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Home My WebLink AboutNCG550988_Owner (Name Change)_20210301 ROY COOPER ELIZABETH S.BISER ++ S. DANIEL SMITH NORTH CAROLINA 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 9 8 8 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 facility or owner If other please explain: b. CoC will be issued to(person's name / L � .orcompanyname, ifapplicable): �{1 G 'f 4 4 wt h4L ; 't uT -✓ ITii i44 k , t c. Owner: person legally responsible for L CoC: fc4 r Ur l'. /�TQ ✓+�'1!✓1 RECEIVED First MI Last IR 0 2022 P V. Rox B61 Permit Holder Mailing Address NCDEQ/DWR/NpDES , 6 Lei° Ate 7 31 �- City / State Lip (q14 )5-0-079Y A,„, A v..41s 1 C A Phone &mail dress A, 1 d l�. Facility name(if applicable): L/ ; vt w Cc l t , It r Ve e. Facility address: (tQ R G / J rp , I k h n p,✓( Address G�a 1Ct lT�lf .v L a7 `l 75 City f State lip f. Facility contact person: [if different from Owner] First MI Last ( ) Phone E-mail Address Ill. Contact person(if different from the person legally responsible for the CoC) First MI Last l itIc Mailing Address City State Zip ( ) Phone E-mail Address Revised 12/2018 NCG550000 OWNERSHIP CHANGE FORM Page 2 of 2 IV. Will this permitted facility continue to discharge the same volume and type of wastewater as prior to this ownership or name change? gt, Yes No(please explain) Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS V. ARE INCOMPLETE OR MISSING: This completed application is required for both facility-name change and/or facility ownership change requests. I 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. APLICAT. CERTIFICA ION riiticHas* 141 t II °' ZCirta+''et aestthat s applitt�on for a name/ownership change has been reviewed 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 incom lete. git)5/2 002 'gnature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Mr.Charles H. Weaver NC DEQ/DWR/NPDES 1617 Mail Service Center Raleigh,NC 27699-1617 Revised 4/2020 DocuSign Envelope ID:BAF61383-D089-46A6-AD69-233AB1353DD6 ROY COOPER ' t;,.' • ,r Governor ELIZABETH S.BISER Secretary S.DANIEL SMITH NORTH CAROLINA Director Environmental Quality February 16, 2022 Chatham County Habitat for Humanity 467 West St. Pittsboro,NC 27312-8228 Subject: Permit Name/Ownership Change Request Single Family Wastewater Treatment System NPDES General Permit NCG550000 Certificate of Coverage NCG550988 Facility Name: 696 Jeremiah Drive Chatham County Dear Property Owner: 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 Chatham County Habitat for Humanity 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 Permit Name/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,Joseph Kulash. This places Chatham County Habitat for Humanity in violation of North Carolina General Statute§ 143-215.1(aX2), 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 Permit Name/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 Cheng Zhang at 919-791-4259 or via email at cheng.zhang@ncdenr.gov. Respectfully, DocuSigned by: B2916E6AB32144F... Vanessa E. Manuel Assistant Regional Supervisor Water Quality Regional Operations Section-Raleigh Regional Office Division of Water Resources,NCDEQ Attachment: Permit Name/Ownership Change Form cc:Laserfiche Charles Weaver,NPDES Permitting Unit w/o attachments Chatham County Health Department w/o attachments 4 North Carolina Department of Environmental Quality I Division of Water Resources Raleigh Regional Office i 3800 Barrett Drive Raleigh.North Carolina 27609 ems...ARaLroown\ r 919.791.4200 BK 2270 PG 0775 FILED ELECTRONICALLY CHATHAM COUNTY NC LUNDAY A. RIGGSBEE REGISTER OF DEEDS FILED Dec 14, 2021 AT 12:20:24 PM BOOK 02270 START PAGE 0775 END PAGE 0778 INSTRUMENT # 19189 EXCISE TAX $1.00 Revenue Stamps: $1.00 Parcel ID: 0074960 Prepared by: Chad Wesley Riggsbee, Attorney at Law, P.O. Box 147, Pittsboro, NC 27312 Return to Grantee at: 467 West Street, Pittsboro, NC 27312 Description for the Index: 696 Jeremiah Drive, Chapel Hill, NC 27517 STATE OF NORTH CAROLINA GENERAL WARRANTY DEED COUNTY OF CHATHAM THIS DEED made this eighth day of December, 2021, by and between GRANTOR: JOSEPH KULASH and JOAN REBECCA KULASH 55 Bradstreet Road North Andover, MA 01845-3918 GRANTEE: CHATHAM COUNTY HABITAT for HUMANITY 467 West Street Pittsboro, NC 23712 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 consideration of ONE DOLLAR($1.00)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 those certain lots or parcels of land situated in Chatham County, North Carolina, and more particularly described as follows: submitted electronically by "The Law Office of Chad Wesley Riggsbee, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Chatham County Register of Deeds. BK 2270 PG 0776 BEING ALL of Lot#6, containing 1.076 acres, more or less, as shown on a Plat entitled, "Final Plat- Major Subdivision and Recombination of a Portion of the Hero Stone Bunker Estate Hero Stone Bunker Subdivision," dated June 22, 1998, and revised October 26, 1998, prepared by Absolute Land Surveying and Mapping, P.C., and recorded in Plat Slide 98, Page 391, Chatham County Registry, reference to which is hereby made for greater certainty of description. The property herein described was acquired by Grantor by instrument in Book 795, Page 961, Chatham County Registry. This property was not the personal residence of Grantor. TO HAVE AND TO HOLD the aforesaid lots or parcels of land and all privileges and appurtenances thereto belonging to the Grantees in fee simple. And the Grantor covenant 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: Restrictions, rights of way and easements of record. IN WITNESS WHEREOF, the Grantor has caused this instrument to be signed and sealed this the day and year first above written. SIGNATURE PAGES TO FOLLOW 2 BK 2270 PG 0777 (SEAL) EPH KULASH Commonwealth of Massachusetts County of Essex I, Damon T. Thomas, a Notary Public for said State and County, certify that JOSEPH KULASH appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. WITNESS my hand and notarial seal, this the 8th day of December, 2021. Damon T. Thomas Notary Public My Commission Expires: July 17, 2026 AP..U6TWIZzivi *e.; 1:4;0:A5j y 17,/0�.•t>h (Official Seal) 1 ��(�� -1/4 ,,, BK 2270 PG 0778 �1 li�c ,k (SEAL) AN REBECCA KULASH Commonwealth of Massachusetts County of Essex I, Damon T. Thomas, a Notary Public for said State and County, certify that JOAN REBECCA KULASH appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. WITNESS my hand and notarial seal, this the 8th day of December, 2021. • Damon T. Thomas Notary Public My Commissi g wires: July 17, 2026 .�`ti!. Mtssioti� °• 172° 9tfi''= .4'�- . s (Official Seal) rat) 4