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Home My WebLink AboutNCG550300_Owner (Name Change)_20160926Water Resources ENVIRONMENTAL DUALITY September 26, 2016 Mr. Jeffrey N. Braun 1076 Club Place Brookhaven, GA 30319 PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary S. JAY ZIMMERMAN Subject: General Permit NCG550000 287 Shady Lane Certificate of Coverage NCG550300 Macon County Dear Permittee: Director The Division has received and approved your request to transfer ownership of the subject Certificate of Coverage (CoC) under General Permit NCG550000. As a result, the Division hereby reissues NCG550300. 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]. 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. Please take notice that this Certificate of Coverage is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the certificate of coverage. 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 Brianna Young of the NPDES staff [919-807-6388 or brianna.young@ncdenr. gov] . for S. Jay Zimmerman, .G. Director, Division of Water Resources cc: Asheville Regional Office NPDES File State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center l Raleigh, NC 27699-1617 919 807 6300 919-807-6389 FAX hops://deq.nc.gov/about/divisions/water-resources/water-resources-pernuts/wastewater-branch/npdes-wastewater-permits STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES GENERAL PERMIT NCG550000 CERTIFICATE OF COVERAGE NCG550300 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, Jeffrey N. Braun is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a facility located at 287 Shady Lane Franklin Macon County to receiving waters designated as the Little Tennessee River (including the backwaters of Lake Emory), a class C stream in subbasin 04-04-01 of the Tar -Pamlico River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This certificate of coverage takes effect September 26, 2016. This Certificate of Coverage shall remain valid for the duration of the General Permit. Signed this day September 26, 2016. or Tay Zimmerman, P.G. 'rector, Division of Water Resources By Authority of the Environmental Management Commission North Carolina Department of Environmental Quality Pat McCrory, Governor Donald R. van der Vaart, Secretary NPDES Certificate of Coverage (CoC) OWNERSHIP CHANGE FORM I. Please enter the CoC number for which the change is requested. Certificate of Coverage ■ Q 15 0 3 0 0 II. Please provide the following for the requested change (revised permit). 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. Permit will be issued to (company name, if applicable): c. Person legally responsible for permit: RECEIVED DMsion of Water Resources JUL - 5 2611 GCb-31 nal Operat►ons et7 Office . ...; :discharge): s: — - r. Facility contact person: First MI Last A tle Permit Holder Mail' City State Zip 4th) SM -3 '79 ) sB��}� yip. Phone E-mail Address Address City State Zip First MI Last ( ) Phone E-mail Address III. Permit contact information (if different from the person legally responsible for the permit) Permit contact: IV. First MI Last Title Mailing Address City State Zip ( ) Phone E-mail Address Will this permitted facility continue to discharge the same volume and type of wastewater as prior to this ownership or name change? Yes No (please explain) Revised 2/2009 NCG550000 OWNERSHIP CHANGE FORM Page 2 of 2 VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: ❑ This completed application is required for both name change and/or ownership change requests. ❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or a bill of sale) is required for an ownership change request. Articles of incorporation are not sufficient for an ownership change. The certifications below must be completed and signed by the new applicant in the case of an ownership change request. APPLICANT CERTIFICATION I, V, 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. /3(') /1/6 PIS 2 PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: NC DENR / DWR / NPDES 1617 Mail Service Center Raleigh, North Carolina 27699-1617 .. • t: Revised 7/2008 Revenue Stamps: $370.00 Mail after recording to: Steven E. Philo P.A., 587 W. Main Street Franklin, NC 28734 This instrument prepared by: Steven E. Philo, Attorney 587 W. Main Street, Franklin, NC 28734 Delinquent taxes, if any to be paid by the closing attorney to the county tax collector upon disbursement proceeds. Brief Description for Index of closing 287 Shady Lane, Franklin, NC 28734 Tax Parcel Identification Number: Parcel 1D#: 6595299476 NORTH CAROLINA GENERAL WARRANTY DEED THIS DEED made this 8th day of May 2015, by and between Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, c.q. corporation or partnership GRANTOR Edward L. Nixon and wife Kathryn G. Nixon 287 Shady Lane Franklin, NC 28734 GRANTEE Jeffrey N. Braun and wife Meri Beth Braun, 1076 Club Place Atlanta, GA, 30319 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 of land situated in Franklin Township , Macon County, North Carolina and more particularly described as follows: SEE ATTACHED "Exhibit A" 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: