NCG550900_Owner (Name Change)_20201208

d
'
ROY COOPER
Governor - A ;
MICHAEL S.REGAN
Secretary • y
S.DANIEL SMITH NORTH CAROLINA
Dtrec€or Environmental Quality I_ �%/.
November 18,2020 aC e/
. A
Brenda Black Q it,
2605 Rolling Pines Avenue CM A
Durham,NC 27703 • /� E P C i,f6 Al P d
Subject: Permit Name/OwnershipChange Re Request v �^ 'I IUQnay/''
q � � „�
Single Family Wastewater Treatment System ''1 1 . , e.tt
NPDES General Permit NCG550000 ( V' v" �'1`" c k n r4Ao
Certificate of Coverage NCG550900 0Q `a , A /'
Facility Name: 917 Jones Circle (it( ` a �j
Durham County �j q
ck A ) O 00
Dear Ms.Black: U- G kel
This letter is to inform you that the subject facility is operating a wastewater treatment system without a
valid permit. The Division of Water Resources records indicate Brenda Black currently owns the above
subject facility. As the property owner,you are also the owner of the existing single-family wastewater
treatment system,which treats the domestic wastewater from the residence and releases the effluent to
waters of the state. According to Division records,a NCG550000 Ownership Change Form has not been
submitted for the subject facility. The permit issued for this facility still belongs to the facility's former
owner,Robert Height,Jr.
This places Brenda Black in violation of North Carolina General Statute§ 143-215.1(a)(2),which states
that no person may operate a treatment works or disposal system unless that person has received a permit
from the Commission. Failure to request a change of ownership for the subject permit may result in the
assessment of civil penalties of up to$25,000 per violation.
To prevent further action,please submit a NCG550000 Ownership Change Form within fifteen(15)days
receipt of this letter. If you have documentation proving that this record is in error,please forward them
to our office.
We appreciate your assistance in this matter. If you have any questions about this letter,please contact t
Jane Bernard at(919)791-4233 or via email at [e-mail]. ( .%
) � .o 44
Respectfully,
Doeu3lynetl by:
Uau c,r5 . 4L �� �15- f L
afar Manuel �: 4 ( <-}�
Assistant Regional Supervisor i/ ap ) I
Water Quality Regional Operations Section-Raleigh Regional Office ��j' �l I ^^ Q
Division of Water Resources,NCDEQ II ,,Ci¢ J
Attachment:NCG550000 Ownership Change Form I,ert
,) I �,�
r Y_
cc:Laserfiche " aL.0,01 off'Charles Weaver,NPDES Permitting Unit w/o attachments ,�` �
Durham County Health Department w/o attachments Yv
•
...
, tVulrch CRarolitza Di epartntent;�f Ervlrl?nri:rm1 1 Quality Chi sioct of Y1,at(21 Res90 Lees
ftaleiyh Regional Of flee 3800 B,nett Drive Ra<eigh.Korth Carolina 27609
t3.04...^fr.iOr IN:4.;,Mliits,;T\ e.' 919.7I1.4200

ROY COOPER
Gm ernor
MICHAEL S. REGAN
j Sec retare
S. DANIEL SMITH
Director
NORTH CADJHA
Environmental 4 �rezdity
NPDES Certificate of Coverage (CoC)
NCG550000 OWNERSHIP CHANGE FORM
I. Please enter the CoC number for which the change is requested.
Certificate of Coverage
N C G 5 5 o q o d
II. Please provide the following for the requested change(revised CoC).
a. Request for change is a result of: Change in ownership of the residence/property
Name change of the facilityor owner
If other please explain:
b. CoC will be issued to(person's name
or company name,if applicable):
c. Owner: person legally responsible for
CoC: L2r&ii d a is c i<
First MI Last
&,veIt
,o/linq T n e5 hY&
Permit Folder Mailing Address
i)//tICAd f)t1-' 0?.7 745
C/ State ip
( 17j ) 'l?5- 7 3
Phone E-mail Address
d. Facility name(if applicable):
e. Facility address:
Address.
City State Zip
f. Facility contact person:
[if different from Owner] First MI Last
( )
Phone E-mail Address
III. Contact person(if different from the person legally responsible for the CoC)
First MI Last
Title
Mailing Address
City State Zip
( )
Phone E-mail Address

NCG550000 OWNERSHIP CHANGE FORM •
Page 2 of 2
Will this permitted facility continue to discharge the same volume and type of wastewater as
I V prior to this ownership or name change?
l:1( Yes
No(please explain)
V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both facility-name change and/or facility ownership
change requests.
❑ Legal documentation of the transfer of ownership(such as a property deed,relevant pages of a
contract,or a bill of sale) is required for an ownership change request.
The certifications below must be completed and signed by the new applicant in the case of an ownership
change request.
APPLICANT CERTIFICATION
I, 12,6 ,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 is not included,this application package will be
returned as incomplete.
dwinda. il- a$ -AD02,6
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Mr. Charles H. Weaver
NC DEQ/DWR/NPDES
1617 Mail Service Center
•
Raleigh,NC 27699-1617
D....i.....1 A mewl

