NCC221611_FRO Submitted_20220426

��`
Financial Responsibility Ownership l,•<<,�'',) �� ENGINEERING
(Sedimentation Pollution Control Act) k'" ^"' SERVICES
One Exchange Plaza, Suite 304
Raleigh, NC 27601
This section to be completed by City of Raleigh staff
Submittal Date
Effective Date
Transaction Number
Permit Number LD-
The remaining sections to be completed by the Applicant
SECTION 1: GENERAL INFORMATION & INSTRUCTIONS
This form is required to be completed, notarized and submitted with all Land Disturbing Permit applications. The
information provided herein becomes an enforceable part of the approved Erosion and Sediment Control Plan
and the Land Disturbing Permit listed above. Non-compliance may result in the assessment of civil penalties
and could potentially affect all permits, inspections and/or Certificates of Occupancy for this Project. Should any
of the information on this form change, a revised, executed form shall be submitted within thirty (30) days, said
submission shall include a copy of any documents recorded with the Register of Deeds.
The effective date of this form shall be the effective date as designated above by the City of Raleigh. No rights
and liabilities associated with any designation shall incur until the effective date, or the effective date of transfer
to any subsequent Party. Upon any delegation of an Applicant/Permittee or Financially Responsible Party, the
Owner shall continue to receive notice at the address provided.
A permit may not be transferred to a residential Home Owner's Association as the Applicant/Permittee or
Financially Responsible Party, until the issued Land Disturbing Permit for this project is administratively closed
by the Stormwater Management Division.
Raleigh City Code §14-1011 sets forth that it shall be unlawful and a violation of this code for any person to give
false information or misrepresentations in any application or permit required by this code. Failure to provide full
disclosure of the requested information may be grounds for denial or revocation of a Land Disturbing Permit.
Please complete all sections below. Type or print and, if information on the form is not applicable, place N/A in
the blank. All pages of this form must be completed and submitted or the form will be rejected and returned.
The property owner must initial each page of the form prior to submittal.
SECTION 2:
PROJECT INFORMATION
PROJECT NAME
"'&rWt`` T&r C � ;�5� (Y")
PERMITTED PHASE(S)
PROJECT ADDRESS
WAKE COUNTY PARCEL ID
NUMBER(S)1� 3a` C0557
ANTICIPATED DATE OF
PROJECT INITIATION
, x a� l
jj�/L
�`..J
EXPECTED DURATION OF A t , _ ,,,,
PROJECT (�J(y�
ACREAGE OF LAND TO
DISTURBED
BE
0)P• 00 a-C_
PROPERTY OWNER'S INITIALS: Stornmaterhtspections Form 112
08.01.16
Page I of S

SECTION 3: PROPERTY OWNER INFORMATION
PROPERTY OWNER OF RECORD
MAILING ADDRESS (NO P.O.
wA alq. ass. UC�)o
TELEPHONE NUMBER FAX NUMBER
1�xt�Sv�11� I NC, 01:5uo Z Anrs�x-+on. UW)
CITY, STATE, ZIP E- AIL ADDWESS
The undersigned acknowledges that he is the Owner, or holds the Owner's power of attorney, of the property
which is the subject of this application, and further states that the permitted land -disturbing activities are
authorized to be conducted on the subject property with the full knowledge, permission and consent of the
Owner.
The undersigned acknowledges that he is the Property Owner for permit implementation, compliance and
enforcement resulting under this Land Disturbing Permit and Unified Development Ordinance, Article 9.4. The
Owner of the property upon which the land -disturbing activity is to be undertaken states and affirms that he has
read and understands the statements and disclosures made in this form and that the information disclosed
herein is true and correct to the best of his knowledge and belief.
This form must be signed by the Owner of the property or by a person with authority to execute instruments, if
the Owner is not an individual.
This, the 20 day of o 202(
P OPERTY OWNER SIGN, TURE TITLE
IN WITNESS WHEREOF, the undersigned Notary Public has hereunto set his hand and seal, this
day of , 20 2 A
_� - IiL�Q_ kt�k
Notary Public (print name) f
My Commission Expires:
S. ELAINE HUDSPETH
Notary Public
North Carolina
Forsyth County
(SEAL)
PROPERTY OWNER'S INITIALS:
Stormwater Inspections Form 112
08.23.16
Page 2 of 5

