NCG551521_NCG551521 Ownership Change Request_20230911

NORTH CAROLINA
Environmental Quality
NC DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
CURRENT PERMIT INFORMATION:
Permit Number: NCG5 51521
1. Facility Name: 230 Smith Drive, Durham, NC
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):
James and Cherry Jampayas
NPDES PERMITTING
3. New owner's or signing official's name and title: J 61"l « J�A al ,a 4
(Person legally resp�siW for pe
c e c "A 0
(Title)
4. Mailing address: 230 Smith Drive City: Durham
State: NC Zip Code: 27712 Phone: [phone]
E-mail address: [e-mail]
FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same as under the previous owner? Yes X No 0
2. Will the treatment system and discharge location remain the same? Yes X No O
"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 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORn+cara,wi
:.pv®i«m,.ompr� 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 (Not applicable)
Applicant's Certification:
11
attest that this application for a
name/ownership change has beep rev%wed 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: (1Date: 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

Book8509 - Page634 Page 1 of 3
For Registration Sharon A. Davis
Register of Deeds
Durham County, NC
Electronically Recorded
2018 Sep 18 12:45 PM NC Rev Stamp: $ 546.00
Book: 8509 Page:634 Fee:$ 26.00
Instrument Number: 2018032706
DEED
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $546.00
Parcel Identifier No. 186541 Verified by _ County on the _ day of , 20
Mail/Box to: James P. JamRayas and Chem F. Jampavas 230 Smith Drive Durham NC 27712
This instrument was prepared by: Robert M Love. [phone] (without title search or certification)
Brief description for the Index: Lot 6. BI B. Brentwood. Sec 3. PB 71/12, Durham County
THIS DEED made this latest day set forth in the notary block below by and between
GRANTOR GRANTEE
TATCO, LLC*, a Nevada Limited Liability Company,
and Rickey Lee Cothran II and
Traci Libolt Cothran, a married couple
*See Durham County Registry Book 8292, Page 36
Grantor Address:
457 NC Highway 101, Beaufort, NC 28516
James P. Jampayas and
Cherry F. Jampayas, husband and wife
Property Address:
230 Smith Drive, Durham, NC 27712
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.
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 _ , _ Township, Durham County, North Carolina and more particularly described as follows:
See attached Legal Description Exhibit A
The property hereinabove described was acquired by Grantor by instrument recorded in Book 6668, Pape 793.
All or a portion of the property herein conveyed ❑includes or ❑does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book 71, Page 12.
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:
Easements and encumbrances of record. Taxes due for 2018 and thereafter.
NC Bar Association Form No. 3 0 1976, Revised R 1/12010 Format revised by Robert M Love 2017
Printed by Aareement with the NC Bar Association flmultiole signature Pages eaached
submitted electronically by "Love Law Firm PC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Durham county Register of Deeds.

Book8509 - Page635 Page 2 of 3
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
TAAyTCO,LLC
` VV- N�"o (SEAL)
Name: t it+b.- �• i�Ua�
Title:yllC3�eQ Managing Member
"'Odf lae 6jj&2(SEAL)
Rickey Leh Cothran II
Traci Libolt Cothran
State of North Carolina - County or Cityof Durham
1, the undersigned Notary Public of the County or City of Durham and State aforesaid, certify that
personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein
expressed.
Witness my hand and Notarial stamp or seal this 9/17/2018
ROBERT M LOVE
Notary Public, North Carolina
Durham County
MY Decembert02.on Y021res
Affix Seal in blank space above (not over text)
2l-
V
v / L-
Notary Public
Notary Name:
Robert M Love
My Commission Expires 12/02/2021
State of North Carolina - County or City of Durham
I, the undersigned Notary Public of the County or City of Durham and State aforesaid, certify that
personally came before me this day and acknowledged that he is the Managing Member of TATCO. 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 name on its
behalf as its act and deed.
Witness my hand and Notarial stamp or seal this 9/17/2018
ROBM LOVE
Notary PubERTlic. North Carolina
Durham County
My Commission Expires
December02,2021
Affix Seal in blank space above (not over text)
NC Bar Association Form No. 3 ❑ 1976, Revised Q I/I/2010
Printed by Agreement with the NC Bar Association
r?L _
Notary Public
Notary Name: Robert M Love
My Commission Expires 12/02/2021
File: 2018-1176 Jampa

Book8509 - Page636 Page 3 of 3
Legal Description
Exhibit A/Schedule A
(File: 2018-1176 Jampa)
BEING all of Lot 6, Block B, Brentwood, Section Three as recorded in Plat Book 71, Page 12, Durham County
Registry.
Parcel 186541
Durham County, North Carolina
Commonly known as 230 Smith Drive, Durham, NC 27712