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Home My WebLink AboutNCG551356_Owner (Name Change)_20220926 -i ROY COOPER _ t Governor a`3 _ ELIZABETH S.BISER �� ; Secretary o .� S.DANIEL SMITH NORTH CAROLINA Director Environtnenta(Quality PERMIT NAME/OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION: Permit Number: NCH / / / / or NCGS 5 / 1 / 3 / 5 / 6 1. Facility Name: Little Creek Diner II. NEW OWNER/NAME INFORMATION: 1. This request for a name change is a result of: X a. Change in ownership of property/company RECEIVED b. Name change only SEP 2 2.2022 c. Other(please explain): Mc6EQIDV)RINPDES 2. New owner's name (name to be put on permit): COAL. {0 pe r-h e. S 3. New owner's or signing official's name and title: JA en+ C,hilde 9 I®Udc. (Person legally responsible for permit) nt �^ 0,, (Title) ',� 4. Mailing address: � (D Ot Shook I City: tr-hn P State: N L Zip Code: D--100 Phone: ( 334) p.Z I -L 063/ 33(v 4 v 3 v 3 7 E-mail address: ()Up YIbvdc_ ao . LQY1�N 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) [see reverse side of this page for signature requirements] North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 11617 Malt Service Center ; Raleigh,North Carolina 27699-1617 c7ec4rarwanmi 919,707.9000 • NPDES Name&Ownership Change Page 2 of 2 Applicant's Certification: Velerh 1401 L, , 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. Signature: liAir C. 1F tdp Date: 9'(q/ Z 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, NC 27699-1617 Version 7/2016 BK:00665 PG:2113 FILED • STOKES COUNTY Approved yS okes County Tax office KATHY YOUNG NCGS . - and NCGS 105-303(82) Date 4?-a(rIS REGISTER OF DEEDS FILED Aug 26, 2015 AT 03:36 pm BOOK 00665 Stokes County 08-26-2015 NORTH CAROLINA START PAGE 2113 Real Estate Excise Tax $650.00 END PAGE 2116 INSTRUMENT# 04248 NORTH CAROLINA GENERAL WARRANTY DEED "No Title Search,No Closing" Excise Tax:$650.00 C,9 3/ -I'-91/OG(o Parcel Identifier Verified by County on the Day of ,20 By: Mail/Box to: Grantee: This Instrument Prepared By:Elizabeth M.O'Neal,Atty.At Law Brief description of the Index: This Deed made this 25t1' day of August , 2015,by GRANTORS GRANTEES ARZELL TUTTLE LITTLE CREEK PROPERTIES . And wife, OF GERMANTON,LLC DORIS TUTTLE The designation Grantor and Grantees 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 Grantees,the receipt of which is hereby acknowledged,has and by these presents does grant,bargain,sell and convey unto the Grantees in fee simple,all that certain lot or parcel of land situated in Meadows Township, Stokes County,North Carolina and more particularly described as follows: SEE ATTACHMENT A The property herein above described was acquired by Grantors by instrument recorded in Book 664, Page 1518 ,Stokes County Registry. A map showing the above described property is recorded in Plat Book_,Page_. To Have And To Hold the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantees in fee simple. 0665 • 2114 BK:00665 PG:2114 And the Grantor covenants with the Grantees,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:Restrictions,rights of way, easements and.declarations of record,if any,and ad valorem taxes hereafter becoming due and payable. In Witness Whereof,the Grantor has duly executed the foregoing as of the day and year first above written. QA•; t - .w a- (Seal) az43.5kweut C/c44ornral Rd) (Seal) Arzell Tuttle Doris Tuttle NORTH CAROLINA Srktis COUNTY I, 57- C i Pra.J a Notary Public of the County and State aforesaid,certify that Arzell Tuttle , each personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and notarial seal this the c)S