NCC231676_FRO Submitted_20230606

Town of `"d t�7 S Public Works Department
140 Memorial Park Court Southern Pines,NC 28387
Telephone: [phone] Fax:[phone]
/( Houthern ines
�; North Carolina FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
The Atid kxuh 12cxort
Internationally I ecognized for Program Excellence SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land-disturbing activity greater than 30,000 sq.ft. as covered by the
Town's Code of Ordinances before this form and an acceptable erosion and sedimentation control
plan have been completed and approved by the Town of Southern Pines and the Land Quality Section,
NC. Department of Environmental Quality. (Please type or print and, if the question is not applicable
or information unavailable, place N/A in the blank.)
Part A.
1. Project Name Tiara Office Park
SE service road between Illinois Ave
2. Location of land-disturbing activity: Highway/Street/Address: and Wisconsin Ave
Town of
Latitude 35.175 Longitude -79.402 County Moore, City: Southern Pines
3. Approximate date land-disturbing activity will commence June 2023
4. Percent Impervious 31.2%
5. Purpose of development(residential, commercial, industrial,institutional,etc.): Commercial Office Space
6. Total acreage disturbed or uncovered(including off-site borrow and waste areas): 1.84 Acres
7. Amount of fee enclosed:$ $450.00
The application fee of$300.00 per acre plus $150.00 for each additional acre, or part thereof, and is
assessed without a ceiling amount. Any substantial revision to a previously approved,active plan is$50
per acre,or part thereof.
8. Has an erosion and sediment control plan been filed? Yes x No Enclosed
9. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Richard Knight E-mail Address [e-mail]
Telephone [phone] Cell 304-541-1492 Fax
10. Landowner(s)of Record (attach accompanied page to list additional owners):
Tiara Properties LLC 304-541-1492
Name Telephone Fax Number
2236 Kivett Dr 2236 Kivett Dr
Current Mailing Address Current Street Address
Greensboro NC 27406 Greensboro NC 27406
City State Zip City State Zip
11. Deed Book No. 6003 Page No. 53-56 Provide a copy of the most current deed.
Page 3 of 3 1-6-21 B-81

Part B.
1. Person(s),Company(ies),or firm(s) who are financially responsible for the land-disturbing activity(Provide a
comprehensive list of all responsible parties 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.
Richard Knight [e-mail]
Name E-mail Address
2236 Kivett Dr 2236 Kivett Dr
Current Mailing Address Current Street Address
Greensboro NC 27406 Greensboro NC 27406
City State Zip City State Zip
Telephone [phone] Fax
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
(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
Page 3 of 3 1-6-21 B-82

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.
Richard Knight Managing Member
Type or print name Title or Authority
ay Zo 2-
Signature Date
I, toir c I G 2" 4 kit
,a Notary Public of the County of t I
pp
State of North Carolina, hereby certify that I~� c appeared
� �A y��' ��(�
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 3 b 1� day of ' ,20 23
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NOTARYPUBLIC
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�6 My commission expires
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FOR TOWN USE ONLY:
Covered by 5/70 Provision: Yes 0 No 0
REVISED:December 17,202D
Page 3 of 3 1-6-21 B-83

VVf%V'VW V - I I % VV
For Registration Register of Deeds
William Britton
Moore County, NC
Electronically Recorded
April 24, 2023 4:44:22 PM
Book: 6003 Page: 53 - 56 #Pages: 4
Fee: $26.00 NC Rev Stamp:$0.00
Instrument# 2023005141
Prepared by:
John M.May
Robbins May&Rich LLP
No Title Examination by Drafting Attorney
Return To:
John M.May
Robbins May&Rich LLP
120 Applecross Road
Pinehurst,North Carolina 28374
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax: $0.00
Brief description for the Index:Tracts,McNeill Township
Parcel Identification Numbers 00037470;20020660;20160148;98000377 in the records of the Moore County Tax Department
(for identification purposes only)
This deed is made as of April 10,2023,by and between
Grantor Grantee
Tiara Properties LLC, Tiara Properties LLC,
a North Carolina limited liability company a North Carolina limited liability company
2236 Kivett Drive 2236 Kivett Drive
Greensboro,North Carolina 27406 Greensboro,North Carolina 27406
The designations"Grantor"and"Grantee"as used herein shall include the parties and their respective their heirs,successors,and
assigns and shall include singular and the plural,and the masculine,feminine,and neuter as required by context
WITNESSETH,that Grantor,for a valuable consideration paid by Grantee,the receipt of which is hereby acknowledged,has and
by these presents does grant,bargain,sell and convey unto Grantee,in fee simple, all that certain lot or parcel of land situated in
Moore County,North Carolina,and more particularly described on Exhibit A attached hereto and incorporated herein by reference
(the "Property") and is granted, bargained, sold, and conveyed subject and together with utility and other easements, restrictive
covenants of record that are enforceable against or a benefit to the property,if any,and to the lien for ad valorem property taxes for
the current year.
The property hereinabove described is conveyed to create one curtilage of land acquired by Grantor in instruments recorded in Book
4847,Page 99;Book 4627,Page 436 and Book ste3 Page a2 7,Moore County Registry.
From and after the date of recordation of this conveyance,the above described properties shall be considered one lot or curtilage for
all purposes.
Submitted electronically by "Rabbins May & Rich LLP"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Moore county Register of Deeds.

v v Na,[\VV vv - I r* - V^T
The Property(or a portion thereof)does not include the primary residence of 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.
And the Grantor covenants with the Grantee,that Grantor has done nothing to impair such title as Grantor received,and Grantor
will wan-ant and defend the title against the lawful claims of all persons claiming by,under or through Grantor,except for the exceptions
noted above.
[Signature Page to Follow]

40N.. t vvV - t r-t Vv
IN WITNESS WHEREOF, this instrument is executed(a), if by an individual, by hereunto setting his or her hand under seal by
adoption of the word"SEAL"appearing next to his or her signature,(b),if by a corporation,by the duly authorized officer,director
or shareholder of the corporation on its behalf under seal,if an impression seal appears hereon,by affixing such impression seal or
by adoption of the word"SEAL"appearing next to the signature of the officer,(c),if by a partnership,by the duly authorized partner
of the partnership on its behalf under seal by adoption of the word"SEAL"appearing next to the signature of the partner or(d),if
by a limited liability company,by the duly authorized manager or company official on its behalf under seal by adoption of the word
"SEAL"appearing next to the signature of the manager or company official,on the day and year lust above written.
TIARA PROPERTIES,LLC
a North atina limited lliab'lity company
By (SEAL)
Tri ' A.Knight, emb 6 nager
STATE OF 1tf C-
COUNTY OF 6-0 i (Pt-A
I certify that the following person personally appeared before me this day and acknowledged to me that the following person
voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated:
Name Capacity
Tricia A.Knight Member Manager of Tiara Properties LLC
© I have personal knowledge of the identity of the principal;
l' I have seen satisfactory evidence of the principal's identity,by a current state or federal identification with the principal's
photograph in the form of a PC I. ;or
© A credible witness has sworn to the identity of the principal
Witness my hand and official stamp or seal on A-p I (7 t" ,20?9.
#())/24
Public
Print notary mama:
(notary name must be exactly as on notary seal)
My commission expires: I (/z_64.024
[affix notary seal, which must be fully legible]
oa ••NOTARY •� A' s
PUBLIC •
- CoriL P i 6a+

Exhibit A
That certain tract or parcel of land bounded on the southwest by West Wisconsin Avenue;on the southeast by the
northeast boundary line of Lots 1-8 Block P&7 as shown on a map entitled"A Map of Southern Pines,Moore County,NC"
recorded in Moore County,Registry in Map Book 1, Section 2,Page 70(reference to which is herewith made,the"Official Map of
Southern Pines");on the northeast by West Illinois Avenue;and on the northwest by the right of way of Service Road adjoined to
the north bound lane of US Highway No. 1 and being more particularly described as follows:
BEGINNING at an iron stake found in the northeast right of way of West Wisconsin Avenue same being the common
corner of Lots 23 and 24 as shown on the Office Map of Southern Pines;said beginning point being N 36°34' 15"W 99.83 feet
from the southern corner of Lot I shown on the Official Map of Southern Pines;thence as the northeast right of way of Wisconsin
Avenue N 36°30' 02"W 65.27 feet to an iron rod found;thence continuing with said right of way N 36°32' 15"W 188.57 feet to
an iron pipe found;then continuing with said right of way N 36°23' 09"W 79.81 feet to an iron pipe found;thence continuing
with said right of way N 36°31'42"W 60.69 feet to an iron rod found in concrete in the southeast right of way of Service Road
for the north bound lane of US Highway No. 1;thence with said right of way,a curve with a radius of 4878.62',a length of
337.62'and a bearing of N 41° 18'05"E a chord distance of 337.56 feet to a found concrete monument right of way marker;
thence continuing with said right of way N 43°09'45"E 72.03 feet to a found iron pipe in the southwest right of way of West
Illinois Avenue;thence as the northwest right of way of West Illinois Avenue S 36°31" 16"E 144.93 feet to an iron pipe found;
thence continuing with said right of'way S 36°25' 38"E 180.0 feet to a set iron rod same being the northern corner of Lot 12
Block P&7 as shown on the Official Map of Southern Pines;thence as the northeast boundary line of said Lot 12,S 53°32' 34"W
100.12 feet to an iron rod set;thence as southwest boundary lien of said Lot 12,S 08°32'48"W 65.06 feet to an iron rod set;
thence continuing with the boundary line of Lot 11,S 08°32'48"5.66 feet to a set iron stake;thence as the common boundary
line of the center square of Block P&7 with the boundary line of Lot 10 and 11 and the alley between Lots 10 and 11,all as shown
on the Official Map of Southern Pines,S 36°27'OT'E 100.06 feet to a found iron rod;thence as the common boundary line of the
center square of Block P&7 with the boundary line of Lots 4 and 5 on the alley between Lots 4 and 5 all as shown on the Official
Map of Southern Pines S 53°33'6"W 100.12 feet to a found iron rod;thence as the common boundary line of Lot 4 and Lot 23 as
shown on the Official Map of Southern Pines S 07°42'24"W 5.60 feet to a found iron rod,a common boundary line of Lots 4
and 23 as shown on the Official Map of Southern Pines;thence S 53°34'40"W 146.35 feet to a point and place of beginning.
For further reference see Book 4317,Page 514;Book 4317,Page 516; Book 4317,Page 519;Book 1320,Page 58;Book 4847,
Page 99 all of the Moore County Registry.