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HomeMy WebLinkAboutNCC240886_FRO Submitted_20240327 FINANCIAL RESPONSIBILITY/OWNERSHIP FORM EROSION & SEDIMENTATION CONTROL LNo person may initiate any land-disturbing activity on one or more acres, '/2 acre or more inside a watershed, as covered by the Sedimentation Pollution Control Act and the Iredell County Land Development Code, before an acceptable erosion and sedimentation control plan has been submitted and approved by the Iredell County Planning & Development, Erosion Control Section. (Please type or print) Part A. 1. Project Name Marble Road Building 1 2. Location of land-disturbing activity: County Iredell City or Township Statesville Highway/Street Marble Road Latitude 35D/47'56" N Longitude 80D/56'53" W 3. Approximate date land-disturbing activity will commence: 3/1/24 4. Purpose of development(residential,commercial,industrial,institutional,etc.): Light Industrial 5. Total acreage disturbed or uncovered(including off-site borrow and waste areas): 7.00 6. Amount of fee enclosed: $ 1225.00 . An application fee of$175.00 per acre(rounded up to the next acre)is assessed without a ceiling amount (Example: a 8.10-acre application fee is $1575). For projects > than 0.5 acres but no greater than 0.99 acres in a water supply watershed,a flat fee of$100.00 is assessed. 7. Has an erosion and sediment control plan been filed? Yes No Enclosed XX 8. Person to contact should erosion and sediment control issues arise during land-disturbing activity: Name Joe Hyde E-mail Address joehyde@bellsouth.net Telephone 704-201-9935 Cell# Same Fax# 9. Landowner(s)of Record (attach accompanied page to list additional owners): 1 Source Properties, LLC 704-201-9935 Name Telephone Fax Number 387 Wood Bridge Same Current Mailing Address Current Street Address Statesville, NC 28625 City State Zip City State Zip 10. Deed Book No. 3011 Page No. 1387 Provide a copy of the most current deed. Part B. 1. Person(s)or firm(s)who are financially responsible for the land-disturbing activity(Provide a comprehensive list of all responsible parties on an attached sheet): 1 Source Properties, LLC joehyde@bellsouth.net Name E-mail Address 387 Wood Bridge Same Current Mailing Address Current Street Address Statesville, NC 28625 City State Zip City State Zip Telephone 704-201-9935 Fax Number Page 1 of 2 2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the designated North Carolina Agent: Name E-mail Address Current Mailing Address Current Street Address City State Zip City State Zip Telephone Fax Number (b)If the Financially Responsible Party is a Partnership or other person engaging in business under an assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible Party is a Corporation, give name and street address of the Registered Agent: Name of Registered Agent E-mail Address Current Mailing Address Current Street Address City State Zip City State Zip Telephone Fax Number The above information is true and correct to the best of my knowledge and belief and was provided by me under oath (This form must be signed by the Financially Responsible Person if an individual or his attorney-in-fact, or if not an individual, by an officer, director, partner, or registered agent with the authority to execute instruments for the Financially Responsible Person). I agree to provide corrected information should there by any change in the informajon provided herein. Type or p / Title or Authority e�� _LIJI 3/2/ oui Sign Date Ol 411 I, a Notary Public of the County of State of North Carolina, hereby certify that de appeared personally before me this day and being duly sworn acknowledged that the above form � was executed by him. Witness my hand and notarial seal,this day of 1 OSCA) ,20 aiA ?O oPALf n dw 'ad Notary Seal OD -My commission expires - z0°A•t oft ��°'e,$L t CO.,```4� /1i11� Page 2 of 2 Type: CONSOLIDATED REAL PROPERTY Recorded: 8/22/2023 2:17:10 PM Fee Amt: $626.00 Page 1 of 3 Revenue Tax: $600.00 Iredell County, NC Renee L. Holland Register of Deeds BK 3011 PG 1387 - 1389 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: $600.00 Parcel Identifier No.4725-21-2483.000 Verified by County on the_day of ,20__ By: Mail/Box to: Benbow,Davidson and Martin,P.C.,309 Davie Avenue,Statesville,NC 28677 This instrument was prepared by: Luke S.Mattin,Attomey at Law Brief description for the Index: THIS DEED made this 1st day of September ,2023,by and between GRANTOR GRANTEE Stanley L.Bost,single 1 SourcePropetties,LLC 528 E.Acadia Point 387 Wood Bridge Rd Aurora,OH 44202 Statesville,NC 28625 Enter in appropriate block for each Grantor and Grantee: name.mailing address,and,if appropriate,character of entity,e.g. corporation or partnership. 