day of August ,2015. My Co Sion Expires: /r C94121 j� //`r' Notary Public Qualified in the County and State of: 14s NL STACEY DIW1RD NOTARY PUBLIC STOKES COUNTY N MY COMMISSION EXPIRES 9r 3 / 0665 BK:00665 PG:2115 2115 *************** STATE OF NORTH CAROLINA, STOKES COUNTY I, 4-% z. 0`.), /at.t a Notary Public of the County and State aforesaid, do hereby certify that April B.Stewart attorney-in-fact for Doris . Tuttle personally appeared before me this day, and being by me duly sworn, says that she executed the forgoing and annexed instrument for and in behalf of the said Doris .Tuttle ,and that her authority to execute and acknowledge said instrument is contained in an instrument duly executed,acknowledged,and recorded in the office of Register of Deeds in the County of Stokes ,State of North Carolina ,the 24th day of August, 2015, in Book 665,Page 1935 and that this instrument was executed under and by virtue of the authority given by said instrument granting her power of attorney. I do further certify that the said April B.Stewart acknowledged the due execution of the foregoing and annexed instrument for the purposes therein expressed for and in behalf of the said Doris. ,Tuttle. Witness my hand and official seal,the a day of August, 2015. My Co Sion Expires: gas i9 i (v9f NotaryPublic Qualified in 54.Kes County, 4/6- STACEY DILLARD NOTARY PUBLIC STOKES COUNTY,NC MY COMMISSION EXPIRES 0665 0 16 BK:00665 PG:2116 ATTACHMENT A GRANTORS: ARZELL TUTTLE And wife, DORIS TUTTLE GRANTEE: LITTLE CREEK PROPERTIES OF GERMANTON,LLC ATTACHMENT TO GENERAL WARRANTY DEED DATED AUGUST 25,2015 Property Address: 3496 Highway 8/65,Germanton,NC 27019 Stokes County Tax Id#: 69-11-77-1058 LOT#1: BEGINNING on an iron located in the northern right of way of NC Highway 8 &65, said iron being a common corner of now/formerly Ida Plummer Stiller(Deed Book 532,Page 1799,Stokes County Registry);thence South 25°45' 15"East 30.45 feet to a point in the centerline of NC Highway 8&65;thence along the centerline of Highway 8&65 the following three(3)courses and distances: South 51°14' 07"West 30.37 feet to a point; South 56°47'26"West 58.68 feet to a point and South 60° 18' 15"West 55.25 feet to a point; thence leaving the highway North 25°45' 15"West 184.82 feet to an iron steering shaft,passing an iron at 46.20 feet;thence North 27°27'37"West 98.04 feet to an iron;thence North 64°14'45"East 145.82 feet to an iron;thence South 25°45' 15"East 234.12 feet to the BEGINNING, iron and CONTAINING 0.908 ACRES,more or less. LOT#2: BEGINNING at an iron which marks the northernmost property corner of the hereinabove referenced Lot#1 and marks a common property with now/formerly Ida Plummer Stilley(Deed Book 532,page 1799,Stokes County Registry);thence South 64°14'45"West 145.82 feet to an iron;thence North 27°27'37"West 303.82 feet'to a point in the center of Town Fork Creek,passing a leaf spring at 123.07 feet;thence along the centerline of Town Fork Creek the following three(3)courses and distances: South 84°26'48"East 18.88 feet to a point,South 79°13'01"East 162.22 feet to a point and North 88°17' 06"feet to a point;thence South 25°45' 15"East 98.96 feet to the BEGINNING iron and CONTAINING 0.514 ACRES,more or less. NOTE: For a more accurate description of the above described lots which are designed as Lot #1 and#2 see a plat of survey prepared by Arzell Tuttle(Job No.2306-3)on June 9,2006 by Norman T.Scott,PLS,L-3489,Walnut Cove,North Carolina. SAVE AND EXCEPT THE.1009 acre parcel conveyed to Stephen M.Sloan,Sr.,and wife, Martha H.Sloan in Deed Book 607,Page 1271 of the Stokes County Registry.