SECTION 4: OWNER'S APPOINTED AGENT INFORMATION
The Owner of the property upon which land -disturbing activities will be undertaken is required to either reside in
or appoint an agent for service with business and residence addresses within Wake County, North Carolina.
Section 4 must be completed if the Property Owner listed in Section 3 does not reside in Wake County,
North Carolina and is optional for all others.
The Owner of the subject property hereby appoints the following person as an agent to receive service of any
notice, process, or pleading in any action or legal proceeding arising out of any matter relating to Unified
Development Ordinance, Article 9.4. The Owner agrees that any notice, process, or pleading may be served by
and through the undersigned appointed agent and such service shall have the same force and effect as if
service was accomplished upon the Owner.
NAME
COMPANY, IF APPLICABLE
TITLE
TELEPHONE NUMBER
STREET ADDRESS (NO P.O. BOX) FAX NUMBER
CITY, STATE, ZIP
E-MAIL ADDRESS
The undersigned acknowledges that he/she is the Owner's appointed agent.
This, the day of
APPOINTED AGENT SIGNATURE
20
TITLE
IN WITNESS WHEREOF, the undersigned Notary Public has hereunto set his/her hand and seal, this
day of
Notary Public (print name)
My Commission Expires:
PROPERTY OWNER'S INITIALS: An
120
Notary Public Signature
Notary Public Title / Position
(SEAL)
Stornmater Inspections Form 112
08.23.16
Page 3 of 5

SECTION 5: FINANCIALLY RESPONSIBLE PARTY INFORMATION
The Owner of the subject property authorizes the following person or firm as the Financially Responsible Party
for this Land Disturbing Permit. The Financial Responsible Party shall receive service of any notice, process,
civil assessment or pleading in any action or legal proceeding arising out of any matter relating to the Land
Disturbing Permit issued under this permit application and Unified Development Ordinance, Article 9.4.
4 la� ' �S echri� cal bmpl`�nc� miros�'�i�-
NANCIALLY RESPONSIBLE PARTY TITLE
C MPANY, IF APPLICABLE U TELEPHONE NUMBER
,1� IYA
REET ADDRESS (NO P.O.
Morriwli e_
CITY, STATE, ZIP
FAX NUMBER
L►�w�u� �drVV�txx--�-on � Lam
EAIL ADDIRESS
The undersigned acknowledges that he is the Financially Responsible Party for permit implementation,
compliance and enforcement resulting under this Land Disturbing Permit and Unified Development Ordinance,
Article 9.4. He has read and understands the statements and disclosures made in this form, that the information
disclosed herein is true and correct to the best of his knowledge and belief.
This form must be signed by the person or firm financially responsible for the land developing activity or other
person with authority to execute instruments for the financially responsible party, if not an individual.
This, the C�U day of ��/' 20
FINANCIALLY RESPONSIBLE PARTY SIGNATURE TITLE
IN WITNESS WHEREOF the undersigned Notary Public has hereunto set his hand and seal, this
2V day of 04 , 20 Z(
Notary Public (print name) 0`o ary P blic Signature
My Commission Expires: 4��
_ L° r E
Notary Public
North Carolina
Forsyth County
(SEAL)
PROPERTY OWNER'S INITIALS: Stornmater Inspections Form 112
08.23.16
Page 4 of S

