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HomeMy WebLinkAboutWQCSD0670_Owner Affilation Change_20180402 State of North Carolina Department of Environmental Quality RDivision of Water Resources :____ _ SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE DrvisIon of Water Resources INSTRUCTIONS FOR FORM:PNOCF 01-16 I. EXISTING PERMITTEE INFORMATION. 1. Permittee's name:Parks Banks RECE VED/DENR/DWR 2. Signature authority's name Parks Banks per 15A NCAC 02T 0106(b) APR —2 2018 3 Signature authonty's title Owner Water Resources Permitting Section 4. Permittee's mailing address:PO Box 387 City:Barnardsville State:NC Zip:28709- 5. Permittee's contact information Phone number (305)978-9053 Fax Number( )_- Email Address.ban887 @aol corn H. APPLICANT INFORMATION: 1. Applicant's name:River View Community LLC/George Morosam 2. Signature authonty's name.George Morosani per 15A NCAC 02T 0106(b) 3 Signature authority's title:Owner 4. Applicant's mailing address-932 Hendersonville Rd,Suite 201 City Asheville State:NC Zip 28803- 5. Applicant's contact information. Phone number (828)274-4111 Fax Number( ) - Email Address:gmjm@aol com 6. Representative's name: George Morosani 7. Representative's title Owner 8 Representative's contact information Phone number (828)274-4111 Fax Number( )_- Email Address: III. PERMIT INFORMATION' 1. Existing permit number WCSD0670 and most recent issuance date: 2. Reason for the permit application:Change of Ownership If other, attach detailed explanation 3 Has the facility been constructed? ®Yes or❑No 4. Has the facility been certified per 15A NCAC 02T.01169 ®Yes or❑No FORM PNOCF 01-16 Page 1 of 2 IV. CERTIFICATIONS: Existing Permittee's Certification per ISA NCAC 02T.0106(b): I. a v c•-• t 115 ea...a. KS' attest that this application (Signature Authority's name&title from Application Item I.2&3) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater from this system to surface waters or the land may result in an enforcement action that may include civil penalties; injunctive relief,and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit be violated_ I also understand that if all required parts of this application are note completed and that if all required supporting information and attachments are not included,this application will be returned to me as incomplete. NOTE—In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor,which may include a fine not to exceed$10,000 as well as civil penalties up to$25,000 per violation.00 Signature: (.:( ,a 0.41.44.4Date: 2 /i 7//b' Applicant's Certification per 15A NCAC 02T.0106(b); 2s,T7 attest that this application (Sib ature Authority's name&title from Application Item II.2&3.) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after issuance of the permit into the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non- discharge system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated_ I also understand that if all required parts of this application package are not completed and that if all required supporting information and attachments are not included,this application package will be returned to me as incomplete. NOTE—In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes ,-:y false s atement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor,which maA clude . tie not to exceed$10,000 as well as civil penalties up to$25,000 per violation. Signature: FORM:PNOCF 01-16 Page 2 of 2 Tge 1 of 3 I�titlllill j�I�j I � `illtf� f�llL �I��1� Doc ID: 031009070003 Typo: CRP Recorded: 02/16/2018 at 01:21:23 PH Fee Amt: $4,428.00 Pape 1 of 3 Revenue Tax: 54.400.00 workflows 0000454443-0001 Buncombe County. NC Drew Reisinger Register of Deeds BK5637 P01235-1237 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax:$4,400.00 Parcel Identifier No.9639-52-8980-00000 Verified by County on the day of ,20 By. Mail/Box to: David E.Matney,M.PO Box 7345,Asheville,NC 28802 This instrument was prepared by: Peter U.Kanipe•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. No } title examination performed by deed preparer. PUK File:71170.16 Brief description for the Index• THIS DEED made this day of February,2018,by and between GRANTOR GRANTEE Carol E.Banks,unremarried widow of Parks B. Riverview Community,LLC,A North Banks,Deceased,individually,and as Carolina limited liability company Administratrix of the Estate of Parks B.Banks, Deceased PO Box 387 932 Hendersonville Road,Suite 201 Barnardsville,NC 28709 Asheville,NC 28803 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 Buncombe County,North Carolina and more particularly described as follows: SEE ATTACHED EXHIBIT A INCORPORATED HEREIN Book: 5637 Page: 1235 Seq: 1 3ook•5637 Page' 1235 Page 1 of 3 Page2ot3 L The property hereinabove described was acquired by Grantor through the Estate of Parks Brown Banks filed in Buncombe County Clerk of Court file 17 E 1768.For title reference,see Book 4992,Page 1102, Buncombe County Registry. All or a portion of the property herein conveyed does not include the primary residence of a Grantor. • 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 has done nothing to impair such title as Grantor received,and Grantor will warrant and defend the title against the lawful claims of all persons claiming by,under or through Grantor,other than the following exceptions: SUBJECT to easements,restrictions,rights