NCG550193_Permit (Issuance)_20090204

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
Dee Freeman
Secretary
February 4,2009
ROBERT J SCHAUER
3009 BAPTIST ROAD
DURHAM NC 27703
Subject NPDES Permit Modification- Ownership Change
Formerly Olde North State Holding Corp
3009 Baptist Road
Certificate of Coverage NCG550193
Durham County
Dear Mr.Schauer
Division personnel have reviewed and approved your request for ownership change of the subject certificate of coverage
received on January 29,2009. This permit modification documents the change of ownership of the above reference facility.
Please find enclosed the revised certificate of coverage. All other terms and conditions contained in the original certificate
remain unchanged and in full effect. This 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 Point Source Branch at(919) 807-6304.
Sincerely,
r; Coleen H.Sullins
•
cc: Central Files
Raleigh Regional Office,Surface Water Protection
NPDES Unit File
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 NOrthCarohna
Internet:www.ncwaterguality.org Naturally Equal Opportunity\Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES •
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550193
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 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,
Robert J. Schauer
is hereby authorized to operate a wastewater treatment facility that includes a septic tank, sand filter, and
associated appurtenances with the discharge of treated domestic wastewater from the facility located at
3009 Baptist Rd
Durham
Durham County
to receiving waters designated as a ut to Little Lick Creek, a class C water, in thee Neuse 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 No.NCG550000 as attached.
This certificate of coverage shall become effective February 4, 2009.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 4, 2009.
ie'Z
Coleen H. Sullins,Director
Division of Water Quality
By Authority of the Environmental Management Commission

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FWATF
WQ GMichael F.Easley,Governor
rWilliam G.Ross Jr.,Secretary
. > —i North Carolina Department of Environment and Natural Resources
Coleen H.Sullins,Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION ' -- ,, '
PERM . AME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
III A5 '© 113
II. Permit status prior to status change. p
a. Permit issued to(company name): 0/t e N o►��-4 s-LA- k / /d t•'t G ►s p
b. Person legally responsible for permit: 'i .ni ed M - in c 14 v •J I
• First MI Last
1%- f I 1(P e/✓ l--
Title
RECEIVED .
,0• 0 • 6 9 ? 4? -2 1
sPermit Holder Mailing Address i
RA i CityC/ titN State � 7 6 ti
Ztp
J A N 2 9 2009 ( 9/ Cl) P y 7- 73 J(a ( co ?) f't/7- 7 3J',
Phone Fax
DENR d. `IERn. ptiAt e) �/f� its 1- .
POINT SOURciCE BRANCH ) Address
Dur4A14-t 4/C. )._ � 7v3
I City /I State Zip
e. Facility contact person: Rol,It.,^t f. k ,I u er• ( y I ?) 3 L -a d'?'`/.
First /MI/Last Phone
III. Please provide the following for the requested change(revised permit).
a. Request for change is a result of: ,.Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to(company name):
c. Person legally responsible for permit: Q)ob,,--� T �-,�- r e
First MI Last
Title 1
0C1 Ck ----- n t.-k- ?voci A
Permit Holder Mailing Address
�r..cht>,m n\e Di-103
City State Zip
( 9(CI )WI 2-VIY bsc ,auer prr;rrocuse,.0 rr
Phone E-mail Address
d. Facility name(discharge):
e. Facility address: 30•D`'\ -- , .-V► Si- \-
Address
--ko0.c\(NO.m 1C cn r)03
City State Zip
f. Facility contact person:
First MI Last
( )
Phone E-mail Address
Revised 8/2008

PERMIT NAME/OWNERSHIP CHANGE FORM
Page2of2
IV. Permit contact information(if different from the person legally responsible for the permit)
Permit contact: RoV,eRT S ckk r4
First MI Last
Title
00� APT tc) -
Mailing Address
� HAGS I�IL 21 tt 3
City State Zip
(Slq )Z$V-S49t{ R0 you,€4,4I(NOsego.) . C0M
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
[. Yes
❑ No(please explain)
Required Items: THIS APPLICATION WILL BE RETURNI' ROCESSED IF ITEMS
VI. 9 �P
ARE INCOMPLETE OR MISSING: w.
This completed application is required for both name change tind/or ownership change s
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.
,mot t t.....
The certifications below must be completed and signed by both the permit Witeriprior tQ the C 1
the new applicant in the case of an ownership change request. For a name change request,the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION(Permit holder prior to ownership change):
I, ,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
re ed as incomplete.
. 440-t--art- I - 2- — v7
Signature Date
FANT CERTIFICATION
I, 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 re ired supporting information is not included,this application package will be
rewrget,incomp te.
/22/ p�
Si a e Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Revised 7/2008

iffli iiiiiii 111111
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2008033740
FOR REGISTRATION REGISTER OF DEEDS
Willie L. Covington
2008 RPUG CO U 12:44:32 PM
BK:6038 PG:473-476 FEE:$20,00
NC REV STRh1P:$520,00
INSIRUNENI # 2008O33740
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $ 520.00
Parcel Identification No. 193996 Verified by County on the day of , 2008
By:
Mail/Box to: Grantee
This instrument was prepared by: Jim McClure, Olde North State Holdings Corp. w/o review
Brief description for the Index: Parcels 1 &2
THIS DEED made this 14 day of August , 2008, by and between
GRANTOR GRANTEE
Olde North State Holdings Corp. Robert J. Schauer and wife
P. O. Box 99821 Cynthia J. Schauer
Raleigh,NC 27624 7400 Cape Charles Dr.
Raleigh, NC 27617
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 the City of na ,
Township, Durham County, North Carolina and more particularly described
as follows:
3009 Baptist Rd., Durham, NC 27703
Durham County Tax Parcel ID 193996
See Attached Legal Description.

