NC0028215_owner (name change)_20230222

NORTH CAROLINA
Environmental Quality
NC DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NPDES PERMITTING
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00_/_.a__f_/_J_/_ or
1. Facility Name: Osprey Cove North WWTP
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
X b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
NC1 Holdings, LLC
3. New owner's or signing official's name and title: Ricardo Sanabria
(Person legally responsible for permit)
Manager
(Title)
4. Mailing address: 118 Broadhurst Road city: Jacksonville
State: NC Zip Code: 27615 Phone: (855 ) 944-3566
E-mail address: moonwalk3 mail. com
FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same as under the previous owner? Yes 19 No ❑
2. Will the treatment system and discharge location remain the same? Yes 19 No ❑
"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.
_D E QNorth Carolina Department of Environmental Quality I Division of Water Quality
Nrczni caaaiw+
�.,, 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
4 � 919.707.9000

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, Ricardo Sanabria
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.
Signature:_
Date: 2/22/23
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

2/23/23, 3:25 PM
Parcel ID: 001437
Luc: Commercial
NC1 HOLDINGS LLC
Parcel
Parcel
Tax Year
Property Addess
Unit Desc
Unit #
NBHD
Class
Land Use Code
Living Units
Mapping Acres
CAMA Acres
Location
Fronting
Zoning
Map #
PIN Number
Total Cards
Record Type
Property Record Card
Legal
Onslow County Property Records Site
Map #: 332-45
Class: Apartment
001437
2023
118 BROADHURST RD
8006 -APARTMENTS 6
Apartment
42 - Commercial
11.59
11.59
RM F-H D-RM F-H D
332-45
436610468999
10
R
This is a multi -card Property Record.
Please contact the Appraisal Department at 910-455-7431
for more information.
Legal Description
TR5 BEACHAM APARTMENTS
Township
110 - JACKSONVILLE
City Code
20 - JACKSONVILLE
Jurisdiction
1020 - JACKSONVILLE CITY
Plat Book-Page/Subd #
75-004
Fire District
JX - JACKSONVILLE
Owner 1 NC1 HOLDINGS LLC
Owner 2
Customer ID 470163000
% Ownership 100
Nature of Ownership -
Address
160 MINE LAKE CT STE 200
RALEIGH, NC 27615-6417
Owner Mailinn
owner i NC1 HOLDINGS LLC
Owner 2
Mailing Address 160 MINE LAKE CT STE 200
RALEIGH NC 27615 6417
Public
Line # Dept Comment
0 CN COMM 2
Tax Year: 2023
NBHD: APARTMENTS 6
118 BROADHURST RD
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2/23/23, 3:25 PM
Sale Date
08-MAR-21
08-MAR-21
28-JUN-18
01-FEB-79
Sale DP_tailS
ueea uate
Book
Page
LT #
Instrument Type
Grantor
Grantee
Sale Date
Sale Type
Sale Validity
Sale Source
Sale Price
Adjustment Amount
Adjusted Price
Adjustment Reason
Note 1
Note 2
Onslow County Property Records Site
Sale Price Grantor Grantee
0 118 BROADHURST LLC NCI HOLDINGS LLC
14,600,000 118 BROADHURST LLC NC1 HOLDINGS LLC
2,500,000 BEACHAM ASSOCIATES LTD 118 BROADHURST LLC
0 BEACHAM ASSOCIATES LTD BEACHAM ASSOCIATES LTD
Commercial Summary
08-MAR-21
5401
688
DEED
118 BROADHURST LLC
NC1 HOLDINGS LLC
08-MAR-21
LAND & BUILDING
25-Unqualified Sales
7-NO STAMPS
0
Card Building #
Year Built
Structure Code
Grade
1 1
1972
03 -APARTMENT
C
2 2
1972
03-APARTMENT
C
7 7
1972
03 -APARTMENT
C
10 10
1972
03 -APARTMENT
C
Property Record Card
This is a multi -card Property Record.
Please contact the Appraisal Department at 910-455-7431
for more information.
