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Home My WebLink AboutNCG550263_owner (name change)_20230331NORTH CAROLINA Enytronmentat Quality NC DEPARTMENT of ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NPDES PERMITTING PERMIT NAME OWNERSHIP CHANGE FORM CURRENT PERMIT INFORMATION: Permit Number: NCOO___/____I_�— or NCGS_5_/ O_/_2J_6J_3_ 1. Facility Name: 2523 Nealwood Avenue Graham NC 27253 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): Nathan J. Robbins 3. New owner's or signing official's name and title: Nathan J. Robbins (Person legally responsible for permit) Owner (Title) 4. Mailing address: 2523 Nealwood Avenue City: Graham State: NC_ Zip Code: 27253 Phone: (336)264-8907 E-mail address: nathanrobbinsl8@gmail.com FACILITY AND DISCHARGE INFORMATION 1. Will the waste stream for the facility remain the same as under the previous owner? Yes ✓ No ❑ 2. Will the treatment system and discharge location remain the same? Yes ✓ No D "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. -,, North Carolina Department of Environmental Quality I Division of Water Quality 512 North Salisbury Street 11517 Mail Service Center l Raleigh, North Carolina 27699-1517 919.707.9000 Scanned with CamScanner 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) Information to document facility, waste stream, treatment system or outfall changes as noted in item III above (if appropriate) Applicant's Certification: 1, Nathan J. Robbins 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: 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 Scanned with CamScanner BK 4109 PG 0994 FILED ELECTRONICALLY ALAMANCE COUNTY NC DAVID BARBER This instrument prepared by: Davis Humbert Law, 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. NORTH C\ROLM% (3`11NI"RAL WARRANTY DEED Parcel Identifier 1't> 306 13c VeriCed by _ ............. . Couluy on the day o _ 20 Mai BOK M: Davis 4lurnbert Law 1'11is instrtatacnt was prepared by: Ralph M. Bill. Jr. 13rid'descriptim 11)r [lie Index:.______... 4� Tl Its D1,171> Illade this day OP Januan�. 2U? I . [� and bete°een ............. GRANTOR Brendu M. CaPlcratn GRANTEr- Nathan J. Robbins 2523 Nealwood Avenue Grahatnt. NC 27253 FILED Jan 22, 2021 AT 08:04:25 AM BOOK 04109 START PAGE 0994 END PAGE 0996 INSTRUMENT # 01492 EXCISE TAX $427.00 '['lie designation Grantor and Grantee as used herein shall include said parties. their heirs,. successors. and ssi ns, and shall iltcludu singular. plural, masculine, feminine or neuter as required by context. WIl-NI SSI' 171-1. that the Grantor.. fora Valuable. consideration paid by the Grantee;, iltc receipt ofwhich is hereby acklun lcdced, has and by these presents does grant. bar-, sell and COrlVey unto the Grantee in tee simple. all that certain lot or parcel of Ianei situated in Albright Toivriship. nlamancc County, North Carolina alxi 11101•C part'tcttl�u•I%• described as Follows: For property description relcrencC s lici-6 - made to "Exhibit A" attached hereto and nrtde a part hereof. I'ropert% herein described Is IS NOT— Grantor's principal residence. The PropCrty herein described Was aChuirc.d by Grantor by instrument recorded in Book -1967 at Page 232. Alaniance County Re-isir,. This instrwnent prepared by, Ralph M. I lilt, Jr., o liceltsed North Carolina attorney. DelinguCltt t�sieS, iFa:1V, to be paid bN, the closing, attorney to the county tax collector upon disburselnent of closing proceeds. submitted electronically by "Davis Humbert Law" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Alamance county Register of Deeds. ;rni❑;14[.d.l)r;c:\( ' Ii r FormN,, IV7F 1-,,i,I,- I777_„ N2 116 A !n :Aurccnuw „ lh thr Ve tB,�€ as<atctl ron . lLJxl BK 4109 PG 0995 f0 I IA1"LAND TO I IOi D tie aforesni[{ Iot nr parcel of land and till privileges and appurtenances Ilneroto belonaim to the Grantee in lie simple. And Elie Grantor covcltants t+'itln the Grantee. that (irmtor is seized ofthe premises tit fee simple. has the right to convey fhc same in lee simple, NmL title is mal—Utable and fwt: and clear ofpll encumbrances_ and that Grantor gill ia' 7rrnnt and defend the title a gairst She hviful Claims ill all hersors xlwlllwc�er, other than the fohmvillL excep(ions: RdslrictiolIS, en cII)cros anti rk-,his opus\ oI'record lie rlaining, tothe properly liercir described. In WITII SS \V1 ILRIO =. the Grantor IW1,duly CXCCLit Ccl tyre Imvooillo as ofthe day "Ind year firstabove tvrittcit. 1 reuda �9. Cafferata _(SEAL) �J /I t Ot]"I YOF a Notary Public of the Coumv and State aforesaid. certify that Brenda M. Cat�lcrata pelsQwl I appear I before me this day and acknowledged the due q\ecution of the foregoing instrument fOl'the purposes titvrein e,ylessvd, Wi I-Ni 5S my hand and ilicial stamp or seal Elie IPU)y or January...02i. �iy C'nntntititiion 1 �Iires:T/1 ��' JOY Y FORD -SMITH NOTARY PUBA5. tr®rfell Coun IN CarolIj My Commisslon expires STATE- OF COUNTY Ol -, IV rotary Public I. 1 11 "I'll __• n Notary Public of the County and St;ite aforesaid• certify that perstimalh ,tppealod beorc me this day and acknowledged the flue execution of the foregoing insu ument for the purposes Iherein cxpressrd. Wl INEY, we hand and official stamp or seal, the clay of S4v Commission L\pires'. Notary PtrbIle 1110�4.1,-l:X)t 1 \t It it A::axi. iior fwmi ,, 3,Rokol 1e77_2fi02 Pcimc,l h, •rccmcw w¢h the - NX I BK 4109 PG 0996 "EXHIBIT A" TRACT 1: A tract of land in Albright Township, Alamance County, NC, adjoining Nealwood Avenue and BEING ALL OF LOT NO. FIFTY-TWO (52), Section Three, HERRONWOOD ACRES, as recorded in Plat Book 30 at Page 109 of the Alamance County Registry. SAVE AND EXCEPT_ That portion of the above, designated as Lot Two (2) Final Plat Property of James O. Tilley and Jeffrey L. Wood, as recorded in Plat Book 56 at Page 87 of the Alamance County Registry. TRACT 2: A tract of land in Albright Township, Alamance County, NC, adjoining Nealwood drive and BEING ALL OF LOT ONE (1), containing .012 acres, more or less, as shown on survey entitled Property Exchange, Final Plat, Property of James O. Tilley and Jeffrey L. Wood, as recorded in Plat Book 56 at Page 87 of the Alamance County Registry.