NCC241525_FRO Submitted_20240520

Check if this project is ❑
Attach a copy of the Letter of Intent to Fund
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land-disturbing activity on one or more acres as covered by the Act, including any
activity under a common plan of development of this size as covered by the NCGO1 permit, before this form
and an acceptable erosion and sedimentation control plan have been completed and approved by the Land
Quality Section, N.C. Department of Environmental Quality. Submit the completed form to the appropriate
Regional Office. (Please type or print and, if the question is not applicable or the e-mail address or phone
number is unavailable, place N/A in the blank.)
Part A.
1. Project Name Peachtree Townhomes
*If this project involves American Rescue Plan Act (ARPA) funds, list the Project Name or Project
Number(e.g., SRP-D-ARP-0121) below under which you were approved for funding through the
Division of Water Infrastructure (DWI).
2. Location of land-disturbing activity: County Cabarrus City or Township Concord
Highway/Street Peachtree Ave. Latitude(decimal degrees)35.419 Longitude(decimal degrees) 80.592
3. Approximate date land-disturbing activity will commence: 7/29/23
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 3.1 2ac
6. Amount of fee enclosed: $400.00 . The application fee of$100.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: 8.10-acre application fee is $900).
Checks should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes ❑ Enclosed I] No ❑
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name�k e(I4e/ E-mail Address t@'1cW140-,cklf 14,47c.r1•na4 S •uJ/"
Phone: Office# R)/A Mobile# q 'SZ t (-1
9. Landowner(s)of Record (attach accompanied page to list additional owners):
l e crelvertvy C5tAi,--P, Lt_L 1oy-7U-8ggg apt-95-3-512-1-/
Name 'tor,ehe,l 1 -r oiu►,ns ` C-oke is.11-,u.CPPhone: Office# Mobile #
So 7 i e . / 1V ) cu.-at I 02
Current Mailing Address Current Street Address
City State Zip City State Zip
10. Deed Book No. -72112 Page No. 6'2 Co 2 Provide a copy of the most current deed.

Part B.
1. Company(ies)who are financially responsible for the land-disturbing activity (Provide a comprehensive list
of all responsible parties on accompanied page.) If the company is a sole proprietorship or if the landowner(s)is
an individual(s), the name(s) of the owner(s) may be listed as the financially responsible party(ies).
ni
l i1 C Cr i v y Ce,•t t a�-d� i .1 C A mq Sp r✓��S wt.orri S off Company Name / E-mail Address
4741S -►-arse S�• NN�, Sir e /02
Current Mailing Address Current Street Address
1
City State Zip City State Zip
Phone: Office # 7otf"7g4-eg`104 Mobile# 70q-qS-3-5.921/-
Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form
the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation
control plan and to conduct the anticipated land disturbing activity.
2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
Jof v, 14XcI 5 /'Vl o✓✓t,
Name of Registered Agent E-mail Address
So-wx t. a S 0 6o.(Q.
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Name of Individual to Contact (if Registered Agent is a company)
(b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina agent who is registered on the NC Secretary of State business registry:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office # Mobile #
Name of Individual to Contact(if Registered Agent is a company)

(c) If the Financially Responsible Party is engaging in business under an assumed name, give name under
which the company is Doing Business As. If the Financially Responsible Party is an individual, General
Partnership, or other company not registered and doing business under an assumed name, attach a copy
of the Certificate of Assumed Name.
Company DBA Name
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(s)
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 Party). I agree to provide
corrected information should there be any change in the information provided herein.
JDI1n FLGc.r✓(r5 rhvYv►`S0,A it IAme-r
Type or print name Title or Authority
Signa t re r Date
llANA\ , a Notary Public of the County of ..ar
State of North Carolina, hereby certify that, \\ '..i 6i$ ,S& 11A appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him/her.
Witness my hand and notarial seal, this 3 I day of , 20313
•
4`.••• Notary
o
OlARY aq
— My commission expires N � 3;
gRRUS C0\

