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Home My WebLink AboutNCG550151_Owner (Name Change)_20160216 PAT MCCRORY •r $ Govel110r :a DONALD R. VAN DER VAART , - Secretary = S. JAY ZIMMERMAN Water Resources Director ENVIRONMENTAL QUALITY February 16, 2016 Mr. Jorge L.Diaz 508 Savona Ave. Coral Gables,FL 33146 Subject: NPDES Permit Modification-Name and/or Ownership Change 41 Driftwood Court Certificate of Coverage NCG550151 Buncombe County Dear Mr.Diaz: Division personnel have reviewed and approved your request for ownership change of the subject certificate of coverage. This permit modification documents the change of ownership of the above reference facility. Please find enclosed the revised permit. All other terms and conditions contained in the original permit remain unchanged and in full effect. This permit modification is issued under the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.Environmental Protection Agency. If you have any questions concerning this permit modification,please contact the Wastewater Branch at(919) 807-6304. sincerely `I6/. S. Jay Zimmerman, Director cc: NPDES File Asheville Regional Office STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES Certificate of Coverage NCG550151 Under GENERAL PERMIT NCG550000 DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND OTHER DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statue 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Jorge L. Diaz is hereby authorized to discharge domestic wastewater [<1000 GPD] from a facility located at 41 Driftwood Court Asheville Buncombe County to receiving water designated as the Swannanoa River, a class C stream in subbasin 04-03-02 of the French Broad River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV of General Permit NCG550000 as attached. This permit shall become effective January 19, 2016. This Certificate of Coverage shall expire at midnight on July 31, 2018. Signed this day February 18, 2016. dir S. ir Zimmerman, Director Division of Water Resources By Authority of the Environmental Management Commission 467:1•191a NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory, Governor John E.Skvarla III, Secretary p'T add i��o.�•- �i ��q,n� u.i�ad,,.� ,r �� rsr r4;'�A!•d;Y ".i'ry� ;�.�.,ar � d o - � rGn DIES Certitilca�te of Coverage (Cot) It; ,. ._, fi - - - C/AWMRSHIP CHANGE FORM: . ,: I. Please enter the CoC number for which the change is requested. Certificate of Coverage 14, d 0 s, 5 p 5 II. Please provide the following for the requested change(revised permit). a. Request for change is a result of: FT Change in ownership of the residence/property ❑ Name change of the facility or owner If other please explain: b. Permit will be issued to(company name, if applicable): c. Person legally responsible for permit: Jo rSe L-- 1 1 ct'2 RECEIVED/DENR/DWR First MI Last b ✓ Title DEC ® 7 2015 50 J S nuo VNA_ A-ue Water Quality Permit Holder Mailing Address Permitting Section Co rc.C, G S( F L 3 31 t- City State Zip (3°s-) Gi 5 - 38 38 Phone E-mail Address d. Facility name (discharge): /' e. Facility address: !�1 u f! .F�WQoI�L (yr'. Address Psk2v3A(g_ NC Z 8 ti City State Zip f. Facility contact person: r L 0 1 Z First MI Last ( J ) ( f- 3 o dU °j 1°e- CccL • co'vl Phone E-mail Address III. Permit contact information (if different from the person legally responsible for the permit) Permit contact: First MI Last Title ailing Address • State Zip ( Phone E-mail Address N Will this permitted facility continue to discharge the same volume and type of wastewater as pprioy-to this ownership or name change? M Yes ❑ No (please explain) Revised 2/2009 NCG550000 OWNERSHIP CHANGE FORM Page 2 of 2 VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE NCOMPLETE OR MISSING: This completed application is required for both name change and/or ownership change requests. ❑ Legal documentation of the transfer of ownership(such as relevant pages of a contract deed, or a bill of sale) is required for an ownership change request. Articles of incorporation are not sufficient for an ownership change. The certifications below must be completed and signed by the new applicant in the case of an ownership change request. APPLICANT CERTIFICATION � x 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 