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HomeMy WebLinkAboutNCG551058_Owner Name Change_20180820 ROY COOPER =1-- ' '1 (7over;ior ? .;,:41 MICHAEL S. REGAN t' . v. t s Jec;etw 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 n18 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] ----.f"-Nothing. Co mpares'...i......_. State of North Carolina I Enviionmental Quality 1611 Mail Service Centel I Raleigh,Notth Carolina 27699-1611 919-707-9000 •21`, :'" ',77',°7',77,7`y�=, .,s.'3,717-T `7 : 3 �r,.. ,».� -,w -r,F7; -"..,,yk�'-",„, . �''7ye"&x„Z '-�-+',r. -•-+t 1 ur .,, v. =sa�i� >_ .. �^`_3 ., _ ,.�;"a3�._. .. 7>,»..,. _ fa�sr--T',r"„d�`,.E.�aab.r �k'ic ��-ft^�i.Jc.., a���,.1 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 _ ;gip,--- pv✓;,,3=, - r."`�2 xfg,w`.;;w: n .,,ss'.. .,a:i • 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.