of way(s)of record,and ad valorem taxes IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. //Li> - (SEAL) Carol E.Banks,unremarried widow of Parks B.Banks,Deceased, individually and as Administratrix of the Estate of Parks B.Banks State of a)tirY^ C',rei,+a, _County of �, M,a,Le I,the undersigned Notary Public of the County and State aforesaid,certify Carol E.Banks,unremarried widow of Parks B.Banks,Deceased,individually and as Administratrix of the Estate of Parks B. Banks,personally appeared before me this day and acknowledged the due and voluntary execution of the foregoing instrument for the purposes therein expressed. {{' Witness my hand and Notanal stamp or seal this l9 day of February,2018. My Commission Expires: c/v Notary Public (Affix Seal) PeAser1) �»;fie. Notary's Printed or Typed Name perm U.KAMM NrAILSTATE OFNOR R cAnoum auNCOMBECOUNTY PdY COMMISSION EXPM E4 e&q'i,ap ip Book: 5637 Page: 1235 Seq:2 Book:5637 Page 1235 Page 2 of 3 Page 3 of 3 EXHIBIT A BEING all of that certain 23.240 acre,more or less,parcel of property identified"Egghead Enterprises,LLC"as shown on a Plat recorded in the Buncombe County,North Carolina Register of Deeds Office,said Plat recorded at Plat Book 92,at Page 111,reference to which Plat is hereby made for a more particular description of said Lot. Book: 5637 Page: 1235 Seq:3 Book:5637 Page: 1235 Page 3 of 3 State of North Carolina • Department of Environmental Quality Division of Water Resources SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE INSTRUCTIONS FOR FORM:PNOCF 01-16 Division of Water Resources I. EXISTING PERMITTEE INFORMATION: RECE VED/DENpJ®wR 1. Permittee's name Parks Banks 2. Signature authority's name:Parks Banks per 15A NCAC 021.0106(b) APR - 2 20U6 3 Signature authority's title: Owner Water Resources Permitting Section 4. Permittee's mailing address:PO Box 387 City:Barnardsville State:NC Zip:28709- 5. Permittee's contact information: Phone number:(305)978-9053 Fax Number( )— Email Address:ban887@aol.com IL APPLICANT INFORMATION: 1. Applicant's name.River Oak Community LLC/George Morosani 2. Signature authority's name:George Morosani per 15A NCAC 02T.0106(b) 3. Signature authority's title:Owner 4. Applicant's mailing address:932 Hendersonville Rd Suite 201 City-Asheville State:NC Zip•28803- 5. Applicant's contact information: Phone number:(828)274-4111 Fax Number( ) Email Address. ewjm@aol.com 6. Representative's name. George Morosani 7. Representative's title Owner 8. Representative's contact information Phone number:(828)274-4111 Fax Number( )_- Email Address: III. PERMIT INFORMATION: 1. Existing permit number:WCSD0247 and most recent issuance date: 2. Reason for the permit application:Change of Ownership If other, attach detailed explanation 3 Has the facility been constructed? ®Yes or❑No 4. Has the facility been certified per ISA NCAC 02T.0116? ®Yes or❑No FORM:PNOCF 01-16 Page 1 of 2 IV. C ER ID!CATIONS: Existing Permittee's Certification per 15A NCAC 02T.0106(b): r) I, (. cxV-h 1 1.:>c,r, KS attest that this application (Signature Authority's name&title from Application Item L2&3) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief;and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit be violated. I also understand that if all required parts of this application are note completed and that Wall required supporting information and attachments are not included,this application will be returned to me as incomplete NOTE-- In accordance with General Statutes 143-215.6A and 143-215.613,any person who knowingly makes any false statement, representation. or certification in any application package shall be guilty of a Class 2 misdemeanor,which may include a fine not to exceed$10,000�as_well as civil penalties up to$25,000 per violation_ Signature. ( (.r -I /3(�✓ h _--------- Date: 2/J'7// $ Applicant's Certification per 15A NCAC 02T.0106(h): I, C -4,r4.e 1/1/A c,ry SG.n; attest that this application (Signature Authority's name&title from Application Item II2&3.) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after issuance of the permit into the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non- discharge ondischarge system to surface waters or the land may result in an enforcement action that may include civil penalties,injunctive relief, andlor criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application package are not completed and that if all required supporting information and attachments are not included,this application package will be returned to me as incomplete. NOTE—In accordance with General Statutes 143-215.6A and 143-215.68, any person who knowingly m. ;s any false statement, representation,or certification in any application package shall be guilty of a CIass 2 misdemeanor,which =+ay include a fine not to exceed$10,000 as well as civil penalties up to$25,000 per violation r • -7 • Signature: _ — Date: • L FORM:PNOCF 01-16 Page 2 of 2 BOOK 3145 PAGE 85 (3) 875959 all 111 This document presented and filed: 12/20/2017 04:55:15 PM WB WILLIAM LEE KING,Henderson COUNTY,NC Transfer Tax:$4,800 00 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax:84,800.00 Parcel Identifier No.9641-12-0358 Verified by � ! County on the day of ,20 By: ��/ MaillBox to: David E.Matney,III.PO Box 7345,Asheville,NC 28802 This instrument was prepared by: Peter U. Kanipe. 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. No title examination performed by deed preparer. PUK File: 71170.16 Brief description for the Index: THIS DEED made this day of December,2017,by and between GRANTOR GRANTEE Carol E.Banks,unremarried widow of Parks B. River Oak Community,LLC,A North Banks,Deceased,individually,and as Carolina limited liability company Administratrix of the Estate of Parks B.Banks, Deceased PO Box 387 ; 932 Hendersonville Road,Suite 201 Barnardsville,NC 28709 , Asheville,NC 28S03 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 Henderson County, North Carolina and more particularly described as follows: SEE ATTACHED EXHIBIT A INCORPORATED HEREIN Book 3195 Page 86 The property hereinabove described was acquired by Grantor through the Estate of Parks Brown Banks filed in Buncombe County Clerk of Court file 17 E 1768 and Henderson County Clerk of Court 17 E 1124.For title reference,see Book 1209,Page 297,Henderson County Registry. All or a portion of the property herein conveyed does not include the primary residence of a Grantor. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all pnvileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee,that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by,under or through Grantor,other than the following exceptions: SUBJECT to easements,restrictions,rights of way(s)of record,and ad valorem taxes. IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. 0- 6 (SEAL) Carol E. L auks,unremarried widow of Parks Banks,Deceased, individually and as Administratrix of the Estate of Parks B.Banks State of !.iorVIA C rt) my, -Cotmtyof 6v4itit I,the undersigned Notary Public of the County and State aforesaid,certify Carol E. 'ranks,unremarried widow of Parks B. Banks, Deceased, individually and as Administratrix of the Estate of Parks B. Banks,personally appeared before me this day and acknowledged the due and voluntary execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this 20'1', day of December,2017. ter My Commission Expires: 11`_ Notary Public (Affix Seal) Notary's Printed or Typed Name mill IJ.iiANIPH NOTARY PUBLIC NORTH CAROLINA BU'NCOMBC COUNTY UV COMMISSION EXPIRES Qg 08.2019 Book 3145 7( �y Page 87 E l�1ii itlIT A BEING all of the following described piece or parcel of land lying and being situated in the Town of Mills River, Henderson County, North Carolina: BEGINNING at an iron pin in the Southern margin of Mills River Road (NC 191) over a culvert, said iron pin being the Northeastern corner of that certain tract of land described in a deed from Esther Lander Williams, widow, et al. to James E. Guenther et ux, Mary V. Guenther, recorded in Deed Book 634, Page 722, Henderson County Registry; and thence along and with the property of Van Wingerden Inc. South 33° 45' West 408.45 feet to an iron pin; thence continuing with the Van Wingerden Inc. property,North 86°26'West 696.16 feet to an iron pin;thence North 4°03'East 377.70 feet to an iron pin; thence continuing with Van Wingerden line North 4° 03'East 469.61 feet to an iron pin in the Southern margin of the pavement of the aforesaid Mills River Road; thence continuing with the Southern margin of the pavement of Mills River Road five calls as follows: South 59° 20'East 162.14 feet to an iron pin; South 59° 01' East 252.05 feet to an iron pin; South 57° 34' East 122.37 feet to an iron pin; South 56° 16'East 248.38 feet to an iron pin; South 55° 57' East 237.22 feet to the point of BEGINNING. BEING the identical property described in deed dated December 15, 2004 from Brown-Byrd Enterprises, Ltd. to Parks B. Banks recorded in Book 1209,at Page 297. TOGETHER,without warranty, all of Grantor's right, title, and interest in and to the following tract: BEGINNING at a 1" bolt located at or near the southern margin of the paving of N.C. Hwy 191, said bolt being located South 48° 56' 22" East 210.85 feet (ground distance) from N.G.G.S. "BAD DOG", having NAD '83(2001) coordinates N=613087.91 feet, E=940604.48 feet, CF=0.99978022; and proceeding along or near said margin of said paving South 57° 57' 25" East 162.14 feet to a point; South 57°38' 25"East 252.05 feet to a point; South 56° 11' 25"East 122.37 feet to a point; South 54° 53' 25" East 248.38 feet to a point; South 54° 34' 25" East 237.46 feet to a point in the centerline of a culvert under said Hwy,in the line of property now or formerly of Van Wingerden International, Inc. described in deed recorded in Book 537, at Page 649; thence with the line of said Van Wingerden tract, South 35° 03' 04" West(passing through an iron pipe at 201.69 feet)408.78 feet to a point;North 85° 02' 29" West 125.23 feet to an iron pipe, corner of property now or formerly of Tri-Hishtil Real Estate, LLC as shown on Plat Slide 9328; thence with the Tri-Hishtil line,North 85° 02' 29" West 570.93 feet to an iron pipe;North 05° 25' 35" East (passing through the northeast corner of the Tri-Hishtil property, and another corner of the Van Winkerden tract at 642.78 feet) 847.42 feet to the point and place of BEGINNING, containing 11.725 acres more or less, and being more particularly shown on that certain plat or map entitled `Parks B. Banks" dated 12-12-17, and prepared by Eric S. McAbee, PLS as Project# 12324,reference to which is hereby made for a more particular description. 4838-3617-4425,v 1