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Home My WebLink AboutNC0041220_Owner (Affiliation Change)_20220422 • wra ,y ' � NC DEPARTMENT OF ENVIRONMENTAL QUALITY f, .4,4 �' ;' DIVISION OF WATER RESOURCES r WATER QUALITY PERMITTING SECTION NORTH CAROLINA NPDES PERMITTING Environmental Quality PERMIT NAME/OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION: Permit Number: NC00_4 /_1 / 2_/2 /_0_ or NCG5__/_/__/_/_ 1. Facility Name: Oak Hill Charter School II. NEW OWNER/NAME INFORMATION: RECEIVED 1. This request for a name change is a result of: APR 2 2 2022 X a. Change in ownership of property/company NCDE b. Name change only Q/DWR/NPDES c. Other(please explain): 2. New owner's name(name to be put on permit): Oak Hill Development Corporation 3. New owner's or signing official's name and title: Greg White (Person legally responsible for permit) President(year 2022) (Title) 4. Mailing address: 4603 Oak Hill School Road City: Lenoir State: NC Zip Code: 28645 Phone: (828) 754-7104 E-mail address: gswhite70( vahoo.com III. FACILITY AND DISCHARGE INFORMATION .1. Will the waste stream for the facility remain the same as under the previous owner? Yes X No 0 2. Will the treatment system and discharge location remain the same? Yes X No 0 "No Responses" If either or both of these questions are answered"No"then more information will be needed to review the request. Please attach documentation to describe and explain the changes to the facility activities,waste stream, treatment process or outfall location. The Division may not be able to process the Permit Name/Ownership Change request and may require that the new owner file a new permit application. �®E�:,V North Carolina Department of Environmental Quality I Division of Water Quality Jrr//� 512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 27699-1617 NORTH CAROLINA 1 1o(andrormental °a 919.707.9000 NPDES Name and Ownership Change Page 2 of 2 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) 3. Information to document facility,waste stream,treatment system or outfall changes as noted in item III above(if appropriate) Applicant's Certification: I, Greg White ,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. I understand that Permit Name/Ownership Change can only take place through action taken by the Division of Water Resources and that no actions on my part or the part of my company result in the automatic transfer of permit coverage. Signature: /.ile , T/1QA2:12 0i14.d(, 20o2,2 Date: Ora Iq 2.62a 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 Carolina 27699-1617 Version 07/2021 BK 2032 PG 11 - 13 (3) This document presented and filed: 08/27/2021 08:13:13 AM Fee$26.00 Excise Tax:$753.00 I II II 1111 111111 1111111 10061893 Caldwell County North Carolina Wayne L. Rash, Register of Deeds NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: $753.00 Parcel Identifier No.07 14 I 9 Verified by County on the day of ,20_ By: / Mail/Box to: Bruce W.Vanderbloemen,Vanderbloemen&White.PA,P.O.Drawer 1320,Lenoir,North Carolina 28645 This instrument was prepared by: Vanderbloemen&White,PA.P.O.Drawer 1320.Lenoir.North Carolina 28645 Brief description for the Index: • THIS DEED made this 26th day of August ,2021 ,by and between GRANTOR GRANTEE Oak Hill Development Corp Caldwell County Board of Education 4607 Oak Hill School Rd Lenoir,NC 28645 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,parcel of land or condominium unit situated in the City of , Little River Township, Caldwell County, North Carolina and more particularly described as follows: See Attached Exhibit"A"incorporated herein by reference as if fully set out herein. The property hereinabove described was acquired by Grantor by instrument recorded in Book 247 page 216 . All or a portion of the property herein conveyed includes or X does not include the primary residence of a Grantor. A map showing the above described property is recorded in Plat Book 36 page 324 Page 1 of 2 NC Bar Association Form No. 3 O 1976,Revised m 1977,2002,2013 This standard form has been approved by: Printed by Agreement with the NC Bar Association—1981 North Carolina Bar Association—NC Bar Form No.3 3 BK 2032 PG 012 DOC# 10061893 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,other than the following exceptions: IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. Caldwell C% t ty Board of Education (SEAL) By: / ntity • �. ) Print/Type Name: /:.