Commercial
Building Number
1
Year Built
1972
# Units
I
Structure Code
03-APARTMENT
Grade
C
Number of Identical Units
1
Improvement Name
Area Under Roof
2,880
Base RCN
193,460
Percent Good
50%
Total RCNLD
96,730
Market Adj
Percent Complete
Cost Value
96,730
Notes
Interior/Exterior Details Summary
Card
Line Number
Section
From Floor
To Floor Year Built Area
1
1
1
1
1 2480
2
15
1
1
1 3744
2
16
1
2
2 3744
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i of 4
9 of
217

2/23/23, 3:25 PM
Onslow County Property Records Site
2 17
3
1
1
1144
2 18
3
2
2
1144
2 19
3
1
1
1144
2 20
3
2
2
1144
7 71
1
1
1
3744
7 72
1
2
2
3744
7 73
3
1
1
1584
7 74
3
2
2
1584
7 75
3
1
1
1584
7 76
3
2
2
1584
10 34
1
1
1
5600
10 35
1
2
2
5600
10 36
3
1
1
1584
10 37
3
2
2
1584
10 38
3
1
1
1584
10 39
3
2
2
1584
Interior/Exterior Details
I of 19
Line Number
1
Section
1
From Floor
1
To Floor
1
Year Built
Area
2,480
Perimeter
222
Use Type
LAUNDROMAT
Income Use
51
Wall Height
8
Exterior Wall
Brick Veneer
Construction
2-2
% Interior Finish
100
Partitions
2-NORMAL
Heat
2-NORMAL
Air
3-HEAT & A/C
Plumbing
2-NORMAL
Light
2-NORMAL
Physical Condition
A
Functional Utility
A
RENT %
100
RCN
193,460
Other Feature Value
6,960
Base RCN
193,460
% Complete
Final Cost Value
96,730
Summary of All Other Features Summary
Card
Line Number
Int/Ext Line
Structure
Length
Width
Area Sum
1
1
1
99 - 99
480
1
0
1
2
1
83-Canopy
400
1
400
2
1
15
80 - Porch
702
1
702
2
2
15
80 - Porch
702
1
702
2
3
15
80 - Porch
132
1
132
2
4
15
80 - Porch
132
1
132
2
5
15
99 - 99
702
1
0
2
6
15
99 - 99
132
1
0
7
1
71
80 - Porch
132
1
132
7
2
71
80 - Porch
132
1
132
7
3
71
80 - Porch
702
1
702
7
4
71
80 - Porch
702
1
702
7
16
71
99 - 99
702
1
0
7
17
71
99 - 99
132
1
0
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2/23/23, 3:25 PM
Onslow County Property Records Site
10 1
34
80 - Porch 1050
1
1050
10 2
34
80 - Porch 1050
1
1050
10 3
34
80 - Porch 132
1
132
10 4
34
80 - Porch 132
1
132
10 22
34
99 - 99 1050
1
0
10 23
34
99 - 99 132
1
0
Summary of All Other Features I of 20
Line #
1
Int/Ext Line
1
Structure
99 - 99
Length
480
Width
1
# of Stops
# of Units
1
Value
2,160
Area
0
Oby Details
Card
Line Number
Code
Grade
Area
1
1
05 - POOL
C
1,440
1
2
13 - CONCRETE
C
2,160
1
3
05 - POOL
C
1,440
1
9
12 - BLACK TOP
D
13,000
1
10
12 - BLACKTOP
D
86,000
1
11
12 - BLACK TOP
D
32,760
1
12
13 - CONCRETE
C
92
1
13
13 - CONCRETE
C
490
1
17
13 - CONCRETE
C
92
1
18
13 - CONCRETE
C
490
1
25
13 - CONCRETE
C
92
1
26
13 - CONCRETE
C
490
1
33
13 - CONCRETE
C
92
1
34
13 - CONCRETE
C
490
1
41
13 - CONCRETE
C
92
1
42
13 - CONCRETE
C
490
1
49
13 - CONCRETE
C
92
1
50
13 - CONCRETE
C
490
1
57
13 - CONCRETE
C
92
1
58
13 - CONCRETE
C
490
1
65
13 - CONCRETE
C
92
1
66
13 - CONCRETE
C
490
1
73
13 - CONCRETE
C
92
1
74
13 - CONCRETE
C
490
1
81
13 - CONCRETE
C
92
1
82
13 - CONCRETE
C
490
1
89
13 - CONCRETE
C
92
1
90
13 - CONCRETE
C
490
1
97
13 - CONCRETE
C
92
1
98
13 - CONCRETE
C
490
1
105
