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NCC243482_FRO Submitted_20241113
Mecklenburg County Soil Erosion and Sedimentation Control Ordinance Financial Responsibility/Ownership Form C� No person shall initiate any land-disturbing activity covered by Section 6 of the Mecklenburg County, Mint Hill or Davidson Sedimentation and Erosion Control Ordinances prior to completing and filing this form with Mecklenburg County Land Use and Environmental Services. The financially responsible party will be on record as the party to accept any Notices of Violation or related documents for any non-compliance with the above Ordinances. If the financially responsible party is out of State, a North Carolina agent must be assigned. Please Type or Print PART A 1. Project where land-disturbing activity is to be undertaken: Mayes Meadow 2. Address of land-disturbing activity: 12411 Mayes Road, Huntersville, NC 28078 3. Approximate date land-disturbing activity will commence: August 01 2024 Month Day Year 4. Purpose of development(Residential, Commercial, Industrial, etc.): Residential 5. Approximate acreage of land to be disturbed or uncovered: 60.0 6. Total site acreage: 91.81 7. Landowners of record(use blank pages to list additional owners as necessary): Owner#1 Name: Key Cog Holdings NC II, LLC Address: 4108 Park Road, Suite 413, Charlotte, NC 28209 Telephone: (980) 269-6609 Fax: Email Address: kfenn@keystonecustomhome.com Owner#2 Name: Address: Telephone: Fax: Email Address: 8. Indicate Book and Page where the deed or instrument is filed(use blank pages to list additional deeds or instruments as necessary): Book 38515 Page 39 Book 38513 Page 748 Book 38513 Page 754 Book 38513 Page 751 (continue on back or separate pages as necessary) Form Revised 12-2016 Continue - Financial Responsibility/Ownership Form PART B 1. Person(s) or firm(s)financially responsible for this land-disturbing activity: Person or Firm: Key Cog Holdings NC II, LLC Address: 4108 Park Road, Suite 413, Charlotte, NC 28209 Telephone: (980) 269-6609 Fax: Email Address: kfenn@keystonecustomhome.com 2. North Carolina agent for the person or firm who is financially responsible: Person or Firm: Key Cog Holdings NC II, LLC c/o Keith Fenn Address: 4108 Park Road, Suite 413, Charlotte, NC 28209 Telephone: (980) 269-6609 Fax: Email Address: kfenn@keystonecustomhome.com 3. The above information is true and correct to the best of my knowledge and belief and was provided by me while under oath. (This form must be signed by the financially responsible person if an individual or by an officer, director, partner, attorney-in-fact, or other person with authority to execute instruments for the financially responsible company or entity, if not an individual.) Alan Banks Manager Printed Name Title Signature Dat I, -` ) 11 . 4 , a Notary Public of the County off i i , State of 1" , hereby certify that fl� 01. personally appeared before me this day and under oath acknowledged that this form was executed by him/her. Witness my hand and notarial,seal, this. ,� ;`day of e , '1�-heir , 20 . �'A `i Notary Signature { t My Commission expires: J, r , - , }} t Mecklenburg County Land Use and Environmental Services Agency 2145 Suttle Ave. Charlotte,NC 28208-5237 KATHLEEN GILLETTE Phone(980)314-3234 Notary Public aittNisn Co,,North cart Tina l Y coi-i fission Expires+ ot.29,2024 B38513 - P 748 For Registration Fredrick Smith Register of Deeds Mecklenburg County, NC Electronically Recorded 2023 Dec 01 04:26 PM RE Excise Tax: $ 610.00 Book: 38513 Page: 748 - 750 Fee: $ 26.00 Instrument Number: 2023113157 ilukri NORTH CAROLINA SPECIAL WARRANTY DEED Excise Tax: $610.00 Parcel Identifier No.: 00755105 Mail/Box to:Costner Law Office, PLLC, 10735 David Taylor Dr, Ste 200,Charlotte,NC 28262 This instrument was prepared by: Costner Law Office, PLLC, 10735 David Taylor Dr,Ste 200,Charlotte,NC 28262 Brief description for the Index: Mayes