SECTION 6: APPLICANT / PERMITTEE
The Owner of the subject property authorizes the following person or firm as the Applicant/Permittee to receive
service of any notice, process, civil assessment or pleading in any action or legal proceeding arising out of any
matter relating to the Land Disturbing Permit issued under this permit application and Raleigh Unified
Development Ordinance, Article 9.4. The Applicant/Permittee designated below is the person responsible for
implementation of permit conditions and violation under Article 9.4 of the Raleigh Unified Development
Ordinance.
The Applicant/Permittee may be the landowner or another party who acknowledges that he is the Contractor
responsible for completion of the project as approved.
APPLICANT/PERMITTEE TITLE
COMPANY, IF APPLICABLE TELEPHONE NUMBER
STREET ADDRESS (NO P.O. BOX) FAX NUMBER
CITY, STATE, ZIP E-MAIL ADDRESS
The undersigned acknowledges that he is the Applicant/Permittee for permit implementation, compliance and
enforcement resulting under the Land Disturbing Permit listed above and Unified Development Ordinance,
Article 9.4. He has read and understands the statements and disclosures made in this form and that the
information disclosed herein is true and correct to the best of his knowledge and belief.
This form must be signed by the person or firm responsible for the permit or by a person with authority to
execute instruments for the Applicant/Permittee, if not an individual.
This, the day of , 20
APPLICANT/PERMITTEE SIGNATURE
TITLE
IN WITNESS WHEREOF, the undersigned Notary Public has hereunto set his hand and seal, this
day of
Notary Public (print name)
My Commission Expires:
PROPERTY OWNER'S INITIALS:
JAV�
20
Notary Public Signature
Notary Public Title / Position
(SEAL)
Storrmvater Inspections Form 112
08.23.16
Page 5 of 5

BKO18645PGO1700
NORTH CAROLINA SPECIAL WARRANTY DEED
WAKE COUNTY, NC
TAMMY L. BRUNNER
REGISTER OF DEEDS
PRESENTED & RECORDED ON
08-13-2021 AT 14:10:03
STATE OF NC REAL ESTATE
EXCISE TAX: $7,296.00
BOOK: 018645 PAGE: 01700 - 01706
Excise Tax: $ it 9 . °
Parcel Identifier No. Verified by Wake County on the day of , 2021
By:
Return to:
Prepared by: Jennifer N. Fountain Isaacson Sheridan, 804 Green Valley Rd., Ste. 200, Greensboro, NC 27408
Brief description for the Index: Parcel IDs #0003043, #0056341, #0189907, #0186731, #0128473, #0128472,
#0188894, #0188896, #0128474, Wake County
THIS DEED made this day of August, 2021, by and between:
GRANTOR
ROCK QUARRY 104, LLC,
a North Carolina limited liability company
701 Green Valley Road, Suite 101
Greensboro, NC 27408
GRANTEE
D.R. HORTON, INC, a Delaware corporation
2000 Aerial Center Parkway, Suite 1 10
Morrisville, NC 27560
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 situated in Wake County, North Carolina and more particularly described as follows:
See EXHIBIT A attached hereto and incorporated herewith
The property hereinabove described was acquired by Grantor by instrument recorded in Book 18030, Page 1693.
A map showing the above described property is recorded in Map Book , Pages
Al I or a portion of the property herein conveyed _ includes or X does not include the primary residence of a Grantor.
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.
pan'. 1 of 7
submitted electronically by "Bagwell Holt smith P.A."
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Wake County Register of Deeds.

BK018645PG01701
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:
This conveyance is made subject to the following exceptions:
See EXHIBIT B attached hereto and incorporated herein by reference.
[SIGNATURE ON NEXT PAGE]
Page 2 of 7

BKO18645PGO1702
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above
written.
GRANTOR;
ROCK QUARRY 104, LLC
a North Carolina limitelja�ty company
By;
Name; Zach
State of North Carolina
County of Guilford
I, the undersigned Notary Public of the County of Guilford and State aforesaid, certify that Zachary Tran
personally came before me this day and acknowledged that he is the Manager of ROCK QUARRY 104, LLC, a North
Carolina limited liability company, 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 August, 2021.
My Commission Expires; Oi tm '2A2.3
(Affix Seal Below)
EUA �g"'�•���'�
aOTq `;OZ
A ,
Page 3 of 6
1h'ia. �a�t �� a.�► �"lo o tt�J Notary Public
Notary's Printed or Typed Name

