NCG550297_Owner (Affiliation Change)_20200728

ROY COOPER
Governor
1j4 g °:;:', C 'f'.. MICHAEL S. REGAN
e 2 1 :v f. " • .. Secretary
,��,`'� � LINDA CULPEPPER
j- " ;1•'' area.
NORTH CAROLINA
Environmental Qraonly
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00 / / / / . or NCG550297
1. Facility Name: 309 Craven Drive.
II. NEW OWNER/NAME INFORMATION:1. This request for a name change is a result of: RECEIVED
JUL 2 3 2020
_X_a. Change in ownership of property/company
NCDEQ/DWR/NPDES
b. Name change only
c. Other(please explain):
2. New owner's name(name to be put on permit):
Gregory C. Harris
3. New owner's or signing official's name and title: Gregory C.Harris
(Person legally responsible for permit)
Owner
(Title)
4. Mailing address: 309 Craven Drive City: Thomasville
State: NC_ Zip Code: 27360 Phone: (336) 345-0399
E-mail address: [e-mail]
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)
[see reverse side of this page for signature requirements]
�DE Q
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-707-9000

• NPDES Name&Ownership Change
Page 2 of 2
•
Applicant's Certification:
I, Gregory C. Harris , 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.
Signature: ....8/1-/--r1 �-. (/.6 \ Date: / 2 z o z 0
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 4/2019

FILED DAVIDSON COUNTY, NC DAVID T. RICKARD,.REGISTER OF DEEDS 4/3/2018 3:37:31
PM BOOK 2309 PAGE 531 - 534 INSTRUMENT #2018000006395 Recording:$26.00
Excise Tax:$0.00 Deputy: ERECORD
Excise Tax$NTC I Recording Time,Book and Page
Tax Lot No. Parcel Identifier No. 16-324-0-000-0027A, 27B, 3113
Verified by County on the day of January,2018.
by
Mail after recording to Grantee @ 309 Craven Drive, Thomasville, NC 27360
This instrument was prepared by Molly N.Howard,Attorney,2115 Eastchester Drive,High Point,NC 27265.(w/o title exam)
Brief Description for the index 309 Craven Drive,Thomasville,NC 27360
NORTH CAROLINA NON-WARRANTY DEED .
THIS DEED made this 20 day of November,2017,by and between: •
GRANTOR GRANTEE
REBECCA S.HARRIS(Separated) GREGORY C.HARRIS(Separated)
309 Craven Drive '309•Craven Drive
Thomasville,North Carolina 27360 Thomasville,North Carolina 27360-
•
Enter in 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 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 Thomasville Township,Davidson County,North Carolina and more particularly described as follows:
See Exhibit A attached hereto.
This conveyance is made pursuant to the provisions of G.S.Section 39-13.3 and G.S.Section
52-10,the intent of the Grantor being to dissolve the parties'tenancy by the entirety and to
vest all title or interest in the property herein described in the Grantee alone, as the
Grantee's sole separate property,free from any interest of the Grantor,including but not '
limited to:1)the elective life estate as provided for in G.S.29-30;2)any right to an equitable
distribution of the real property described herein upon divorce as provided for in G.S.
Section 50-20 et seq.;3) any right to administer the Grantor's Estate; and 4)any right to
inherit,by devise or intestacy,any interest in the property herein described.The Grantee
shall and does hereafter have the right to convey, encumber and transact the real estate
'described herein free from.any right,title or interest of the Grantor and without the joinder
of the Grantor.
NO TAXABLE CONSIDERATION.
•
The property hereinabove described was acquired by Grantor by instrument recorded in Book 2061,Pages 2229-2231.
2149 2328
CA map showing the above described property is recorded in Plat Book_,Page
This property is the Grantee's primary residence.
N.C.Bar Assoc.Form No.7©1977 •
Printed by Agreement with the N.C.Bar Assoc. #003
submitted electronically by "mark L. McGuire, P.A:"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Davidson county Register of Deeds.