is not included,this application package will be returned as incomplete. Signature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: NC DENR/DWR/NPDES 1617 Mail Service Center Raleigh,North Carolina 27699-1617 Revised 7/2008 ,95age 1 of 3 t/Li T 1I11111 III111I 1111111I[II1111 ill Doc ID: 025024670003 Tvoe: CRP Recorded: 12/07/2012 at 04:10:23 PM Fee Amt: $336.00 Pace 1 of 3 Revenue Tax: $310.00 Workf1owN 0000142770-0001 Buncombe County. NC Drew Relslncer Reclster of Deeds BK5047 PD1302-1304 NORTH CAROLINA GENERAL WARRANTY DEED Revenue Stamp: $310.00 Prepared by&return to:Margaret I..Toms,The Hart Law Group,P.C.,Box 28 Brief description for the index: Lot 8,Section 5,Botany Woods;P1 Bk 163,Pg 185 PIN: 9679-00-2841-00000 The Preparer is informed that the property conveyed does not include the primary residence of a Grantor. This instrument prepared by Margaret L.Toms,a licensed NC attorney. Delinquent taxes,if any,to be paid by the Closing attorney to the county tax collector upon disbursement of closing proceeds. This North Carolina General Warranty Deed is made as of this 3f/1 day of November, 2012,by and between Judith Kaye Shults, an unmarried woman, Grantor whose address is 135 Washington Avenue,Newport,TN 37821, and Jorge L. Diaz, Grantee, whose address is 3232 Coral Gables Way, Apt. 1004, Coral Gables,FL 33145. 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. The Grantor,for valuable consideration received from Grantee,conveys to Grantee,in fee simple (unless otherwise stated below), the property located in the City of Asheville, Buncombe County,North Carolina, described as follows(intending to and including all appurtenances thereto): See attached Exhibit A. Book: 5047 Page: 1302 Seq: 1 Book:5047 Page: 1302 Page 1 of 3 Page 2 of 3 a 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 property in fee simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances,other than as stated herein,and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever,except for the following: Easements and rights of way of record or in place,restrictions of record,the use provisions of any governmental ordinance affecting the above and taxes for the year as of the date above,which Grantee,by acceptance hereof,agrees to pay in full prior to delinquency. In witness whereof,as of the above date,Grantor signed this deed,as the act of Grantor. u ith Kaye Shults NORTH CAROLINA BUNCOMBE COUNTY I,Margaret I..Toms,a Notary Public,certify that the following person(s)appeared before me this day and acknowledged to me the due and voluntary execution of the foregoing instrument for the purpose stated therein and in the capacity indicated: Judith Kaye Shults WITNESS my hand and notarial seal,this the Xlay of November,2012. ]notarial seall Notary Public: Name of notary:Margar .Toms MARGARET L TOMS NOTARY PUBLIC My commission expires:11/3/2015 BUNCOMBE COUNTY,NC u,c..Ir.. ..f.3,28i5— 2 Book:5047 Page: 1302 Seq:2 Book:5047 Page: 1302 Page 2 of 3 a Page 3 of 3 EXHIBIT A Shults to Diaz The property conveyed is a parcel of land containing 0.475 acre,more or less,also being 20,675 square feet,and is shown on a map of a survey entitled"Boundary Survey for Judith Kaye Shults",drawn by Robert Paul Patterson,for Patterson&Patterson,Job No. 12-10-65-C,dated November 7,2012,and recorded in Plat Book 163,page 185, Buncombe County,North Carolina,Register of Deeds,reference to which plat is hereby made for a more particular description of the property conveyed. The property conveyed is also known as Lot 8,Section 5,as shown on a plat entitled "Driftwood,Section 5,Botany Woods",recorded in Plat Book 41,page 122,Buncombe County,North Carolina,Register of Deeds. Subject to and benefited by the Restrictive Agreement recorded in Deed Book 1101,page 185,and the Road Maintenance Agreement recorded in Deed Book 2080,page 600,both of the Buncombe County,North Carolina,Register of Deeds. Being all the property described in the deed from Nell R.Endzel to Judith Kaye Shults dated March 31,1994,and recorded in Deed Book 1792,page 184,Buncombe County, North Carolina,Register of Deeds. Property address: 41 Driftwood Court Asheville,NC 28805 PIN: 9679-00-2841-00000 Book:5047 Page: 1302 Seq: 3 Book:5047 Page: 1302 Page 3 of 3