NCC222386_FRO Submitted_20220701

JACKSON COUNTY PERMITTING & CODE ENFORCEMENT
andDisturbance: One -Half (112) or more Acres/Slormtvaler Installation
Flnnncin! Respnnslbillly/Ownership Form
Sylvn Of/Ice: 538 Scous Creek Rand, Salle 205, Phone: [phone]/Far: 82&S8&7563
Cashiers OfJlee: 357 Frank Allen Road Phone: [phone] /Far: 828445-6867
No person may initiate a land- smrbing activity and/or stormwntet• installation on more than one-half acre as covered by the
Act before this form and an acceptable erosion and sedimentation control/stormwater plan have been completed and
Approved by the Jackson County Office of Permitting & Code Enforcement. If work is started without an approved permit
your permit fee will be doubled.
• Please type or print, and If any question is not applicable or the a -mail and/or fax information unavailable,
place N/A in the blank.
• Submit three (3) copies of the plan, a narrative, and the appropriate fee; please contact our office for an
accurate fee calculation before submitting paperwork. For fee calculation call 828.745.6850 or a -mail
tiffanyqualls@l cksonnc org or iamlebaumgarnet@ia�, cicsonnc.org.
• A surety bond Is required for any disturbance of five (6) acres or more
1. Project Name: KLM Family Investments PIN 7580-78-2768
2, Location of land -disturbing activity/stormwater installation: (City or Township) Cashiers p
Highway/Street Silver Run LadtudegoDg,gSI2ot4o Longitude6;o0 11o413O"W
3. This project will require the review of the following: QErosion Control E]Stormrvater
Is this project within a regulated district? Q✓ No ❑Yes —District:
4, Approximate date work will begin onsite: May 19, 2022
56 Purpose of development (residential, commercial, Industrial, etc.) Residential, guest house
6. Total acreage disturbed or uncovered (Intl din off -site borrow and waste areas) 1.$acres
r too erect'`r = rMMN
^
7. Amount of fee $ 300 FOR OFFICE USE: Received? (initial/date) V �' �d
30
8, Has an erosion & sedimentation control/stormwater plan been filed? No Yes QEnclosed
9. Person to contact should issues arise during land -disturbing activity/stormwater installation:
Name Ben Harris E-mail Address ben It harriscustombtdldersnc.com
Phone [phone] Cell Fax qq
10, Landowners(s) of Record (Use blank page to list additional owners) Dced Bk/Pg 24 9 (Provide a copy)
Name Kris MiMcelscn I KI--M ALl Ayiy • Phone Fax
CutcentMailingAddressAgq jny\aju OC�a NW /-t�'(�y A C\A 3D% )mil
Part B
Company(lea)
of firm(s) who axe
financially
responsible
for
the land -disturbing activity
(Provide a
comprehensive Gst
of nil responsible panics on
an attached
sheet.) if the company
or firm is a sole proprietorship the
name of the
owner or manager may be listed as the financially responsible party.
Harris Custom Builders
Name
370 H\GY 1073
Jailing Address
Cashiers NC 28717
City State Zip Code
828 508 8278
IBlT.7T!
E-mnil Ad<hcss
Street Address
city state Zipendc RECEIVEn
Pax Number MAY 1 ? 2022

