NCC241243_FRO Submitted_20240422

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 Environmental Quality. Submit the completed form to the appropriate
Regional Office. (Please type or print and, if the question is not applicable or the e-mail address or phone
number is unavailable, place N/A in the blank.)
Part A.
1. Project NameNew Gymnasium
2. Location of land-disturbing activity: CountyGasston City or Township Cherryville
Highway/StreetACadet7ly Latitude(decimal degrees) Long Longitude(decimal degrees)81'377
3. Approximate date land-disturbing activity will commence:April 1
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Institutional
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas):2.4
6. Amount of fee enclosed: $300 . The application fee of$100.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: 8.10-acre application fee is $900).
Checks should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes® Enclosed ❑ No ❑
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Brian Dalton E-mail [e-mail]
Phone: Office# 704 435 1700 Mobile# [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
City of Cherryville 704 435 1700 704 678 8225
Name Phone: Office# Mobile#
116 South Mountain Street 116 South Mountain Street
Current Mailing Address Current Street Address
Cherryville NC 28021 Cherryville NC 28021
City State Zip City State Zip
10. Deed Book No.5464 Page No.2491 Provide a copy of the most current deed.

Part B.
1. Company(ies)who are financially responsible for the land-disturbing activity(Provide a comprehensive list
of all responsible parties on accompanied page.) If the company is a sole proprietorship or if the landowner(s)is
an individual(s), the name(s) of the owner(s)may be listed as the financially responsible party(ies).
Ciyt of Cherryville [e-mail]
Company Name E-mail Address
116 South Mountain Street 116 South Mountain Street
Current Mailing Address Current Street Address
Cherryville NC 28021 Cherryville NC 28021
City State Zip City State Zip
Phone: Office# 704 435 1700 Mobile# [phone]
Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form
the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation
control plan and to conduct the anticipated land disturbing activity.
2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
NA
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Name of Individual to Contact(if Registered Agent is a company)
(b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina agent who is registered on the NC Secretary of State business registry:
NA
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Name of Individual to Contact(if Registered Agent is a company)

(c) If the Financially Responsible Party is engaging in business under an assumed name, give name under
which the company is Doing Business As. If the Financially Responsible Party is an individual, General
Partnership, or other company not registered and doing business under an assumed name, attach a copy
of the Certificate of Assumed Name.
NA
Company DBA Name
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(s)
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 Party). I agree to provide
corrected information should there be any change in the information provided herein.
Brian Dalton City Manager
Type or print name Title or Authority
etta\,. Pr.1-17N,\_ ern 3/11/20
Signature Date
Miles A. Wright , a Notary Public of the County of Catawba
State of North Carolina, hereby certify that Brian Dalton appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him/her.
Witness my hand and notarial seal, this 1 1 day of March 2024
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Type: CONSOLIDATED REAL PROPERTY
Recorded: 3/8/2024 2:56:50 PM
Fee Amt: $26.00 Page 1 of 4
Revenue Tax: $0.00
Gaston, NC
Susan S. Lockridge Register of Deeds
BK 5464 PG 2491 ® 2494
Excise Tax $0.00 Recording Time, Book and Page
Tax Lot No, Parcel Identifier No. 129827, 129828, and 129830
Verified by County on the day of , 20
by
Mail after recording to City of Cherryville, 116 S Mountain St, Cherryville NC 28021
This instrument was prepared by Palmer E. Huffstetler, Jr., City Attorney, 106 N Cherry St, Cherryville NC 28021
Brief Description for the index
www,nclawoffices.com NO TITLE EXAMINATION
NORTH CAROLINA GENERAL WARRANTY DEED
(Combination Deed)
THIS DEED made August 15, 2023, by and between
GRANTOR GRANTEE
Carolyn T. Summer (unmarried widow) City of Cherryville
2004 St Andrews Ct a North Carolina Municipal Corporation
Cherryville NC 28021 116 S Mountain St
Cherryville NC 28021
Enter in appropriate block for each party:name,address,and,if appropriate, character of entity, e.g.,corporation or partnership.
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 the City of Cherryville, Cherryville Township, Cherryville County, North Carolina
and more particularly described as follows:
(See attached EXHIBIT A, incorporated herein by reference.)
This conveyance is intended to combine tax parcels 129827, 129828, and 129830 to form a single tax parcel.
The property described herein does not include the primary residence of the grantor.
submitted electronically by "Taylor Law, PLLC"
in compliance with North carolina statutes governing recordable documents
and the terms of the submitter agreement with the Gaston county Register of Deeds.
Printed by Agreement with the N.C.Bar Assoc.
#003

The property hereinabove described was acquired by Grantor by instrument recorded in Book , Page
A Imap showing the above described property is recorded in Plat Book , Page
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 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.
1 itle to the property hereinabove described is subject to the following exceptions:
Applicable zoning; any recorded or unrecorded easements and rights of way for service lines,streets,roads, highways,
railroads, streams or bodies of water, and utilities as may border or cross subject property, including, but not limited
toi, subdivision streets as shown on recorded plat; applicable setback lines as shown on recorded plat; applicable
restrictive covenants, including any easements or rights of way reserved therein and homeowners' association
previsions; street assessments; property taxes, a lien, deferred or otherwise, but not yet due and payable;matters that
could be revealed by an accurate and current physical survey and boundary survey of the subject property.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this
instrument to be signed in its corporate name by its duly authorized officers and its seal to be hereunto affixed
I?y authority of its Board of Directors, the day and year first above written.
A �Yr uaci (SEAL)
(Corporate Name) Carolyn T. Summer
By:
(SEAL)
President
ATTEST:
(SEAL)
Secretary (Corporate Seal)
(SEAL)
AL-STAMP �U, STATE OF NORTH CAROLINA, Gaston County.
/]So �� I, a Notary Public of the County and State aforesaid, certify that Carolyn T. Summer,
Grano , personally appeared before me this day and acknowledged the execu ion of the
®� f rego instrument. Witness my hand and official stamp or seal, this day of
\ "icy Iv)
, 202, .�' �r
�� y 3svdd y ommission expires: o r/
( 6R, Notary Public
N.G. Bar Assoc. Form No. 3 1977
Printed by Agreement with the N.C.Bar Assoc.
#003

