NC0071862_owner (name change)_20230721

NORTH CAROLINA
Environmental Quality
NC DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NPDES PERMITTING
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00 or
1. Facility Name: Magnolia Place Mobile Home Park
NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
X a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
Magnolia Place Community, LLC
3. New owner's or signing official's name and title: Chuck Thorne
(Person legally responsible for permit)
Authorized Signatory
(Title)
4. Mailing address: 7250 Redwood Blvd, Suite 360 City: Novato
State: CA Zip Code: 94945
E-mail address: utilities(@ac-mana
FACILITY AND DISCHARGE INFORMATION
t.com
Phone: [phone]
1. Will the waste stream for the facility remain the same as under the previous owner? Yes ❑x No ❑
2. Will the treatment system and discharge location remain the same? Yes ❑x 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.
D E Q�� North Carolina Department of Environmental Quality I Division of Water Quality
NORTH CAROLINA
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
oeparoaom of eawroomeoni lull 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:
Chuck Thorne
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: czal-,� Date: 7/19/2023
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 4064 PG 599 - 604 (6) DOC# 1001000621
This Document eRecorded: 07/12/2023 04:37:11 PM
Fee: $26.00
Henderson County, North Carolina
William Lee King, Register of Deeds
Excise Tax $14,200.00
Tax: $14,200.00
Parcel Identifier No.: 9680165438 &
9680260125
Mail after recording to: Magnolia Place, LLC — 7250Redwood Blvd, Suite 360, Novato,
CA 94945
This instrument was prepared by: Jack Lyda PLLC, 308 Martin Luther King Jr Blvd.
Hendersonville, NC 28792(Without the Benefit of Examination)
THIS DEED made this f:& day of July, 2023, by and between:
GRANTOR
HENRY K. ODOM AND WIFE, CONNIE
ANDERSON ODOM
Mailing Address:
1 Ariel Loop
Henderson, North Carolina 28792
GRANTEE
MAGNOLIA PLACE COMMUNITY, LLC, A
DELAWARE LIMITED LIABILITY
COMPANY
Mailing Address:
7250 Redwood Blvd. Suite 360
Novato, CA 94945
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 Grantor, for a valuable consideration paid by Grantee, the receipt of which
is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto
Grantee in fee simple, all that certain lot or parcel of land situated in Henderson County, North
Carolina and more particularly described as follows:
Submitted electronically by "First American Title Insurance Company" in compliance with North
Carolina statutes governing recordable documents and the terms of the submitter agreement
with the Henderson County Register of Deeds.

BK 4064 PG 599 - 604 (6) DOC# 1001000621
Those certain lands as are more particularly described in Exhibit A which is attached
hereto and made a part hereof by reference.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to Grantee in fee simple.
All or a portion of the property herein conveyed does include the primary residence of a Grantor.
And Grantor covenants with Grantee that Grantor has done nothing to impair such title as
Grantor received, and Grantor will warrant and defend the title against the lawful claims of all
persons claiming by, under or through Grantor, other than the following exceptions:
1. Ad valorem taxes for 2023 and subsequent years,
2. Easements, restrictions and rights of way, of record,
(Signature page follows)

BK 4064 PG 599 - 604 (6) DOC# 1001000621
IN WITNESS WHEREOF, the Grantor has executed this Special Warranty Deed under
seal as of the day and year first above written.
GRANTOR:
Henry K. Odom
f;T
Connie Anderson Odom

BK 4064 PG 599 - 604 (6)
DOC# 1001000621
STATE OF NORTH CAROLINA
COUNTY OF HENDERSON
ACKNOWLEDGMENT
On J a IV S , 2023, before me, the undersigned officer, personally appeared
Henry K. Odom and Connie Anderson Odom who executed the foregoing instrument for the
purposes therein contained by signing himself.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
a 46 e g'pReg'
1.
[SEAL] _� "
sr;°xrdos ��3,€rtsa,.s.,
Not;;ommilssion
, c, e of North Carolina
My Expires: 3-- /N - 4MC

