NCG110139_COMPLETE FILE - HISTORICAL_20100803

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV Cc, I I D) 3
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ j 0 I D b D D3
YYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO,
NCGNE
DOC TYPE
❑ HISTORICAL FILE
DOC DATE
❑
YYYYM MDD

0 -4
AF
;)A J
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 3, 2010
NICOLE B JOHNSTON
EXECUTIVE DIRECTOR
YADKIN VALLEY SEWER AUTHORITY 1NC
PO BOX 828
ELKIN NC 28621
Subject: NPDES General Permit NCG110000
Certificate of Coverage NCG 110139
Yadkin Valley Sewer Authority WWTP
Formerly Town of Elkin WWTP
Surry County
Dear Ms. Johnston:
Division personnel have reviewed and approved your request to transfer coverage under the General
Permit, received on July 19, 2010.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the
General Permit remain unchanged and in full effect. This revised Certificate of Coverage 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, please contact the Stormwater Permitting Unit at [phone],
cc: DWQ Central Files
Winston-Salem Regional Office
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location, 512 N. Salisbury St. Raiei h, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www,ncwaterquallty.org
Sincerely,
ORIGINAL SIGNED 8V
CoIeKENPACLE
One
NotlhCa.rolina
Natlrrally
An Equal Opportunity 1 Atilnnative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG110000
CERTIFICATE OF COVERAGE No. NCG110139
STORMWATER DISCHARGES
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,
Yadkin Valley Sewer Authority, Inc.
is hereby authorized to discharge stormwater from a facility located at
Yadkin Valley Sewer Authority W WTP
211 Marion Road
Elkin
Surry County
to receiving waters designated as Dutchman Creek, a class C water in the Yadkin River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts
I, 11, III, IV, V and VI of General Permit No. NCGI 10000 as attached.
This certificate of coverage shall become effective August 3, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 3, 2010.
eNMTV
lm PIC KLE
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Latitude: 36'15'25" N
Longitude: 80°49'59" W
County: Suny
Receiving Stream: Dutchman Creek
Stream Class: C
Subbasin: 03-07-02 (Yadkin River Basin)
NCG110139
Yadkin Valley Sewer
Authority WWTP
Facility �
Location
North SCALE I :24000

s
CHAIRMAN
Wayne Moore
VICE -CHAIR
J. L. Lowe, Jr.
EXECUTIVE DIRECTOR
Nicole Johnston
ADMINISTRATIVE ASSISTANT
Susan White
SECRETARY/TREASURER
John W. Holcomb
FRONDA
nELKIN
JQNESWLLE
r'sr. xna<<
e�. Aut'�o
DIVISION OF WATER QUALITY
SURFACE WATER PROTECTION SECTION
1617 Mail Service Center
Raleigh, NC 27699-1617
July 131", 2010
Dear Sir:
DIRECTORS
Tommy Casstevens
Victor Varela
Harold Lee Wagoner
ADVISORY STAFF
Lloyd Wm. Payne, Jr.
Scott Buffkin
Tim Collins
Robert Puller
Please find enclosed a completed a Surface Water Protection Section Permit Name/Ownership Change
Form for the transfer of the Town of Elkin Stormwater Permit (Town of Elkin Waste Water Treatment
Plant Permit # NCG 1 10000; Certificate of Coverage NCG 1 10139) to the Yadkin Valley Sewer
Authority. Please note that since we are a `new' entity, we are still working on establishing the
operations for the YVSA and are still determining items that may still need to be addressed. However,
please note that operations for the YVSA became effective on JULY i", 2010. At 12:01am, transfer
of ownership for the entire collections systems for the Towns of Elkin, Jonesville and Ronda were
roiled over to the YVSA. Please note that legal documentation of the transfer of ownership is attached
to this application.
Please let me know if you need anything further. Thank you for your assistance in this matter!!
Sincerely,
Nicole B. Johnston
Executive Director,
M
YVSA
P, 0. Box 928 — 209 Memorial Park Drivc - Elkin. NC 28621
Phone [phone] - Fax [phone]

F INArEgpG Beverly Faves Perdue. Coovenwr
Uj r Dee Freeman, Secretary
` _ __i No-th Carolina Department of Environment and Natural Reanurces
E
Colccn ii, Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C. G ply 1 0 0 0 0 N G G I 1 0 1 3 9
Permit status prior to requested change.
a. Permit issued to (company name): Town of Elkin Waste Water Treatment Plant
b. Person legally responsible for permit: Robert
Fuller
First M1 Last
Public Works Director
Title
nM� 125 Carter Mill Road (PO Box 8.57)
L! 1J D Permit Holder Mailing Address
Elkin NC 28621
JUL 19 2010
d. Facility address:
City State Zip
[phone] [phone]
Phone Fax
harge): Town of Elkin Waste Water Treatment Plant
211 Marion Road
Address
Elkin NC 28621
City State Zip
e. Facility contact person: Hal TranSotl [phone]
First / Ml / Last Phone
III. !Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
if other Please e,vplaill:
b. Permit issued to (company name):
c. Person legally responsible for permit
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
Yadkin Valley Sewer Authority
Nicole
B. Johnston
First
M I Last
Executive Director
Title
PO Box 828
Permit
Holder Mailing Address
Elkin
NC 28621
City
State Zip
[phone]
[e-mail]
Phone
E-mail Address
Yadkin Valley Sewer Authority WWTP
211 Marion Road
Address
Elkin
NC 28621
City
Stale "Lip
Hal
Transou
First
MI Last
[phone]
[e-mail]
Phone
E-mail Address
Revised 812008

PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2of2
IV. Permit contact information (if different from the person legally responsible for the permi()
Permit contact:
Firtit Ml Last
Title
Mailing Address
City State Zip
Phone E-mail Address
Will the permitted facility continue to conduct the same industrial activities conducted prior
V. to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or it bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Robert Fuller, attest that this application for it 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 is not included, this application package will be
returned as incomplete.
V�j � �� -2-1— zc/b
Signature Date
APPLICANT CERTIFICATION
1, Nicole .lohnston, attest that this application fora name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge, t understand that Hall required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
Signature
6- 30- .20/0
Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008

.TAMES N. FREEMAN, JR., P.C.
M'TORNF.Y AT LAW
117 01t1RCH STREFT
POST OFFICE SOX 347
ELKIN, NORTH CAROLINA 28621
TIE1,EPHONE [phone]
FACSIMILE [phone]
E-MAIL: llreeman rr riverclo.�et
July 9, 201 D
Nis. Nicole Johnston
Executive Director
Yadkin Valley Sewer Authority
Post Office Box 828
Elkin, N. C. 28621
Re: Recorded Easements and Deeds from Towns of Elkin and Jonesville and Lake District
Properties
Dear Nicole:
Enclosed you will find the originals of the following:
1. The deed of the pump stations and water treatment plant from the Town of Elkin;
2. The Blanket Assignment of'Rights of Way and Easements for Sewer Facilities;
3. The deed of the pump station sites from the Town of Jonesville;
4. The Blanket Assignment of Rights of Way and Easements for Sewer Facilities from the
Town of Jonesville;
S. The new Sanitary Sewer Easement from Lake District Properties;
6. The North Carolina Release Deed from Surrey Bank and Trust releasing the area
comprised in the new easement from Lake District Properties; and
7. The Release of Prior Easement which returns the area of the prior easement to Lake
District Properties.
As discussed in my e-mail, I am awaiting Victor to execute the deed and easements from
the Town of Ronda and once I have those, I will record and forward those to you also.
Should have any questions, please do not hesitate to contact me.
Very truly yours.
. /V f `
L
,lames .Freeman, Jr.
JNFjljnk

Surry Go. Tax Dept.
DiI�C�U
ilDll . _ Yy
Excise Tax $
Doc No: 579080
Recorded: 07/07/2010 at 02:44:35 PM
Fee Amt: $31.00 Page i of 5
Surry County North Carolina
Carolyn M. Comer Reg of Deeds
B11332 PG892-896
Recording Time, Book and Page
Mail after recording to: GRANTEE- Post Office Box 828, Elkin, NC 28621
GRANTEE (s) assumes responsibility for listing taxes, and updating of correct mailing address
to the SLURRY County Tax Collector.
This instrument was prepared by: RAYMOND A. PARKER (01-1679)
FINGER, PARKER, BROWN & ROEMER, L.L.P.
Post Office Drawer 8, Jonesville, North Carolina, 28642
THIS DEED WAS PREPARED WITHOUT A TITLE SEARCH AND NO OPINION AS TO
TITLE OR OWNERSHIP IS EXPRESSED OR IMPLIED BV THE PREPARATION OF THIS
INSTRUMENT.
Brief description for the Index:
Parcel ID: SEE: Tax Parcel Numbers following property descriptions on Page 2 of this Deed
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED, made this the 7th day of June, 2010 by and between
GRANTOR GRANTEE
TOWN OF ELKIN ) VADKIN VALLEY SEWER
(a North Carolina Municipal Corporation ) AUTHORITV, INC.
ADDRESS* P.O. Box857 ) ADDRES$s P•o. Box 828
Elkin, NC ZBG21 ) Elkin, NC 28621
Z ] PRINCIPAL RESIDENCE
%�1N�

01
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 acbnowledged, 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 ELKIN
ELKIN Township, SURRV County, North Carolina and more particularly described as follows:
TRACT ONE: All that certain tract or parcel of land described in Deed Books 544,
page 1335, SCR, said tract having been assigned a Map Number of: 495112 96 5949
by the Surry County Tax Office.
TRACT TWO: All that certain tract or parcel of land described in Deed Booh 282,
page 647, SCR, said tract having been assigned a Map Number of: 495115 54 2801
by the Surry County Tax Office.
TRACT THREE: All that certain tract or parcel of land described in Deed Books 212,
page 139, SCR, said tract having been assigned a Map Number of: 495116 94 6913
by the Surry County Tax Office.
TRACT FOUR: All that certain tract or parcel of land described in Deed Book 280,
page 137, SCR, said tract having been assigned a Map Number of: 495218 301341 by
the 5urry County Tax Office.
TRACT FIVE: All that certain tract or parcel of land described in Deed Books 530,
page 1459, SCR, said tract having been assigned a Map Number of: 4952 0017 7702
by the 5urry County Tax Office.
TRACT SIX: All that certain tract or parcel of land described on Attachment to
Warranty Deed describing 0.108 acre, more or less and a non-exclusive perpetual
right of way and easement, said tract having been assigned a Map Number of:
4962-00-12-4302 (portion of), by the Surry County Tax Office.
For further reference see: Bookr , page
A map of the above described property is recorded in Plat Booh , 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 markzetable and free and clear of all
encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
This property is conveyed subject to all restrictions and easements of record, if any, and all
easements and rights of way visible upon the ground
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has
caused this instrument to be signed in its corporate name by its duly authorized officers and its seal
to be hereunto affixed by authority of its Board of Directors, the day and year first above written.
TOWN OF LKIN
BY. IV /fd L (SEAL)
NAME: LESTINE HUTCHENS
TITLE : MAYOR
STATE OF NORTH CAROLINA, COUNTY OF
1, a Notary Public of the County and State aforesaid, do hereby certify that LESTINE HUTCHENS
personally appeared before me this date and acknowledged that she is Mayor of THE TOWN OF
ELKIN, a North Carolina municipal corporation, and that by authority duly given and as the act of
the corporation, the foregoing instrument was signed in its name oPC,
ehalf as its act and deed.
WITNESS my hand and official stamp or seal, this �;') day of _n L , ,2010.
L� Art-t't'.d
Signature of Notary Public
Lam WL,1cs
Printed Name of Notary Public
My Commission Expires: RPP 3 j 031 Z Q /Z�
�15pfjC3ACSEAl.
Notafy P,,hk • North 06101114
E YADKIN COUNTY
LOM WELLS
My GAmmigrdon Expires _

ATTACHMENT TO WARRANTY DEED
FROM: TOWN OF ELKIN
TO: YADKIN VALLEY SEWER AUTHORITY
Property Description
Prepared For
The Town of Elkin
Parcel Identification Number: 4962-00-12-4302 (portion thereof)
Being a certain lot, tract or parcel of land situated within the municipal
boundaries of the Town of Elkin, Elkin Township, Surry County, State of North
Carolina; bounded by natural boundaries and/or lands now or formerly owned by
or in possession of the following persons: on the north by the Town of Elkin
(Deed Book 619, Page 313 and Deed Book 629, Page 991 — remainder); on the
east by the western controlled access right of way boundary of Interstate 77
(Project No. 8.1760002); on the south and west by the Town of Elkin (Deed Book
619, Page 313 and Deed Book 629, Page 991 — remainder); the property
described herein is a portion of the Town of Elkin lands (Deed Book 619, Page
313 and Deed Book 629, Page 991) upon which a sewer pumping (lift) station is
located and being more specifically delineated hereafter, to wit:
Commencing on an existing 1 inch iron pipe situated on the western right of way
boundary of Interstate 77 (1-77), the northeastern corner for the Town of Elkin
and a common southeastern corner for James W. Partin, et aili, (Record Book
557, Page 256 and Record Book 764, Page 179 -- remainder, west side of 1-77),
runs thence with the western right of way boundary of 1-77, S 04 deg. 28 min. 58
sec. W a distance of 108.27 feet to a new 7/8 inch iron pipe, the northeastern
corner and True Point of Beginning of the lands described herein; proceeding
thence from said point of beginning and continuing with the western right of way
boundary of 1-77, S 04 deg. 28 min. 58 sec. W a distance of 94.49 feet to a new
7/8 inch iron pipe which is further located N 04 deg. 28 min. 58 sec. E a distance
of 100.63 feet from an existing concrete right of way monument; thence with a
new northern, eastern and southern boundary for the Town of Elkin, the following
three respective courses: 1- N 89 deg. 30 min. 11 sec. W a distance of 46.63 feet
to a new 7/8 inch iron pipe; 2- N 00 deg. 29 min. 57 sec. E a distance of 94.27
feet to a new 7/8 inch iron pipe, 3- S 89 deg. 30 min. 10 sec. E a distance of
53.20 feet to the point of beginning, containing an area of 0.108 acre (4705
square feet), more or less as per plat of survey prepared by James R. Smith, Jr.,
PLS-2722, Foothills Forestry & Surveying (Business Firm License No. F-0260),
job number 10-5148, dated June 16, 2010, the bearings thereon being relative to
the N.C. Grid Meridian (NAD '83/86).

Included herewith are all rights and privileges in and to that certain existing 60
foot easement in favor of the Town of Elkin as described in Deed Book 619,
Page 313 (Deed Book 629, Page 991) to which further reference is made.
Also included herewith is a nonexclusive perpetual 60 foot access and utility
easement across the lands of the grantor (Town of Elkin) as described hereafter:
Beginning on a new 718 inch iron pipe located at the northeastern right of way
terminus of that certain existing 60 foot easement recorded in Deed Book 619,
Page 313 (Deed Book 629, Page 991) and in the common boundary of the Town
of Elkin and Fred G. Eidson, Trustee (Deed Book 1231, Page 1046), further
situated S 01 deg. 44 min. 14 sec. W a distance of 95.03 feet from an existing 1
inch iron pipe marking a common northwestern corner for the Town of Elkin and
southwestern corner for James W. Partin, et alli. (Record Book 557, Page 256
and Record Book 764, Page 179 — remainder, west side of 1-77), proceeding
thence from said beginning point, S 84 deg. 19 min. 23 sec. E a distance of
207.68 feet to a new 718 inch iron pipe marking the northwestern corner of the
0.108 acre fee parcel described herein; thence with the western boundary of
same, S 00 deg. 29 min. 57 sec. W a distance of 60.32 feet to a point; thence N
84 deg. 19 min. 23 sec. W a distance of 208.98 feet to a point in the eastern
boundary of Fred G. Eidson, Trustee; thence with same, N 01 deg. 44 min. 14
sec. E a distance of 60.22 feet to the point of beginning.
Prepared by:
James R. Smith, Jr., Pt_S, RF

