NC0036242_Owner (Name Change)_20220712

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, * '1`"'• NC DEPARTMENT OF ENVIRONMENTAL QUALITY
j DIVISION OF WATER RESOURCES
n
av•�V 4 WATER QUALITY PERMITTING SECTION
17r_,is''I1 ._ ;4,.
NPDES PERMITTING
Fn.trvnm.•nra:Qt aht,
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: N C00 .3 / 4 / -///V/� orN __f
CG5 _/.J_
1. Facility Name: 6t-)ooci/o_<1(-/ lei;//- / 71/Y-2P/I 7S
11. NEW OWNER/NAME INFORMATION: RECEIVED
1. This request for a name change is a result of:
JUL. 1 2 2022
\/a. Change in ownership of property/company
b. Name change only NCDEQ/DWR/NPDES
c. Other(please explain):
2. �r��w owner's name(name to be put on permit): J ��
/a h/e/� A 62).S //1..c/7c c/ n-7i
3. New owner's or signing official's name and title: •lQ ir7 67�Q- Z6'40' -1-
(Person legally responsible for permit)
C9w/7e /--
(Title)(T
4. Mailing address: lO 3 Mu/ -3, / City: c�1 ic-a.r 62re lie_
State: /t'C' Zip Code:c F6 7 9 Phone:(47-J-e) 7/ 9- - 7`2 3 a'
E-mail address: S i 7L Cc ho) C'
III. FACILITY AND DISCHARGE INFORMATION
/
1. Will the waste stream for the facility remain the same as under the previous owner? Yes El No 0
2. Will the treatment system and discharge location remain the same? Yes El No 0
"No Responses"
If either or both of these questions are answered"No"then more information will be needed to review the
request. Please attach documentation to describe and explain the changes to the facility activities,waste
stream,treatment process or outfall location. The Division may not be able to process the Permit
Name/Ownership Change request and may require that the new owner file a new permit application.
N Q
North Carolina Department of Environmental Quality I Division of Water Quality
),/'j, 512 North Salisbury Street 11617 Mall Service Center I Raleigh,North Carolina 27699-1617
919.707.9000
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NPDES Name and Ownership Change
Page 2 of 2
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)
3. Information to document facility,waste stream,treatment system or outfall changes as noted in
item III above(if appropriate)
Applicant's Certification:
I, .A/37 e%� Le,,), f ,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. I understand that Permit Name/Ownership Change can only take place through action
taken by the Division of Water Resources and that no actions on my part or the part of my company
result in the automatic transfer of permit coverage.
12-p-k-e---6--. ,k�'`-9 Date: 7 7 4.z o.��Signature: , f
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,North Carolina 27699-1617
Version 07/2021
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•
Bk 2217 Pg 888
Doc No: 710815 Kind, DEED Exhibit "A"
BEGINNING on an iron set at a 2-inch poplar corner to Joe Greer and Clyde Townsend and runs thence
with a barbed wire fence North 89°57'East 124.03 feet to an iron in said fence,thence North 89°25'East
81.85 feet to an iron set at a power pole and axle found;thence North 89°25'East 8.12 feet to a calculated
point corner to Greer;thence leaving Greer line and said barbed wire fence South 05°42'East 93.5 feet to a
calculated point corner to Clyde Townsend;thence with the Townsend line South 72° 18'West 106.36 feet
to a calculated point in the northern margin of a private drive; thence with said Townsend line and said
private drive North 89°51' west 148.60 feet to an iron set; thence with said Townsend line North 12° 8'
East 126.78 feet to the point of BEGINNING,and containing 0.629 acre,more or less,all according to plat
and survey dated February 3, 1977,prepared by David K. Stern,RLS No. L-1301.
THERE IS ALSO CONVEYED herewith, road right of way in common with the Grantors and Grantees
herein, their heirs and assigns as the same is now located leading from N.C. Highway 4105 to the above
.described premises. Said road right of way is to remain open and unobstructed,at all times.
NC Bar Association Form No.3©1976,Rc%ised©1/1/2010
Printed by Agreement with the NC Bar Association
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• FILEO Amy J. Shook
Register of Deeds, Watauga Co, NC
Fee Ant. $26.00
NC Excise Tax: $1,080.00
Bk 2217 Pg 886 (3)
Recorded: 09/02/2021 at 09:25:64 AM
Doc No: 710815 Kind: DEED
lIIIlIIlIlllIIlIt 1111111
710815 -
RETURNED TO LESLEY MARSH
AT THE TIME OF RECORDING
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: S I0$0..00 - .
Parcel identifier No.fill-qi-g bd8-Q2QVerified by County on the day of .20
By:
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NO TITLE EXAMINATION REQUESTED OR PERFORMED
Mail/Box to: Bruce L.Kaplan,P.O.Box 455,Boone,NC 28607
This instrument was prepared by Bruce L.Kaplan,Attorney at law as a document preparer only from information furnished by the
Grantor without the benefit of a title examination or reference to title insurance and not as a Settlement Agent or person
responsible for closing as that phrase is used i0 the regulations relating to reporting of real estate transactions.
Brief description for the Index: 0.629 acres.Brushy Fork Township,Watauga County.NC
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THIS DEED made this 1st day of September,2021,by and between
GRANTOR GRANTEE
SPG PROPERTY,L.L.C., /ff f°:ropers, L
a North Carolina Limited Liability Company a l.Sl iii,t�*Wa
Mailing address: 355 Industrial Park Drive li g a�idt 03A1 'sgltali>l.
Boone,NC 286.0769=
Enter in -appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g.
corporation or partnership. - - -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.
WITNESSETI-I,that the Grantor,for valuable consideration,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 Brushy Fork
Township,County of Watauga,State of North Carolina and more particularly described as follows: •
See Exhibit A,attached hereto and incorporated herein by reference.
Said property having been previously conveyed to Grantor by instrument recorded at Deed Book 1785, Page 533, in the Watauga
County Register of Deeds.
All or a portion of the property herein conveyed_includes or X does not include the primary residence of a Grantor:
NC Bar Association Form No.3 O 1976,Revised© 1/1/2010
Printed by Agreement with the NC Bat Association •
•
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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,other than the following exceptions: -
All easements,rights of way,encumbrances and restrictions of record.
IN WITNESS WHEREOF, Grantor has duly executed this North Carolina General Warranty Deed,if an entity by its duly
authorized representative,as of the day and year first above written.
Bk 2217 Pg 887
Doc No: 710916 Kind: DEED
SPG PROPERTY,L.L.C.
a North Carolina Limited Liability Company
By:SOLD HOLDINGS MA EMENT,IN .
-45
S.V '"4
R.Thomas•Sofeld Jr.,P ENT
State of North Carolina '
County of W 4V.Erik
I, C.L.NI Mck- ZS Set a Notary Public of the County of W A't•PeiA.Crt/k ,North Carolina,do hereby certify that
R. Thomas'Sofield, Jr., personally came before me this day and acknowledged that he is President of SOFIELD HOLDINGS
MANAGEMENT, INC.,and acknowledged on behalf of SOFIELD HOLDINGS MANAGEMENT,INC.the due execution of the
foregoing instrument.
Date:Sese4 t .2021.
i
t
My Commission Expires: I 2.- 21 2t�2 t C. L.o%. S ' Notary ublic
jAffix Seal) Notary's Pri ted or Typed Name
• C.LESLEY MARSH
NOTARY PUBLIC
WATAUGA COUNTY
STATE OF NORTH CAROLINA
NC Bar Association Form No-3©197o,Revised©I/1/2010
I',inted by Agreement with the NC B:u Association
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