NCG550182_Permit (Issuance)_20080403

0F,W.ATFgQ Michael F.Easley,Governor
0. G William G.Ross Jr.,Secretary
. North Carolina Department of Environment and Natural Resources
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O w mom. .41—
Coleen H.Sullins,Director
Division of Water Quality
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April 3,2008
WESLEY HINE&DOUGLAS STIMMEL
70 LAKESIDE LOOP EXT
HICKORY NC 28601
Subject:NPDES Permit Modification-Name/Ownership Change
70 Lakeside Loop Ext
Certificate of Coverage NCG550182
Alexander County
Dear Mr.Hine&Mr. Stimmel:
Division personnel have reviewed and approved your request for name and ownership change of the subject
certificate of coverage received on March 24,2008. This permit modification documents the change of ownership of
the above reference facility.
Please find enclosed the revised certificate of coverage. All other terms and conditions contained in the original
certificate remain unchanged and in full effect. This modification is issued under the requirements of North Carolina
General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.Environmental
Protection Agency.
If you have any questions concerning this permit modification,please contact the Point Source Branch at (919)
733-5083,extension 350.
Sincerely,
Coleen H. Sullins
cc: Central Files
Mooresville Regional Office,Surface Water Protection •
Fran McPherson,DWQ Budget(letter only)
`:NPDES Unit File NCG'550187-
.-
•
NorthCarolina
Naturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh,NC 27 699-1 6 1 7 Phone[phone] Customer Service
Internet: h2o.enr.state.nc.us 512 N.Salisbury St. Raleigh,NC 27604 FAX [phone] I-877-623-6748
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

NCG550182
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550182 •
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND
OTHER 100%DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,other lawful standards and regulations
promulgated and adopted by the North Carolina Environmental Management Commission,and the Federal Water Pollution
Control Act,as amended,
WESLEY HINE & DOUGLAS STIMMEL
is hereby authorized to operate a domestic wastewater treatment facility which includes a septic tank, sand filter,
and associated appurtenances with discharge of treated domestic wastewater from the facility located at
70 LAKESIDE LOOP EXT
HICKORY
ALEXANDER COUNTY
to receiving waters designated as Lake Hickory, a class WS-III B water, in the Catawba River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,II,III,
and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective April 3, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 3, 2008.
•
"Coleen H. Sullins,Director
Division of Water Quality
By Authority of the Environmental Management Commission

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��F W A TFRQG Michael F.Easley
Governor
William G.Ross Jr.,Secretary
r North Carolina Department of Environment and Natural Resources
'I Alan W.Klimek,P.E.,Director
Division of Water Quality
WATER QELALITY SECTION
PERMIT NAME/OwNERSHIP CHANGE FORM
1 CURRENT PERMIT INFORMATION:
Permit Number: WC/G/S/5/D /O/ D/ °/ or I'PJ MAR Z 4 2008
Certificate of Coverage Number: N/C/G/ / / °/ /
I
DEA-WAIEfi QUALITY
1. Permit holder's name: n.4 l=S C. M to i P1711 Fill I PP t!r'14
2. Permit's signing official's name and title: at—
(Person legally re nsible for permit)
/�e5/�EwGL=
/ (Title)
3. Mailing address: 7o m ce S'c e �, cx7- City: � eon!
State: 4/C Zip Code: -. P6°7 Phone:(gag) 44 S-F/2.9
II. NEW OWNER/NAME INFORMATION:
1. This request for change is a result of:
❑ Change in ownership of company D Name change for company
Change in ownership of property/facility ❑ Name change for property/facility
❑ Other(please explain):
2. Owner/Operator Information
Company or Owner or Operator Name:
(name to be put on permit/certificate of coverage)
Owner's/operator's or signing official's name: Title:
Owner Contact: Title:
Mailing address: City:
State: Zip Code: •Phone:( )
E-mail address:
3. Facility Information /�
Facility Name: 16-S2-2[!t/CE Q-)
Facility Contact: Vv Q.S 1 Z1 \.4 'r Q. Qc ,� l c 5 S Title:
Facility Mailing address: 70 LLL\ Q S t ck Uoc„' E i(4- City: ,-4 t C °`-h
State: N Zip Code: 2-Y 6 I Phone:(33(o) XQ -23 6 k
E-mail address: c.taal \ rr, Coo ev\
SWU-239-080102

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PERMIT NAME / OWNERSHIP CHANGE FORM
4. Permit Contact Information(if different from facility contact)
Sec rsk_
Permit Contact: Title:
Mailing address: City:
State: Zip Code: Phone:( )
E-mail address:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER QUALITY UNLESS
ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application
2. Legal documentation of the transfer of ownership(such as a contract,deed,articles of incorporation)
Certification must be completed and signed by both the current permit holder and the new applicant in the case of change of
ownership. For name change only,complete and sign the application certification.
Current Permittee's Certification:
I, ft;'!CS e. /eO/L/ 4 V ,attest that this application for 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 incom. = e.
Signature: ' e_.,--y �� Date:
Applicant's\� C• . on: 1 1 ` c
I, v V--S)�1 • n E (X c 0 o\l ` 3 v4 rn M J-J,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 suppo "og information and attachments are not included,this application
package will be returnedDt�as incomplete. , 1
Signature:" ff �,L+�r 7 .�\ Date: Z'/ /
I
THE COMPLETED APPLICATION PACKAGE,INCLUDING ALL SUPPORTING INFORMATION&MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
Point Source Branch
Attn:Valer-y-Stepliens
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
SWU-239-080102