BK 4064 PG 599 - 604 (6) DOC# 1001000621
EXHIBIT "A"
LEGAL DESCRIPTION
Real property in the City of Hendersonville, County of Henderson, State of North Carolina,
described as follows:
Beginning at a 2" Iron Pipe the Northwestern Corner of Deed Book 982, Page 056 and Book of
Record 3946, Page 458;
thence S 77°21'08"E a distance of 358,08' to a Leaning 2" Iron Pipe;
thence S 59°43'09"E a distance of 85.57' to a Leaning #5 Rebar in the centerline of a creek;
thence with the centerline of said creek the following courses and distances:
S 53°48'33"E a distance of 18.93' to a point in said centerline;
thence N 87°17'34"E a distance of 73.53' to a point in said centerline;
thence S 78°21'07"E a distance of 15.21' to a point in said centerline;
thence S 12°47'59"E a distance of 14.82' to a point in said centerline;
thence S 44°35'54"E a distance of 26.32' to a point in said centerline;
thence S 31°24'38"E a distance of 20.46' to a point in said centerline;
thence N 88°32'45"E a distance of 14.59' to a point in said centerline;
thence N 46°02'52"E a distance of 14.66' to a point in said centerline;
thence S 69°29'17"E a distance of 33.75' to a point in said centerline;
thence S 73°07'50"E a distance of 75.60' to a point in said centerline;
thence S 72°05'01 "E a distance of 30.59' to a point in said centerline;
thence N 66°51'09"E a distance of 20.77' to a point in said centerline;
thence S 78°30'02"E a distance of 57.51' to a point in said centerline;
thence S 80°12'26"E a distance of 91.80' to a point in said centerline;
thence N 87' 17'39"E a distance of 42.17' to a point in said centerline;
thence N 66'01'47"E a distance of 25.97' to a point in said centerline;
thence N 76'18'1WE a distance of 46.83' to a point in said centerline;
thence S 46'11'04"E a distance of 10.73' to a point in said centerline;
thence N 84°44'46"E a distance of 20.51' to a point in said centerline;
thence N 5YlT03"E a distance of 11.63' to a point in said centerline;
thence S 81°18'54"E a distance of 18.04' to a point in said centerline;
thence N 32°51'40"E a distance of 29.40' to a point in said centerline;
thence N 53'01'27"E a distance of 22.73' to a point in said centerline;
thence N 32°51'46"E a distance of 29.71' to a point in said centerline;
thence N 8714'l7"E a distance of 98.47' to a point in said centerline;
thence S 73°56'33"E a distance of 35.62' to a point in said centerline;
thence N 62°31'27"E a distance of 24.10' to a point in said centerline;
thence N 89°56'30"E a distance of 8.50' to a point in said centerline;
thence S 42°36'01 "E a distance of 30.57' to a point in said centerline;
thence leaving said creek S 04°22'02"W a distance of 1127.95' to a Leaning Capped Rebar in the
centerline of another creek;
thence leaving said creels N 47°08'31 "W a distance of 203.19' to a Capped Rebar;
thence N 47°54'40"W a distance of 125.00' to a Capped Rebar;
thence N 35°36'43"W a distance of 149.71' to a 30" Oak;
thence N 84°55'19"W a distance of 84.20' to a Pine Stump;

BK 4064 PG 599 - 604 (6) DOC# 1001000621
thence N 64°55'46"W a distance of 130.94' to a point;
thence N 53°55'46"W a distance of 121,94' to a Capped Rebar;
thence N 68°21'41 "W a distance of 67.02' to a point;
thence N 31 °51'41 "W a distance of 78.02' to a point;
thence N 60°51'41 "W a distance of 68.02' to a point;
thence N 68°51'41 "W a distance of 70.02' to a point;
thence N 58°51'41 "W a distance of 57.02' to a point;
thence N 83°54'05"W a distance of 102.43' to a point in the centerline of creek;
thence with the centerline of said creek the following courses and distances:
N 58°33'27"W a distance of 9.57' to a point in said centerline;
thence S 66°28'37"W a distance of 12.25' to a point in said centerline;
thence N 63°54'26"W a distance of 24.08' to a point in said centerline;
thence N 40°25'47"W a distance of 24.09' to a point in said centerline;
thence N 17°55'09"W a distance of 14.13' to a point in said centerline;
thence N 25'54'11 "W a distance of 11.19' to a point in said centerline;
thence N 51 °20'46"W a distance of 18.15' to a point in said centerline;
thence N 73°24'26"W a distance of 15.53' to a point in said centerline;
thence N 62°50'52"W a distance of 48.68' to a point in said centerline;
thence N 70°38'53"W a distance of 18.87' to a point in said centerline;
thence N 40°46'26"W a distance of 20.64' to a point in said centerline;
thence N 62°22'57"W a distance of 16.37' to a point in said centerline;
thence N 79' 15'07"W a distance of 9.29' to a point in said centerline;
thence S 83°47'41 "W a distance of 11.64' to a point in said centerline;
thence N 67°57'54"W a distance of 37.58' to a point in said centerline;
thence N 78°04'34"W a distance of 11.42' to a point in said centerline;
thence S 89°51'56"W a distance of 14.95' to a point in said centerline;
thence N 86°20'59"W a distance of 49.07' to a point in said centerline;
thence N 64°53'30"W a distance of 18.44' to a point in said centerline;
thence S 80°32'01 "W a distance of 18.48' to a point in said centerline;
thence S 83°10'48"W a distance of 7.75' to a point in said centerline;
thence N 66'03' 11 "W a distance of 7.08' to a point in said centerline;
thence N 39°30'06"W a distance of 15.20' to a point in said centerline;
thence N 66' 11'3 8"W a distance of 13.39' to a point in said centerline;
thence leaving said centerline N 69'18'21"W a distance of 48.03' to a Capped Rebar;
thence N 27°28'46"E a distance of 304.27' to a #5 Rebar Set;
thence N 30°38'46"E a distance of 198.87' to a 2" Iron Pipe;
which is the point of beginning,
having an area of 957804.4 square feet, 21.99 acres