Meadow, Tract 1B THIS DEED made this 151 day of December, 2023, by and between GRANTOR GRANTEE George C. Mayes,Jr., and wife, Mary A. Mayes Key Cog Holdings NC II, LLC,a North Carolina limited liability company 12415 Mayes Road Huntersville,NC 28078 4108 Park Road, Suite 413 Charlotte,NC 28209 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 or parcel of land situated in Mecklenburg County,North Carolina and more particularly described as follows: Being all the land known as Tract 1B(1.955 Acres) as shown on the map entitled "Recombination Plat—Mayes Meadow" recorded in Plat Book 73 at Page 104 in the Mecklenburg County,North Carolina,Public Registry. The property hereinabove described was acquired by Grantor by deed recorded in Book 7670, Page 656. All or a portion of the property herein conveyed does include the primary residence of a Grantor. A map showing the above-described property is recorded in Map Book Map Book 73, Page 104. I of3 NC Bar Association Form No.6© 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No.6 Printed by Agreement with NC Bar Association- North Carolina Association of Realtors,Inc.-Standard Form 6 Submitted electronically by "costner Law office, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Mecklenburg County Register of Deeds. B38513 - P 749 TO HAVE AND TO HOLD the aforesaid lot or parcel of land and ail privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than the following exceptions: All taxes for the year 2023 and subsequent years, not yet due and payable; all easements, restrictions, and covenants, zoning matters, subdivision ordinances,and all other matters of public record; and all matters that would be shown on a current and accurate survey of the property. [The remainder of this page is left intentionally blank.A signature page follows.] 2 of 3 NC Bar Association Form No.6® 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No.6 Printed by Agreement with NC Bar Association— North Carolina Association of Realtors,Inc.-Standard Form 6 B38513 - P 750 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. GRANTOR: George C. Mayes, Jr d"." nr Mary . y s State of North Carolina-County of `-'114._t.tktQ.4-16-4.4.. 1.) I, v ClAr\S rG_ L '11A,5 , the undersigned Notary Public, certify that George C. Mayes, Jr., and wife, Mary A. Mayes, personally appeared before me this day and signed the foregoing instrument for the purposes therein stated. Witness my hand and Notarial stamp or seal,this t`''/- day of DeGcp,,h{r ,2023. My Commission Expires: q -4- Z-o2-4 yow ilirrr,i, Nota rc ,%.\c\W::..t:. Ve ..;,zr-''' '''. '' NOTAR .71-(0.0....::.• PUBLIC 'v` 1trr1t0 3 of 3 NC Bar Association Form No.6 0 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No.6 Printed by Agreement with NC Bar Association— North Carolina Association of Realtors, Inc. -Standard Form 6 B38513 - P 751 For Registration Fredrick Smith Register of Deeds Mecklenburg County, NC Electronically Recorded 2023 Dec 01 04:26 PM RE Excise Tax: $ 0.00 Book: 38513 Page: 751 - 753 Fee: $ 26.00 Instrument Number: 2023113158 NORTH CAROLINA NON-WARRANTY DEED Excise Tax: $0.00 Parcel Identifier No.: p/o 00755101, 00755105 Mail/Box to:Costner Law Office, PLLC, 10735 David Taylor Dr, Ste 200, Charlotte,NC 28262 This instrument was prepared by: Costner Law Office, PLLC, 10735 David Taylor Dr, Ste 200,Charlotte,NC 28262 Brief description for the Index: Mayes Meadow, Tract 1 THIS DEED made this 1st day of December, 2023, by and between GRANTOR GRANTEE George C. Mayes, Jr.,and wife,Mary A. Mayes Key Cog Holdings NC II, LLC, a North Carolina limited liability company 12415 Mayes Road Huntersville,NC 28078 4108 Park Road, Suite 413 Charlotte,NC 28209 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 or parcel of land situated in Mecklenburg County,North Carolina and more particularly described as follows: Being all the land known as Tract 1 (92.582 Acres) as