NC0040355_Owner Name Change_20180605

ROBERTS & STEVENS, P.A.
PO Box 7647
Asheville,NC 28802
Writer's Direct Telephone•828/210-6844
Writer's Direct Facsimile. 828/210-6554
Writer's E-mail. [e-mail]
TRANSMITTAL FORM
TO: NC DEQ/DWR/NPDES
1617 Mail Service Center
Raleigh,NC 27699-1617
FROM: Sarah Hayden, Legal Assistant to William Clarke REcEAVE®I®ENRIOR
RE: Permit Name Change/Ownership Change Form JUN Q 7 201B
DATED: June 5, 2018 Water ReSS cion
permitting
Enclosed please find a fully executed Permit Name/ Ownership Change Form for Springdale
Country Club WWTP (Permit Number NC0040355) and a copy of the recorded deed showing
the transfer of ownership to Springdale Golf Partners, LLC.
Please do not hesitate to contact our office if you have any questions or concerns.
Thanks,
Sarah Hayden
R&S 2033107_1

ROY COOPER
AmtsTiz
MICHAEL S. REGAN
14 Mir
LINDA CULPEPPER
Waver Resources frn,l4a ve,t{x
ENVIRONMENTAL OUAL1TY
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC0040355
1. Facility Name: Springdale Country Club WWTP
II. NEW OWNER/NAME INFORMATION: - - --
1. This request for a name change is a result of: 'tka
-Cr.
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): Springdale Golf Partners, LLC
3. New owner's or signing official's name and title: Michael W. Boss
President
4. Mailing address: 223 Fairway Terrace City: Canton
State* NC Zip Code: 28716 Phone. [phone]
E-mail address. michaelboss63Cp?gmail.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]
R&S 1978202_1 '/

i
NPDES Name&Ownership Change
Page 2 of 2
Applicant's Certification:
I, Michael W. Boss, 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 bereturned as
incomplete.
�/7 ZA/8
Signature: = 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
R&S 1978202_1

Instrument# 2018002553 Book 948 Page 1255
.MEW FOR TAX USTING
14160Pr.gto63-(4_ 77IIIIIIIIDIIIIIIIIIIIJIIIJIIUIOII11IU
BY 2018002553
:?ATE HAYWOOD CO,NC FEE$26 00
STATE OF NC REAL ESTATE EXTX
$4200.00
PRESENTED d RECORDED
03-28-2018 03:23:02 PM
SHERRIC ROGERS
REGISTER OF DEEDS
BY STACY C MOORE
ASSISTANT
BK: RB 948
PG: 1255-1262
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $4,200.00
Parcel Identifier No.
Mail/Box to: Roberts&Stevens,P.A., P.O. Box 7647,Asheville,NC 28802
This instrument was prepared by: Lyman J. Gregory, III, a licensed North Carolina 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
Brief description for the Index:
THIS DEED,made this the Atkiiday oft44,rcl\ ,2018 ,by and between:
GRANTOR GRANTEE
Royal Oaks, Inc., a North Carolina corporation Springdale Golf Partners,LLC,a North
Route 2,Box 202 Carolina limited liability company
Canton,NC 28716 223 Fairway Terrace
Canton,NC 28716
For tax information purposes only:All or a
portion of the property herein conveyed
includes or X does not include the primary
residence of a Grantor.
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 East Fork
Township,Haywood County,North Carolina and more particularly described as follows:
R&S 1988041_1

