NCC221729_FRO Submitted_20220504

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 Environment and Natural Resources. (Please type or print and, if
the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
Part A.
1. Project Name Poe
2. Location of land -disturbing activity: County Mecklenburg City or Township Charlotte
Highway/Street N Davidson St Latitude 35.2450 Longitude-80.8130
3. Approximate date land -disturbing activity will commence: 04/20/2020
4. Purpose of development (residential, commercial, industrial, institutional, etc.): residential
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 1.24
6. Amount of fee enclosed: $130.00 . The application fee of $65.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $585).
7. Has an erosion and sediment control plan been filed? Yes x No Enclosed
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Daniel A. Broderick E-mail Address [e-mail]
Telephone [phone] Cell # [phone] Fax #
9. Landowner(s) of Record (attach accompanied page to list additional owners):
AHC Matheson LLC [phone]
Name Telephone Fax Number
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Current Mailing Address Current Street Address
Raleigh NC 27615 Raleigh NC 27615
City State Zip City State Zip
10. Deed Book No. 36188 Page No. 493 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):
AHC Matheson LLC [e-mail]
Name E-mail Address
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Current Mailing Address Current Street Address
Raleigh NC 60201 Raleigh NC 60201
City State Zip City State Zip
Telephone [phone] Fax Number

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 be any change in the information provided herein.
Daniel A. Broderick
Type or print name
Signature
Principal k "V I t..11I.
Title or Authority
S s Zv�2
Date
I, a Notary Public of the County of
L (
State of Ne4h-Qaualiva, hereby certify that Do, A;�� �la gr r'Gappeared
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
MARK PALACE
OFFICIAL SEAL
Notary Public, State of Illinois
My Commission Expires
September 27, 2025
day of 20 2 2
Notary /
My commission expires Z 2�

B36188 - P 493
For Registration
Fredrick Smith
Register of Deeds
Mecklenburg County, NC
Electronically Recorded
2021 Jun 16 11:51 AM RE Excise Tax: $ 0.00
Book: 36188 Page: 493 - 498 Fee: $ 26.00
Instrument Number: 2021117635
NORTH CAROLINA NON -WARRANTY DEED
Excise Tax: SN/A
Parcel Identification No. 083-068-40 (Lot 1). 083-068-41 1_ Ut 2083-068-42 (Lot 3), 083-068-43 (Lot 4)_ 083-068-44 (Lot 51.
083-06845 (Lot 6), 083-06846 (Lot 71. 083-069-47 (Lot 8) 083-068-48 (Lot 9),083 (J58-49 (Lot 10). 083-068-50 (Lot 11), 083-
068-51 (Lot 12). 083-068-52 (Lot 13). 033-068-39 (Lot 14)- 083-068-38(Lot 15). 083-068-37 Jot 161. 083-068-36 (Lot 17 ), 083-
068-35 (Lot 18). 083-068 34 Ll:pt 19), 083-068-33 (Lot 29)083-068-32 (Lot 21). 083-068-31 (Lot 22). 083-068-30 (Lot 23). 083-
068-29 (Lot 24). 083-068-29 (Lot 25)t 083-068-27 (Lot 26)_ 083-068-26 (Lot 27), 083-068-25 (Lot 28), 083-068-24 (Lot 29) 083-
068-53 (COS)
Return to: Kirk Fahner & D4pen,P.A., 1300 Baxter Street_ Suite 300. Charlotte, NC 28204
This instrument was prepared by: Bobby_ D. Kitts Kirk Palmer & Thigpen, P.A.
Brief description for the Index: 1.520 Acres - Poe Townhomes
THIS DEED is made this i6kh_ day of June, 2021, by and between:
GRANTOR
hyFlorenza Poe Noda, LLC,
a North Carolina limited liability company
118 E, Kingston Avenue
Charlotte, NC 29203
GRANTEE
ARC Matheson LLC,
a North Carolina limited liability company
1603 Orrington Avenue, Suite 990
Evanston, IL 60201
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.
M ITNES SEUH 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 that certain lot orparcel of land situated in the
City of Charlotte, Mecklenburg County, North Carolina and being described in Exhibit A attached hereto and incotporated herein,
The property hereinabove described was acquired by Grantor by instrument recorded in Book 34102, Page 309, Book 34102, Page 314
and Book 34102, Page 319, Mecklenburg County Registry.
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.
00227774.1
submitted electronically by "Chicago Title Company, LLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Mecklenburg county Register of Deeds.

