HomeMy WebLinkAboutNC0065412_owner change documents_20201027ROY COOPER
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M.ICHAEL S. REGAN
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S. DANIE,L SMITH
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PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00((2_/S /LL/j/� or NCG5
1. Facility Name: G ( iI / _4f`
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of-
. Change in ownership of property/company
Y" IIED
b. Name change only OCT
3 2020
c. Other (please explain):
i'D�"/R/NPDES
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title: G u�' viv)
(Person legally responsible for permit)
DY 1' i& e
Title)
4. Mailing address: I ISO ONW rvyry SI-le IL City:_ /MT • pleaSab I
State:4L Zip Code: Phone:( $ 4 4 ) G)
E-mail address: 11te G''
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]
North Carolina Department of Environmental Quality Division of Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-707-3712
NPDES Name & Ownership Change
Page 2 of 2
Applicant's Certification:
I, M olq"e 9w(f� , 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: � ��~ Date: 0r iZ0 r
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 712016
Investors Title Insurance Company
121 N Columbia St
Chapel Hill, NC 27514
Phone: (919) 968-2200
Buyer's Settlement Statement
Settlement Date:
December 18, 2019
Disbursement Date:
December 18, 2019
Order Number:
201912216ESO
Buyer:
T3T Communities, LLC, Sole Member of:
T3T Willow Oaks, LLC
3T Pleasant Ridge, LLC
T3T Quicksilver, LLC
T3T Cranbrook, LLC
T3T Countryside, LLC
T3T Piedmont Park & Gardens, LLC
T3T Colonial, LLC
T3T Anderson Creek, LLC
T3T Myrtle Grove, LLC
T3T Beech Grove, LLC
T3T Hilltop, LLC
T3T Orange, LLC
T3T Woods, LLC
T3T Spring Lake, LLC
T3T Mebane, LLC
T3T GCI Lakeside, LLC
Seller: Investors Title Exchange Corporation, as Qualified Intermediary fo C LAND LEASE, LLC
Investors Title Exchange Corporation, as Qualified Intermediary for NRV Group, LLC
Investors Title Exchange Corporation, as Qualified Intermediary for Radford Development of
Virginia, LLC
Investors Title Exchange Corporation, as Qualified Intermediary for Spring Lake MHP, LLC
Investors Title Exchange Corporation, as Qualified Intermediary for GCI Lakeside, LLC
Investors Title Exchange Corporation, as Qualified Intermediary for GCI-Orange, LLC
Investors Title Exchange Corporation, as Qualified Intermediary for Mebane MHC, LLC
Printed on 12/18/2019 09:33 AM Investors Title Insurance Company 201912216ESO
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Buyer's Settlement Statement
Lender: Wells Fargo Bank, National Association
Loan Number: 1521184 (CRE Loan)
Wells Fargo Bank, National Association
Loan Number: 1524080 (Unsecured Loan)
Property: Willow Oaks, 106 Begonia Lane
Reidsville, NC 27320
Rockingham County
Pleasant Ridge, 109 Southfork Dr., Hwy 150
Reidsville, NC 27320
Rockingham County
Quick Silver
Durham, NC
Durham County
Cranbrook Village, 4309 Old Liberty Place
Greensboro, NC 27408
Guilford County
Countryside, 3571 Roy Farlow Road
Sophia, NC 27350
Randolph County
Piedmont Park and Gardens
Butner, NC
Granville County
Colonial Mobile Home Park, C Street - 15.28 acres
Butner, NC
Granville County
Anderson Creek, Tracts 1, 2, 3, 4
Sping Lake, NC
Harnett County
Myrtle Grove
New Bern, NC
Craven County
Beech Grove
New Bern, NC
Craven County
Hilltop, 11.66 Acres
Durham, NC
Orange County
Orange
Durham, NC
Orange County
Woods
Durham, NC
Orange County
Printed on 12/18/2019 09:33 AM Investors Title Insurance Company 201912216ESO
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