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Home My WebLink AboutNCG551602_Owner (Name Change)_20210721 David Paletta �, 800 East Oak Drive E flVI D Durham, NC 27705 JUL 21 2021 (919) 450-6420 tVCQEQ/DWR/NPDES July 21, 2021 NC DEQ /DWQ /DWR/NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 Re: NCG551602 Dear Sir or Madam: I have enclosed a Permit Ownership Change Form together with the recorded deed. Sincerely yours, rs00.vt0 David Paletta cc: Elmer Randy Goodman �A.,,3 � . RECEIVED ROY COOPER 2021 Governor ` `� `. ,' (11_ 2 1 DIONNE DELLI-GATTI ,"�w „a . Secretary ro� ,,v NCDEQ/DWR/NPDES S.DANIEL SMITH NORTH CAROLINA Director Environmental Quality PERMIT NAME/OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION: Permit Number: NC00 / / / / or NCG5 5/ ( / 6/0 / 2 1. Facility Name: ay Ras;chtne2 of 408 (-(u„( y/f nitVi(cts , NC a8m a. II. NEW OWNER/NAME INFORMATION: 1. This request for a name change is a result of: a. Change in ownership of property/company • b. Name change only • c. Other(please explain): 2. New owner's name(name to be put on permit): �I mer Rc c ( Goor9 tcu. 0.44 ua'tce, Susan. ka.j Gooc9w1A 3. New owner's or signing official's name and title: E(mec 1Ro v A ( Goo(pro sk (Person legally responsible for permit) OU c (Title) 4. Mailing address: 620 Gold I-E d t 4Ctve City: 50.1j5bt.C)/ State: NC- Zip Code: a 8 I 6-s 8 2 7 Phone: ( '7 o(-/) 232- '2 L(Ll'7 E-mail address: ! et.A.cQ Li u'n 2 o 8 aYl o o. co vn 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] I"``°, North Carolina Department of Environmental Quality I Division of Water Resources • `� 512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 276 9 9-1617 ® 919.707.9000 NPDES Name&Ownership Change Page 2 of 2 Applicant's Certification: I, C3 aV 1 l)R LE T1l , 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. -212 n < Signature: 'J 0-u?cJ I Date: 17 cst \2 I 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 Carolina27699-1617 Version 11/2020 FILED Amy J Shook Register of Deeds, Watauga Co, NC Fee Amt $26 00 NC Excise Tax. $347 00 Bk 2205 Pg 556 (4) Recorded 07/16/2021 at 12 29 23 PM Doc No 708802 Kind• DEED II liii IlUl IlUhlIHhlIl III 708802 Stamps: $347.00 STATE OF NORTH CAROLINA WARRANTY DEED COUNTY OF WATAUGA This Deed, made this 50 day of June,2021, by and between David R.Paletta, as Trustee of the David R.Paletta Living Trust dated December 5,2000, 800 East Oak Drive,Durham,NC 27705 (hereinafter called "Grantor") and Elmer Randy Goodman and wife, Susan Kay Godwin, 620 Gold Hill Drive, Salisbury,NC 28146-5827 (hereinafter called "Grantee") 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: The Grantor, for and in consideration of the sum of Ten Dollars and other good and valuable consideration paid by 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 tract of land situated in Watauga County, North Carolina, and more particularly described as follows: Instrument was prepared by David R.Paletta,Attorney,800 E. Oak Dr.,Durham,NC 27705 Return to Grantee. BK 2205 PG 557 DOC# 708802 Bk 2205 Pg 557 Doc No 708802 Kind. DEED Being a.605 acre tract of land on the North side of Hwy 421 North, bounded by Wallace Cook on the West, North and East, and said road on the South,North being relative to NC Grid, and being more particularly described as follows: BEGINNING on a point in Hwy 421 North, the point located N 52-13 E 32.80' from NCGS Monument "Lovill" N-915675.41 E-1192028.24, thence from the BEGINNING and with said road N 70-30-19 W 151.01' to a point; thence leaving said road and with the center of 20' right of way N 14-43-05 E 18.20'to a point at the edge of pavement; thence continuing with the center of said right of way N 21-21-15 E 135.93'to a point; thence with a curve to the right having a radius of 29.09', an arc