B36188 - P 494
The Grantor makes no warranty, express or implied, as to title to the property hereinabova dcseribed.
All or a portion of the property berem conveyed ❑ includes or ® does not include the primary residence of Grantor.
[SIGNATURES AND i4O'TARIES APPEAR ON THE FOLLOWING PAGES]
00227774.1

B36188 - P 495
Ili WITNESS WHEREOF, the Grantor has hereunto caused this instrument to be executed by authority duly given as of the
day and year first above written.
byFiareaza Poe Noda, LLC,
a North Carobna limited liability company
By: Yoe Nola Manager, LLC, its manager
By: byFiorenza Holdings, LLC,
its sole member and manager
By; Ted Hill & Associates, Inc_,
member and manager
13yw /
Ted W. ilJ, , President
By: Fiorenza Propoities, LLC,
member and manager
By:
A am Fiar ; I�attager
00227774,1

B36188 - P 496
STATE OF 1J Or W COXO ina
COUNTYOF Nk2CkAtALx
I certify that the following person(s) personally appeared before me this day, each acknowledging to inc that he or she voluntarily
signed the foregoing document for the purpose stated therein and in the capacity indicated: Adam Norenza.
Witness my hand and official seal, this the 104� day of -T1 jrV e- 12021.
Normy Public
PrintName:—f>rid
BRIDGET MCCLELLAN J
NOTARY PUBLIC My Commission Expires: 091 ai o a }
MECKLENBURG COUNTY -
My COMMISSION EXPIRES WZV2 f m [NOTARY SEAL)
00227774.1

B36188 - P 497
STATE OF NOV-% Czor VAa
COUNTY OF 1'ieGit�
I certify that the following person(s) personally appeared before me this day, each aclmowledging to me that he or she voluntarily
signed the foregoing document for the purpose stated therein and in the capacity indicated: Ted W. Bill,
Witness my hand and official seal, this the 10 -' day of ���_ , 2021.
BRIDGET MCCLELLAN
MECKLLENBURG CLOUNTY
MY COMMISSION E*IRES1 9 11zo2i
0=7774.1
Notary Public
Print Name: &n
My Commission F=xpires: 49 /a{_ f�1
- [NOTARY SEAL]

B36188 - P 498
All that certain tract or parcel of land situated, lying and berg located in the City of Charlotte, Mecklenburg County, North
Carolina and being more particularly described as follow&.
BEGINNWG AT A CONCRETE MONUMENT LOCATED AT THE SOUTHWEST CORNER OF THE DESCRIBED
PROPERTY ALSO BEING ALONG THE EASTERN R!W OF MATHESON AVENUE; THENCE N 30°17'01" W A
DISTANCE OF 245.36'TO A CONCRETE MONUMENT; THENCE N 22-23-51" W A DISTANCE OF 140.31'TO A
CONCRETE MONUMENT; THENCE N 14-52-35" E A DISTANCE OF 64.9670 A CALCULATED POINT; THENCE S
77°33'49" E A DISTANCE OF 42.72'TO A V2" REBAR FOUND; THENCE S 5314011" E A DISTANCE OF 57.52TO A
CALCULATED POINT; THENCE S 56°12'27" E A DISTANCE OF 57.13T0 A CALCULATED POINT; THENCE S 69°32'19"
E A DISTANCE OF 58,0570 A CALCULATED POINT; THENCE S 59'23'18" E A DISTANCE OF 56.1 PTO A
CALCULATED POINT; THENCE S 65' 16'57" E A DISTANCE OF 57.8170 A CALCULATED POINT; THENCE S 67°09'33"
E A DISTANCE OF 44.2170 A CALCULATED POINT; THENCE WITH A CURVE TURNING TO THE LEFT WITH AN
ARC LENGTH OF 135.30', WITH A RADIUS OF 605.81', WITH A CHORD BEARING OF S 35° 17'29" W, WITH A CHORD
LENGTH OF 135.02',TO A 518" REBAR SET; THENCE WITH A COMPOUND CURVE TURNING TO THE LEFT WITH AN
ARC LENGTH OF 144.52', WITH A RADIUS OF I071.06', WITH A CHORD SEARING OF S 23°56'04" W, WITH A CHORD
LENGTH OF 144.41,TO A 1" OPEN TOP PIPE; THENCE S 19°43'18" W A DISTANCE OF 5.32TO A I" OPEN TOP PIPE;
THENCE N 76W54" W A DISTANCE OF 33.56'TO A CONCRETE MONUMENT; WHICH IS THE POINT OF
BEGINNING, HAVING AN AREA OF 66216.90 SQUARE FEET, 1.520 ACRES.
00227774.1