BKO18645PGO1703
EXHIBIT A
All that parcel or piece of land situate in St. Mary's Township, Raleigh, Wake County, North
Carolina, bounded and described as follows:
Commencing from a 5/8" rebar survey control point with aluminum cap stamped "1" established
by ESP Associates, Inc. being known as "ESP VRS #1" having North Carolina (NAD83/NSRS2011) Grid
Coordinates of N: 719949.5797' E: 2133136.2402', thence from said point a bearing and distance of N
19037'27" W 1008.61' to a 1" open existing iron pipe (witnessed by a boundary marker) known as the Point
of Beginning, said point having North Carolina Grid Coordinates of N: 720899.60' E: 2132797.50'; thence
from said Point of Beginning with the common boundary line between The City of Raleigh (DB 8815 PG
2020) and MITEPE, LLC (DB 17062 PG 779) N 89°17'12" E 737.59' to a 1 1/8" open existing iron pipe
with rod (witnessed by a boundary marker); thence with the common boundary line between The City of
Raleigh (D13 8815 PG 2020) and MITEPE, LLC (DB 16147 PG 23 Tract 5) S 8891'26" E 50.58' to the
western edge of Barwell Park Drive's 50' public right of way; thence with the common boundary line
between the southern edge of said 50' right of way and MITEPE, LLC (DB 16147 PG 23 Tract 5) S
88011'26" E 59.31' to a 3/4" open existing iron pipe (witnessed by a boundary marker) on the eastern edge
of said 50' right of way; thence with the common boundary line between The City of Raleigh (DB 8815 PG
2020) and MITEPE, LLC (DB 16147 PG 23 Tract 5) S 88108'04" E 103.60' to a 7/8" open existing iron
pipe (witnessed by a boundary marker); thence with the common boundary line between The City of Raleigh
(DB 8815 PG 2020) and MITEPE, LLC (DB 16147 PG 23 Tract 1) S 88°16'00" E 653,41' to a 1" open
existing iron pipe; thence with said common boundary line S 88° 16'00" E 26.10' to a computed point in the
center of a stream; thence the following 73 calls all to computed points along the centerline of said stream:
S 53034'59" W 34.79'; S 16°09'08" W 24.46'; S 74°35'59" E 20.01% S 09°50'24" E, 7.72% S 13°42'47" W
20.12'; S 57°32'18" W 9.30% S 75'08'05" W, 78.29'; S 34°39'33" W 37.02% S 13°30'07" W 19.82'; S
38025'57" W 17.12; S 16°16'53" E, 20.55'; S 05°17'52" W 47.92'; S 05017'52" W 6.82% S 39°29'09" W,
10.98% N 90°00'00" W 21.94% S 45°54'55" W 15.55'; S 46°27'23" E 19.52% S 04°04'57" E, 9.25% S
68053'29" W 42.30% S 14°28'18" E 35.69'; S 46°44'26" W, 32.45% S 71°53'49" W 40.38% S 15°59'45" E
25.02% N 89°20'04" W 27.84'; S 11'09'11" W, 14.78'; S 44057'00" W 12.76'; S 23'04'16" W 7.88% S
23-04'16" W, 3.61; S 86045'43" W 16.67'; S 01°56'22" E 16.52% S 31°30'01" W 9.89; S 42°15'18" E,
12.39% S 79°21'54" E 17.71 ; S 65000'41" E 12.73% S 28°26'13" W, 12.94% S 67°56'27" W 28.09'; S
51032'03" W 15.91% S 36°47'13" W 25.24'; S 73046'33" W, 20.30% S 03031'11" E 20.21% S 43°03'35" W
23.42% S 0103257" E, 7.99% S 48003'09" W 19.15'; S 16032'19" W 24.76; S 48°27'43" E 4.71 % S 48027'43"
E 8.04% S 18058'14" E 12.32% S 14053'34" W 17.86'; S 40°23'53" W, 12.48'; S 10°4856" W 6.62% S
19027'06" E 18.97% S 37°51'27" W 5.61% S 67°22'17" W, 15.81'; S 35°28'04" W 11.40% S 22°21'32" W
10.79% S 47°53'34" W, 14.06'; S 77021'39" W 17.74% N 71 ° 12'33" W 5.51 % S 67°35'01 " W 7.56'; S
25004'56" W 8.82% S 20°57'07" E 7.58'; S 53°50'34" W 17.47'; S 18°52'12" E, 33.95'; S 18005'04" W 8.11';
S 19055'16" W 54.09% S 23000'56" E 31.51'; S 74°08'54" E, 13.16% S 13'11'47" W 9.45% S 45'08'43" W
20.24% S 10°36'11" W, 20.69'; S 13°33'26" E 45.47'; S 20°55'58" W 5.30'; thence leaving the centerline of
the stream and with the common boundary line between John Point Homeowners Association, Inc. (DB
14359 PG 649) and MITEPE, LLC (DB 16147 PG 23 Tract 4 (2)) S 4905VI3" W 31.11' to a I" open
existing iron pipe with mushroomed top; thence with said common boundary line S 51 °52'54" W 92.01' to
a 1" open existing iron pipe with mushroomed top; thence with the common boundary line between Robert
Rush (D13 13044 PG 2691) and MITEPE, LLC (DB 16147 PG 23 Tract 4 (2)) N 51 °57'01 " W 390.73' to a
I" bent solid existing iron rod with nail at bend; thence with the common boundary line between Robert
Rush (D13 13044 PG 2691) and MITEPE, LLC (D13 16147 PG 23 Tract 6) S 2591'50" W 39.17' to a 1"
open existing iron pipe; thence with the common boundary line
Page 4 of 7