7z
0262 482,06
CABARRUS COUNTY
FILED
12/27/2006 1:31 PM
LINDA F. MCABEE
Regist gt Deeds
By. Deputy/Asst.
EXCISE AX $2150.00
NORTH CAROLINA
GENERAL WARRANTY DEED
Excise Tax: $2,150.00 Recording Time,Book and Page:
Tax Map No. Parcel Identifier No: 5621-81-7353
Mail after recording to: Anne W.Morrison, PO Box 145,Concord,NC 280260145
This instrument was prepared by: Anne W.Morrison
THIS DEED made this 27th day of December , 2006 by and between
GRANTOR
Barwick& Associates,LLC,a North Carolina limited liability company and,Southern Holdings, LLC,a North Carolina
limited liability company
GRANTEE
Coke Is It,LLC,a North Carolina limited liability company
Property Address: 363 N.Church Street,Concord,NC 28027
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
and more particularly described as follows:
Being all of that certain tract or parcel of land located in the City of Concord,No. 12 Township,Cabarrus County,North
Carolina,and being more particularly described as follows:
BEGINNING at a concrete nail in the curb on the westerly margin of US Highway 601 Business/NC Hwy 73,also known as
North Church Street(public right Of way varies)where said road intersects the northwestern margin of Peachtree Avenue
NW(public right of way varies),said nail being further located at coordinates N=611,528.97'and E=1,526,358.35',and
runs thence with the northwestern margin of Peachtree Avenue NW S.54-16-04 W. 536.29 feet to a flat iron in the
southeasternly corner of the property of Marshall A.goldston,Jr.and wife(now or formally)described in Deed Book 211
Page 320 of the Cabarrus County Public Registry;thence with the easternly line of Goldston N.32-58-37 W. 123.95' to an
existing iron pin in the northerly corner of Goldston;thence with th northerly line of Goldston and continuing with the
northerly lines of Robert L Hartsock and wife(now or formally)described in Deed Book 591 Page 25 aforesaid Registry,
Robert E.Burrage and wife(now or formally)described in Deed Book 2280 Page 204 aforesaid Registry,Kenneth Leon
Jarrett(now or formally)described in Deed Book 1432 page 167 aforesaid Registry S.55-06-23 W.315.54 feet to an

7242 1,G4,c; fd i
2f1
0263
exisiting iron pin; thence with a portion of the westerly line of Robert E. Burrage and wife(now or formerly)described in
Deed Book 1432 Page 167 aforesaid Registry S.32-58-37 E.8.40 feet to a point in the easterly line of Clarence H.Heglar
and wife(now or formally)described in Deed Book 287 Page 231 aforesaid Registry; (hence with Heglar's northerly line S.
55-06-23 W.59.51 feet to an exisiting iron pin#5 rebar in the easterly line of Clarence Harris Heglar and wife(now or
formally)described in Deed Book 532 Page 90 aforesaid Registry; thence with the easterly line of Heglar N.33-19-55 W.
43.90 feet to a 1" rod in the northernmost corner of Heglar;thence with the northerly line of Heglar S.56-29-21W.60.00
feet to a 1"rod;thence with a portion of the westerly line of Heglar S.33-19-56 E.49.59 feet to a 1" rod in the
northernmost corner of Robert E.Burrage and wife(now of formally)described in Deed Book 3109 Page 304 and Deed
Book 1318 Page 309 aforesaid Registry; thence leaving said Heglar line and running with the northerly line of Burrage S.
56-05-52 W.60.00 feet to a#5 rebar;thence with the westerly line of Burrage S.39-19-56 E. 120.00 feet to a#5 rebar in the
northern margin of Peachtree Avenue NW;thence with the northern margin of said Peachtree Avenue NW S.56-25-20 W'.
59.88 feet to a#5 rear;thence with the easterly line of Robert E.Burrage and wife(now or formally)described in Deed
Book 1340 Page 187 aforesaid Registry N.33-19-56 W. 100.59 feet to a#5 rebar in the northernmost corner of Burrage;
thence with the northernly line of Burrage S.51-40-22 W. 66.46 feet to a half-inch rod in the easterly margin of North
Spring Street(public right of way varies); thence with the easterly margin of North Spring Street N.37-01-08 W.75.27 feet
to a point which said point is N.44-37-05 E.2.13 feet from a 1" rod within said right of way;thence continuing with the
easterly margin of North Spring Street N.39-15-34 W.49.74 feet to a#5 rebar in said margin; thence with the southerly
line of Bennie Wayne Brewer(now or formally)described in Deed Book 332 Page 96 aforesaid Registry and Richard M.
Harvell and wife(now or formally)described in Deed Book 616 Page 199 aforesaid Registry and Share-A-Little Missions,
Inc.(now or formerly)described in Deed Book 206 Page 118 aforesaid Registry N.56-20-15 E 255.98 feet to 1" rod;thence
with the easterly line of Share-A-Little Missions Inc.N.32-10-31 W.75.00 feet to a#5 rebar;thence running with the
southerly lines of Gerald Lamar Wagoner Jr.(now or formerly)described in Deed Book Page 620 Page 332 aforesaid
Registry.Melvin Orvil Whitley and wife(now or formerly)described in Deed Book 1465 Page 285,David A.Maness and
wife(now or formerly)described in Deed Book 313 Page 223 aforesaid Registry,Hubert H.farmer and wife(now or
formally)described in Deed Book 420 Page 410 aforesaid Registry,Stanley B.Carpenter and wife(now or formally)
described in Deed Book 3712 Page 281 aforesaid Registry,Robert E.Burrage and wife(now or formerly)described in Deed
Book 2473 Page 299 aforesaid Registry N.55-52-03 E.566.53 feet(total)to a set iron pin in the southeastern corner of said
Robert E. Burrage,Sr.property;thence with easterly line of Burrage N. 19-58-37 W. 135.21 feet,passing a set iron pin at
5.00 feet,to an existing iron pin#5 rebar in the southerly margin of St.Mary Avenue(public right of way varies);thence
with the southerly margin of St.Mary Avenue N.55-52-21 E.342.26 feet to a#5 rebar in concrete in the westerly margin of
US Highway 601 Business/NC Highway 73,also known as North Church Street; thence with the westerly margin of US
Highway 601 Business/NC Highway'73,also known as North Church Street S.28-54-12 E.405.82 feet to the Point and
Place of Beginning,containing 6.726 acres as shown on the boundary and topographic survey by Concord Engineering&
Surveying,Inc.dated May 23,2003 and entitled "Boundary and Topographic Survey for Property of Armellini Express
Lines,Inc.",to which reference is hereby made for a more complete description.
Save and Except Being all of that 0.552 acre lot described as the new lot shown on the map recorded in Map Book 47 at
Page 89 entitled minor subdivision plat of Southern Holdings LLC and Barwick& Associates,LLC recorded in the
Cabarrus County Public Registry.
Subject to Easement for Access recorded in the Cabarrus County Public Registry,Book 6283 Page 347.
All or a portion of the property hereinabove described was acquired by Grantor by instrument recorded in Book ,Page ,
County Registry.
A map showing the above described property is recorded in Plat Book 47 ,Page 89 ,and referenced within this instrument.
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 except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:

7242 •, Book i 242 i-el;t 264
0264
Easements,Restrictions and Rights of Way of Record.
IN WITNESS WHEREOF,the Grantor has hereunto set his hand and seal,or if corporate,has caused this instrument to be
signed in its corporate name by its duly authorized officer(s),the day and year first above written.
Barwick&Associates,LLC,a North Carolina Southern Holdings, LLC, a North
limited liability company Carolina limited liability
CO ny (SEAL)
By: 41111//' �!/��YJ �tcc BY t
(SEAL)
Name/fitle. . .� lrc.t7• �
'471 NAme/Title:
By: �aat ,4. tnr:l�uw.� t •it gi i./ (SEAL)
Title.
STATE OF NORTH CAROLINA
COUNTY OF CABARRUS��`` "�
I Atg.,E 1K.��1C `` ��'ii Notary Public of the aforesaid County and State, certify that
1214.1c Q iota,CJc_ , being personally known to me or by satisfactory evidence proven
to be, personally came before me this day and acknowledged that he is the Member/Manager of
01111 0 0k-wick & Associates, LLC, a North Carolina limited liability company, and that being
� - . • . R•
sized to do so, voluntarily executed the foregoing instrument on behalf of the company for
th pittoses therein expressed.
'r• NOTARY •
* * *WitiiesCby hand and official stamp or seal,this Z/lit day of December,2006.
KWIC •
•
I111 Notary Public 1` 1\(, ( ISC
My commission expires:'. <217rg
(Seal)
STATE OF NORTH CAROLINA
COUNTY OF CABARRUS
I Sa Notary Public of the aforesaid County and State, certify that
tr. R. & uAND _, being personally known to me or by satisfactory evidence proven
to be, personally came before me this day and acknowledged that he is the Mena /Manager of
Southern Holdings, LLC, a North Carolina limited liability company, and that being authorized to
do so, voluntarily executed the foregoing instrument on behalf of the company for the purposes
therein expressed.
Witness by hand and official stamp or seal,this '2' 1..clay of December,2006.
0‘11 11/1I/
NOTARY = Notary Public ptiNtsia \N
* * d 1v font:Mission expires: x.,,tt 47CO21
''`���1�I11C1111 �`

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