EXHIBIT A
Parcel 1 (PID 129827) :
Located, lying, and being in the City of Cherryville, Cherryville
Township, Gaston County, North Carolina, on the south side of East
Academy Street, adjoining the lands of Clyde Carpenter, and being
more particularly described as follows :
BEGINNING at an iron stake in the south margin of the south
sidewalk of East Academy Street, which stake was located on
September 18 , 1940, by W. J. T. Styers according to a plat and
survey made by him on that day, reference to which is hereby made,
and runs thence S 75 W 64 . 2 feet with the south margin of said
south sidewalk of East Academy Street to a stake; thence S 15 E
134 . 8 feet to a stake; thence S 75 W 206 . 4 feet to a stake; thence
S 15 E 365 feet to a stake; thence N 75 E 206 . 4 feet to a stake;
thence N 15 W 214 feet to a stake; thence N 75 E 68 feet to a stake
in Zim Sisk' s lot; thence N 17 W (the closing course based on an
actual survey by Hoke S . Heavner, Registered Surveyor, on May 10,
1960, being N 15-45 W) with Zim Sisk' s line; thence with Clyde
Carpenter' s line, then a new line, 285 . 8 feet to the BEGINNING. It
is understood that the old mill building, warehouse, and one or two
small structures of the former Cherryville Mfg. Co. are located on
the lands hereby conveyed.
For title reference see Book 2100 at Page 756 of the Gaston County
Registry.
Parcel 2 (PID 129828) :
Located, lying, and being in the City of Cherryville, Cherryville
Township, Gaston County, North Carolina, on the south side of East
Academy Street, and being more particularly described as follows :
BEGINNING at a stake on the south side of East Academy Street,
corner of First Tract, and runs with the south side of said street
S 75 W 93 feet to a stake; thence S 15 E 134 . 8 feet to a stake,
corner of D. R. Mauney, Sr. and D. R. Mauney, Jr. ; thence with
their line N 75 E 93 feet to a stake on Mauney' s line; thence with
their line N 15 W 134 . 8 feet to the BEGINNING.
For title reference see Book 2100 at Page 756 of the Gaston County
Registry.
Parcel 3 (PID 129830) :
Located, lying, and being in the City of Cherryville, Cherryville
Township, Gaston County, North Carolina, on the north side of
Carroll Street, and being more particularly described in accordance
with a survey prepared by W. Bradley Freeman, Registered Surveyor,
dated January 19, 1991, as follows :
BEGINNING at an iron stake located at the most northwesterly corner
of the Donald Alexander Property, the same being located at the
most southwesterly corner of the Pamela Hood Property, and running

thence from said point of Beginning with the western boundary line
of Alexander S 15-49-27 E 125 . 98 feet to an iron stake located at
the most southwesterly corner of Alexander, the same being the most
northwesterly corner of the Whisnant Property; thence with the
western boundary line of the Whisnant Property S 15-49-27 E 136 . 00
feet to an iron stake located just back of the curb in the northern
margin of the right of way for Carroll Street; thence with the
northern margin of the right of way for Carroll Street S 73-26-01
W 162 . 27 feet to an iron stake located at the most southeasterly
corner of the McGinnis Property; thence three calls with the
McGinnis boundary line as follows : N 15-31-01 W 100 . 00 feet to an
iron stake; S 73-26-01 W 50 . 00 feet to an iron stake; and S 15-31-
01 E 100 . 00 feet to an iron stake; thence crossing a gravel
driveway leading to the Lineberger Brothers Warehouse S 73-26-01 W
38 . 93 feet to a point located in the eastern boundary line of the
Fabert Property (said point being located N 15-03-58 W 105.. 10 feet
to an iron stake located at the most northeasterly boundary line of
the Fabert Property) ; thence with the eastern boundary line of the
Fabert Property N 15-03-58 W 105 . 10 feet to an iron stake located
at the most northeasterly boundary line of the Lineberger Brothers
Property; thence with the southern boundary line of Lineberger N
74-48-03 E 180 . 18 feet to an iron stake; thence with the eastern
boundary line of the Lineberger Property N 15-20-06 W 213 . 69 feet
to an iron stake; thence continuing with the Lineberger boundary
line N 75-49-15 E 67 . 82 feet to an iron stake located in the
western boundary line of the Hood property; thence with Hood' s
western boundary line S 15-49-27 E 49 . 63 feet to the point of
BEGINNNING, containing 0 . 809 acre, more or less .
This conveyance is made subject to the right of way for Carroll
Street, an underground metal pipe as shown upon the aforesaid
survey, and a gravel driveway leading from Carroll Street to
Lineberger Brothers Property, as shown upon the aforesaid survey.
feet to the BEGINNING
For title reference see Book 2120 at Page 671 of the Gaston County
Registry.
city-cvl.des/23