BKO18645PGO1704
between Robert Rush (DB 13044 PG 2691) and MITEPE, LLC (DB 16147 PG 23 Tract 7) S 24°52'00" W
270.07' to a 1 3/8" open existing iron pipe on the northern 60' right of way line of Rock Quarry Road;
thence with said northern right of way line N 48°14'31" W 38.21' to a new 5/8" rebar set on the northern
60' right of way line of Rock Quarry Road; thence with said northern right of way line N 49°46'41" W
125.95' to a 1 15/16" open existing iron pipe on the northern 60' right of way line of Rock Quarry Road;
thence with the common boundary line between the right of way of Rock Quarry Road and MITEPE, LLC
(DB 17062 PG 779) S 13°07'54" W 33.46' to an existing MAG nail in the center of Rock Quarry Road;
thence along the centerline of said road the following I I calls all to existing MAG nails: N 51'] 2'37" W
48.67'; N 52°16'09" W 44.07'; N 58021'41" W 76.14'; N 64°01'46" W 46.16'; N 67031'35" W 48.00'; N
69035'57" W 52.90'; N 70'23'11" W It 1.12% N 70014'17" W 133.69'; N 69°25'00" W 52.82; N 67°08'08"
W 77.37'; N 63°30'20" W 29.71'; thence with the common boundary line between the right of way of Rock
Quarry Road and MITEPE, LLC (DB 17062 PG 779) N 19052'39" E 29.72' to a 7/8" bent open existing
iron pipe; thence with the common boundary line between the right of way of Rock Quarry Road, Quarry
Trace, LLC (D13 16647 PG 770) and MITEPE, LLC (DB 17062 PG 779) and passing through a 7/8" open
existing iron pipe at 22.24' N 19°52'39" E 124.80' to a 7/8" open existing iron pipe; thence with the common
boundary line between Quarry Trace, LLC (DB 16647 PG 770), the right of way of Quarry Trace Drive
(BM 2017 PG 2523), and MITEPE, LLC (DB 17062 PG 779) and passing through two 7/8" open existing
iron pipes at 396.55' and 425.86' N 9°55'59" E 588.86' to the Point and Place of Beginning, containing
1,320,317 SF / 30.310 acres, more or less, said description is based on an actual field survey completed by
and under the direct supervision of Kevin D. Medeiros, PLS (L-4668) of ESP Associates, Inc., License No.
F-1407 on August 13, 2020.
Page 5 of 7