Instrument# 2018002553 Book 948 Page 1256
Tract No. 1 -Parcel No. 1 is PIN 8663-48-7535 (being approximately 162.41 acres);
Parcel No.2 is PIN 8664-62-7574(being approximately 211.00 acres);and, Parcel No.
3 is PIN 8663-39-2550(being approximately 15.68 acresI
BEING all of the real property conveyed to Royal Oaks, Inc., a North Carolina
corporation by Deed dated January 15, 1968, and recorded in Deed Book 223,
Page 561, in the Haywood County Registry,which has not heretofore been
conveyed, consisting of the Golf Course and remaining adjoining undeveloped
property and shown in part on that plat recorded in Plat Cabinet C at Slot 1333.
Tract No. 2—PIN 8663-39-7611
BEGINNING at a point in center of the right of way for Country Club Drive,
Southwest corner of 4.42 acre tract conveyed by Royal Oaks,Inc.to Tingle by
deed recorded in Deed Book 325,Page 269, and runs N. 39 deg.2 min. 6 sec. W.
(passing a concrete marker at 30 feet, and passing center of a 15 foot utility
easement at 161.06 feet, 317.11 feet to a concrete marker;thence N. 38 deg.2
min. 53 sec. W.. 310.15 feet to a concrete marker; thence N. 62 deg. 5 min. 15
sec. E. 142 feet to a stake in Easterly margin of a 15 foot utility easement; thence
with said margin of said easement S. 38 deg. 32 min. 28 sec. E. 612.89 feet to a
railroad spike in center of right of way for country Club Drive;thence with center
of said right of way S. 56 deg. 18 min.48 sec. W. 140 feet to the BEGINNING,
containing 2.01 acres, as shown on survey and plat dated December 19, 1983,
revised July 18, 1991, Drawing No. 831446138FRED8664 by Keith Gibson,
R.L.S.
SUBJECT TO A 15 foot utility easement,the Easterly margin of which runs with
the entire Easterly line of the above-described tract.
SUBJECT TO an additional 15 foot utility easement,the center line of which is
described as follows: BEGINNING at a point located S. 38 deg. 32 min.28 sec.
E. 359.28 feet from the Northeast corner of the above-described 2.01. acre tract,
and runs S.2 deg. 11 min.38 sec. W. 33.78 feet;thence S. 26 deg. 34 min. 52 sec.
W. 131 feet to a point in the Westerly line of the above-described tract.
BEING ALSO all of the property described in that deed recorded in Book 419 at
Page 887, Haywood County Registry.
Tract No. 3—PIN 8663-69-7823
BEING all of that parcel labeled,"Common Area,"and shaded with cross-
hatching of Section A of Springdale Estates Subdivision as shown on that plat
recorded in Map Book K at Page 55,Haywood County,NC Registry,reference to
which plat is hereby made for a more particular description of said parcel.
R&S 1988041_1

Instrument# 2018002553 Book 948 Page 1257
Tract No. 4—PIN 8663-68-1526
BEING all of Lot F of Section 1 of Springdale Country Cottages as shown on that
plat recorded in Map Book N at Page 107, Haywood County,NC Registry,
reference to which plat is hereby made for a more particular description of said
parcel.
Tract No. 5—PIN 8663-58-9567
BEING all of the parcel labeled, "Parking&Green Area,"of Section 1 of
Springdale Country Cottages as shown on that plat recorded in Map Book N at
Page 107,Haywood County,NC Registry,reference to which plat is hereby made
for a more particular description of said parcel.
Tract No. 6—PIN 8663-68-1612
BEGINNING at the northwest corner of Lot A as shown on a plat of Section 1 of
Springdale County Cottages,recorded in Map Book N at Page 107,Haywood
County Registry; and runs thence with the western line of said Lot A South 01
deg. 59 min. 15 sec. East 97.04 feet to the southwest corner of said Lot A;thence
with the southern line of said Lot A North 80 deg. 48 min. 20 sec. East 76.23 feet
to the common southern corner of Lots A and B of said plat;thence with the
southern line of said Lot B the following two courses and distances(1)North 87
deg. 30 min. 50 sec.East 45.85 feet, and(2)North 74 deg. 38 min. 05 sec. East
33.85 feet to the common southern corner of Lots B and C of said plat;thence
with the southern line of said Lot C the following two courses and distances: (1)
South 82 deg. 37 min.45 sec. East 35.16 feet, and(2)North 69 deg.27 min. 55
sec. East 34.31 feet to the southeastern corner of said Lot C in the eastern line of
Lot D of said plan;thence with the eastern line of said Lot D South 06 deg. 52
min. 15 sec. East 36.50 feet to the northernmost corner of Lot H of said plat;
thence with the northern line of said Lot H the following two courses and
distances: (1) South 69 deg. 13 min. 50 sec. West 22.53 feet, and(2) South 84
deg. 52 min. 55 sec.West 40.54 feet to the common northern corner of Lots H
and G of said plat;thence with the northern line of said Lot G South 78 deg.27
min. 20 sec. West 58.14 feet to the common northern corner of Lots G and F of
said plat; thence with the northern line of said Lot F the following two courses
and distances: (1) South 75 deg. 12 min.20 sec. West 39.41 feet,and(2)North 69
deg. 51 min. 45 sec. West 24.31 feet to the common northern corner of Lots F and
E of said plat; thence with the northern line of said Lot E North 87 deg. 32 min.
55 sec.West 74.23 feet to the northwestern corner of said Lot E in the eastern
eastern line of a parcel labeled,"Parking&Green Area,"as shown on said plat;
thence with the eastern line of said"Parking&Green Area"North 06 deg. 40
min. 34 sec. West 125.00 feet to the southwestern corner of Lot L-7-A as shown
on the plat recorded in Plat Book K and Page 55, said Registry,in the centerline
of Club Drive; thence with the common southern line of said Lot L-7-A and the
R&S 1988041_1

