NC0064599_Owner (Name Change)_20220531

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,". NC DEPARTMENT OF ENVIRONMENTAL QUALITY
' l ° '\f DIVISION OF WATER RESOURCES
* awrcvr ` WATER QUALITY PERMITTING SECTION
NPDES PERMITTING
NORTH CAROLINA
Environmental Quality
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCOO 6 / If / c/ 9 / q or NCGS / / / /_
1. Facility Name: LA ICE AJO,t/ \A/.} /1"7JJTL-
II. NEW OWNER/NAME INFORMATION:
RECEIVED
1. ,This request for a name change is a result of: N1Y 31 2022
a. Change in ownership of property/company
NCDEQ/DWRINPDES
b. Name change only
c. Other(please explain):
2. New owner's name (name to be put on permit):
/4164.Jn .Ue- v Ac k ,J I-0,-)EE LL 1
3. New owner's or signing official's name and title: I i.. '.J ICE rr7-1
(Person legally responsible for permit)
MANI4&MI se E A'iEA,<3E,�
(Title)Ti
4. Mailing address: /NCO/ SL AJ77AJ -- 257,46 -ity: S77 ?11/" ,Q12 1
Ei
State: Ai LI Zip Code:Z66 7.� Phone: ( 76)(-/ ) 7.7.s=ZC/53
E-mail address: L 4'1 11©LASe (rt.\ -�c�-l-S 0 & J1Ud. Coe't-1
III. FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same as under the previous owner? Yes 19 No D
2. Will the treatment system and discharge location remain the same? Yes Q' No ❑
"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.
North Carolina Department of Environmental Quality I Division of Water Quality
bE Q 512 North Salisbury Street l 1617 Mail Service Center I Raleigh,North Carolina 27699 1617
NORTH CARD NA
OWARISiit Me_k ...Yr��
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, 0 Li.>r s ij 1L= r-7-1-1 , 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.
Signatur Date: s/S/2
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

3739-0350 FILED ELECTRONICALLY
CATAWBA COUNTY NC
DONNA HICKS SPENCER
FILED Apr 19, 2022
AT 04:59:00 PM
BOOK 03739
START PAGE 0350
END PAGE 0351
INSTRUMENT # 09957
EXCISE TAX $9,000.00
Excise Tax $9,000.00 I Recording Time,Book and Page
'arcel Identifier No. 460602880063&460602880268
/tail after recording to: Grantee
'his instrument was prepared by: D.TODD WULFHORST-Kennedy&Wulfhorst,P.A.,3758 Hwy 16 N,Denver,NC 28037
Brief description for the index Two Lots Slanting Bridge Road
DRAFTER DID NOT PARTICIPATE IN CLOSING OF THIS TRANSACTION
NORTH CAROLINA GENERAL WARRANTY DEED
o CMS DEED made this 14°day of April,2022,by and between
GRANTOR GRANTEE
4• .1
N N
u GENARO ENTERPRISES,INC. AQUA BLUE VACATION HOMES,LLC,a North
°C a North Carolina corporation Carolina Limited Liability Company
a b o 4491 Slanting Bridge Road 4491 Slanting Bridge Road
.5 a u Sherrills Ford,NC 28673 Sherrills Ford,NC 28673
o?loed
ua
o L.ed
c 3 [be designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns,and shall include
c d singular,plural,masculine,feminine or neuter as required by context.
OLZ
C W a+
$,, WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee,the receipt of which is hereby acknowledged,has
a a ind 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
he Town of Sherrills Ford,Mountain Creek Township,Catawba County,North Carolina and more particularly described as follows:
t▪ .0 d,
UNE
a` Tract I:0019483 460602880063 4515 Slanting Bridge Road
c▪ cm
BEGINNING at a #4 Pin located at the waters edge of Lake Norman at the 760 contour elevation line said Pin being a
w• common corner with Thomas Miller(Deed Book 3397,Page 1127) and running thence from said beginning point with the
v e waters edge of Lake Norman the following two courses and distances as follows: 1)N 16 24 00 East 95.60 feet to a point;2)
N 28 37 00 West 75.15 feet to a point; thence N 50 32 08 East 292.19 feet to a point in the centerline of the right of way for
z d Slanting Bridge Road, SR 1844; thence with the centerline of said right of way S 01 55 59 West 331.98 feet to a point, a
,=5 common corner with Miller; thence with the line of Miller S 86 45 57 West 205.70 feet to the point and place of
ET,_ BEGINNING all according to that certain survey for Aqua Blue Vacation Homes,LLC dated March 29,2022 prepared by
° David C.Poovey,PLS.
7.
U E
T! Tract 11:0019484 460602880268 4491 Slanting Bridge Road
• am
▪u BEGINNING at a point in the centerline of the right of way for Slanting Bridge Road,SR 1844 said beginning point being
▪ c located N 01 55 59 East 331.98 feet from the Northeast corner of the property of Thomas Miller (Deed Book 3397, Page
��C

3739-0351
1127) and running thence from said beginning point S 50 32 08 West 292.19 feet to a point in the waters edge of Lake
Norman at the 760 contour elevation line; thence with the waters edge of Lake Norman and the 760 contour line the
following six courses and distances: 1) N 28 37 00 West 1.62 feet to a point;2)N 03 58 00 East 120.40 feet to a point; 3)N
32 17 00 East 108.40 feet to a point; 4)N 20 21 00 East 214.30 feet to a point; 5)N 41 13 28 East 122.02 feet to a#4 Pin; 6)
N 63 02 10 East 18.25 feet to a point in the centerline of the right of way for Slanting Bridge Road; thence with the
centerline of said right of way S 01 55 59 West 328.63 feet to the point and place of BEGINNING all according to that
certain survey for Aqua Blue Vacation Homes,LLC dated March 29,2022 prepared by David C.Poovey,PLS.
The property does not include the primary residence of the Grantor.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 2103,Page 60 and Book 2103,Page 89
A map showing the above-described property is recorded in Map Book 15,Page
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:
All valid and enforceable reservations,restrictions,easements,conditions and right-of-ways in the record chain of title.
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 officers the day and year first above written.
GENARO ENTERPRISES,INC.
A North Ca olina Corporation
By:
HALINA GENARO,P SIDENT
SEAL-STAMP STATE OF NORTH CAROLINA COUNTY OF LINCOLN
I certify that the following person(s) personally appeared before me this day, each
ledging to me that he or she signed the foregoing document:
D.TODD WULFHORST HALINA GENARO,PRESIDENT of
NOTARY PUBLIC GENARO ENTERPRISES,INC.
Lincoln County
North Carolina a North Carolina corporation
My Commission Expires May 9,2023
Li
Date: ( (°tj202Z tk \ )
Official Sign tore of Notary
My Comm' sion Expires: 16• T U� W kL F 1 L)I Y. ,Notary Public
S 2D 13 Notary's printed or typed name

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