shown on the map entitled "Recombination Plat—Mayes Meadow" recorded in Plat Book 73 at Page 104 in the Mecklenburg County,North Carolina,Public Registry. The property hereinabove described was acquired by Grantor by deed recorded in Book 7670, Page 656. All or a portion of the property herein conveyed does not include the primary residence of a Grantor. A map showing the above-described property is recorded in Map Book 73, Page 104. NC Bar Association Form No. 6© 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No.6 Printed by Agreement with NC Bar Association- North Carolina Association of Realtors,Inc. -Standard Form 6 Submitted electronically by "Costner Law Office, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Mecklenburg County Register of Deeds. B38513 - P 752 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. Grantor makes no warranty, express or implied,as to title to the property hereinabove described. ** No consideration or money is being paid for this deed, and as such, this conveyance is exempt from excise tax in accordance with N.C.G.S. 105-228.29(6). ** [The remainder of this page is left intentionally blank.A signature page follows.] NC Bar Association Form No.6© 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No.b Printed by Agreement with NC Bar Association— North Carolina Association of Realtors,Inc.-Standard Form 6 B38513 - P 753 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. GRANTOR: George C. Mayes,Jr. a/k6/ 66 (X . ary A. y s State of North Carolina—County of st-YLc.e.XLL.X....—.-4? I, ,aur ,&rr, L Kr,- , the undersigned Notary Public, certify that George C. Mayes, Jr., and wife, Mary A. Mayes, personally appeared before me this day and signed the foregoing instrument for the purposes therein stated. Witness my hand and Notarial stamp or seal,this 1 day of ppte yrrbe,Y ,2023. My Commission Expires: 9,1 - Z-0 2.4 . `ti v i i i i#,,, Nota , ic ``y lr, _ _ NOTARY...:f`V......PUBO i_., ".-_- %ylFNBURG�� iitiffillON NC Bar Association Form No. 6© 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No.6 Printed by Agreement with NC Bar Association- North Carolina Association of Realtors, Inc.-Standard Form 6 B38513 - P 754 For Registration Fredrick Smith Register of Deeds Mecklenburg County, NC Electronically Recorded 2023 Dec 01 04:26 PM RE Excise Tax: $ 14969.00 Book: 38513 Page: 754 - 756 Fee: $ 26.00 Instrument Number: 2023113159 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: $14,969.00 Parcel Identifier No.: p/o 00755101 Mail/Box to:Costner Law Office, PLLC, 10735 David Taylor Dr, Ste 200, Charlotte,NC 28262 This instrument was prepared by: Costner Law Office, PLLC, 10735 David Taylor Dr, Ste 200,Charlotte,NC 28262 Brief description for the Index: Mayes Meadow, Tract 1A and Tract 2 THIS DEED made this ysr day of Tie , 2023,by and between GRANTOR GRANTEE Mayes Family Company, LLC, a North Carolina limited Key Cog Holdings NC II, LLC, a North Carolina limited liability company,converted from Mayes Family liability company Limited Partnership, a North Carolina limited partnership 4108 Park Road, Suite 413 Charlotte,NC 28209 12229 Mayes Road Huntersville,NC 28078 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 or parcel of land situated in Mecklenburg County,North Carolina and more particularly described as follows: Being all the land known as Tract 1A(90.627 Acres) and Tract 2(6.330 Acres) as shown on the map entitled "Recombination Plat—Mayes Meadow" recorded in Plat Book 73 at Page 104 in the Mecklenburg County, North Carolina,Public Registry. The property hereinabove described was acquired by Grantor by deed recorded in Book 9903, Page 191. NC Bar Association Form No. 6© 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No.6 Printed by Agreement with NC Bar Association - North Carolina Association of Realtors,Inc. - Standard Form 6 Submitted electronically by "Costner Law Office, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Mecklenburg County Register of Deeds. B38513 - P 755 All or a portion of the property herein conveyed does not include the primary residence of a Grantor. A map showing the above-described property is recorded in Map Book Map Book 73, Page 104. 