Instrument# 201.8002553 Book 948 Page 1258
centerline of Club Drive North 89 deg. 19 min. 31 sec. East 39.82 feet to the point
and place of BEGINNING,being labeled,"Common Area."
Tract No. 7—PIN 8663-68-1422
BEGINNING at the northwest corner of Lot L as shown on a plat of Section 1 of
Springdale County Cottages,recorded in Map Book N at Page 107,Haywood
County Registry; and runs thence with the northern line of said Lot L the
following two courses and distances: (1)North 85 deg. 44 min. 55 sec. East 57.79
feet, and(2)North 77 deg. 18 min. 35 sec.East 76.75 feet to the southwestern
corner of Lot K of said plat; thence with the western line of said Lot K North 15
deg. 54 min. 35 sec.West 39.66 feet to the southeastern corner of Lot J of said
plat; thence with the southern line of said Lot J South 77 deg. 01 min. 50 sec.
West 66.71 feet to the common southern corner of Lots J and I of said plat;thence
with the southern line of said Lot I South 86 deg. 45 min. 25 sec.West 61.50 feet
to the southwestern corner of said Lot I in the eastern line of a parcel labeled,
"Parking&Green Area,"as shown on said plat;thence with the eastern line of
said"Parking&Green Area" South 06 deg.40 min. 34 sec.East 41.08 feet to the
point and place of BEGINNING.
Tract No. 8—PIN 8663-58-7534
BEING all of that property shown on the plat recorded in Plat Cabinet C at Slot
532, as subsequently amended by plats recorded in Plat Cabinet C at Slot 1955,
Plat Cabinet C at Slot 2027, and Plat Cabinet C at Slot 2635; and also includes
those Common Areas shown on the plat recorded in Plat Cabinet A at Slot 106-A,
LESS AND EXCEPTING the six units shown on the plat recorded in Plat Cabinet
C at Slot 2635,the five lots shown on the plat recorded in Plat Cabinet A at Slot
106-A, and those tracts conveyed to The Golfwatch Townhomes Property Owners
Association by deeds recorded in Book 416 at page 1417,and in Book 472 at
page 2251.
Tract No. 9—PIN 8663-68-6329
BEING all of that parcel shown on plats recorded in Plat Cabinet C at Slot 904,
and Plat Cabinet C at Slot 907,LESS AND EXCEPTING the common area
conveyed by deed to the Springdale Townhomes Property Owners Association,
Inc.,dated April 3, 1990,and recorded in Deed Book 407 at page 1076; and,
LESS AND EXCEPTING Units A-1 through A-4, as shown on the above-
referenced plats; and, LESS AND EXCEPTING Unit A-5 as shown on.the plat
recorded in Plat Cabinet C at Slot 2010,all of record in the Haywood County,NC
Registry,reference to which plats is hereby made for a more particular description
of said parcel,said remaining property being all of Units A-6,A-7,A-8, and A-9
of the Springdale Townhomes as shown on the above referenced Plats.
R&S 1988041_I

Instrument# 2018002553 Book 948 Page 1259
•
Tract No. 10—PIN 8663-58-7775 and PIN 8663-58-5791
BEING all of two unlabeled lots located in the southwest corner of Section A of
Springdale Estates Subdivision recorded in Map Book K at Page 55,Haywood
County Registry, the southern line of which lots runs with the centerline of Club
Drive,reference to which plat is hereby made for a more particular description.
The northern line of PIN 8663-58-7775 abuts the southern line of Lot 3 of Section
A of Springdale Estates Subdivision recorded in Map Book K at Page 55.
Tract No. 11 —PIN 8664-61-5334
BEING all of Lot 4 of Section I of Springdale Estates Subdivision as shown on
that plat recorded in Plat Cabinet C at Slot 3667,Haywood County,NC Registry,
reference to which plat is hereby made for a more particular description of said
parcel.
Tract No. 12—PIN 8664-61-2673
BEING all of Lot 5 of Section I of Springdale Estates Subdivision as shown on
that plat recorded in Plat Cabinet C at Slot 3667,Haywood County,NC Registry,
reference to which plat is hereby made for a more particular description of said
parcel.
Tract No. 13—PIN 8664-41-0589
BEING all of Lots L-1-G and L-2-G of Section G of Springdale Estates
Subdivision as shown on that plat recorded in Map Book M at Page 8,Haywood
County,NC Registry,reference to which plat is hereby made for a more particular
description of said parcel.
Tract No. 14—PIN 8664-51-8123
BEING all of Lot L-2-E of Section E of Springdale Estates Subdivision as shown
on that plat recorded in Map Book M at Page 7, Haywood County,NC Registry,
reference to which plat is hereby made for a more particular description of said
parcel.
Tract No. 15—PIN 8664-71-4151
BEING all of Lot L-24-D of Section D of Springdale Estates Subdivision as
shown on that plat recorded in Plat Book M at Page 43, LESS AND EXCEPTING
that portion conveyed by deed dated March 29, 1995, and recorded in Book 446 at
Page 1681, all in the Haywood County Registry.
R&S 1988041_1