III Illllllllllllllllllllllll 11 I III
Doc Na: 579081
Recorded: 07/07/2010 at 02:44:36 PM
Fee Amt: $17.00 Page 1 of 2
Surry County North Carolina
Carolyn M. Comer Reg of Deeds
Bk1332Pg897-898
STATE OF NORTH CAROLINA } BLANKET ASSIGNMENT OF RIGHTS
OF WAY AND EASEMENTS FOR
COUNTY OF SURRY/YADKIN ) SEWER FACILITIES
THIS BLANKET ASSIGNMENT OF LIGHTS OF WAY AND EASEMENTS
dated this day of Oti ne- 2010 from THE
TOWN OF ELKIN, a North Carolina municipal corporation (hereinafter
"assignor") to THE YADKIN VALLEY SEWER AUTHORITY, INC., a duly
organized "sewer authority" (hereinafter "assignee").
FOR AND IN CONSIDERATION OF THE SUM OF TEN DOLLARS AND
OTHER GOOD AND VALUABLE CONSIDERATIONS, the receipt of which
are hereby acknowledged, the assignor does hereby set over, transfer,
assign and convey all of its rights of way and easements for sewer
lines, locations of pumping stations and transfer stations, and any and
ali other uses in conjunction with the Town of Elkin's former sewer
treatment operations, including all recorded and unrecorded rights of
way and easements, including those acquired by prescriptive use,
together with all sewer lines, pumping stations and transfer stations
located within any of said rights of way and easements.
The assignor represents that it is the owner of these rights of way and
easements and that by a resolution, duly adopted by the Board of
Commissioners, is authorized to transfer and assign these rights of
way and easements to the assignee for the purpose of the Yadkin
Valley Sewer Authority assuming ownership and operation of the entire
sewer processing operation formerly owned and conducted by the
Town of Elkin.
WITNESS the signature of the Mayor of the Town of Elkin and
witnessed by the Town Clerk, the day and year first above written.

R B 9 8 1 P0344 FILED
YADKIN COUNTY, NC
KAREN H. WAGONER
REGISTER OF DEEDS
FILED Jul 07, 2010
;! AT 02-01:24 pm
LmdRaeards:�'� BOOK 00981
START PAGE 0344
END PAGE 0346
�IaTaxable Consi�deratint� INSTRUMENT# 02650
Excise Tax $ Recording Time,Book and Page
Mail after recording to: GRANTEE: Post Office Box 828, Elkin, NC 28621
GRANTEE (s) assumes responsibility for listing taxes, and updating of correct mailing address to the
YADKIN County "Fax Collector.
This instrument was prepared by: M. Neil Finger
FINGER, PARKER, BROWN & ROEMER, L.L.P., Post Office Drawer 8, Jonesville,
North Carolina, 28642
Brief description for the Index:
Parcel ID:
NORTH CAROLINA NON -WARRANTY DEED
THIS DEED, made this the 7th day of June, 2010 by and between
GRANTOR:
TOWN OF JONESVILLE )
a North Carolina Municipal )
Corporation )
ADDRESS: 1503 NC 67 Hwy.
Jonesville, NC 28642
GRANTEE:
YADKIN VALLEY SEWER
AUTHORITY, INC.
ADDRESS: P.O. Box 828
Elkin, NC 28621
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 JONESVILLE, KNOBS Township, YADKIN County, State of

.2,
TOWN OF ELKIN
ST1,NE HUTCHENS - MAYOR
ATTEST:
HERINE TILLEY - TOWN CL
STATE OF NORTH CAROLINA, COUNTY OF Uacil
I, a Notary Public of the County and State aforesaid, do hereby certify
that CATHERINE TILLEY personally appeared before me this date and
acknowledged that she is Town Clerk of THE TOWN OF ELKIN, a North
Carolina municipal corporation, and that by authority duly given and as
the act of the corporation, the foregoing instrument was signed in its
name on its behalf as its act and deed. WETNESS my hand and official
stamp or seal, this _ day of jltoe_ , 2010.
k-06C 'Wt t 4')
Signature of Notary Public "��"~ � � SEAL
9 Y j.�.r.. a�F�ci�,L sEAt� �
Notary Public - Noah CaMIM
0 YAMN COUNTY
LOM WELLS 3
Lo r1 P1 e 115 � qy Coammiasion Expires
Printed Name of Notary Public
My Commission Expires: 7)C/' 1 11-3, lz-iy

