NCC242236_FRO Submitted_20240724

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 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 Hidden Forest subdivision - Forcemain
2. Location of land-disturbing activity: County Franklin City or Township N/A
Hicks Rd (SR1125) 36°19'37.18"N 78°34'6.04„W
Highway/Street Latitude degrees) Longltude(decimal degrees)
3. Approximate date land-disturbing activity will commence:June 1 , 2024
4. Purpose of development(residential, commercial, industrial, institutional, etc.):Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 5.0
6. Amount of fee enclosed: $$500 . 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 0 Enclosed El No ❑
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Wesley Smith E-mail Address wesley.smith C' lennar.Com
Phone: Office# [phone] Mobile# [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Hidden Forest LLC
Name Phone: Office# Mobile#
1032 Hidden Jewel Lane 1032 Hidden Jewel Lane
Current Mailing Address Current Street Address
Wake Forest NC 27587 Wake Forest NC 27587
City State Zip City State Zip
10. Deed Book No.2274 Page No. 1404 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).
Lennar Carolinas, LLC [e-mail]
Company Name E-mail Address
1100 Perimeter Park Drive Suite 112 same
Current Mailing Address Current Street Address
Raleigh NC 27560
City State Zip City State Zip
Phone: Office# 919-236-3052 Mobile#
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:
N/A
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)
(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:
Robert Smart [e-mail]
Name of Registered Agent E-mail Address
1100 Perimeter Park Dr Suite 112 1100 Perimeter Park Dr Suite 112
Current Mailing Address Current Street Address
Morrisville NC 27560 Morrisville NC 27560
City State Zip City State Zip
Phone: Office# 919-465-5900 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.
Robert Smart Vice President
Type or ri na l Title or Authority
Signat re Date
, a Notary Public of the County of
State of North Carolina, hereby certify that 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 day of , 20
Notary
My commission expires

Continued from Items 9 & 10 in Part A of the Financial Responsibility/Ownership Form for multiple
owners. Attach copies of this page as needed to list all landowners.
Landowner 2 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 3 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 4 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 5 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.

Continued from Item 1 in Part B of the Financial Responsibility/Ownership Form for multiple parties.
Attach copies of this page as needed to list all financially responsible parties.
Company 2 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 3 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 4 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 5 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#

BK 2274 PG 1404 - 1407 (4) DOC# 10051142
This Document eRecorded : 10/14/2021 02 : 40: 03 PM
Fee: $26. 00 Tax: $0. 00
Franklin County, North Carolina
Brandi Smith Brinson , Register of Deeds
This instrument prepared by: Kimberly P. Thomas, a licensed North Carolina attorney.
Delinquent taxes, if any, to be paid by the closing attorney to the county tax collector upon disbursement of
dosing proceeds.
RETURN TO & PREPARED BY: Warren, Shackleford & Thomas, P.L.L.C.,
343 S. White Street, Wake Forest, NC 27587
TAX IDENTIFICATION #: 006775 REVENUE STAMPS $ 0.00
NORTH CAROLINA GENERAL WARRANTY DEED
This deed made this 14th day of October, 2021 by and between:
GRANTOR; LEELAN MARK WOODLIEF and wife, KIM CALDWELL WOODLIEFI
LARRY JOSEPH WOODLIEF and wife, LUCIA MERRITT WOODIEF and
CONNIE WOODLIEF MOREADITH, unmarried ass as Heirs JOINED BY
LARRY JOSEPH WOODLIEF AND CONNIE WOODLIEF MOREADITH as Co-Executors
of the ELLEN N. WOODLIEF ESTATE, 20E511
GRANTEE: HIDDEN FOREST, LLD
1032 Hidden Jewel Lane, Wake Forest, NC 27587
Grantor, for valuable consideration paid by Grantee, receipt of which is hereby acknowledged, does grant, convey
and transfer unto Grantee in fee simple the property described as follows:
TOWNSHIP OF YOUNGSVILLE, COUNTY OF FRANKLIN
SEE EXHIBIT A LEGAL DESCRIPTION ATTACHED HERETO AND INCORPORATED HEREIN BY
REFERENCE
The above property was acquired by Grantor by instrument recorded in Estate File No 20E511 , Franklin County.
submitted electronically by "warren , shackleford & Thomas , P . L . L . C . "
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Franklin County Register of Deeds .

BK 2274 PG 1405 DOC# 10051142
AU or a portion of the property herein conveyed _ includes or XX does not include the primary residence of a
Grantor.
TO HAVE AND TO HOLD the above described property and all privileges and appurtenances thereto belonging
to the Grantee in fee simple.
Grantor covenants with 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 to the property against the lawful claims of all others except for the exceptions set out below.
Title to the property described herein is subject to the following exceptions:
1 . Subject to Easements and Restrictions of record.
IN WITNESS WHEREOF, Grantor has set his hand and seal: or if corporate, has caused this instrument to be
signed in its corporate name by a duly authorized officer.
ittovAilreiTAINIFIZ40%,
Apittiffi/ WITIRLy
iFFE AN MA"' OODLIEF
) !
tC105661A1/NA. / / /
IP
IF
KIM CALDWELL WOODLIEF ,,---
I / / ,
4 Ile , 2. " 64111111101
L as;011 Air EPH-1 OODLIEF door
i / e
"AA II Ai -if 101
Ir dr A MERRITT WSODLIEF
r4.1.0
A •J V O. dill 4AtaUJ
C ! NNIE WOODLIEF MOREAri
I
I
f 1
t
ki Jr 4 ' 1 J
` J • "' PH OODLIEF, as • 1--cutor
t
AlL1 . I .l tit ALJ I h1tAJ CON IE WOODLIEF MODI . , as co-Execu or

