NCG551066_owner name change_20210331

PERMIT NM/I L/OWI RSHIP CHANGE. FQRM
I. CURRENT PERMIT INFORMATION:
Permit Number NCOO / / / / or NCG /J, j j /
r
ROY COOPER
Governor
DIONNE DELLU-GATTI
Secretary
S. DANIEL SMITH
&rcm'
NORTH CAROUNA
EnWronmentalQuaUty
1. Facility Name:
IL NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership ofproperty/company
L.A. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title:
4. Mailing address: A) Aux - c.3 City: /
�e c�2�t�f
Phone: ( ..) )_sz%13.41-t
e; / 46.4.,-(?U Ll / / s ya 1 1_ e nor k_
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY TILE DIVISION UNLESS ALL OF
THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUHM1n AL,
REQ T"R Eli CMS:
State: Arc
E-mail address:
Zip Code: qg
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of incorporation,
or sales agreement)
fsee reverse side of this page for signature requirements]
North Carolina Department of Environmental Quality F Division of Water Resources
512 Month Salisbury Street 1 1617 Mail Service Center 1 Raleigh, North Carolina 27694-1611
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NPDES Name & Ownership Change
Page 2 af 2
Applicant's Certification:
&qh P; / a) P . A t , rr, I L , 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: �a:9 O . AC1 J., 9 Qd J Date:
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-I6I7
Version 1112020

AyC 1 VI 1
II iI iiVILLIU
Doc ID• 026401500004 Tvge: CRP
Recorded 07/01/2014 at 10:02:25 AM
Fee Amt: $26.00 Page 1 of 4
Revenue Tax: $0.00
workflow# 0000225516-0002
Buncombe County. NC
Drew Reisinger Resister of Deeds
BK5221PG727-730
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax $0.00
Parcel Identifier No. 8791-34-27447-00000 Verified by Buncombe County on the day of _ , 20
By:
Prepared by/Return After Recording to: Dan Hitchcock, of Adams Hendon Carson Crow & Saenger, P.A.
(Box #1) [NO TITLE EXAMINATION BY PREPARER OF INSTRUMENT}
This instrument was prepared by Dan Hitchcock a licensed North Carolina attorney. Delinquent taxes, if any, are
to be paid by the closing attorney to the County Tax Collector upon disbursement of the closing proceeds
Brief description for the Index: 10 S. Turkey Creek Road, Asheville, NC
THIS DEED made this the 12th day of June, 2014, by and between
GRANTOR
SHEILA BURRELL and husband, RANDY
DEAN BURRELL, and SHARON P.
HAWKINS and her husband, ROBERT
VINCENT HAWKINS
2 Mountain Terrace
Asheville, NC 28806
GRANTEE
SHAREILA, LLC, a North Carolina limited
liability company
2 Mountain Terrace
Asheville, NC 28806
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.q. 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 Buncombe County, North Carolina and more
particularly described as follows:
SEE EXHIBIT "A" ATTACHED HERETO AND BY THIS REFERENCE
INCORPORATED HEREIN.