RB981 p0345
North Carolina and more particularly described as follows:
SEWER PUMING SITES AS FOLLOWS:
Influent Pump Station (sewer plant) -- 167 Winston Road- g711- ZO- 4 V �
2. Hampton Inn Pump Station - 1636 Hampton Inn Lane 12y7 3y
3. River Road Lift Station - 217 River Road 11,31283
4. Phillips Van Heusen Lift Station --- 1000 PVH Drive /Zqyo
5. Osborne Street Lift Station -Osborne Street JZz71I
6. Welborn Street Lift Station - Welborn Street
7. Ghant Street Lift Station - Ghant Street
PERSONAL RESIDENCE: n/a
Grantor acquired the property described hereinabove by instrument recorded in Deed
Book , Page , County Registry.
A map of the above described property is recorded in Plat 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.
The Grantor(s) make(s) no warranty, express or implied, as to title to the property
hereinabove described.
This property is conveyed subject to all restrictions and easements of record, if any, and
all easements and rights of way visible upon the ground
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if
corporate, has caused this instrument to be signed in its corporate name by its duly
authorized officers and its seal to be hereunto affixed by authority of its Board of
Directors, the day and year first above written.
TOWN OF JONEVILLE
7 `
BY: � � -a - � (SEAL)
M YOR

R83981 P0346
STATE OF NORTH CAROLINA, COUNTY OI~! k�S
I, a Notary Public of the County and State aforesaid, do hereby certify that
L I t' rl berck) (Szjci b n-) personally appeared before me this date and
acknowledged tat he is Mayor of TOWN OF JONESVILLE, a North Carolina
municipal corporation, and that by authority duly given and as the act of the corporation,
the foregoing instrument was signed in its name on its behalf as its act and deed.
WITNESS my hand and official stamp or seal, this s day of
2010.
Signature of Notary Public
0'(11- r M e} r e
Printed Name of Notary Public
My Commission Expires:
ii lE C:AN 1'CR Sl #OF:
NOTARY PUBLIC �
viiKes Caint�, Nosh CaroQv;
`:•� ::o7:missicn Eigvres,_„��� - �r_�/7`
TAMMIE CARTER SHORE
NOTARY PUBLIC
Wilkes County, North Carolina
My Commission Expires � -y/S�

R a 9 8 1
P 0 3 4 r
STATE OF NORTH CAROLINA
COUNTY OF YADKIN
FILED
YADKIN COUNTY, NC
KAREN H. WAGONER
REGISTER OF DEEDS
FILED Jul 07, 2010
AT 02:02.04 pm
BOOK 00981
START PAGE 0347
END PAGE 0348
INSTRUMENT # 02651
BLANKET ASSIGNMENT OF RIGHTS
OF WAY AND EASEMENTS FOR
SEWER FACILITIES
THIS BLANKET ASSIGNMENT OF RIGHTS OF WAY AND EASEMENTS
dated this 1 St day of �_� u �.� 2010 from THE
TOWN OF JONESVILLE, a North Carolina municipal corporation
(hereinafter "assignor") to THE YADKIN VALLEY SEWER AUTHORITY,
INC., a duly organized "sewer authority" (hereinafter "assignee").
FOR AND IN CONSIDERATION OF THE SUM OF TEN DOLLARS AND
OTHER GOOD AND VALUABLE CONSIDERATIONS, the receipt of which
are hereby acknowledged, the assignor does hereby set over, transfer,
assign and convey all of its rights of way and easements for sewer
lines, locations of pumping stations and transfer stations, Jonesville
Operations Station and waste water treatment plant as recorded in
Book 89, page 274, YCR, and any and all other uses in conjunction
with the Town of Jonesville's former sewer treatment operations,
including all recorded and unrecorded rights of way and easements,
including those acquired by prescriptive use, together with all sewer
lines, pumping stations and transfer stations located within any of said
rights of way and easements.
The assignor represents that it is the owner of these rights of way and
easements and that by a resolution, duly adopted by the Town
Council, is authorized to transfer and assign these rights of way and
easements to the assignee for the purpose of the Yadkin Valley Sewer
Authority assuming ownership and operation of the entire sewer
processing operation formerly owned and conducted by the Town of
Jonesville.
WITNESS the signature of the Mayor of the Town of Jonesville and
witnessed by the Town Clerk, the day and year first above written.

RB981 P0348
TOWN OF JONESVILLE
- MAYOR
ATTEST:
61
- TOWN CLERK
STATE OF NORTH CAROLINA, COUNTY OF W 1I � e,
I, a Notary b Public of the County and State aforesaid, do hereby certify
that L I' V) -i` k S-VU2c " E- - L ") r\ - i Ve E- personally
appeared before me` this date and acknowledged that she is Town Clerk
of THE TOWN OF JONESVILLE, a North Carolina municipal corporation,
and that by authority duly given and as the act of the corporation, the
foregoing instrument was signed in its name on its behalf as its act and
deed. WITNESS my hand and official stamp or seal, this -S day
of l,2010.
Signature of Notary Public
Printed Name of Notary Public
MM
SHORE
M Commission Expires: h C
y p Wilkes Carolina
— L�
JONESVILLE.ASSIGNMENT. SEWER ROW & EASEMENTS

NORTH CAROLINA
SURRY COUNTY
Doc No: 579082
Recorded: 07/07/2010 at 02:44:37 PM
Fee Amt: $22.00 Page i of 2
5urry County North Carolina
Carolyn M. Comer Reg of Deeds
Bk1332 Pg899-900
SANI,rARY SEWER EASEMENT
Ti-n EASEMENT, made this day of t.J_t�l.A _ , 2010, by and between
Lake District Properties, LLC, (hereinafter "Party of the First Part"); and The Yadkin Valley
Sewer Authority (hereinafter "Party of the Second Part");
WITNESSETH:
That whereas said Party of the First Part owns a certain tract of land more fully described
in Record Book 1051, Page 225 of the Surry County Registry, located South of N. C. Highway
268 and North of the Yadkin River, and further bounded on the East by the lands of Harold and
Barbara Adams, and on the South and West by the lands of CMC Holding Corp.; and whereas,
the Party of the Second Part desires to construct a sewer line main across the said lands of the
Party of the First Part;
NOW THEREFORE, said Party of the First fart for and in consideration of the sum of
S 10.00, and other valuable consideration, to it in hand paid, the receipt of which is hereby
acknowledged, does hereby give, grant and convey unto said Party of the Second Part a perpetual
right and easement to construct and maintain across and upon said land of the Party of the First
Part an underground sewer line and necessary manholes upon the thirty foot sewer line easement
hereinafter described and to go upon said lands hereinafter described whenever the same is
reasonably necessary for the purpose of inspecting, maintaining and repairing said sewer line and
necessary manholes; provided, that in constructing and repairing said sewer line and necessary
manholes, Party of the Second Part will remove all surplus earth, make level the surface of the
ground above said sewer line, and interfere as little as is reasonably possible with any plants,
fences, or other improvements upon the land of the Party of the First Part.
The thirty Loot sewer line easerent across the lands of the Party of tile First Part is
described as follows:
The sewer line easement across the lands of the party of the first part is described as
foliows: TO FIND THE TRUE POINT OF BEGINNING Commence at the intersection of the
southeastern right-of-way line of the Piedmont & Atlantic Railroad (having a 100 - foot right-of-
way width) and the northwest corner of said property; thence running generally south along the
property fine as follows: South 39°05'46" East 14.70'; thence South 75'20'1 1" East 30.23'; thence
North 72°33'37" East f 9.96; to the TRUE POINT OF BEGINNING; from the True Point of
I3eginning as thus established, thence leaving the property line and running with the southern
most existing sewer line easement (having a 20' casement) North 53°39'21" East 128.92'; thence
with the new sewer line easement North 53°40' 13" East 50.69'; thence running along the

property line as follows: North 68° 16'26" East 46.86'; thence North 69° 14'34" East 97.42'; thence
North 68°57'37" East 21 1.84; thence North 68°51'27" East 119.51 ; thence to the Duke Power
Right -of -Way, North 68°30'41" East 4.37'; thence leaving property line and running as follows:
thence South 731106'48" East 80.68'; thence running along the property line as follows: thence
South 13°59'28" East 38.16'; thence leaving property line and running as follows: thence North
68°41'00" West 85.24', to the Duke rower Right -of -Way; (creating a variable easement in the
Duke Power Right-o1-Way); thence South 68°51'27" West 119.82'; thence South 68°57'37" West
21 1.94'; thence South 69° 14'34" West 97.24'; thence South 68° 16'26" West 82.41' (creating a
thirty foot sewer line easement); thence South 53°39'28" West 139.57; thence running with the
property line as follows: North 28°28' 14" West 19.9l'; thence North 72"33'37" East 0.85'
(creating a twenty foot sewer line easement) to the True Point of Beginning. Creating an
easement of 0.47 acres.
IN WITNESS WHEREOF, said Party of the First Part has caused these presents to be
signed on this day and year first above written.
S"rATE OF NORTH CAROLINA
COUNTY OF SURRY
State of North Carolina — County of
#,1 the undersigned No hry Public of the County and State aforesaid, certify that
l personally came before me this day
and ac nowledg that _he is the of Lake District Properties, 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 ame on its behalf as its act and deed. Witness my
hand and Notarial stamp or seal, this day of 010.
9
otaiy a ILc
My Commission Expires: 1; Q I'l) -
NoWy u ]ic-North Carolina
James N. Freeman, Jr.
Surry County
M 1SSt0[I.�7i�ii�3
5

i"'P` (� , '-4
111 lillillilliil111111111i11111 Ill
Doc No: 579083
Recorded: 07/07/2010 at 02:44:38 PM
Fee Amt, $22.00 Page 1 of 2
Surry County North Carolina
Carolyn M. Comer Reg of Deeds
a 1332 Pg901-902
Do NOT write above this line. Recording: Time, Book and Page
North Carolina Release Deed
This instrument prepared by: JAMES N. FREEMAN JR., POST OFFICE BOX 347, ELKIN, N. C. 28621
Brief description for the Index:
This Release Deed made this day of 2010, by and between Grantor, Trustee and Beneficiary (Note Holder):
Enter in appropriate block for each party as listed in the original document: Name, address, county, state and if appropriate entity
(i.e. corporation, partnership). The designation Grantor and Grantee as used herein shall include all parties, their heirs, successors
and assigns and shall include singular, plural, masculine, feminine or neuter as required by context.
Grantor: Lake District Properties, LLC
Trustee: Edward C. Ashby, III
Beneficiary: Surrey Bank and Trust
Post Office Box 1227
Mount Airy, N. C. 27030
(Note Holder)
Deed of Trust: the executed Deed of Trust is dated 06101/2005 and recorded in Book 1077, Page 813 , SunJ County
Release of Lien: Trustee and Beneficiary (Note Holder), for a valuable consideration paid by Grantor, the receipt of which is hereby
acknowledged, has remised and released and does hereby remise and release forever to the Grantor, the Property described below:
Property: City of Ok'in
Township of Elkin County of Surry _ North Carolina.
This property was acquired by Grantor by an instrument recorded in Book T 1051 Page 225 Surry _ County,
A map showing the property is recorded in Plat Book Page County,
The legal description of the Property is:
The sewer line easement across the lands of the party of the first part is described as follows: TO FIND THE TRUE POINT
OF BEGINNING commence at the intersection of the southeastern right-of-way line of the Piedmont & Atlantic Railroad (having a
100 — foot right-of-way width) and the northwest corner of said property; thence running generally South along the property line as
follows: South 39 degrees 05 minutes 46 seconds bast 14.70 feet: thence South 75 degrees 20 minutes I I seconds F.ast 30.23 feet;
thence North 72 degrees 33 minutes 37 seconds East 19.96 feet; to the TRUE POINT OF BEGINNING; from the True Point of
Beginning as thus established, thence leaving (lie property line and running with the southern most existing sewer line easement
(having a 20 toot easement) North 53 degrees 39 minutes 21 seconds East 128.92 feet; thence with the new sewer line easement North
53 degrees 40 minutes 13 seconds Fast 50.69 feet; thence running along tine property line as follows: North 68 degrees 16 minutes 26
seconds East 46.86 feet; thence North 69 degrees 14 minutes 34 seconds East 97.42 feet; thence North 68 degrees 57 minutes 37
seconds East 211,84 feet; thence North 68 degrees 51 minutes 27 seconds East 1 ]9.51 feet; thence to the Duke Power Right -of -Way,
North 68 degrees 30 minutes 41 seconds East 4.37 feet; thence leaving property line and running as follows: thence South 73 degrees
06 minutes 48 seconds East 80.68 feet; thence running along the property line as follows: thence South 13 degrees 59 tininutes 28
seconds East 38.16 feet; thence leaving property line and running as follows: thence North 68 degrees 41 minutes 00 seconds West
85.24 feet, to the Duke Power Right -of -Way (creating a variable easement in the Duke Power Right -of -Way); thence South 68
degrees 51 minutes 27 seconds West 119.82 feet; thence South 68 degrees 57 minutes 37 seconds West 21 194 feet; thence South 69
degrees 14 minutes 34 seconds West 97.24 feet; thence South 68 degrees 16 minutes 26 seconds West 82.41 feet (creating a thirty
foot sewer line easement); thence South 53 degrees 39 minutes 28 seconds West 139.57 feet; thence running with the property line as
follows: North 28 degrees 28 minutes 14 seconds West 19.91 feet; thence North 72 degrees 33 minutes 37 seconds East 0.95 feet
(creating a twenty foot sewer line easement) to the True Point of Beginning.
Continued on Page 2
After recording mail to: Tax Lot No.
9'1
C:LibrarylForms/North Carolina Release Dced
Parcel Identifier No.
Verified By County,
on the day of 2007
By:
Page 1 of 2 Initial

Continued from Page 1
.�2
TO HAVE AND TO HOLD the said Property and all privileges and appurtenances (rights) belonging to Grantee.
It is understood and agreed that this Release shall apply only to the amount of property expressly described and conveyed and that the
remainder of the property shall remain subject to the lien of the Deed of Trust and shall remain in full force and effect.
Signatures: Trustee, and/or Beneficiary(Note Holder) has duly executed the foregoing instrument, as of the day and year first written above.
Entity
Name:
Edward C. Ashbv, III
By:
Title: Trustee resident - Surry Bank and Trust 0
x
c
By:
U
cC
Title: m
By:
Title:
Individuals
INDIVIDUAL
STATE OF _ I VCOUNTY OFy
x 1, a Notary Public o� f County and State aforesaid, certify that
5 _ Edward C. Ashby _ _ _ Trustee, and/or Beneficiary
Note Folder) personally came before me this day and ac nowledged the executio of the foregoing instrument,
..., -.� ....ram . W w- �1
SLLWitnes my hand and offici ,I stamp or seal, this ay of 2010.
INIOTARY P LI(My Co ission Expires: { -20 �� _ 7 Notary Public
i : 1
H SLEY
r/
INDIVIDUAL
r- STATE OF COUNTY OF
1, a Notary Public of the County and State aforesaid, certify that
Trustee, and/or Beneficiary
x (Note Holder) personally came before me this day and acknowledged the execution of the foregoing instrument.
Witness my hand and official stamp or seal, this day of 12007.
m M Commission Ex Tres: Notary Public
Y Pi - rY
ENTITY: Corporation, Limited Liability Company, General Partnership, or Limited Partnership
C STATE OF COUNTY OF
O I, a Notary Public of the County and State aforesaid, certify that
'4 personally came before me this day and acknowledged that he is of
a North Carolina or
M corpora tionllimiled liability company/general partners[iipllimited partnership (strike through the inapplicable)
�? and that by authority duly given and as an act of the entity, has signed the foregoing instrument in its name
v and on its behalf as its act and deed.
Witness my hand and official stamp or seal, this day of 2007.
The foregoing Certificate(s) of
islare certified to be correct. This instrument and this certificate are duly registered at the date and time and in the Book and page shown on the first
page hereof.
REGISTER OF DEEDS FOR COUNTY
Deputy/Assistant - Register of Deeds
C:Libraiy/Forms/North Carolina Release Heed