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,parcel of land or condominium unit situated in the City of Concord Township, Iredell County. North Carolina and more particularly described as follows: Parcel if:4725-21-2483.000 PropertyAddress:12.785 acres Marble Road,Statesville,NC 28625 See ExhibitA The property hereinabove described was acquired by Grantor by instrument recorded in Book 1807 page 670 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 property is recorded in Plat Book page Page I of 2 NC Bar Association Form No. 3®1976,Revised CI 1977,2002,2013 This standard form has been approved by: Printed by Agreement with the NC Bar Association-1981 North Carolina Bar Association-NC Bat Form No.3 Submitted electronically by "Benbow & Martin, PC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Iredell County Register of Deeds. Book:3011 Page: 1387 Page 1 of 3 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: IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of today d year first• ye written. (SEAL) (Entity Name) Print/Type : Stanley L.Bost By: (SEAL) Print/Type Name&Title: Print/Type Name: By: (SEAL1 Print/Type Name&Title: Print/Type Name: By: (SEAL) Print/Type Name&Title: Print/Type Name: State of County or City of I,the undersigned Nora r Public of the County or City of fra. Tr%and State aforesaid,certify that t Stanley L.Bost personally appeared before me this day and acknowledged ctu S .ZL- execution Augustof the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this � y of 20 JJ Brooke Swortzentru • My Commission Expires: Ord-I 7'2 n •; -A Notary fit,Blatt mY Do (Affix Seat) _/,; commissionLazy Public may 1r 2026 o ry'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 or seal this clay of 20 . 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 came before me this day and acknowledged that he is the of ,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 day of ,20V. My Commission Expires: Notary Public (Affix Seal) Notary's Printed or Typed Name Page 2 of 2 NC Bar Association Form No.3®1976.Revised 0 1977,2002,2013 This standard form has been approved by: Printed by Agreement with the NC Bar Association-1981 North Carolina Bar Association-NC Bar Form No.3 Book:3011 Page:1387 Page 2 of 3 EXHIBIT A Parcel#: 4725-21-2483.000 Property Address: 12.785 acres Marble Road, Statesville, NC 28625 BEGINNING at a point in the center of the right of way of SR 1515, commonly referred to as Marble Road, said point being located North 06 deg 28 min 47 sec East 30.00 feet from an existing iron pin in the Southern margin of said road and in the line of Harold A. Anderson (see deed book 833, page 603 ICR); and running thence from the point of Beginning with the centerline of Marble Road, South 60 deg 57 min 14 sec East 31.20 feet to a point; South 70 deg 05 min 54 sec East 50.88 feet to a point; South 76 deg 46 min 59 sec East 52.17 feet to a point; South 80 deg 11 min 55 sec East 77.96 feet to a point; South 82 deg 12 min 32 sec East 126.91 feet to a point; South 83 deg 55 min 46 sec East 184.70 feet to a point and South 84 deg 54 min 08 sec East 107.58 feet to a point and the new common corner with Patricia Bost Moore; running thence with the new line of Patricia Bost Moore, South 06 deg 28 min 46 sec West(passing through an iron pin set at 30.00 feet) 760.28 feet to an iron pin set in the line of Nora Woods Daniels(see deed book 1147 at page 445 ICR); thence with the line of Daniels, South 74 deg 31 min 31 sec West 676.09 feet to an existing iron pin in the common corner with Harold A. Anderson(see deed book 833 at page 603 ICR); running thence with the line of Anderson, North 06 deg 28 min 47 sec East(passing through an existing iron pin at 1006.64 feet) 1046.46 feet to the point and place of BEGINNING, containing 12.785 acres, more or less, all according to a survey prepared by Joseph W. Raymer, RLS L-3298. The above described property being the identical property conveyed to Stanley L. Bost by general warranty deed recorded in Deed Book 1807, Page 670, Iredell County Registry. Book:3011 Page: 1387 Page 3 of 3