�,-n/ �G (SEAL) Print/Type Name&Title: Darrell Pennell Print/Type Name: Chairman By: (SEAL) Print/Type Name&Title: Print/Type Name: By: (SEAL) Print/Type Name&Title: Print/Type Name: State of -County or City of ��)� I,,,henunder rgned Nno�Public of the County or City of and State aforesaid,certifythat 19 nth. \�� t t l 11>///, personally appeared before me this day and acknowledged. e due ffTCRF execution of the foregoing instrument for the purpos i in expr !Witness my hand and Notarial stamp or seal this , .ii y of fv�US'� ,20?i J ..ate OAP Y R / My Commission Expires: ZZ-2(175"— pU8‘'‘G V Notary Public (Affix Seal) % P No . *s Printed or Typed Name •`qT• A t; ,V �\ • State of -County or City 6fi//1 t 1 I t t,l‘• I,the undersigned Notary Public of the County or City of and State aforesaid,certify that personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of ,20_ My Commission Expires: Notary Public (Affix Seal) Notary's Printed or Typed Name State of North Carolina -County or City of Caldwell I,the undersigned Notary Public of the County or City of Caldwell and State aforesaid,certify that Darrell Pennell personally came before me this day and acknowledged that _he is the Chairman of Caldwell County Board of Education ,a North Carolina or corporation/limited liability company/general partnership/limited partnership(strike through the inapplicable),and that by authority duly given and as the act of such entity,_he signed the foregoing instrument in its name on its behalf as its act and deed. Witness my hand and Notarial stamp or seal,this 26th day of August ,2021 My Commission Expires: Notary Public (Affix Seal) Notary's Printed or Typed Name Page 2 of 2 NC Bar Association Form No. 3 O 1976,Revised O 1977,2002,2013 This standard form has been approved by: Printed by Agreement with the NC Bar Association—198I North Carolina Bar Association—NC Bar Form No.3 • j BK 2032 PG 013 DOC# 10061893 EXHIBIT "A" BEING ALL OF THAT 30.455 acres gross as shown on that Plat entitled"Boundary&Location Survey of the Property of Caldwell County Board of Education", surveyed by Western Carolina Surveyors, PA, on 1/28/2021 and recorded in Plat Book 36, Page 324, Caldwell County Registry. • a. F .� ax 97 fa95-95(I) m. 2,+.a rvun PSI i.NlII ,,,,,, veiNry ver-ae a.m. w..aa-.nw.so.e *—i l/2, // 1 1i /:% of /le /j. I A/ Pe /d zz�+ ,*.....to 2//Jl Oak NAB Reunion Club a�. 'l ,r=,o el Cedar valley(Inflect uelhodrs/church '1��l /44,," i ~~ •— Oe <[,CO,tA111Dn' �^°''✓ i—."»,m.� pl!I,; — ?:a -- __ `� �, /'1�..I ,..w Oak Hill Schaal Rd. .% — �:"�u- �< r'' ,i cw—ow cem Qony,uc .. Bryan K.Stinson /•• •+•`�j .— '`L �.-�l-��'- DW n / / �\o-a_E,t Lel z aa 00) %., .. Fellclo G Stewed 28738 Acres Gras1. %" :Y „.,s.au_u ....,nnm. w.... ... ... y b` V e r ` " ,,''' �� N • ^ \-Imo Acres Cross/'. \`, uo_ry Lou H.Pennell `"'=' e.:��m -__-_ Wiliam Al Veal,Sr. ..n r..,u,roll -^^ ' % Aa. _ %�, •+,• PO a \\d°ia Nona W Neenoe Jennifer McIntyre � / , I m Super lade I,re 9uP..a.Peal Beek ss rape rz 100. 30 __ . rlil ilk IW IW I - aal"mrs,,x.Bum ice•Pms�� //Gladwln G Ben/e/d,Jr. 4:e; £ - _-_ _ +aeu..r la reul+u-em A,- - u' 'rP• N. .pet''? r'Oek Bdl DevelopmentCor Lion %. o.r ,r.,q. o .. -a�.ti.`.7.:'- Corporation W!///om M.Oaa,Sr. \ .u. c _. V....- ........-- xao a M=+u...•.. I .e ._ rn - n ....... . _an•��.. 4--.° I,.v wi.7"