I. (a) If the Financially Responsible Party is not a resident of North Carolina, please give name and street
address of a North Carolina Agent,
Name E-mail Address
Mailing Address Street Address
City State Zip Code City State Zip Code
Phone Fax Number
(b) If the Financial 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 Financial Responsible
Party is a Corporation, give name and street address of the Registered Agent.
Name of Registered Agent E-mail Address
Mailing Address Street Address
City state Zip Code Cigr State Zip Code
Phone Fax Number
The above information is tme and correct to the best of my knowledge and belief and was provided b}' me under
oath. ('Phis form must be signed by Financially Responsible Person if an Individual or (da attorney -in -
£act, or If not an Individual, by an officer, director, partner, or registered agent with authority to execute
Insttuments for the Financially Responsible Person). I agree to provide corrected information should there
be any changes in the information provided herein.
_�S7.VIQDO YIG�I
Type tPrin��
ignature t ^Name
67
S
`aYo�ev4 Coo�lcitrcti-oY
Title or Authority
Date
State of North Carolina, hereby certify that �Y �� appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by 1-tiri/1-ler.
Witness my hand and notarial seal, this �dq p of C1_U , 20��yZ Z.
fI�Uq�rrG,i
Naary��
s tr My Commission Expires June 28, 2024
Notary Public = My Commission Expires
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Type: WARRANTY DEED
Recorded: 10/14/2020 9:40:18 AM
Fee Amt: $2,326.00 Page 1 of 3
Revenue Tax: $2,300.00
Jackson County, NC
Joe Hamilton Register of Deeds
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Oct - 14 2020 Oct - 14 2020 KH
This instrument prepared by:
Kimberly R. Coward, a licensed
North Carolina Attorney
Coward, Hicks & Siler, P. A.
Post Office Box 1918
Cashiers, NC 28717
Delinquent taxes, if any, to be paid by the closing attorney to the county tax collector upon
disbursement of closing proceeds.
Rev. $2,300.00; unimproved; not primary residence
PIN: 7580-39-3715; split transfer
STATE OF NORTH CAROLINA
COUNTY OF JACKSON
WARRANTY DEED
THIS WARRANTY DEED is made this 14th day of Octobper, 2020, by and between
SILVER RUN RESERVE, LLC, a North Carolina limited liability company, of 4 Shadow Lane
Street, Houston, TX 77005, hereinafter referred to as "Grantor," and KLM FAMILY
INVESTMENTS, LLC, a Georgia limited liability company, of 794 Longwood Court NW,
Atlanta, GA 30305, hereinafter referred to collectively as "Grantee." The terms grantor and
grantee shall be used as neuter singular designation of the parties hereto, their personal
representatives, heirs, successors and assigns.
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
Grantee in fee simple, in all of that certain lot or parcel of land situated in Cashiers Township,
Jackson County, North Carolina, and more particularly described as follows:
submitted electronically by "coward Hicks & siler"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the 7ackson county Register of Deeds.

BEING ALL of Lot FE4, Farm Estates, Silver Run Reserve, containing 9.32 acres, as
shown on a plat thereof prepared by Aaron Garrett Land Surveying, P.C., dated August
24, 2020, and recorded in Plat Cabinet 24, Slide 130, Jackson County Registry, to which
reference is specifically made.
ALSO BEING a portion of Lite same lands as described in that certain deed recorded in
Book 2228, Page 1480, Jackson County Registry, to which reference is specifically made.
TOGETHER WITH a non-exclusive right-of-way over the existing access road shown on
the above -referenced plat, together with continuations thereof, for purposes of ingress
and egress between subject property and North Carolina Highway 107.
TOGETHER WITH and SUBJECT TO that certain Declaration of Covenants,
Conditions, Restrictions and Easements for Silver Run Reserve recorded in Book 2252,
Page 810, as amended in Book 2273, Page 1507, Jackson County Registry, to which
reference is specifically made, together with any and all recorded supplements and
amendments thereof of public record.
SUBJECT TO the right -of --way of the existing thirty (30') foot in width right -of --way
shown on the above -referenced plat, which is a subdivision access road.
In accepting this conveyance, the Grantee herein acknowledges that membership in Silver
Run Reserve Association, Inc. is an appurtenance to the property hereinabove conveyed,
that the benefits and burdens of such membership cannot be severed from the fee to
which they are appurtenant, and that said benefits and burdens shall run perpetually with
the land.
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, subject to the reservations,
exceptions and limitations contained herein.
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 conveyed subject to the following
exceptions:
Exceptions and reservations contained in this deed and/or in instruments referenced
herein.
Easements and rights -of --way for public and private roads and utilities, of public record.
Lien of ad valorem taxes for the current year and subsequent years, not yet due and
payable.

IN WITNESS WHEREOF, Grantor has caused these presents to be executed by its
Manager, the day and year first above -written.
SILVER RUN RESERVE, LLC, a North Carolina
limited liability company
Arthurpl. f4urt7, III, Manager
STATE OF t�ior �� ,r tiZ ILA
COUNTY OF,�c5t� n
I, a Notary Public of(Ye�2 County and State aforesaid, do hereby certify
that Arthur J. Hurt, III, Manager of Silver Run Reserve, LLC, a North Carolina
limited liability company, personally appeared before me this day and
acknowledged the due execution of the foregoing instrument on behalf of the
company.
WITNESS my an and official stamp or seal, this they' day of Septoffd3etL, 2020.
(SEAL)
PAULA E. M. GORDON
NOTARY PUBLIC Notary Public
My c
MACON COUNTY, NC
Printed Name of Notary
My Commission Expires: a - (�{ -alk�
20-1091/pg