STATE OF NORTH CAROLINA
COUNTY OF SURRY
II I I I II I !I II II ! I it II I I II I I Itlll 1il
Doc No: 579094
Recorded: 07/07/2010 at 02:44:39 PM
Fee Amt: $17.00 Page 1 of 2
Surry County North Carolina
Carolyn M. Comer Reg of Deeds
Bk 1332 PG903-904
RELEASE OF PRIOR EASEMENT
THIS RELEASE Oil PRIOR EASEMENT, entered into this / *day of / � ,
2010, by and between Lake District Properties, LLC (hereinafter "Party of the First Part") and Yadkin
Valley Sewer Authority (hereinafter "Party of the Second Part"):
WiTNESSETH:
WHEREAS, Party of the First Part had previously granted an casement across their said property
for the benefit of the Party of the Second Part; to provide a sanitary sewer easement; said easement being
more particularly described in Surry County Registry Deed Book 1282, Page 521- and
WHEREAS, Party of the Second part no longer has a need of the easement described in Book
1282, Page 521;
NOW THEREFORE, the Party of the Second Part, hereby releases and quitclaims to the Party
of the First Part any right or title to the easement set out in Book 1282, Page 521 of the Surry County
Public Registry.
IN WITNESS WHEREOF, the Party of the Second Part has hereinto set their hand and seal as
of the day and year First above written.
YADKIN VALLEY SEWER AUTHORITY
BY: �- �_ (SEAL)
TITLE::

0
STATE OF NORTH CAROLINA
COUNTY OF r,{,�f
1,4 NptaV Public for said County and
hcrcby crtif that JeoeQJ NA�
?e personally appeared fore me
this day and ackno~rvledge the due execution of the Vegoing instrument.
Witness my hand and official seal, this the — �t% - d of 206t.
No ry Pu is
My Commission Expires:( t
N°tary b� c IJcyr�`"r
,lames N. P, eman, Jr.
curry Coup
My COnmission Expires

Beverly Eaves Perdue, Governor
Dee Freeman, Secrelary
North Carolina Department of Environment and Natural Resources
Coleen 11. Sullins, Direclor
Division of Water Qua]ity
January 16, 2009
Mr. Robert Fuller
Town of Elkin Waste Water Treatment Plant
125 Carter Mill Rd
Elkin, NC 28621
Subject: General Permit No, NCG 110000
Town of Flkin Waste Water "Treatment Plant
COC NCG110139
Surly County
Dear Mr. Fuller:
In accordance with your application for a discharge permit received on December 22, 2008 we are
forwarding herewith the subject certificate of coverage to discharge under the subject state —NPDES
general permit. This hermit is issued pursuant to the requirements of North Carolina General Statute 143-
215.1 and the Memorandum of Agreement between North Carolina and the .US Environmental Protection
Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division oP Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This permit does.not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other federal or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Brian Lowther at telephone
number [phone].
Sincerely,
ORIGINAL. SIGNED BY
KEN PICKLE
for Coleen 1-1. Sullins
cc: Winston Salem Regional Office
Central Files
Storlll\vater Permitting Unit Files
NosthCarolina
r/�lllli!!!'llral f
North Carolina Division of Waler Quality 1617 Mai Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
lntcrnct: wwsv.nc�a�tcrqualitv.�?re Location; 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal OpporlunitylAffirmative Action Employer— 5C% RecyCed110%o Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG110000
CERTIFICATE OF COVERAGE No. NCGI10139
STORMWATER DISCHARGES
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,
Town of Elkin Waste Water Treatment Plant
is hereby authorized to discharge stormwater from a facility located at
Town of Elkin Waste Water Treatment Plant
230 Marion Rd
Elkin, NC
Surry County
to receiving waters designated as Dutchman Creek, a class C water in. the Yadkin River Basin, in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts 1, II, III, IV, V, and VI of General Permit No. NCG110000 as attached.
This certificate of coverage shall become effective January 16, 2009.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 16'h day of January, 2009.
ORIGINAL SIGNED BY
KEN PICKLE
for Coleen H. Sullins., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

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NCG110139
Town of Alkln
Waste Water Treatment Plant
II
Latitude: 361) 15' 25" N
Longitude: 80C'49' 59" W
County: Surr ry; Y
Retaking Stream: Dutchman Creek
Stream Class: C
Scale 1,•24r000
Sub -basin: 03-07-02 (Yadkin River Basin)
Facility Loca tion