NC0066249_Owner (Name Change)_20211201

Water Resources
ENVIRONMENTAL QUALITY
PERMIT NAMEIOWNERSHIP CHANGE FORM
ROY COOPER
r,, ".,
MICHAEL S. REGAN
LINDA CULPEPPER
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CURRENT PERMIT INFORMATION: RECEIVED
Permit Number: NC00 KI G1 2-1_I t or NCG5 / l_I I DEC 01 2021
1. Facility Name: C©ce,z &/` t� 6NCDEQIDINRINPDES
11. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of
_Z_a. Change in ownership of property/company
_b. Name change only
_c. Other (please explain):
2. New owners name (name to be nput on permit):
p L1_—t,c Crnl�� GCe!��z2JCN
3. New owners or signing official's name and title: LAGS ce liCeSc
1___� ..
(Title)
4. Mailing address: l09 I[6-0(44!g572 1!/l*y City: C9t(?f r\
State: SG Zip Code://ZU 6S* 1 Phone: ( ?�j �06 SoP22
E-mail address: /Y[ K P . , --CJcetr ClFel # GuceLC . c�yc
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]
State of North Carolina i Environmental Quality i Water Resources
1617 Mail Service C®ter i Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
httpslldegmc.gov/aboutldivisioaslmter-resou cVivakr-resources-permits/wastewater-br ci kipdcs wastewata-permits

NPDES Name & OwnemMp Change
Page 2 of 2
Applicanrs Certification:
I, Z=e& roC Reax-Ae , 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: — Date: li 2c.) 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 712016

BOOK 3503 PAGE 314 (3)
9MM4
This document presented and filed:
06/08=0 02:08:19 PM
LT
WILLIAM LEE KING, Henderson COUNTY, NC
Trend" TOO $0.00
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $ 0.00
Parcel Identifier No. SM312
---)- MaiUBox to. C. Page Collie —1645 Asheville Highway, Hendersonville, NC 28791
This instrument was prepared by: C. Page Collie (Deed Preparation Only — No Title Search Performed
Brief description for the Index: Acreage off Pennsylvania Road along Keith Memorial Drive
THIS DEED made this 5th day of June, 2020, by and between
LEISA CAROL REUSCH
fllrla LEISA CAROL EDMUNDSON STACK
and husband, FRANK THOMAS REUSCH
JOHN L. EDIVIMSON, un-remarried widower
Address: 109 Redwater Way
Greer, SC 29651
GRANTEE
LEISA CAROL REUSCH and husband,
FRANK THOMAS REUSCH
Address: 109 Redwater Way
Greer, SC 29651
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 Sant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land
situated in the Town of Mills River, Mills River Township, Henderson County, North Carolina and more particularly described
as follows:
BEGINNING at a locust stake standing at the Southwest corner of that tract as sold
•'_ " to Ralph I Guthrie by deed recorded in Deed Book 415 at Page 1", Henderson
f County Registry, and running from said BEGINNING point and with the Southern
NC Bar Association Form No. 3 ®1976, Revised 0 1977,2002 Page 1 of 3 - Reusch
Printed by Agreement with the NC Bar Association - 1981 - Chicago Title insurance Company

,, ,Vy Acres Rent,,.
zs Keith Memorial Drive
" us Rarer.. NC, 28759
To:
NCDEQ— Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, NC 27699-1617
Lessa & Frank Reusch,
109 Redwater Way, Greer, SC 29651
[e-mail]
828-606-5823
Permit Number: NC0066249, Henderson County, Country Acres MHP WWTP
Subject: Change of Name and Address
Dear Ladies and Gentlemen,
RECEIVED
DEC.0=I2021
NCDEQIDWRINPDES
Greer,11/29/2021
We would like to request the change of the name and address for permit # NC0066249.
Attached the requested form and the transfer deed from 06/08/2020.
If you need any more information, please do not hesitate to get in touch with us.
Respectfully
eisa Reusch'11 F Reusc