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 Grantor hereby warrants that Grantor is seized of the premises in fee and has the right to convey same in fee simple, that title is marketable and is free and clear of encumbrances other than as set forth herein, and that Grantor will forever warrant and defend the title against the lawful claims of all persons or entities whomsoever. This conveyance is made subject to the following exceptions and reservations: ad valorem taxes for the current year (prorated through the date of settlement),zoning regulations,and all matters of public record. [The remainder of this page is left intentionally blank A signature page follows.] NC Bar Association Form No.6© 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No.6 Printed by Agreement with NC Bar Association— North Carolina Association of Realtors,Inc.-Standard Form 6 B38513 - P 756 IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. GRANTOR: Mayes Family Company,LLC, a North Carolina limited liability company,converted from Mayes Family Limited Partnership,a North Carolina limited partnership By: PU4td4La Name: a t 4 - -fkales Its. irYI&sal C Y State of North Carolina—County of t'Ytc tjyylb•x'r I, O..H,�rr.- �-. yti , the undersigned Notary Public, certify that Rci...rck .11 Is. P&L.4GS personally appeared before me this day end acknowledged that she/he is the Mayko,qq,.Y of Mayes Family Company, LLC, a North Carolina limited liability company, converted from Mayes Family L4fnited Partnership, a North Carolina limited partnership, and that by authority duly given and as the act of the Company, she/he signed the foregoing instrument on behalf of the Company. Witness my hand and Notarial stamp or seal,this 1 day of ' s_ejy be , 2023. My Commission Expires: 9 -t• z.o 2' - CNotary is 7'c;SCI NOTARY •:74=. PUBLIC / �c •.. .a,�,,` aciid C.-, ``,. �tifi1111 � NC Bar Association Form No.6 0 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No. 6 Printed by Agreement with NC Bar Association— North Carolina Association of Realtors, Inc. -Standard Form 6 B38515 - P 39 For Registration Fredrick Smith Register of Deeds Mecklenburg County, NC Electronically Recorded 2023 Dec 04 12:35 PM RE Excise Tax: $ 0.00 Book: 38515 Page: 39 - 41 Fee: $ 26.00 Instrument Number: 2023113362 "MJUCvt�t�.• *��IViw�� NORTH CAROLINA NON-WARRANTY DEED Excise Tax: $0.00 Parcel Identifier No.: p/o 00755101, 00755105 Mail/Box to:Costner Law Office,PLLC, 10735 David Taylor Dr,Ste 200,Charlotte NC 28262 This instrument was prepared by: Costner Law Office,PLLC, 10735 David Taylor Dr,Ste 200,Charlotte,NC 28262 Brief description for the Index: Mayes Meadow Tract I _ THIS DEED made this 131 day of December,2023, by and between GRANTOR GRANTEE Mayes Family Company,LLC, a North Carolina limited Key Cog Holdings NC II,LLC,a North Carolina limited liability company, converted from Mayes Family liability company Limited Partnership,a North Carolina limited partnership 4108 Park Road, Suite 413 Charlotte,NC 28209 12229 Mayes Road Huntersville,NC 28078 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 or parcel of land situated in Mecklenburg County,North Carolina and more particularly described as follows: Being all the land known as Tract 1 (92.582 Acres)as shown on the map entitled"Recombination Plat—Mayes Meadow" recorded in Plat Book 73 at Page 104 in the Mecklenburg County,North Carolina,Public Registry. The property hereinabove described was acquired by Grantor by deed recorded in Book 9903,Page 191. All or a portion of the property herein conveyed does not include the primary residence of a Grantor. NC Bar Association Form No.6© 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No.6 Printed by Agreement with NC Bar Association- North Carolina Association of Realtors,Inc.-Standard Form 6 submitted electronically by "costner Law office, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Mecklenburg county Register of Deeds. B38515 - P 40 A map showing the above-described property is recorded in Map Book 73,Page 104. 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. Grantor makes no warranty,express or implied,as to title to the property hereinabove described. ** No consideration or money is being paid for this deed, and as such, this conveyance is exempt from excise tax in accordance with N.C.G.S. 105-228.29(6). ** [The remainder of this page is left intentionally blank A signature page follows.] NC Bar Association Form No.6®1/1/2010,2013 North Carolina Bar Association-NC Bar Form No. 6 Printed by Agreement with NC Bar Association— North Carolina Association of Realtors,Inc.-Standard Form 6 B38515 - P 41 IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. GRANTOR: Mayes Family Company,LLC, a North Carolina limited liability company,converted from Mayes Family Limited Partnership,a North Carolina limited partnership By: Name: P and t-11 L Y- Its: V'110.",m.. State of North Carolina—County of Mecklenburg , I, Sandra L. Knox, the undersigned Notary Public, certify that Randall W. Mayes personally appeared before me this day and acknowledged that she/he is the Manager of Mayes Family Company, LLC, a North Carolina limited liability company, converted from Mayes Family Limited Partnership, a North Carolina limited partnership, and that by authority duly given and as the act of the Company, she/he signed the foregoing instrument on behalf of the Company, Witness my hand and Notarial stamp or seal,this 1 S'day of December,2023. My Commission Expires: q -( -1 O ff" Notary Pr lic • ... '&LIC f• �lr� �RG MOWN'S' FIF1tito NC Bar Association Form No.6 0 1/1/2010,2013 North Carolina Bar Association-NC Bar Form No.6 Printed by Agreement with NC Bar Association— North Carolina Association of Realtors, Inc.-Standard Form 6 J ,t ! `` LIMITED LIABILITY COMPANY ANNUAL REPORT k= z 1/6/2022 NAME OF LIMITED LIABILITY COMPANY: Key Cog Holdings NC II, LLC Filing Office Use Only SECRETARY OF STATE ID NUMBER: 2665760 STATE OF FORMATION: NC E-Filed Annual Report 2665760 REPORT FOR THE CALENDAR YEAR: 2024 CA202409304226 4/2 2024 11 37 SECTION A: REGISTERED AGENT'S INFORMATION (Changes 1. NAME OF REGISTERED AGENT: Gilbert, M. Heath , Jr 2. SIGNATURE OF THE NEW REGISTERED AGENT: SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 200 Providence Road 200 Providence Road,Suite 106 Charlotte, NC 28207-1437 Mecklenburg County Charlotte, NC 28207-1437 SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: residential new homebuilding 2. PRINCIPAL OFFICE PHONE NUMBER: (717) 464-9060 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS 227 Granite Run Drive,Suite 100 227 Granite Run Drive,Suite 100 Lancaster, PA 17601 Lancaster, PA 17601 6. Select one of the following if applicable. (Optional see instructions) The company is a veteran-owned small business The company is a service-disabled veteran-owned small business SECTION C: COMPANY OFFICIALS(Enter additional company officials in Section E.) NAME: Keystone Coghill Homes LLC NAME: Alan Banks NAME: TITLE: Member TITLE: Manager TITLE: ADDRESS: 227 Granite Run Drive ADDRESS: ADDRESS: Suite 100 3716 Merrifield Road Lancaster, PA 17601 Charlotte, PA 2821 1-321 6 SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. Alan Banks 4/2/2024 SIGNATURE DATE Form must be signed by a Company Official listed under Section C of This form. Alan Banks Manager Print or Type Name of Company Official Print or Type Title of Company Official This Annual Report has been filed electronically. MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525