NCC240979_FRO Submitted_20240403

11011. WAKE COUNTY FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
WAKE No person may initiate any land-disturbing activity on one or more acres as covered by the Wake
D boe b
COUNTY sedimentationCountyUnified control planevelopment haveOrdinance been completedefr and this approvedform byand an Wake Countyaccepta le Department erosion ofand
NORTH(CAfiUtINA 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 2408 Toll Mill Court Lot 44 Sanctuary
2. Location of land-disturbing activity: Jurisdiction Wake County (Wake Co. or Municipality)
Highway/StreetToll Mill CourtLatitude 35 . 71487 Longitude —78 ' 72985
3. Approximate date land-disturbing activity will commence: April 1, 2024
4. Type of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas): 0 . 710
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Mike Little Email Address [e-mail]
Telephone [phone] Cell# Fax#
7. Landowner(s) of Record (attach accompanied page to list additional owners):
Poythress Homes, Inc. 919-422-1209 mike@poythress . com
Name(s) Telephone Fax or E-mail address
224 Towerview Court Same as mailing address
Current Mailing Address Current Street Address
Cary NC 27513
City State Zip City State Zip
8. Deed Book No. 18185 Page No. 1809-1812 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):
Poythress Homes, Inc. mike@poythress .com
Name E-mail Address
224 Towerview Court Same as mailing address
Current Mailing Address Current Street Address
Cary NC 27513
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:
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.
Michael Little Manager
Ty or print e Title or Authority
02 . 29 .24
ignature Date
I, IJ .bead-) )bo)1 a Notary Public of the County of !/U�e-/
State of North Carolina, hereby certify that IV)) Cf/ct e-I 2 / appeared
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(A9 day of Lb fUitP l 20 o7�f
GEBORAH H MgrrisoN Notary
ittlYMAk Wnindealdi&
Nt� al // I. aoo�
North ry Pubii� My commission expires to
Carolina Wakounty

BK018185PG01809 WAKE COUNTY, NC
CHARLES P. GILLIAM
REGISTER OF DEEDS
PRESENTED & RECORDED ON
11-13-2020 AT 11:49:03
STATE OF NC REAL ESTATE
EXCISE TAX: $1,140.00
BOOK: 018185 PAGE: 01809 - 01812
Submitted electronically by Bowen Law Firm PC in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Wake County Register of Deeds.
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Stamps: $ 1,140.00 Real Estate ID#: see attached Exhibit A
After recording, MAIL TO: Grantee
The property does not include the primary residence of the Grantor. (NC GS§ 105-317.2)
This instrument was prepared by: Moore&Alphin, PLLC (without title examination or tax advice given)
Brief description for the Index: Lots 44, 53 and 87 Sanctuary at Yates Mill, Phase 2 Subdivision
THIS DEED is made this 12"'day of November, 2020, by and between
GRANTOR GRANTEE
SANCTUARY PARTNERS, LLC POYTHRESS HOMES, INC.
A North Carolina limited liability company A North Carolina corporation
Grantor's Address: Grantee's Address:
610 Presidents Walk Lane 224 Towerview Court
Cary,NC 27519 Cary,NC 27513
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 or parcel of land situated in Swift Creek Township, Wake County,North Carolina, and being more
particularly described as follows:
See attached Exhibit A
TO HAVE AND TO HOLD the aforesaid lot or parcel of land, all improvements thereon, and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
1

BKO18185PGO1810
AND THE GRANTOR covenants with the Grantee, that Grantor is seized of the prcmieca in fee simple, has the
right to convey the same in fee simple, that title is marketable and hrc and clear o[all encumbrances, and that
Grantor will v/urnun{ and defend the ddc against {he \uv/fu| claims of all persons whomsoever, other than 1he
following exceptions:
>) The lien o[odvu/orem real property taxes not yet due and payable.
2) All easements, covenants, conditions, restrictions, and other matters set [oi-th in the County land
records.
IN WITNESS WHEREOF, each Grantor has hereunto set his hand and aco|, as nf tile day and year first set forth
in the notary acknowledgement below.
SANCTUARY PARTNERS, LLC
_
'"«'m« (SEAL)Thmnus ]. /�nh anaAcr -
STATE OF NORTH C/\D0LlN/\—COUNTY OF WAKE:
\ cuni[v that the following person personally appeared before mcihis day and acknowledged to me that he/she
voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated:
Thomas J' /kmhot
Date:� // / �~ //�p /���
� blic
(Official Stunnp or Seal) Print Name: Casey J. Heim
,,,,
My commission expires: 7/9/2023
Comm. EXP.
07-092

BK018185PG01811
EXHIBIT B
By acceptance of this Deed, Grantee agrees to be bound by all provisions and conditions of that
Agreement of Sale — Sanctuary at Yates Mill (Phase 2) dated September 10, 2020, between Poythress
Homes, Inc. and Sanctuary Partners, LLC, the developer of Sanctuary at Yates Mill Subdivision. This
agreement of Grantee shall be appurtenant to and run with title to the real property herein conveyed and
shall automatically teiiiiinate on the third anniversary of the date of recording of this Deed, unless
Developer records an extension of this agreement in the Office of the Register of Deeds for Wake
County, North Carolina, which extension shall not in any event be for longer than an additional three
years.
GRANTEE:
POYTHRESS HOMES,INC.
A North Carolina corporation
By: 1\2
Name: -r a ke_.--/-1 /) `71-rik—k... _ C
Title: P Oc_ri
State of North Carolina— County of Wake
I certify that the following person personally appeared before me this day and acknowledged to me that
he signed the foregoing document in the capacity indicated and for the purposes stated therein:
/ /7. (print name of signor above)
Date:
(Stamp or Seal)
Signature of Notary
My commission expires: / ,
DEBORAH H.MATTISON
Notary Public
North Carolina,Wake County
3

BK018185PG01812
Exhibit A
Lying and being in Swift Creek Township, Wake County, North Carolina and being more
particularly described as follows:
All of Lots 44, 53 and 87 as shown on the maps entitled "Final Plat For Sanctuary at Yates Mill,
Phase 2", prepared by Cawthorne, Moss & Panciera, P.C. recorded at Book of Maps 2020, Pages
1401-1404, Wake County Registry.
Property Address: 2408 Toll Mill Court, Raleigh, NC 27606
2300 Toll Mill Court, Raleigh NC 27606
2612 Tealin Lane, Raleigh NC 27606
Parcel ID # 0478012, 0478020, 0478054