13 - CONCRETE
C
92
1
106
13 - CONCRETE
C
490
1
113
13 - CONCRETE
C
92
1
114
13 - CONCRETE
C
490
OBY 4
Card 1
Line 1
Code 05 - POOL
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Onslow County Property Records Site
Grade
Width
Length
Area
Ma rket Adj
Adj Factor
RCNLD
Override Rate
N otes
Physical
Functional
# of Units
Record Type
Land Summary
Line Number Land Type
1 A -Acreage
Land
Line Number
Land Type
Land Code
Square Feet
Acres
Units
Lot Front Footage
Lot Depth
Override Rate
Base Size
Base Rate
Influence Code 1
Influence Code 2
Influence Factor
Zoning
NBHD Model
Land Value -
Use Value Flag
Land Change Reason
N ote
Note 2
Legal Description
C
60
24
1,440
1
15550
A -AVERAGE
A -AVERAGE
1
R
Land Code
42-COMMERCIAL
1
A -Acreage
42-COMMERCIAL
504,860
11.59
0
52000
0
8006
602,680
N
C
Square Feet Acres
504,860 11.59
lownshlp
110 - JACKSONVILLE
City Code
20 - JACKSONVILLE
Jurisdiction
1020 - JACKSONVILLE CITY
Property Address
118 BROADHURST RD
Unit Desc
Unit #
Legal Desc 1
TR5 BEACHAM APARTMENTS
Legal Desc 2
BEACHAM APT NO 2
Legal Desc 3
SIDEWALK IS NON SKETCHED
Note 1
Note 2
ELM ST
Fire District
JX
Deeded Acres
11.59
Sq Ft
Plat Book-Page/Subd #
75-004
Subdivision Name
BEACHAM APARTMENTS
Subd Block
Subd Lot
Condo Bldg #
Condo Unit #
Subd Code
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2/23123, 3:25 PM Onslow County Property Records Site
values
Spec Proc Flag
Appraised Land
602,680
Appraised Building
10,274,020
Appraised Total
10,876,700
Cost Land Value
602,680
Cost Building Value
7,682,820
Cost Total Value
8,285,500
Market Value
Income Value
10,876,700
GRM Value
0
Total Residential Living Area
Total Commercial Living Area
189,552
Note 1
Note 2
Solid Waste Fee Units
Land Use Value
Land Deferred Value
Final Land Value
602,680
Final OBY Value
117,610
Final Building Value
10,156,410
Senior Exclusion
0
100% Exemption
0
Partial Exemption
0
VET Exclusion
0
Taxable Total 10,876,700
ac.
31 LAUNDROMAT 31
g0
5 CANOPY80 5
Item Area
LAUNDROMAT - 51:LAUNDROMAT 2480
CANOPY - 83:CANOPY 400
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2123123, 3:25 PM Onslow County Property Records Site
Vajues
Spec Proc Flag
Appraised Land
602,680
Appraised Building
10,274,020
Appraised Total
10,876,700
Cost Land Value
602,680
Cost Building Value
7,682,820
Cost Total Value
8,285,500
Market Value
Income Value
10,876,700
GRM Value
0
Total Residential Living Area
Total Commercial Living Area
189,552
Note 1
Note 2
Solid Waste Fee Units
Land Use Value
Land Deferred Value
Final Land Value
602,680
Final OBY Value
117,610
Final Building Value
10,156,410
Senior Exclusion
0
100% Exemption
0
Partial Exemption
0
VET Exclusion
0
Taxable Total 10,876,700
80
31 LAUNDROMAT 31
so
C NOPY80 5
Item
Area
LAUNDROMAT - 51:LAUNDROMAT
2480
CANOPY - 83:CANOPY
400
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2/23/23, 3:25 PM
Onslow County Property Records Site
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