NCC233540_FRO Submitted_20231205

WAKE COUNTY FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
�111 SEDIMENTATION POLLUTION CONTROL ACT
WAKENo person may initiate any land-disturbing activity on one or more acres as covered by the Wake
County Unified Development Ordinance before this form and an acceptable erosion and
COUNTY
7 sedimentation control plan have been completed and approved by Wake County Department of
Environmental Services, Water Quality Division. (Please type or print and, if the question is not
applicable, place N/A in the blank.)
Part A.
1. Project Name Lowery Estates
2. Location of land-disturbing activity: Jurisdiction Wake County (Wake Co. or Municipality)
Highway/Street Bold Run Hill Rd Latitude 36.019167 Longitude -78.570278
3. Approximate date land-disturbing activity will commence: December 2023
4. Type of development(residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas): 6.1
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Rick Grote E-mail Address [e-mail]
Telephone [phone] Cell# 919-201-7480 Fax#
7. Landowner(s)of Record (attach accompanied page to list additional owners):
Faye B Barnette
Name(s) Telephone Fax or E-mail address
2621 Ardsley Drive 2621 Ardsley Drive
Current Mailing Address Current Street Address
Durham NC 27704 Durham NC 27704
City State Zip City State Zip
8. Deed Book No. 8156 Page No. 1106 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. Include requested information):
Greenpointe,LLC [e-mail]
Name E-mail Address
7201 Creedmoor Rd-Suite 140 7201 Creedmoor Rd-Suite 140
Current Mailing Address Current Street Address
Raleigh NC 27613 Raleigh NC 27613
City State Zip City State Zip
Telephone [phone] Fax Number

2. (a) If the Financially Responsible Party is not a resident of Wake County, identify a designated agent in
Wake County to receive any notice, process, pleading in any action or legal proceeding arising out of any
matter relating to the Wake County Erosion and Sedimentation Control Ordinance and/or Land
Disturbance Permit:
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:
f
J e - CT role. ;1(Li e 4rPenpoi r7 e -1(c co�•
Name of Registered Agent ✓ Email Addrats
1)N01 (it'('ecL,n i e04 (e. 1,/0 7 I Ore al. m oo r R 01 S le I 'id
Current Mailing Address Current Street Address
.1!),(1°,1)h Al 9-76, I3 'R3I6(c�h L �
M1Gt3
City State Zip City State Zip
Telephone 419 - (17( -5200 Fax Number /J4
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.
Je� _ Alan 0/) c�7eerid9Or 0 - LiC
T-•- or pri t n Title or Authority
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Si t nature I Da
I, 1. ♦ A A /1 ),,, , a Notary Public of the County of
State of North Carolina, hereby certify that ��Y-0(e) 1' \tXY1& e 7 appeared
personally before me this day and being duly sworn acknowledged thdt the above f m was executed by him.
Witness my hand and notarial seal, this 2/day of , 20 -
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WAKE CO I? lY
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y Bacue Tax A ecordu Tune. Book and Page
1 Tax I..ot No. Parcel Identifier No.0 ro c
Verified by County on the day of • 19
by . ._ .
Mail after recording to .
This instrument was prepared by Edward W. scarbor0. Jr.
Brief description for the Index I
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this 30th day of September , 19 �. by and between
GRANTOR GRANTEE
FAME BAILEY JOHand. and husband. FA.YE BAILEY JOf(N ON and husban
LEAMAN JOHNSON
LF.�tMAN JOEIN50�3 and
BETTY JEAN GALLItGHER and. Address:
BARBARA BAILEY DAVIS 1 ��1 �g II/t
c)5,9 4,2is L
1>LL2HRh . NC a77CT
Enter is appropriate block for each party: name• address, and, if appropriate. character of entity, e.q. corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assi,
shall include singular, plural, masculine, feminine or neuter as required by context.
L WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which ib
• I acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple,
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certain lot or parcel of land situated in the City of
Wake County, North Carolina and more particularly described as follows:

�� ,ter,
'�i81156Rt ! 4
The property hereinabove described was acquired by Grantor by instrument recorded in .....
A map showing the above described property is recorded in Plat Book pate
TO HAVE AND TO HOLD the aforesaid lot or parcel of bind and all privileges and appurtenances thereto belong
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to i
the same in fee simple, that title is marketable and fret and clear of all encumbrances, and that Grantor will warra
defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated.
Title to the property herei:nabove described is subject to the following exceptions:
I
IN WITNESS WHEREOF. ehr Grantor has hereunto set his band and seal. or if corporate, has caused this instrument to be sign,
corporate anise by its duly auta,oeised offkers and its teal to be bere+uto affixed by authority of its Board of Directors, the day and )
above written.
4>t — ,
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-/ By: (corporate Name) "" FA EiAlthY 3
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President x lAN Of
W#/
AT rEsr:
BETTI .AN GALLAG1
Secretary(Corporate Seal)
``1tt11Uffrffrr, BARBARA BAILEY DAVIS
� RO ' i NORTH CAROLINA, ---1"/ . County. +
{ �: y I, �totary Public(o! (lihe lCounty land State afore(i�aldf c,ert that __ X-- t
'C�: Q�P i V' x .a 7ec ECG-1 L%Lte. r 8i�'k±.._Vlt,tr .A S
11 < 4:C• * V i Z = personally appeared before me: this day and ackno�ele ed the execution of the foregoing instrument.9�
� ;0• Q_ r�� - hand and official stamp or seal.,this -__P_1- day of 'f_o -01/A-'
, 17•
,'''i/''FAKE G°_ -fs`````� My commission expires: S "� a". Nola
ee•
SEAL-STAMP NORTH CAROLINA, County.
I, a Notary Public of the County and State aforesaid, certify that
,e personally came before me this day and acknowledged that ____ he is Se
a
"' a North Carolina corporation, and that by autt
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LEGAL
EGAL DESCRIPTION
All of Tract 2, 28.116 Acres as shown on a survey titled
"Property of Faye Bailey Johnson, Betty Jean Gallagher &
Barbara Bailey Davis" recorded in Book of Maps 1998, Page
1560, Wake County Registry.
WHEREAS, there exists a 40 foot wide strip of land which is
located between Tract 2 & Tract 3 and it also connects with
SR 1912, Bold Run Hill Road and part of Tract 4 as shown on
a survey titled "Property of Faye Bailey Johnson, Betty Jean
Gallagher and Barbara Bailey Davis" recorded in Book of Maps
1998, page 1560, Wake County Registry.
► The Grantors reserve this 40 foot wide strip of land from SR
1912, Bold Run Hill Road to the eastern boundary of Tract 2
and Tract 3, which is 1630.40 feet from centerpin of SR 1912
to the SE boundary of Tract 3 & Tract 4 and is 1613.18 feet
from the centerpin of SR 1912 to the NE boundary of Tract 2
and Tract 4 as a permanent and perpetual easement for
egress, ingress and regress over and upon said 40 foot strip
of land.
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