NC0041718_Owner (Name Change)_20231221

NC DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NORTH CAROLINA NPL)tb PERMITTING
Environmental Quality PERMIT NAME/OWNERSHIP CHANGE FOBECEIVED
CURRENT PERMIT INFORMATION:
UcU' 21 2023
Permit Number: NC00_�j_jj_jj_jj$ or NCG5� EQ DWR NPD ES
1. Facility Name: (Il?Gr u'� e,-� e + M irvSR.-N JJ�_, �(/ / 6 eine�
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):
1�¢00:�) 39A�_04 9L4- Creev, Pr.0e,' -,Is &LL
3. New owner's or signing official's name and title:A� �eA
(Person legally responsible for permit)
© uj lyE jL
(Title)
4. Mailing address: �_ jPin2. Trey- &6,t, City: iE'�4615 3oe�Z
State: Zip Code: Z Phone: (7oq ) 4Zi' 5 3Z 1
E-mail address:
FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same as under the previous owner? YesV No ❑
2. Will the treatment system and discharge location remain the same? Yes IQ- 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
•d�'� 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
Nc ani c wa mA
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:
This completed application form
Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
Information to document facility, waste stream, treatment system or outfall changes as noted in
item III above (if appropriate)
Applicant's Certification:
AA I-T� 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: s ,� Date:
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

OMBApproval No 2502-0265
A. Settlement Statement (HUD-1)
B. Type of Loan
1. ❑ FHA 2. ❑ RHS 3. ❑ Can, Unlns.
6. File No.
2023-265
7. Loan No.
8. Mortgage Insurance Use No.
4.❑ VA 5.❑ Conv Ins.
G Note: This form Is furnished to give you a statement of actual settlement cats. Amounts paid to and by the settlement agent are shown. Items marked 4(p.o.c)' were paid
outside the closing; they are shown here for Informational purposes and are not included In the totals.
D. Name & Address of Borrower.
E. Name & Address of Seller.
F. Name & Address of Lender:
7th Green Properties, LLC
Norwood Clearview, LLC
7 Pine Tree Road
85 North Hillside Drive
Salisbury, NC 28144
North Myrtle Beach, SC 29582
G. Property Lacatioru
H. Settlement Agent
I. Settlement Date:
48708 U.S. 52
First Street Legal
02/16/2023
Misenheimer, NC 28109
Funding Date:
Place of Settlement:
239 North 1st Street Albemarle, NC 28001
02/16/2023
Disbursement Date
02/16/2023
K Stirarnary of Seller's Transaction
100. Cross Amount Due from Borrower
SOL Contract sales price
102 Personal property
103. Settlement charges to borrower (line 1400)
104. Unpaid Reins for February
105.
M�)ustmenf for lterrts paid by seder In advance
306. Chy/Town Tares
107. County Taxes
SO&Assessments
109.
110.
111.
112
120. Gross Amount Due from Borrower
200. Amount Paid by or in Behalf of Borrower
20L Deposit
202- Principal amount of new loan(s)
203. Existing bar(s) taken subject to
204.
205.
206.
207.
2011 Security Deposits
209. Pro -rated Rents for February
Adjustments forlterfs unpaid by seller
210. Clty/Town Taxes
21L County Tans
21ZAssessmenfs
W.
214.
215.
21&
217.
218.
219.
22a Total Hid by/for Borrower
300. Cash at Settlement from/to Borrower
30L Gross amount due from borrower Olne 120)
302 Less amounts paid b//for borrower(Ilne 220)
303. Cash ❑ From F-] To Borrower
400. Cross Amount Due to Seller
401. Contract saki price
$610,D00.00
402. Personal property
403.
404. Unpaid Rents for February
$1.380.00
405.
Adjustment for Items paid by seller In advance
406. Crty/Town Tares
407. CountyTares
408. Assessments
409.
410.
411.
412.
420. Cross Amount Due to Seller -
5611,380A0
500. Reductions In Amount Due to Seller
501. Excess deposit (see instructions)
502. Settlement charges to seller (line 1400)
$32.583.00
503. Existing loans) taken subject to
504. Payoff of First Mortgage
505. Payoff of Second Mortgage
506.
507.
SOB. Security Deposits
I $9,927.0D
509. Pro -rated Rents for February
1 $5,42&57
Acliustmenti for items unpaid by seller
no. aty/Town Taxes
51L County1exes 01/O112021 to 02/16/2023
$590.32
512 Assessments
513.
514.
515.
516.
517.
518.
519.
520.Total Reduction Amount Due Seller
$48,529.89
600. Cash at Settlement to/from Selina
601. Gross amount due to seller (line 420)
$61L380.0D
602, Less reductions In amounts due seller (fine 520)
$48,52&89
603. Cash a To ❑ From Seller
$56285L11
The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting. reviewing, and reporting the data This agency may not collect this
information, and you are not required to complete this form, unless it displays a currently vafd OMB control number. No confidentiality Is assured; this disdosure is mandatory. This Is
designed to provide the parties to a RESPAcovered transaction with Information during the settlement process.
Previous editions are obsolete Page 1 of 1 HUD-1 / Order 02023.265 / February 16, 2023

<7o0:;Total:Reu:Estitb:6rekegEees�'.. I'� . .: _isKsP 3lnti.'' ' _' 'rt ° •f $ .b�s?2'�$ � ';
Division of commission (line 700) as follows:
. PJlrlkaT ,
;� de
�p'�+.i�,
''Aild'F WA,Saf .,,.
.$r•R Y:
�anlr�,>�hi.
701S30,SOm00toArdor Commercial Advisors
703. Commission paid at settlement
$30.500.00
704.
,lflD4trfri!ablR.rr. owltH¢atirt, .y..:ls`td?ri�r'.s�d. '$.tO�"bssr...4u, 'Et?',i'-.:-�,
a)P'_ _°'''.3#'•
,u;.
90L Our origination charge O' om GFE 61)
ao2. Your creditor drarge (points) for the specific Interest rate chosen prom GFE 821
603. Youradjusted origination charges � ram GFE AA)
904.Approisal fee prom GFE 63)
a0S. Credit report (from GFE 03)
W&Tax service (from GFE 03)o
807. Flood certifition (from GFE 03)
BOB.
809.
aim
BIL
�9Darnd,itaead�ea•Icy.ttane,gratara„aneew+;�,�r�-:i«'��-a�� .���. ;>��� c.�_t��A-�:
+t:.� :��, .�y:�
�
901 Daily Interest charges prom GFE #101
902 Mortgage insurance premium (from GFE g3)
903. Homeowner's Insurance prom GFE 111)
904.
�r+100Q�RrSe18ei1D'epQiftd�Y�di<�14n?r.-s":.>nvtk"4,.°
1001- (from GFE 09)
1002
ion
1004..
1005.
1006.
1007. Aggregate Adjustment
41a6:1I &6W-au� � ���g•'F�7-.
MI.7h* svr lees and lender's title Insurance (from GFE 94)
1102.Settiement or closing fee to First Street Legal $1.650.00
1103.Owners title insurance (from GFE #5)
LM Lender's tide Insurance
1105. Lenders title porky limit $
1106.Owners title.poff Omlt
1107., Agem's portion of the tout title Imatrance premium
1108. underwriter's portion of the total title Insurance premium
1109.
111m Attorney Fee to Hutchens Law Firm. LLP
$800.00
SSSL Reimbursement to Hutchens Law Firm, LLP
$13.00
I= Courier Fee to First Street Legal
$50,00
;d2OgCl - rmmgncRrid rPiIi .t7aref�ra.. .,, f.` 3� G.�.>�t'ai' ':'' . �iAr ,'r;:a � - < ; �'.
,� !s:10
120L Government recording charges (from GFE #7)
1202. Deed Mortpge $ Release $
1200.Trmsfertapm (from GFE 98)
1204. City/Countybx/stamps Deed $ Mortgage $
1205. Statetax/stamps Deed $1,220.00 Mortgage S to Stanly County Reglsterof Leeds
$1,220.00
1206.
:.1300;Ad�t[opAlSeetlettidiC�Bdi�.�..:...m ra �'�'Y�R``3N'i�':'.'tit-�",wr, . �d.':� .•..°�T''"'-i�rr�i� �3'i#�£w��'�:n+tk..
; .RY4.. r5s. • :T . ...�"
1301 Required services that you can shop for prom GFE 06)
1302
1303.
1304,
1305.
+3 M.
1301.
1308.
1309,
L310,
rr Total Settlement Cliarges loiter an Ones 103.$32,583.00
See signature addendum
Previous editions are obsohAe Page 2 of 2 HUD-1

Norwood Clearview, LLC, a North Carolina Limited Liability
Company
B S 2/16/2023
JudySmlth, Managing Member Date
The HUD-1 settlement statement which I have prepared Is a true and accurate account of this transaction. I have caused or will cause the
funds to be disbursed In accordance with this statement
Settlement Agent
Previous ecaiors are obsolete HUD-1

James B. Corey, P.A.
Certified Public Accountant
104 Cabarrus Ave East
Concord, North Carolina 28025
[phone]
www.jcoreycpa.com
December 12, 2023
NC DEQ/DWR/NPDES
1617 Mail Service Center
Raleigh NC 27699-1617
To Whom It May Concern,
My client, Judy Smith sold her apartment complex Clearview at Misenheimer on
February 16, 2023. I am assisting her in transferring the permit to the new owners. I
have attached the Permit Name/Ownership Change form along with the closing
statement reporting the sale of the property to the new owners.
If you need anything else, please let me know. Paul Smith, the previous owner passed
away in July 2021. 1 have been helping Judy his spouse with the remaining rental
properties owned by them.
Should you have questions or need additional information, please do not hesitate to
contact me.
cc: Judy Smith