Instrument# 2018002553 Book 948 Page 1260
Tract No. 16-PIN 8664-71-6441
BEING all of Lot L-22-D of Section D of Springdale Estates Subdivision as
shown on that plat recorded in Map Book M at Page 43, Haywood County,NC
Registry,reference to which plat is hereby made for a more particular description
of said parcel.
Tract No. 17—PIN 8664-70-8332
BEING all of Lot L-8-D of Section D of Springdale Estates Subdivision as shown
on that plat recorded in Map Book M at Page 43,Haywood County,NC Registry,
reference to which plat is hereby made for a more particular description of said
parcel.
Tract No. 18—PIN 8664-71-5236
BEING all of Lot L-23-D of Section D of Springdale Estates Subdivision as
shown on that plat recorded in Map Book M at Page 43,Haywood County,NC
Registry,reference to which plat is hereby made for a more particular description
of said parcel.
Tract No. 19—PIN 8664-71-9630
BEING all of Lot L-19-D of Section D of Springdale Estates Subdivision as
shown on that plat recorded in Map Book M at Page 43, Haywood County,NC
Registry,reference to which plat is hereby made for a more particular description
of said parcel.
Tract No. 20—PIN 8663-69-9793
BEING all of that parcel labeled,"New Common Area(For Drainage and
Utilities) 0.164 Acre Portion L-26-A,"as shown on that plat titled, "Property of
Royal Oaks, Inc.,"recorded in Plat Cabinet C at Slot 4124,Haywood County,NC
Registry,reference to which plat is hereby made for a more particular description
of said parcel.
Tract No. 21 -PIN 8663-79-2827
BEING all of that parcel labeled,"0.038 Acre Portion L-27-A(223/561)To Be
Combined With Watring Property,"as shown on that plat titled,"Property of
Royal Oaks, Inc.,"recorded in Plat Cabinet C at Slot 4124,Haywood County,NC
Registry, reference to which plat is hereby made for a more particular description
of said parcel.
R&S 1988041_1

Instrument# 2018002553 Book 948 Page 1261
Tract No. 22-PIN 8663-69-9762
BEING all of that parcel labeled,"0.016 Acre Portion L-26-A(223/561)To Be
Combined With Bell Property,"as shown on that plat titled,"Property of Royal
Oaks, Inc.,"recorded in Plat Cabinet C at Slot 4124,Haywood County,NC
Registry,reference to which plat is hereby made for a more particular description
of said parcel.
And any other property owned by Royal Oaks,Inc.in Haywood County not
described herein which would be disclosed by an accurate survey.
The property hereinabove described was acquired by Grantor by instrument recorded in Book
223 at Page 561;Book 419 at Page 887,as to Tract 2; and,Book 507 at Page 363, as to Tract 4.
A map showing the above described property is recorded in Plat Book , Page
• 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 premises in fee simple,
has the right to convey the same in fee simple,that title is 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,other than the following exceptions:
Easements,restrictions,and rights-of-way of record;utility lines in existence over
and under subject property; ad valorem taxes for the year 2018, which shall be
prorated at closing, and for subsequent years.
IN WITNESS WHEREOF,the Grantor has hereunto set his hand and seal the day and
year first above written.
Royal Oaks, Inc.
By: ms's e•
Eunice Tingle, NAdent
R&S 1988041_1

, R __
Instrument# 2018002553 Book 948 Page 1262
STATE OF k)C., , COUNTY OF ?t+.nc&,artlru>_
I, %dug, Oe,��� beiNA , a Notary Public for said County and State, do hereby
certify that Eunice Tingle personally came before me this day and acknowledged that he/she is
President of Royal Oaks, Inc. a corporation,and that he/she, as President being authorized to do
so, executed the foregoing on behalf of the corporation. Witness my hand and official seal,this
the a1,a'^day of ANNCUPAN , 2018.
Date: 3ta2 ka Official Signature of Notary uL. -.
Notary's printed or typed name \I AThemese
My commission expires: a t'a%tai.
PLACE NOTARIAL SEAL HERE
pENIES�O,�.
11
NOTARY�'9Gcn
•
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R&S 1988041_1