NC0089052_Owner (Affiliation Change)_20241022

ROY 'COOPER
., _ Governor
• 4 `° "' MICHAEL S. REGANSecretor v
LINDA CULPEPPER
Water Resources interim Al or
ENVIRONMENTAL QUALITY
PERMIT NAME/OWNERSHIP CHANGE. FORM
1. CURRENT PERMIT INFORMATION:
Permit Number: NCOO -8 / 9 / 0 / 5 / 2 or NCG5 / ./ / /
1. Facility Name_ Zooland Family Campground WWTP
II. NEW OWNER/NAME INFORMATION: RECEIVED
1. This request for a name change is a result of: O C T 2 2 2024
a. Change in ownership of property/company
NCDEQ/DWR/NPDES
b. Name change only
X c. Other(please explain): Change in responsible official only
2. New owner's name(name to be put on permit):
3. New owner's or signing official's name and title: Dylan Marma
(Person legally responsible for permit)
CEO
(Title)
4. Mailing address:P.O.Box 173089 City: Tampa
State: FL Zip Code:33672 Phone: (813 ) 288-0636
E-mail address: dylanta therequitygroup.com
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 ofNorth Carolina lEnvironmental Quality l WaterResources
16I7Mai1 Service'Center!Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater=branch/npdes-wastewater-permits

NPDES Name&-Ownership Change
Page 2 of 2
Applicant's Certification:.
L. Dylan Marma , attestthat 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: 1 0/16/2Q24
THE COMPL ED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION &MATERIALS,SHOULD-BE.SENT TO THE FOLLOWING ADDDRESS:
NC DEG /DWR/NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 11/2017