of 41.30 and a chord of N 62-01-45 E 37.92' to a point;thence S 77-17-40 E 106.01'to a point;thence leaving said road and with a new line S 14-26-10 W passing a 5/8" rebar at 10.00' and then another 5/8" rebar at 135.03' and then 50.02'for a total of 195.23'to the point and place of beginning, as shown on plat # 05002 dated January 7,2005 by Hencle J. Matheson PLSL 2561. The property hereinabove described was acquired by the Grantor by instrument recorded in Book of Records 1529, at Page 19, and Book of Records 1550, at Page 803,Watauga County Registry. The property conveyed herein does not include the primary residence of the Grantor. TO HAVE AND TO HOLD the aforesaid lot or tract of land and all privileges and appurtenances thereunto belonging to the Grantee in fee simple. The Grantor covenants with the Grantee that the Grantor is seized of the premises in fee simple, and has the right to convey the same in fee simple,that title is marketable and free and clear of all encumbrances, other than those exceptions set forth below, and that the Grantor will warrant and defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property hereinabove described is subject to the following exceptions: 1. Road Maintenance Agreement recorded in Book of Records 1882 at Page 286, Watauga County Registry. 2. Well Agreement recorded in Book of Records 1882 at Page 281, Watauga County Registry. BK 2205 PG 558 DOC# 708802 Bk 2205 Pg 558 Doc No 708802 Kind. DEED IN WITNESS WHEREOF,the Grantor has hereunto set his hand and seal, the day and year first above written. Ot,)> R.Qi-i l u-S(ee (SEAL) Andrew J O'Connell III David R. Paletta,Trustee, NOTARYPUBUC Chatham County,NC M Commission Ex ires October 30 2022 STATE OF NORTH CAROLINA COUNTY OF D J✓ +M I, a Notary Public of said County and State, do hereby certify that David R. Paletta, as Trustee of the David R. Paletta Living Trust dated December 5,2000, Grantor,personally appeared before me this day and acknowledged the execution of the foregoing instrument. WITNESS my hand and official stamp or seal, this the 3c7 ''day of June, 2021. __At-t-- (SEAL) Notary Public My commission expires: to /. o /yaZ�, BK 2205 PG 559 DOC# 708802 EXHIBIT A Bk 2205 Pg 559 Doc No 708802 KInd DEED CERTIFICATION OF TRUST The undersigned Trustee, David R. Paletta, certifies that: 1. The David R. Paletta Living Trust dated December 5, 2000,with David R. Paletta as Grantor, is still in existence. 2. The name of the Grantor is David R. Paletta. 3. David R. Paletta is the only currently acting Trustee. The Trustee's address is 800 East Oak Drive, Durham,NC 27705. 4. The Trustee has the power to sell trust property. 5. The Trust is revocable. 6. David R. Paletta, as Trustee,has the authority to sign or otherwise act on behalf of the Trust and no other entity or individual is required to execute a document on behalf of the Trust. 7. The manner of taking title to trust property is David R. Paletta, as Trustee for The David R. Paletta Living Trust dated December 5, 2000. 8. The above described Trust has not been modified or amended in any manner that would cause the representations contained in this Certification of Trust to be incorrect. This the 30th day of June, 2021. Andrew J O'Connell III cc,V l�.c0.t-aQ -� NOTARY PUBLIC `� ti Chatham County,NC David R. Paletta,Trustee My 6emmIssien ExpIms 9eteber 2022 STATE OF NORTH CAROLINA COUNTY OF Lx � I,a Notary Public of said County and State, do hereby certify that David R. Paletta, as Trustee of the David R. Paletta Living Trust dated December 5,2000, Grantor,personally appeared before me this day and acknowledged the execution of the foregoing instrument. WITNESS my hand and official stamp or seal,this the 30th day of June, 2021. (SEAL) Notary Public My commission expires: Jo/3c )24. 2_2.