r
• WESLEY J. HINE, JR.
4869 HEARTHSTONE ROAD
• CLEMMONS, NC 27012
HOME 336-766-2366
CELL 336-403-22 I 1
[e-mail]
Date: 3/19/08
To: Valery Stephens
Re: Permit Transfer
Good morning. My friend and I went in and bought a small lake house on Lake Hickory.
The previous owner told us to complete and return this Permit Transfer, along with a
check for$50.
Will you send us a new permit? Let me know if there's anything else we need to do.
Please confirm that this is satisfactory and let me know how if we will get a new permit
in our name and how we will go about renewing this permit in the future.
Thank you,
RECEIVE'
lea 2 4 2008
WATER MA"
DEsR .VJ CE �RANcvi
pOlgr SOUR

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0325/2008 15:49 LORILLARD MARKETING SERVICES 4 919197339919 NO.089 D02
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North Carolina mounds,
Real fists Enke Ts:
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: S822 00
Parcel Identifier No Verified by County on the day of , 20
By:
Mail/Box to: Shirley Herman Anthony,Anthony And Tate,L L P.,208 Union Square,Suite 204,Hickory,North Carolina 28601
This instrument was prepared by. Shirley Herman Anthony,Attorney At Law •
Brief description for the Index .322+/-Lakeside Loop Ext
THIS DEED made this 2nd day of May,2007,by and between
GRANTOR GRANTEE
JAMES CRAIG MORGAN WESL.E'V. J.TINE,IR,MARRIED
AND WIFE, 'AND
KRISTA WILLIAMS MORGAN DOUGLAS W.STIMMEL,DIVORCED
-: 1-L •(. `I t , \ :1 i ':
Enter an appropriate block for each party: name,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 ofwhich 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 Hickory, Township,Alexander County,North Carolina and more particularly described as follows.
Beginning of an iron pin,a common corner with the property conveyed to Darrell Bolick by deed recorded in Book 396 at
Page 1129,Alexander County Registry,and running thence from said point of beginning and with the margin of a 60-foot
access easement North 32°03'42"West 109.19 feet to an existing iron pin,a common corner with the property conveyed to
Clifford L. Carter and Philip M. Lehigh by deed recorded in Book 363 at Page 4S7, Alexander County Registry, and
running thence with the southern line of Carter and Lehigh,North 86°53' 33" East 151.42 feet to an existing iron pin
located on or near the shores of Lake Hickory; thence South 27°31' 27" East 105.24 feet to an existing iron pin in the
northern line of Darrell Bolick;thence with Bolick's northern line South 87°00'23"West 142.06 feet to the point and place
of Beginning,and containing 0.322 acres,more or less,as computed by coordinate method according to a plat of an actual
survey dated July 19,2001, prepored by Darrin L. Reid, PLS, and entitled "James Craig Morgan and wife, Krim W.
Morgan."
NC Bar Association Form No.3 © 1976,Revised© 1977,2002
Printed by Agreement with the NC Bar Association- 1981 -Chicago Title Insurance Company

03/25/2008 15:49 LORILLARD MARKETING SERVICES -> 919197339919 NO.089 D03
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There is also conveyed to the party of the second part,his heirs and assigns,a perpetual right and easement for a roadway
for(he purpose of ingress,egress and regress,said roadway being sixty(60)feet in width and to extend from the public road
over and upon the access street across the southern portion of the lands conveyed by Gladys F. Icard to Dale Propsc and
wife,Delores H.Propsc,by deed dated August 28,1972,and recorded in Book 163,Page 653,said roadway being described
in the deed herein referred to; and said roadway continuing over and upon other lands of Gladys Icard to the northwest
corner of the land herein conveyed,running adjacent to and along with the entire west line of the property herein conveyed.
The property hereinabove described was acquired by Grantor by i,nsrr unenl recorded in Book 422,page 2345.
A map showing the above described property is recorded in Book ,Page
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 againsr
the lawful claims of all persons whomsoever,other than the following exceptions:
•
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
�.. 4V.Ul (SEAL)
(Entity Name) JAMES CRAIG M)RG�N
VJr4 L( .t)j .Lt*(i�[fl SEAL)
Title:By: 1C (STA WILLIAMS MORGAN
By:
(SEAL)
Title:
By:
(SEAL)
Title:
SEAL-STAMP State of North Carolina—County of Catawba
0111111foo I, the undersigned Notary Public of the county and State aforesaid, certify that LAMES CRAIG MORGAN
0 s�•,„ AND KRISTA WILLIAMS MORGAN personally appeared before me this day and acknowledged the due
'� !AS, execution ofthe foregoing instrument for the purposes therein expressed.Witness my hand and Notarial stamp
03TAq} "SS or seal this r day of May,2007
,
V'� My Commissio •Exp res.
y �/81,14 b���Ela} Q'8' / G(�/dP/ll Notary Public (L;'J2
''/iliCqSaP nation Form No. 3 © 1976,Revised© 1977,2002
igattiby Agreement with the NC Bar Association— 1981 -Chicago Title Insurance Company