HomeMy WebLinkAboutNCG550713_Owner (Name Change)_20210914 Yip g3 �s2.
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ELIZABETH S.BISER
Secretory
S. DANIEL SMITH NOR r1I CAROL 1NA
Dire c for Environmental Quality
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 0 1 ] ,3
II. Please provide the following for the requeste change(revised CoC).
a. Request for change is a result of: Change in ownership of the residence/property
❑ Name change of the facility or 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: uY s L. Ze: (—Tc
First MI Last
OLD Wer
_ Title
7 0 t bw•o-hU l�k bra;
Permit Holder Mailing Address
cu r-lro vh �l�— z1i f 2
City State Zip
(c tq ) t 52 ''-‘'115 Cl,,.ribck Corp i l.COW\
Phone E-mail Address J
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
74A North Carolina Department cal Ersvirunrn nttr?,Quality I Division ct;Nater Resources
� 512 Not Lb Salisbury Street ( 1et1, Mall aervie e Clef tier I IL I ic=h,North Cat c5f:na 21699-1617
C,„rr 919,i0 000
NCG550000 OWNERSHIP CHANGE FORM "
Page 2 of 2
IV. Wil this permitted facility continue to discharge the same volume and type of wastewater as
pr' r to this ownership or name change?
Yes
❑ No (please explain)
V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
El '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, dO , 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.
9( E312I
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
charles.weaver@ncdenr.gov
F <. SrRT}1
f Ea rt ,1
ELILABETH S.BISEK
Ie r,tfY C F�4Was+vv." ..
S DANIEL SMITH P10 2rfi CAYO'1NA
tin Environmental Quality RECEIVED
August 24, 2021 S E P 1 4 2021
Curtis L. Beatty, Jr.
5709 Tomahawk Trail NCDEQ/DWR/NPDES
Durham, NC 27712
Subject: Permit Name/Ownership Change Request
Single Family Wastewater Treatment System
NPDES General Permit NCG550000
Certificate of Coverage NCG550713
Facility Name: 5709 Tomahawk Trail
Durham County
To Curtis L. Beatty, Jr.:
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 Curtis L. Beatty, Jr. 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, Jeffrey R. Newman..
This places Curtis L. Beatty, Jr. 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 Jane Bernard at
(919) 791-4233 or via email at jane.bernard@ncdenr.gov.
Respectfully,
FDocuSigned by:
/CUAkSSX f. AtaUAltd,
B2916E6AB32144F
Vanessa E. Manuel
Assistant Regional Supervisor
Water Quality Regional Operations Section -Raleigh Regional Office
Division of Water Resources,NCDEQ
Attachment:NCG550000 Ownership Change Form
Current NC General Warranty Deed
cc: Laserfiche
Charles Weaver,NPDES Permitting Unit w/o attachments
Durham County Health Department w/o attachments
t Nort:r Carolina Depar:mont of Environmental Qua iry 1'nvron cat Water Resource,;
�y; �; Koko Rey.onal Office 3800 Eiorre;i Drive Raleigh `v`ortrt C<treiina 2-e (
<v+vcry t a;•r,ke' .i� 910 791.2.00
JJJ1 11111111111111411111111111 1
2013003479
FOR REGISTRATION REGISTER OF DEEDS
Willie L Covington
DURHAM COUNTY, NC
2013 JAN 29 03 22 47 PM
� BK 7177 PG 879-881 FEE $26 00
c1 .1) INSIRU ENI # 7013003479
t
NORTH CAROLINA
GENERAL WARRANTY DEED
Excise Tax $0 00 Recording Time,Book and Page
Tax Map No PRN 186495 Parcel Identifier No 0825-02-85-8895
Mail after recording to Grantee. 5709 Tomahawk Trail,Durham,NC 27712
This instrument was prepared by William W.Browning,Atty(13-005)
THIS DEED made this 10th day of January , 2013 by and between
GRANTOR
Curtis L.Beatty,Sr and wife Annette J.Beatty
Mailing Address. P O.Box 51134 Durham NC 27713
GRANTEE
Curtis L.Beatty,Jr.
Property Address 5709 Tomahawk Trail,Durham,NC 27712
Mailing Address 5709 Tomahawk Trail durham NC 27712
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
and more particularly described as follows
LYING on the western side of Tomahawk Trail and being all of Lot 6 in Block A of BRENTWOOD,Section One,as per
plat and survey thereof now on file in Plat Book 70 at Page 26 in the Office of the Register of Deeds of Durham County,to
which plat reference is hereby expressly made for a more particular descnption of same
This property has street address 5709 Tomahawk Trail PIN 0825-02-85-8895
All or a portion of the property hereinabove described was acquired by Grantor by instrument recorded in Book 6710 ,Page
764 , Durham County Registry
A map showing the above described property is recorded in Plat Book 70 ,Page 26 ,and referenced within this instrument
Does the above described property include the primary residence(yes/no) No
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 except for the exceptions hereinafter stated
Title to the property hereinabove described is subject to the following exceptions
IN WITNESS WHEREOF,the Grantor has hereunto set his hand and seal,or if corporate,has caused this instrument to be
signed in its corporate name by its duly authorized officer(s),the day and year first above written
• CJ cf ', £ (SEAL)
(Entity Name) Curt L Beatt9(Sr)
By (r r �/?t� (SEAL)
r Annette J Beatt
Title
By (SEAL)
Title
(SEAL)
NORTH CAROLINA C.IQI 144 COUNTY
I certify that the following person(s)personally appeared before me this day,each acknowledging to me that h e or she signed the
foregoing document Curtis L.Beatty(Sr)and wife,Annette J Beatty Witness my hand and official stamp or seal,
this the 23 YOU day of a ,
My Commission Expires 01,2(-1-7 oe
otary ublic /� /�,,�
OFFICIAL SEAL Print Notary Name ire ___I__
1 '►N North Carolina-Durham County
Y
;/,;�iy WILLIAM W. BROWNING
Notary Public
NORTH CAROLINA COUNTY
I certify that the following person(s)personally appeared before me this day,each acknowledging to me that h e or she signed the
foregoing document , Witness my hand and official
stamp or seal,this the day of ,
My Commission Expires
Notary Public
Print Notary Name
L Y eifi,telb: •
44 stk
(9'
411 ---A:1 rt.
WILLIE L COVINGTON
REGISTER OF DEEDS, DURHAM COUNTY
DURHAM COUNTY COURTHOUSE
200 E MAIN STREET
DURHAM, NC 27701
PLEASE RETAIN YELLOW TRAILER PAGE
It is part of recorded document, and must be submitted with original for re-recording
and/or cancellation
Filed For Registration 01/29/2013 03:22.47 PM
Book. RE 7177 Page: 879-881
Document No.. 2013003479
DEED 3 PGS $26 00
Recorder MARTRICIA Y DEGREE
2013003479