeat or render invalid the lien of the Deed of Trust securing the Loan and
made in good faith for value on any of the Property; the said right to re-enter or declare a forfeiture of title
shall be made subject to the lien of any such Deed of Trust given and created by Grantee to secure the Loan.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 1460, Page
715 of the Alamance County Registry.
All or a portion of the property herein conveyed does not include the primary residence of Grantor.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging
to Grantee in fee simple.
And Grantor covenants with 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, other than the following exceptions: ad valorem
taxes for current and subsequent years, all restrictions, covenants, conditions, rights of way and easements of record.
[Remainder of page intentionally blank.]
AFDOCS/25290148.3
Book: 4336 Page: 824 Page 2 of 4
Reedy Fork General Warranty Deed

IN WITNESS WHEREOF, Grantor has duly executed the foregoing as of the day and year first above written.
REEDY • ' K, TIC, a North Carolina limited liability company
hf
`T . Nam }iLy !.d #a,
Title: /1),(,...1
(SEAL)
State of North Carolina
County of Alamance
I, the undersigned Notary Public of the County and State aforesaid, certify that the following individual personally
came before me this day in the capacity indicated and acknowledged that as the Grantor by authority duly given and
as the act of the Grantor entity, he/she signed the foregoing instrument in its name on its behalf as its act and deed:
Tim Horner as Manager of Reedy Fork, T,T
f'fi�
Witness my hand and Notarial stamp or seal, this eq / day of April, 2022.
(Affix Seal)
ABBIE H. THOMAS
NOTARY PUBLIC
ALAMANCE CO. NC
Notary's Printed or Typed Name
My Commission Expires:
Reedy Fork General Warranty Deed
Book: 4336 Page: 824 Page 3 of 4

Exhibit "A"
All that certain tract or parcel of land located in Boone Station Township, Alamance County, North
Carolina adjoining the lands of Sockwell Road (SR 1554) right of way and others and being more
particularly described as follows:
BEING ALL OF LOT NUMBER FOUR (4) of the Homeplace of John T. Kemodle Estate as shown
in Plat Book 2 at Page 91 of the Alamance County Registry, to which reference is hereby made for a
more particular description.
The Grantor acquired this property by conveyance recorded in Deed Book 1460, Page 715 of the
Alamance County Registry.
Reedy Fork General Warranty Deed
Book: 4336 Page: 824 Page 4 of 4