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY 1111111II 1,1111R II 111111
[III
11 Ili
INVOICE * 2 0 2 0 P R o 0 8 4 0 0 *
Annual Permit Fee Open
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with
your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facili
operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid
permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is
needed, you must reapply, with the understanding the permit request may be denied due to changes in environmental,
regulatory, or modeling conditions.
Invoice Number: 2020PR008400 Annual Fee Period: 2020-10-01 to 2021-09-30
Permit Number: NCG550900 Invoice Date: 09/02/2020
Durham Coun
.:917 Jones Circle
Due Date: 10/02/2020
Robert E. Hi ht`JI" Annual Fee: $60.00
Hight Family Properties I LLC 2605 Rolling Pine Ave /J�.c'. /r p e' I.}.de`
Durham, NC 27703
Notes:
1. You may pay either by mail with check/money order OR by electronic payment(eCheck or Credit Card).
2. If payment is by check/money order, please remit payment to:
NCDEQ-Division of Water Resources
Attn: Animal/Discharge/Non-Discharge Billing
1617 Mail Service Center
Raleigh, NC 27699-1617
3. If payment is electronic, please see https:/Ideq.nc.gov/epaymentslwq to pay electronically. Payments by eCheck will debit your
checking account. Credit card transactions will incur a convenience fee.
4. Please include your Permit Number and Invoice Number on all correspondence.
5. A$25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6. Non-Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee
Coordinator at 919-707-3698.

Book9046 - Page 971 Page 1 of 10
For Registration Sharon A. Davis
Register of Deeds
Durham County, NC
Electronically Recorded
2020 Aug 26 10:52 AM
Book: 9046 Page: 971
NC Rev Stamp:$ 0.00 Fee:$ 26.00
Instrument Number: 2020035157
DEED
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: S None 4-)PY)µ^°""I
Identifier No. Verified byCounty on the day of , 20_
Parcel
By:
Mail/Box to: Grantee 2605 Rolling Pines Ave. Durham,NC 27703
This instrument was prepared by. Joseph W. Marion (Without benefit of title exam)
Brief description for the Index:
THIS DEED made this 2=4 day of Al .. t ,2020,by and between
GRANTOR GRANTEE
Hight Family Properties I,LLC Brenda Flight Black
a North Carolina limited liability company 241'S- Rol&AI p;qzs A ,
,kc_ 2_ 03
Address: 2605 Rolling Pines Ave.
Durham, NC 27703
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 requited 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 , Township, Durham
County,North Carolina and more particularly described as follows:
submitted electronically by "Marion Law office, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Durham county Register of Deeds.

See attached Exhibit A for legal description
All or a portion ofthe property herein conveyed does not include the primary residence of the Grantor. (N.C.G.S
§ 105-317.2).
The property hereinab ove described was acquired by Grantor by instrument recorded in Book'/el g,Page 2 0.5"-
A map showing 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.
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:
Subject to all easements,restrictions and rights-of-way of record.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above
written.
Hight Family Properties I,LLC
a North Carolina limited liability company
By: iVALI.11 ih��k By. 1e-1-' `-' , ,
Brenda Hight ack Manager Robert E.Hight,Jr- lanaer
State of North Carolina-County of -) ^1`Oi"—
I,the undersigned Notary Public of County and State of North Carolina,do hereby certify that
Brenda Hight Black, as Manager of Hight Family Properties I,LLC,a North Carolina limited liability
company, personally appeared before me this day and acknowledged to me that she voluntarily executed the
foregoing instrument for the purposes therein expressed. /
Witness my har tl �1 WO Notarial stamp or seal this Ly day of C� ''" ,,�20220.
I II
ao
y 'i- • 4...ri Sign:
) �v i
Print: /l4 A el yt- Awn__ �o+ Notary Public
ii`• 1 AL141•\`\`� My Commission Expires: � a/ ! 2-3
�N1h111

State of North Carolina-County of I,the the undersigned Notary Public of County and State of North Carolina,do hereby certify that
Robert E. Hight, Jr., as Manager of Hight Family Properties I,LLC,a North Carolina limited liability
company, personally appeared before me this day and acknowledged to me that he voluntarily executed the
foregoing instrument for the purposes therein expressed
Witness my hand and Notarial stamp or seal this 2(1 day of ,2020.
Sign;
(SEAL) 011110 Print M 4'2r 14 Aim Sconzv - Notary Public
.74.1 • - (0/ 2o 2-3,
�4c • p ,g1 My Commission Expires:
bifll it I 111111\\ \\\

•
Parcel Number 4
Street address:917 Jones Circle,Durham,NC 27703
Parcel reference number: 158280
The property herein described was acquired by Grantor by instrument recorded in Deed Book 5677,
Page 57.
Lot Number:8
Legal Descriptio-r
GROUP## 1
Lying on the north side of Jones Circle,and BEING all of Lots 7&8,on plat of survey
entitled P.FORREST JONES,recorded in Plat Book 35 at Page 50,Durham County
Register of Deeds,to which reference is hereby made for a more particular description of same.
•
■rr.rmr