BKO18645PGO1705
EXHIBIT B
EXCEPTIONS
1. Taxes and assessments for the year 2021, a lien now due and payable and subsequent years, a lien not
yet due and payable.
2. Title to any areas within street, highway or railroad rights of way, if any.
3. The creation or loss of land by natural or artificial changes along water forming part of the boundary
of the land; and/or title to land lying below the higher of the mean high water mark and/or the normal bounds
of any body of water; and/or riparian rights incident to any branches, creeks, streams, lakes or other waters
coursing or abutting the land.
4. Any discrepancy, conflict, access, shortage in area or boundary lines, encroachment, encumbrance,
violation, overlap, setback, easement or claims of easement, riparian right, and title to land within roads,
ways, railroads, watercourses, burial grounds, marshes, dredged or filled areas or land below the mean
highwater mark or within the bounds of any adjoining body of water, or other adverse circumstance affecting
the Title that would be disclosed by a current inspection and accurate and complete land survey of the Land.
5. Any right, easement, setback, interest, claim, encroachment, encumbrance, violation, variations or
other adverse circumstance affecting the Title disclosed on Survey titled MITEPE, LLC Properties proposed
Barwell Park Subdivision dated 05/22/18, prepared by ESP Associates, Inc., License Number L-1407,
Registered Professional Land Surveyor Keven D. Medeiros No. L-4668.
6. Easement to Carolina Power & Light Company of record at Book 4185 Page 778, Wake County
Registry (applies to Tract 1).
7. Easement to Carolina Power & Light Company of record at Book 801 Page 471, Wake County
Registry (applies to Tracts 1 and 2).
8. Easement to Carolina Power & Light Company of record at Book 4882 Page 269, Wake County
Registry applies to Tract 2).
9. Easement(s) to Carolina Power & Light Company of record at Book 801 Page 475, Book 1005 Page
346, Book 1202 Page 320 and Book 1858 Page 196, Wake County Registry (applies to Tracts 3, 4, 5, 6, 7, 8
and 9).
10. Rural Line Permit to Southern Bell Telephone and Telegraph Company of record at Book 1347 Page
381, Wake County Registry (applies to Tracts 3, 4, 5, 6, 7, 8 and 9).
11. Memorandum of Agreement to D.R. Horton, Inc. of record in Book 18594 Page 1009, Wake County
Registry.
12. Easement to Duke Energy Progress, LLC of record in Book 18442 Page 2107, Wake County
Registry.
13. Declaration of Residential Restrictions of record in 18030 Page 1753, Wake County Registry,
Page 6 of 7

BKO18645PGO17O6
14. Any right, easement, setback, interest, claim, encroachment, encumbrance, violation, variations or
other adverse circumstance affecting the Title disclosed by plat(s) recorded in Book of Maps 1984 Page 164,
Wake County Registry (applies to Tract 1).
15. Any right, easement, setback, interest, claim, encroachment, encumbrance, violation, variations or
other adverse circumstance affecting the Title disclosed by plat(s) recorded in Maps 1999 Page 663, Wake
County Registry (applies to Tract 2).
16. Any right, easement, setback, interest, claim, encroachment, encumbrance, violation, variations or
other adverse circumstance affecting the Title disclosed by plat(s) recorded in Maps 1989 Page 1352, Wake
County Registry (applies to Tract 3).
17. Any right, easement, setback, interest, claim, encroachment, encumbrance, violation, variations or
other adverse circumstance affecting the Title disclosed by plat(s) recorded in Maps 1990 Page 1446, Wake
County Registry (Tracts 4 and 5).
18. Any right, easement, setback, interest, claim, encroachment, encumbrance, violation, variations or
other adverse circumstance affecting the Title disclosed by plat(s) recorded in Maps 1998 Page 2150, Wake
County Registry (applies to Tract 6).
19. Any right, easement, setback, interest, claim, encroachment, encumbrance, violation, variations or
other adverse circumstance affecting the Title disclosed by plat(s) recorded in Maps 1981 Page 347, Wake
County Registry (applies to Tracts 3, 4, 5 and 6).
20. Any right, easement, setback, interest, claim, encroachment, encumbrance, violation, variations or
other adverse circumstance affecting the Title disclosed by plat(s) recorded in Maps 1983 Page 982, Wake
County Registry (Tracts 6, 7, 8 and 9).
Page 7 of 7