BK 2274 PG 1406 DOC# 10051142
STATE OF NORTH CAROLINA, COUNTY OF WAKE
I, KIMBERLY P. THOMAS, a Notary Public for the County of Franklin and State of North Carolina, certify that
LEELAN MARK WOODLIEF and KIM CALDWELL WOODLIEF personally appeared before me this day and
acknowledged the execution of the foregoing instrument.
Witness myhand and official stampor seal this the dayof October 2021 _ *�`, itiito/o1",•
--z!':'41Z- 1- A ' =
j- ' .__
otary Public -
s _
My Commission Expires:res June 30, 2026 . P / B0-
-
4RR1
,,f 4 IN O o'
STATE OF NORTH CAROLINA, COUNTY OF WAKE
I, KIMBERLY P. THOMAS, a Notary Public for the County of Franklin and State of North Carolina, certify that
LARRY JOSEPH WOODLIEF and LUCIA MERRITT WOODLIEF personally appeared before me this day and
acknowledged the execution of the foregoing instrument.
Witness my hand and official stamp or seal, this the day of October, 2021 . %s`' P `°°
/Ve, "Nii k\S ‘##I#
Z. -N\*? 0 TA /91), V:::
eAllIPOr E \4 .
► rti li e
My Commission Expires: June 30, 2026 B L\
ti
'10 °A1# COS ' `
STATE OF NORTH CAROLINA, COUNTY OF WAKE ' I ' I r I i l i t“
I, KIMBERLY P. THOMAS, a Notary Public for the County of Franklin and State of North Carolina, certify that
CONNIE WOODLIEF MOREADITH personally appeared before me this day and acknowledged the execution of
the foregoing instrument. ,, i i i iir r i r
f .
N%‘ \Y P r lr%
Witness my hand and official stamp or seal, this the day of October, 2021 . ,z.‘` f
1/#1.
ff -.. ‘ O T4 Tr)..-4-1
...40011111...›.$°. .
.7.
„iioi l tary Publi - * '6C1 0 Z.
MyCommission E ires: 30 2026
Expires: June
14A/- .4C o
441441100
STATE OF NORTH CAROLINA, COUNTY OF WAKE
I, KIMBERLY P. THOMAS, a Notary Public for the County of Franklin and State of North Carolina, certify that
LARRY JOSEPH and CONNIE WOODUEF MOREADITH, as Co-Executors personally appeared before me this
day and acknowledged the execution of the foregoing instrument.
"'Pilo-- tototiii,,ti
�� o;LY P ,#,
Witness my hand and official stamp or seal, this the _IL. day of October, 2021 , ,,4 °If
z.::: \A 0 T A ri)....
i +!
dig di IPIP. -
400110
CCU �
My Commission Expires: June 30, 2026 {
°I.Iffitt/4 COOA‘NN

BK 2274 PG 1407 DOC# 10051142
EXHIBIT "A"
LEGAL DESCRIPTION OF THE LAND
Franklin County Tax Parcel # 1863 -3935 as described below:
AU that certain tract of land containing 46. 3 acres, more or less,
known as the S. C. Holden Place in Youngsville Township, Franklin
County, North Carolina located on the Old Franklinton-Yonogsville
Public road three and one-half miles East from Youngaville, North
Carolina, bounded on the forth by lands of Docia Holden, on the East and
South by lands of R. C♦ Underwood and on the Wrest by lands of E. C.
Underwood and E. H. Utley, described as follows:
I. _ • _
i
BEGINNING in the center of the road from Franklinton to !ousels, a
,rock on the East side , Docia Holding' s and E. H. Utley' s corner; thence
along Docia Holding' s line, South 81 degrees 25 minutes East 729 .3 feet
to an oak, R. C. Underwood' s corner in Docia Holding' s line; thence
along Underwood 's lire `South 7 degrees 25 minutes West 2394 .8 feet to a
pine, Underwood' s corner thence along Underwood' s line North 74 degrees .
36 minutes West /119.0 feet to a cedar, Ur erwood 's corner; thence along
Underwood ' s line North 7 degrees 25 minutes East 743 . 8 feet to a stake,
Under wood's corner in E. E. Utley's line; thence along Utley' s lino
South 07 degrees 30 minutes Eesi 301 . 7 feet to a rock In ' the center of
the old road from Franklinton to Toun8aville, Utley's corner; peace
along the said old road, North 5 degrees 45 minutes East 211 . E feet;
North 3 degrees 25 minutes East 600.0 Pest; North 0 degrees 25 minutes
East 572. 0 feet; North 1 degree 35 minutes East 217 . 1 .fest to ` the
beginning., containing 46, 3 acres , more or less . See deed recorded in
Book 364 , Page 493. Franklin County Registry . •