HomeMy WebLinkAboutNCG550598_Owner (Name Change)_20230202 „ „,,.
StAtE t,T rt, NC DEPARTMENT OF ENVIRONMENTAL QUALITY
y
111 n DIVISION OF WATER RESOURCES
.�� a WATER QUALITY PERMITTING SECTION
NPDES PERMITTING
NORTH CAROLINA
Environmental Quality PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCO() / / / /_ or NCG5`% SAIf__J. L
1. Facility Name: 6. CI I. I i1+61,E.S) CCA kiCANN
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
i
✓ a. Change in ownership of property/company
b. Name change only
c. Other(please explain):
2. New wner' name(narrie to be put on permit);
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3. New owner's or signing official's name and title: L..\J 'S A ± t\- ES
(Person legally responsible for permit)
11`-kLl\°1QCe
(title)
4. Mailing address: (Ci I C) I Y\"(rS ICYC C -) w(‘\k City: +1 Car\g‘Pn(a
State: 0 C Zip Code: a ' 5 C) i Phone: (°I t 9 ) Z Z S 1 (614 0
E-mail address: \FlCVt._ )it 'i\G�\^',C\- \ . LC:vN
III. FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same as under the previous owner? Yes 0 No
2. Will the treatment system and discharge location remain the same? Yes 0 No B'
"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.
1 North Carolina Department of Environmental Quality I Division of Water Quality
bE Q 512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 27699-1617
N Environmental Oualll
919.707.9000
NPDES Name and Ownership Change
e
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, I,._ ;� S !� �l^`�k , 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: Date: , — 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
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For Registration Sharon A. Davis
Register of Deeds
Durham County, NC
Electronically Recorded
2021 Jul 27 04:38 PM
Book: 9409 Page: 548
NC Rev Stamp: $ 496.00 Fee: $ 26.00
Instrument Number: 2021037932
DEED
Excise Tax $496.00
NORTH CAROLINA GENERAL WARRANTY DEED
Parcel Identifier No. 187953
Prepared by: GOLD LAW, P.A.
309 W Millbrook Road,
Suite#171
Raleigh, NC 27609
Return to: Grantee
Brief description for the Index
Lots 7 and 8 of the Coy Ellis Property
Property address Is known as:6919 Innesbrook Way,Bahama, NC 27503
THIS DEED made thiday of , 2021 by and between
GRANTOR GRANTEE
Lawrence J. Ratner, an unmarried Sunlight Realty of North Carolina, LLC
individual Mailing Address:
227 Barcla Road 715 Rippling Stream Road
Durham, NC 27713 Durham, NC 27704
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 or parcel of land situated in DURHAM County, North Carolina and more
particularly described as follows:
Being all of Lots 7 and 8 of the Coy Ellis Property, as per plat and survey thereof now on file in the Office
of the Register of Deeds of Durham County in Plat Book 31, Page 58, to which plat reference is hereby
made for a more particular description of the property conveyed.
Property address Is known as:6919 Innesbrook Way, Bahama,NC 27503
THE PROPERTY WAS THE PRIMARY RESIDENCE OF THE GRANTOR.
Submitted electronically by "Gold Law PA"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Durham county Register of Deeds.
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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.
The property hereinbefore described was acquired by Grantor(s) by instrument recorded at Book 8617,
Page 992, DURHAM County Register of Deeds, North Carolina.
Title to the property hereinabove described is subject to the following exceptions:
Ad valorem taxes for the current year (prorated through the dale of Settlement); utility easements
and unviolated covenants, conditions or restrictions that do not materially affect the value of the
Property.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal.
By:
Lawrence J Rat er
STATE OF
COUNTY OF `�
ekKo
I, V60--, t 14-4110anotary public of the State and County aforesaid, do
h reby certify that Lawrence J. Ratner, personally appeared before me this day and
acknowledged the due execution of the foregoing in�sttr�u�m,,ent for the purpose(s) stated therein.
Witness my hand and official seal, this the �-�3.- i day 1...0,,'k. , 2021.
[Official Seal] ,
Atkelia M Martinez n'
NOTARY
±\
Wakc Countyounty
14)-- /�
North Carolina rr ' r i
My Commission Eap,res June 25,2024 -� NOTARY PUBLIC --
I am requesting permission to get off the currently shared septic discharge system on
lnnesbrook Way, Bahama, NC 27503. As of writing this letter, 6903 lnnesbrook Way and 6015
lnnesbrook Way have gotten off this shared discharge system with the same/similar system
that I am requesting permission for below. I would like to get off this shared discharge system
and discharge into the same street drainage ditch that the other houses are discharging into.
Thank you for your consideration.