NC0041483_Owner (Name Change)_20231115

NORTH CAROLINA
Environmental 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: NC00_!�6/ IJ q or NCGS_/_f_f__
�: N 4 S' C,n/ A.vn t
1. Facility Name: SUYI C i Se Ynn Gr k W W T Pc" �l a r,r, o «� V'I
NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
n a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
RECEIVED
NCDEQ/DWR/NPDES
2. New owner's name (name to be put on per it):
SSt4 001►,eJ U(oyJq, LLG
3. New owner's or signing official's name and title: M JS' A ZQ"v," Ma OA 6 i +JL tkeg ,
(Person legally responsible for permit)
ins,-6. a
(Title)
4. Mailing address:
g
Z � � I
S x
Toi��
city:
y
State: WL
Zip Code:
2 L I
Phone:
E-mail address: . A Z��^-' ome-k-)�,US► neiS
FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same asunder the previous owner? Y4.0/No ❑
2. Will the treatment system and discharge location remain the same? Yes 0/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.
:. DEP
ww"" M � Wmft
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
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)
Information to document facility, waste stream, treatment system or outfall changes as noted in
item III above (if appropriate)
Applicant's Certification:
I, N., J Q A Z -e"e 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: i
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

rum mn 7r%nq .n?A-r% 7r
A.
U.S. DEPARTMENT OF HOUSING i£ URBAN DEVELOPMENT
SETTLEMENT STATEMENT
B- TYPE OF LOAN:
� 2-QFmHA 3. 5 CONY. UNINS. 4. QVA 5. QCONV. INS.
6- FILE NUMBER:
1 NE SS
7- LOAN NUMBER:
8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is fum&?ed to give you a statement of actual settlement costs Amounts paid to and by the settfernent agent are shown.
Items madlred IPOCr were paid outside the dosing: grey are shown here far irdbanabonat puposes and are not ndrrded in the totals
D. NAME AND ADDRESS OF BUYER:
ASSET BUSINESS GROUP LLC
RSJ GLOBAL DEVELOPMENT INC-
8601 SIX FORKS ROAD, SUITE 400
RALEIGH, NC 27615
E. NAME AND ADDRESS OF SELLER:
SUNRISE & SONS LLC
PO BOX 2153
ASHEBORO, INC 27204
F NAME AND ADDRESS OF LENDER:
G. PROPERTY LOCATION:
5625 8 5629 NEWMAN DAMS ROAD
GREENSBORO, 27406
GUILFORD Courdy
H. SETTLEMENTAGENT
FaniorBAssociates
1. SETTLEMENT DATE:
October 20, 2023
PLACE OF SETTLEMENT
400 W. Fisher Avenue
Greensboro, NC 27401
J. SUMMARY OF BUYER'S TRANSACTION
K. SUMMARY OF SELLER'S TRANSACTION
100, GROSS AMOUNT DUE FROM BUYER:
400, GR AMOUNT DUE TO SELLER:
101. Contract Sales Price
341,000.00
401. Contract Sales Price
341,000.00
102. Personal Propedy
402- Personal Piopetty
103. Settlement Chames to Buyer (Lire 1400)
3,461.82
403.
104.
404.
105.
405.
Adus*nents For s n
n Agince
106. C" !Town Taxes to
406. C own Taxes to
107. County Taxes 10/21/23 to 01/01/24 537.11
407, County Taxes to
108. Assessments to
408. Assessments to
109.
409-
110.
410-
Ill.
411.
112.
412.
120- GROSS AMOUNT DUE FROM BUYS?
344,9%.93
420. GROSS AMOUNT DUE TO SELLER
341,000-00
200. AMOUNTS PAID BY OR IN BEHALF OF BUYER:
500. REDUCTIONS IN AMDUNT DUE TO SELLER
201. Deposit or earnest money
501. Excess See Instructions
202. Princoal Amount of New s
502. Settlement Cha es to Seger (Lire 1400)
24,512.00
203. taken wbject to
503- taken sul4ed to
204.
504- Payoff of first Mortgage to PINNACLE BANK
86,907.31
205.
505. Payoff of second Mortgage
206.
506•
207.
!
5(Y7-
208.
508,
209. DUE DILIGENCE
1,500.00
509. DUE DILIGENCE
1,500.00
AdfiAsonents terrxs
ustn a fs mseller
210. City/Town Taxes to
510. C Taxes to
211. County Taxes to
511_ Courdy Taxes 01/01/23 to 1021123
2,185-74
212. Assessments to
512. Assessments to
213- PRORATED RENT 1021/23 to 11,10123
1,277-42
513- PRORATED RENT 10/2123 to 1110123
1,277.42
214. PREPAID RENT
154-50
514. PREPAID RENT
15-50
215.
515.
216.
516.
217.
517.
218.
518-
21g
519.
220. TOTAL PAID BY/FOR BUYER
2,931.92
520. TOTAL REDUCTION AMOUNT DUE SELLER
116,536.97
300. CASH AT SETTtHAEir FROY/TO BUYER
600. CASH AT SETTLEMENT TOtFROM SEt2 ER.
301. GrossAmourrt Due From Buyw (Lire 120)
344,998-93
601- GmwAmount Due To Seller(Lire 420)
341,000-00
302. Less Amount Paid By/For Buyer (Line 220)
( 2,931-92
602. Less Reductions Due Seller (Line 520) (
116,536.97
303. CASH( X FROM) ( TO) BUYER
342,067.01
603. CASH (X TO)( FROM) SELLER
224,463.03

NORTH CAROLINA
Department of the Secretary of State
e ter.
To all whom these presents shall come, Greetings:
1, ELAINE R MARSHALL, Secretary of State of the State of North Carolina, do hereby
certify the following and hereto attached to be a true copy of
ARTICLES OF ORGANIZATION
OF
ASSET BUSINESS GROUP, LLC
the original of which was filed in this office on the 3rd day of May, 2023.
IN WITNESS WHEREOF, I have hereunto set my
hand and affixed my official seal at the City of
Raleigh, this 3rd day of May, 2023.
Certification# C202311505435-1 Reference# C202311505435-1 Page_ 1 of 3
Verify this certificate online at httpsJ/www.sosnc_goviverific-ation
Secretary of State