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HomeMy WebLinkAboutNCG550766_Owner (Name Change)_20201119 �. ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPER Director NOR r H Environmental Quality NPDES Certificate of Coverage (CuC) NCG550000 OWNERSHIP CHANGE FORM 44, ..M ._ I. Please enter the CoC number for which the change is requested. Certificate of t.uvcsagc N I C G 15 15 1 0 1 7 1 6 I. J.. ,,, CE1VED IL Please provide the follnwino fnr the requested change(revised permit). AUG 1 0 2020 a. Request for change is a result of: Change in ownership of the residence/property // Name change of the facility or owner ' CDEQ/DWR/NPDES If other please explain: L—.�, 7:KS'7" f)V b. Permit will be issued to(company -� name, if applicable): _ c. Person legally responsible for permit: Z/r;,A/ > GA STiJ/'✓ Fifst MI Last Tide a Jva ni 14,Yr Permit Holder iviailing Address C . ,2k77�3 City State - Zip (82 ')333 ()RJZ Srepg,q &gl/m.160 Phone E-mall Ad ress C/ d. Facility name(discharge): e. Facility address: Address City State Zip f. Facility contact person: _ [if different from Owner] First MI Last ( ) Phone E-mail Address III. Permit contact nfcrmat (if different from the person legally responsible for the permit) Permit contact: .CL r is /7 //�� _ A P Last Title Mailing Address City State Zip ( ) Phone E-mail Address IV. Will this permitted facility continue to discharge the same volume and type of wastewater as prior to this ownership or name change? Yes No(please explain) Revised 4/2019 • Exhibit A BEING all that tract shown and designated as Lot 9, containing 2.06 acres,more or less, located in Rivers Rest Subdivision, and shown and delineated on that certain plat entitled"Derwort- Padgett, Saluda Twp.,Polk Co.,No. Car.", dated January 21, 2003, which plat is duly recorded in the Office of the Register of Deeds for Polk County,North Carolina, in Card File E at Page 644; reference being made to said recorded plat for a more complete metes and bounds description of said tract,pursuant to North Carolina General Statutes, Section 47-30(g). THERE IS EXCEPTED from this conveyance that tract designated as "Well Lot", located on the western portion of said lot, being approximately twenty(20') feet square, as specifically shown and delineated on the aforementioned,recorded plat. THIS CONVEYANCE IS MADE SUBJECT TO perpetual easements for all water and electrical lines running from said well lot and across the above described property leading to other properties served by said well and lines, TOGETHER WITH the perpetual right to go upon the above described property for the purposes of repairing and maintaining said lines. The above described property is further conveyed SUBJECT TO the right of way for US Highway 176, and the right of way for the subdivision roadway known as River View, leading from the south side of US Highway 176 along the western and southern sides of the above described property to the center of the North Pacolet River, all as shown and delineated upon aforementioned,recorded plat. Said River View subdivision roadway shall be used by Grantees their heirs and assigns, all other property owners in Rivers Rest Subdivision, their heirs and assigns, and all other person s having a lawful right to use the same. The above described property is also conveyed SUBJECT TO the riparian rights of others in and to the continued and uninterrupted flow of the waters of said North Pacolet River. This conveyance is also made SUBJECT TO and TOGETHER WITH the Restrictive and Protective Covenants applicable to Rivers Rest Subdivision, as the same are recorded in Book 196,Page 440, Polk County Registry. The above described property is identical to that conveyed to Joe L. Gerrald and wife, Shirley Gerrald,by that certain deed from George H. Derwort and wife, Margie M. Derwort; and J. Ronald Padgett and wife, Ellen Padgett, dated October 2, 2003, and recorded on October 7, 2003, in Book 306 at Page 2, Polk County Registry. II II II II II I II III I I II II II II II II II Doc ID: 002166030003 Type: CRP Recorded: 08/02/2011 at 09:44:59 AM Fee Amt: $215.00 Page 1 of 3 Revenue Tax: $190.00 Polk, NC Sheila Whitmire Register of Deeds BK388 PG659-661 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: $190.00 Parcel Identifier No. P14-118 Verified by Polk County on the day of July,2011. Mail/Box to: This instrument was prepared by:John C. Hovendon,455 South Trade Street,Tryon,NC 28782 THIS DEED made this 26"'day of July,2011, by and between GRANTOR GRANTEE Joe L. Gerrald and Shirley Gerrald, Larry Eckstein Husband and wife 966 Myrtle Drive 220 Grady Avenue Rock Hill,SC 29730 Tryon,NC 28782 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 n/a , Saluda Township, Polk County,North Carolina,and more particularly described as follows: Please see attached Exhibit A. The property hereinabove described was acquired by Grantor by instrument recorded in Book 306 at Page 2. A map showing the above described property is recorded in Card File E at Page 644. Exhibit A BEING all that tract shown and designated as Lot 9, containing 2.06 acres, more or less, located in Rivers Rest Subdivision, and shown and delineated on that certain plat entitled"Derwort- Padgett, Saluda Twp., Polk Co.,No. Car.", dated January 21, 2003, which plat is duly recorded in the Office of the Register of Deeds for Polk County,North Carolina, in Card File E at Page 644; reference being made to said recorded plat for a more complete metes and bounds description of said tract,pursuant to North Carolina General Statutes, Section 47-30(g). THERE IS EXCEPTED from this conveyance that tract designated as"Well Lot", located on the western portion of said lot, being approximately twenty(20')feet square,as specifically shown and delineated on the aforementioned,recorded plat. THIS CONVEYANCE IS MADE SUBJECT TO perpetual easements for all water and electrical lines running from said well lot and across the above described property leading to other properties served by said well and lines, TOGETHER WITH the perpetual right to go upon the above described property for the purposes of repairing and maintaining said lines. The above described property is further conveyed SUBJECT TO the right of way for US Highway 176,and the right of way for the subdivision roadway known as River View, leading from the south side of US Highway 176 along the western and southern sides of the above described property to the center of the North Pacolet River, all as shown and delineated upon aforementioned,recorded plat. Said River View subdivision roadway shall be used by Grantees their heirs and assigns, all other property owners in Rivers Rest Subdivision, their heirs and assigns, and all other person s having a lawful right to use the same. The above described property is also conveyed SUBJECT TO the riparian rights of others in and to the continued and uninterrupted flow of the waters of said North Pacolet River. This conveyance is also made SUBJECT TO and TOGETHER WITH the Restrictive and Protective Covenants applicable to Rivers Rest Subdivision, as the same are recorded in Book 196, Page 440, Polk County Registry. The above described property is identical to that conveyed to Joe L. Gerrald and wife, Shirley Gerrald,by that certain deed from George H. Derwort and wife, Margie M. Derwort; and J. Ronald Padgett and wife, Ellen Padgett, dated October 2, 2003, and recorded on October 7, 2003, in Book 306 at Page 2,Polk County Registry. 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 against the lawful claims of all persons whomsoever,other than the following exceptions: a.All rights of way for public utilities; b.All rights of way for public streets, roadways,and/or easements; and c.Applicable zoning ordinances, if any. IN WITNESS WHEREOF,the Grantor has duly exe ed the f egoing f th ay and year first above written. (SEAL) (Entity Name) a rra d By: ,(,i. A 4 ji _(SEAL) irl Gerr41 (SEAL) (SEAL) STATE OF SOUTH CAROLINA, COUNTY OF I,the undersigned Notary Public of County, State of Sout 'Yrolia, certify that Joe L. Gerrald and Shirl Gerrald personally came befEi ire this day and acknowledged the due execution of the foregoing instrumentac t!e rpdse therein expressed. Witness my hand and Notarial stamp or seal this tl e- 7 iday of July,2011. 7 My Commission Expires: Notary Public • STATE OF NORTH CAROLINA, COUNTY OF POLK The foregoing Certificate of is 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 Polk County,North Carolina By: