HomeMy WebLinkAboutNCG551058_Owner Name Change_20180820 ROY COOPER
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? .;,:41 MICHAEL S. REGAN
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Water Resources LINDA CULPEPPER
Envunnmenhil Quaitly bite;mi Du-cc-tor
PERMIT NAME/OWNERSHIP CHANGE FORM
L CURRENT PERMIT INFORMATION:
Permit Number: NC00 / / / / or NCG5 / / / /
1. Facility Name: (3 I7 ( y�I� f'
Discharging single family f cility's please se street ad ress or Mame All other facility's use the actual facility name
2. Facility Address awl-yin Ni 7 7 I 7.„
_____________
— -- H. NEW OWNER/NAME INFORMATION:
®EO®\NR
1. Tis request for a name change is a result of. gEcE1vEDI
a Change in ownership of property/company MIG 0
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b Name change only Water Ftesour+n
Perml�rmg
c. Other(please explain)
2. ew owner's name (name to be put on permit).
atiYA 4taArloav& 3 pc nce{
3 New owner's or signing official's name and title: Ada TVI -'v -FarboYA *met--
(Person legally responsible for permit)
(Title)
4 Mailing address. 13 13--q-- in-C,, ,-,I City: f1/.111G1AV✓1
State N C Zip Code:gq_l_ Phone: (YjL_ ) 2.._q—690'
E-mail address: 7X7,Vi96 VCN, i YIDDV'e, L_cLYdrri,i/i c8frM
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL 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]
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State of North Carolina I Enviionmental Quality
1611 Mail Service Centel I Raleigh,Notth Carolina 27699-1611
919-707-9000
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Applicant's Certification:
I, A dRY\ 1 /-6m/1jGVY�L 5peoce,v , 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 be returned asincomplete:— —
Signature: . �� ��' , � Date:
Vi 5
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
11/2017
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•
Book8380 - Page492 Page 1 of 3
For Registration Snaron A Davis
Register of Deeds
Durham Ccunty, NC
Electronically Recorded
2018 Mar 12 04 04 PM NC Rev Stamp:S 400 00
Bock 8380 Page: 492 Fee:$ 26 00
Instrxnert Number 2018008036
DEED
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $400.00
Parcel Identifier No. 179843 Verified by County on the day of ,20
By:
Mail/Box to: Tile Fife Law Firm. PA 8366 Six Forks Rd.,Ste. 104, Raleigh,NC 27615
This instrument was prepared by: The Fife Law Firm,PA, 8366 Six Forks Rd.. Ste. 104. Raleigh,NC 27615
Brief description for the Index: LOT Prop Atkins SC,
THIS DEED made this 9th day of March .2018 ,by and between
GRANTOR GRANTEE
Allied Investors Group,LLC Adam Spencer,and spouse
4905 Green Road,Suite 107A Barbara Spencer
Raleigh,NC 27616 1317 Infinity Rd
Durham, NC 27712
Enter in appropriate block for each Grantor and Grantee: name,mailing address,and,if appropriate,character of entity,e.g.
corporation or piutnership.
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 Giantee,the receipt of which is hereby acknowledged,bas and by
these presents does grant,bargain,sell and convey unto the Grantee in fee simple,all that certain lot,parcel of land or condominium unit
situated in the City of Durham Township, Durham County,
North Carolina and more particularly described as follows:
See attached Exhibit"A".
•
The property hereinabove described was acquired by Grantor by instrument recorded in Book 8273 page 8
All or a portion of the property herein conveyed includes or X does not include the primary residence of a Grantor.
A map showing the above described propel ty is recorded in Plat Book 56 page 60 ,
Page 1 of 2
NC Bar Association Form No. 3 1976,Revised V 1977,21102,2013 This sLinclard form has been approved by:
Printed by Agreement with the NC Bar Association—1981 North Caroline Bar Association—NC Bar Form No.3
submitted electronically by "The Fife Law Firm, PA"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Durham County Register of Deeds.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in tee
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:
..01111111194,
eie C "Ii
Rpf
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and nit'km above writtao
Z,Nib 0
4314/4'
Allied Investors Group, LLC SEAL
,
(Entityp.tre7r Print/Type Naine:••
z•
3.,
(SEAL)
s4 4 4.
Print/Type Name&Title: Steve Swanger Print/Type Name: ..
00'4*
Member/Manager
41,111010"
By: (SEAL)
Print/Type Name&Title: Print/Type Name:
By: (SEAL)
Print/Type Name& intirype Name:
State of -County or City of
I,the undersigned Notary Public of the County or City of and State aforesaid.certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of
My Commission Expires: Notary Public
(Affix Seal) Notary's Printed or Typed Name
State of -County or City of
I,the undersigned Notary Public of the County or City of and State aforesaid,certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp of seal this day of
,20
My Commission Expires: _ Notary Public
(Affix Seal) Notary's Printed or Typed Name
State of North Carolina -County or City of.
I,the undersigned Notary Public of the County or City of citrxin and State aforesaid,certify that
Steve Swanger personally came before me this day and acknowledged that
_he is the Member/Manager of Allied Investors Group. LLC ,a North Carolina or
corporation/limited liability company/general partnership/limited partnership(strike through the
inapplicable),and that by authority duly given and as the act of such entity,_he signed the foregoing instrument in its name on its
behalf as its act and deed. Witness my hand and Notarial stamp or seal,this .M1 day of March .2018
.
.•-
My Commission Expires: \•Os:,•"...sakct *la • ••• AV Notary Public
(Affix Seal) Notary's Printed or Typed Name
Page 2 of 2
NC Bar Assoetatton Form No. 1976.Revised I)1977.21X12 2011 This standard form has been approved by
Printed by Agreement with the NC Bar Assoetation—1981 North Carolina Bar Association—NC Bar Pot rn No 3
.t (
Exhibit"A"
-BEGINNING AT A STAKE IN THE PROPERTY LINE OF THE NORTHERN SIDE OF INFINITY ROAD,
THE SOUTHWEST CORNER OF E.L. HAYES AND RUNNING THENCE ALONG AND WITH THE
PROPERTY LINE ON THE NORTHERN SIDE OF INFINITY ROAD SOUTH 89 DEG.40'WEST 150 FEET
TO A STAKE, DERRICK HUMPHREY'S SOUTHEAST CORNER; THENCE ALONG AND WITH
HUMPHREY'S EASTERN LINE NORTH 4 DEG.48' EAST 292.13 FEET TO A STAKE; THENCE SOUTH
88 DEG.27'EAST 150 FEET TO A STAKE IN HAYES'WESTERN LINE;THENCE ALONG WITH HAYES
WESTERN LINE SOUTH 4 DEG. 53' WEST 287.25 FEET TO A STAKE, THE POINT AND PLACE OF
THE BEGINNING AND BEING .98 OF AN ACRE, MORE OR LESS, AND BEING THE PROPERTY OF
S.C. ATKINS AS PER PLAT AND SURVEY THEREOF BY CREDLE ENGINEERING COMPANY DATED
JULY 1964 AND NOW ON FILE IN THE OFFICE OF THE REGISTER OF DEEDS OF DURHAM COUNTY
IN PLAT BOOK 55 AT PAGE 60, TO WHICH REFERENCE IS HEREBY MADE FOR A MORE
PARTICULAR DESCRIPTION OF SAME.