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. Title to the property hereinabove described is subject to the
following exceptions:
1. General service and utility easements, rights of way and restrictions of
record, and
2. 2008 ad valorem taxes
IN WITNESS WHEREOF, Grantors have set their hands and seals the day and
year first above written.
Olde North State Holdings Corp.
B eseipAo d
James M. McClure, President
NORTH CAROLINA
(A)4, P COUNTY
I, Sew " Vc'44 I--( y 2_ , a Notary Public of the County and State
aforesaid do certify that James M.ZVIcClure, personally came before me this day and
acknowledged that he is President of Olde North State Holdings Corp., a corporation, and that as
President being authorized to do so, executed the foregoing instrument on behalf of the
corporation.
" .1 seal, this the (`t day of Au ust,. i h
/'� OFFICIAL SEAT.
Notary Public,North Carolina
C •ki / �County of Wake
Q rdfebitiKEspirae Sep.29,2008 "
My Commission expires:
NORTH CAROLINA—DURHAM COUNTY
The foregoing certificate of , a Notary Public, is certified to
be correct and duly recorded. This the day of August 2008.
By:
Assistant/Deputy Register of Deeds
Register of Deeds
I

,
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at a stake in the west property line of J.P. Selby (Seley), South 9 deg 23' 10" West 362 feet from
utheast corner of Continental Can Company, as shown on the plat hereinafter referred to, said beginning
oint being located by beginning at a stake in the property line on the north side of Baptist Road at the
southwest corner of J.P. Selby (Seley) and running thence along and with the west line of Selby (Seley) North
35 deg 15' 37" East 732.21 feet to a stake and thence North 9 deg 23' 10" East 282.07 feet to a stake, the point
of BEGINNING, and running from said beginning point North 63 deg 40" 57"West 377.35 feet to a stake; thence
North 9 deg 23' 10" East 362 feet to a stake in the south line of Continental Can Company; thence along and
with the south line of Continental Can Company South 63 deg 40' 57" East 377.35 feet to a stake; thence South
9 deg 23' 10"West 362 feet to a stake, the point and place of BEGINNING, containing 3 acres, more or less,
and being Tract 1 of Property of Cecil H. Gibbs according to the plat and survey thereof by J. Watts Copley,
dated 1-20-76, on file in the Durham County Registry in Plat Book 87, Page 53, to which plat reference is hereby
made for a more particular description. Together with a 24-foot wide easement as fully described in Book 435,
page 642, Durham County Registry. Description as follows:
An easement for right of way for ingress, egress and regress appurtenant to the three acre tract hereinabove
described, on, across and over a strip of land 24 feet in width between said three acre tract and Baptist Road,
said beginning point being on the north side of Baptist Road; southwest corner of J.P. Selby (Seley) and running
thence with the west line of Selby (Seley) North 35 deg 15' 37" East 732.21 feet to a stake and North 9 deg 23'
10" East 282.07 feet to a stake, being an easement 24 feet wide with the above courses and distances, and
reference is made to plat of Property of Cecil H. Gibbs, dated 1-20-76, and recorded in Plat Book 87, page 53.
This 24 foot easement is west of Seley line and immediately adjacent thereto.
Tract 2 - Parcel# 193978
BEGINNING at an iron stake located at the northeast corner of Warren L. Franks lot, which is Lot
according to map of Cecil H. Gibbs as recorded in Plat Book 87. page 53, and running thence South 63 deg 40'
57" East 50 feet to a point thence running South 9 deg 23' 10" West 400 feet to a point; thence North 63 deg 40'
57"West 50 feet to a point; thence 9 deg 23' 10" East 400 feet to an iron stake, the point and place of
BEGINNING, and being a strip of land 50 feet by 400 feet immediately east of and adjacent to Lot No. 1 owned
by Warren L. Franks and wife, reference is made to map of Cecil H. Gibbs Property, Lot No. 1 by J. Watts
Copley, dated January 20; 1976, and recorded in Plat Book 87, Page 53, Durham County Registry. The strip of
land 50 feet by 400 feet hereinbefore described is part of Lot No. 18 of survey thereof by Hal T. Siler, dated November 13, 1958, and recorded n Plat Book 35, page 54, Duurham e S.E. Lamm Farm as pr plat d County Registry.
(SCHAUER,ROBERT&CYN.PFD/08-2177/7)

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WILLIE L. COVINGTON
REGISTER OF DEEDS, DURHAM COUNTY
DURHAM COUNTY COURTHOUSE
200 E. MAIN STREET
DURHAM, NC 27701
PLEASE RETAIN YELLOW TRAILER PAGE
It is part of recorded document, and must be submitted with original for re-recording
and/or cancellation.
Filed For Registration: 08/15/2008 12:44:32 PM
l Book: RE 6038 Page: 473-476
Document No.: 2008033740
DEED 4 PGS $20.00
NC REAL ESTATE EXCISE TAX: $520.00
Recorder: SHARON M CEARNEL
111111111111111111111111111111111111111111111111111111111
2008033740