NCG551395_owner name change_20210913

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
Stephanie Connor
358 Mill Creek Drive
Hayesville, NC 28904
Dear Permittee:
NORTH CAROLINA
Environmental Quality
September 13, 2021
Subject: General Permit NCG550000
Certificate of Coverage (CoC) NCG551395
Lots 6 & 8 / Mill Creek
Clay County
The Division has approved your request to continue coverage under the subject General Permit.
Accordingly, the Division hereby issues you a revised version of NCG551395, along with a copy of
NCG550000. Discard any earlier versions of the permit and use this version until further notice. This CoC
is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the Memorandum of
Agreement between North Carolina and the US Environmental Protection agency dated October 15, 2007 [or
as subsequently amended].
PLEASE NOTE: Your facility discharges to a class C-Trout waterbody. Therefore, you will use the
limits and monitoring frequencies found in Part I, section C. (1.) of NCG550000.
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
This CoC is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the CoC. Contact the Asheville Regional Office prior to
any sale or transfer of the permitted facility. Regional Office staff will assist you in
documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
governmental permit that may be required. If you have any questions concerning the requirements of the
General Permit, please contact Derek Denard of the NPDES staff [[e-mail]].
cc: NPDES file
NORT
Department of Environmental Dual
Sincerely,
li V.7)7
.
for S. Daniel Smith
Director, Division of Water Resources
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551395
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Stephanie Connor
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
Lots 6 & 8 / Mill Creek
Hayesville
Clay County
to receiving waters designated as Mill Creek, currently a class C-Trout stream in subbasin
04-05-01 of the Hiwassee River Basin in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, and III hereof.
This certificate of coverage takes effect 9/13/2021.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day 9/13/2021
ii 144
for S. Daniel Smith
Director, Division of Water Resources
By Authority of the Environmental Management Commission

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Enwonmental Quality
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION: Permit Number: NCOO / / //G
or NCG557 h /3/ /A —
a l
1. Facility Name: 0 2 1. an keti -e. /-1 Jto ( /%
IL 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):
a/I I :vi C` c o nc�
3. New owner's or signing official's name and title:
4. Mailing address: 5?
(Person legally responsible for permit)
State:ivC Zip Codcs. F 90 Phone:
(Title)
City:
-eSV(I /e
tg') -QLL92>
E-mail address:.__ca ICU J :1 I t C ( r-yi / - yy�
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF
1HI 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]
.-NORTH OARCUNA
Ooputmentaf EmlmmneMnl Opal
North Carolina Department of Environmental Quality I Division of Water Resources.
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carotin 2 6699-1617
919.7079000

NPDES Name & Ownership Change
Page 2 of 2
Applicant's Certification:
, 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.
Si-e_ptta/6 f? Lob rior
d
Signature:
Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDD ESS:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
� O / % _ Char/eS ea ve,---C
Versi' n 11/2020

YI
11111
2021002237
CLAY CO, NC FEE $26.00
STATE OF NC REAL ESTATE EXTX
$21.00
PRESENTED B RECORDED:
06-30-2021 09:41:28 AM
ANGELA SHOOK
REGISTER OF DEEDS
REGIS ER OF DEEDS
BK: CRP 454
PG: 147-147
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $21.00
Parcel Identifier No.651000146278/651000145363 Verified by Clay County on the day ofJune, 2021
By:
Mail/Box to: Hendrix Law Firm PO Box 1068 Hayesville, NC 28904
This instrument was prepared by: Dina Hendrix
Brief description for the Index: Lot(s) 6 & 8, Whitewater Estates, Shooting Creek Township
THIS DEED made this 9th day ofJune, 2021, by and between
GRANTOR
Bobby F. McKown and wife, Yvette D. McKown
GRANTEE
Stephanie Connor
358 Mill Creek Drive
Hayesville, NC 28904
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g.
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 Shooting Creek Township, Clay County, North Carolina and more particularly described as follows:
See Schedule "A" attached.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 132, Page 171.
The property herein conveyed does not include the primary residence of a Grantor.

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 forever warrant and defend the
title against the lawful claims of all persons whomsoever. other than the following exceptions:
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing, as of the day and year first above written.
(Entity Name)
By:
Print/Type Name & Title:
Print/Type Name & Title:
Print/Type Name & Title:
Bobby F.1MciKown
fi
Yvette D. McKown
(SEAL)
(SEAL)
(SEAL)
(SEAL)
State of North Carolina - County of Clay
I, the undersigned Notary Public of the County and State aforesaid, certify that Bobby F Mckown and Yvette D McKown
personally appeared before me this day and acknowledged the due execution of the foreg-ohng instrument for the iurposes therein
expressed. Witness my hand and Notarial stamp or seal this t' day of June, 2021.
My Commission Expires:
James L Patterson
(Affix Seal)
Notary's Printed of >ifped Name
Public
JIIIIIIIIIIIIIIIIIIIIIIII1111IIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111L
JAMES L PATTERSON
Notary Public - North Carolina
Clay County
My Commission Expires May 2, 2026
FA
auml!tJII Il:al!rI I I
IIIIIIIIIIIII IIIIIIIIIIfi

SCHEDULE "A"
Those certain lots in Whitewater Estates, being Lot 6 containing 0.45 acres and Lot 8 containing 0.77
acres, more or less, lying in Shooting Creek Township Township, Clay County, North Carolina,
being shown on a plat of survey for Margaret Dishongh, dated August 19, 2005, by William F.
Rolader, PLS and recorded in Plat Cabinet 4, Slide 1097, Clay County Registry, reference to which
is hereby made and incorporated herein as fully as if set forth by metes and bounds description
herein.
Conveyed with and subject to the covenants, restrictions, easements, terms and conditions recorded
in Book 97, Page 115 and amended in Book 122, Page 65, Clay County Registry.
Conveyed with and subject to the rights of way and easements for roads and utilities of record or
shown on said plat of survey.
For source of title reference Book 132, Page 171, Clay County Registry