NCC241608_FRO Submitted_20240528

``CAROL
d' "� FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land-disturbing activity that disturbs one or more acres as covered by the Town of
Clayton Soil Erosion and Sedimentation Control Ordinance before this form and an acceptable erosion and
sedimentation control plan have been completed and approved by the Town of Clayton. Lots smaller than one
acre that are part of a larger plan of development are also subject to Town of Clayton Soil Erosion and
Sedimentation Control Ordinance and are required to complete this form. (Please type or print and, if the
question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
Part A.
1. Project Name Academy Point Phase 10
2. Location of land-disturbing activity: County JOHNSTON City or Township CLAYTON
Highway/Street N. O'Neil Street Latitude 35.65880 Longitude-78.45365
3. Approximate date land-disturbing activity will commence:May 20, 2024
4. Purpose of development(residential, commercial, industrial, institutional, etc.):Commercial
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 1 .53 acres
6. Has an erosion and sediment control plan been filed? Yes ✓ No Enclosed ✓
7. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Nick Larson E-mail Address Nick.Larson@ StayWild.COm
Telephone[phone] Cell# [phone] Fax# N/A
8. Landowner(s)of Record (attach accompanied page to list additional owners):
JJARR, LLC (919) 901 -3178 N/A
Name Telephone Fax Number
114 W. Main Street, Suite 102 114 W. Main Street, Suite 102
Current Mailing Address Current Street Address
Clayton NC 27527 Clayton NC 27527
City State Zip City State Zip
9. Deed Book No. 5928 Page No.23° Provide a copy of the most current deed.
Part B.
1. 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.
JJARR, LLC [e-mail] _
Name E-mail Address
114 W. Main St., Ste. 102 114 W. Main St., Ste. 102
Current Mailing Address Current Street Address
Clayton NC 27520 Clayton NC 27520
City State Zip City State Zip
Telephone[phone] Fax Number N/A

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 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.
Reid Smith Managing Member
Type or print name Title or Aut rity
5
Sign ure Date
'D
I, 0 i\hU) t , a Notary Public of the County of JetrIN\C;Icy
State of North Carolina, hereby certify that ?Q d Om c \ 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 L day of a L , 20 a i--+__
0",7R�A�,e� ®pauP -i
O G. Notary (1
MY My commission expires OC ' o\-)Q.c t' 9-041
COMMISSION EXPIRES E
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Filed in JOHNSTON COUNTY, NC CRAIG OLIVE, Register of Deeds Filed 05/11/2021 12:43:50 PM
DEED BOOK: 5928 PAGE: 230-233 INSTRUMENT#2021748705
Real Estate Excise Tax:$510.00 Deputy/Assistant Register of Deeds: Marilyn Moore
641 N. O'Neil St., Clayton
Prepared by: McCullers, Whitaker& Hamer, PLLC, 104 N. Fayetteville St., Clayton,
NC 27520
Mail To: GRANTEE
Excise Tax: $510.00
Parcel ID: 05H02200Z
The property conveyed herein IS NOT the Grantor's primary residence
NORTH CAROLINA GENERAL WARRANTY DEED
State of NORTI I CAROLINA
County of JOHNSTON
This GENERAL WARRANTY DEED, made this,the 10 day of May, 2021,by
and between Becky Yvette Gordon and spouse,Steve W.Ferrell, and Brooke G.
Hackney, also known as Brookie G. Hackney, (hereinafter referred to in the neuter
singular as"GRANTOR"), and JJARR, LLC,a North Carolina limited liability
company, whose address is 114 W. Main Street, Suite 102, Clayton, NC 27520
(hereinafter referred to in the neuter singular as "GRANTEE"):
WITNESSETH
That the Grantor, for 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 more
particularly described as follows:
SEE ATTACHED EXHIBIT "A" FOR A COMPLETE AND ACCURATE
LEGAL DESCRIPTION THEREOF,WHICH IS INCORPORATED BY
REFERENCE AS IF FULLY SET FORTH IIEREIN.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges
and appurtenances thereto belonging to the Grantee and its heirs and assigns, free and
discharged of all right,title, claim or interest of the Grantor or anyone claiming by,
through or under them.
Submitted electronically by "McCullers, whitaker & Hamer, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Johnston County Register of Deeds.

DEED B:5928 P:231
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, other than the
following exceptions:
(I) Subject to county property taxes and assessments for the current year.
(2) Subject to any easements,restrictions, covenants and rights-of-way of
record.
IN WITNESS WHEREOF, the Grantor(s)have hereunto set their hands and
seals,or if corporate, has caused this instrument to he executed by duly authorized
officers and its seal affixed by authority of its Board of Directors, the day and year set
forth above.
BY:
Becky Yv e rdon
BY: CA-3
Steve W. Ferrell
STATE OF I!/04 6,./t '^Ao
COUNTY OF C16
I certify that the following person(s)personally appeared before me this day,each
acknowledging to me that he or she voluntarily signed the foregoing document for the
purpose stated therein and in the capacity indicated: Becky Yvette Gordon and Steve W.
Ferrell.
This the l0 day of May. 2021.
ovi,;s, Notary Public
C,
i,„.;+ow Notary Printed Name
onnston cooly - My Commission Expires: _

DEED B: 5928 P:232
IN WITNESS WHEREOF,the Grantor(s)have hereunto set their hands and seals,or if
corporate,has caused this instrument to be executed by duly authorized officers and its
seal affixed by authority of its Board of Directors, the day and year set forth above.
BY: t/L496-ka.. L.► • /4Chitej
Brooke G. Hackney —
STATE OF 0A.401..
COUNTY OF S cam,
I certify that the following person(s)personally appeared before me this day,each
acknowledging to me that he or she voluntarily signed the foregoing document for the
purpose stated therein and in the capacity indicated: Brooke G.Hackney.
This the 7 day of May,2021.
—7,-4 h 0-e.,,,
Notary Public
0_„ TODD M.DOEMEL IOd c1 At DO e W.e.
2 A, t Notary Public,State of Florida Notary Printed Name
iiAi
Commissionli GG 922954 My Commission Expires: _ l a-le, —Q 3
My Comm.expires Dec.10,2023

DEED B:5928 P:233 END OF DOCUMENT
Exhibit"A"
Lying and being in Clayton Township, Johnston County, North Carolina,
and more particularly- described as follows:
BEGINNING at- a stake on the Western side of Fayetteville Street, said
stake being located Northeast 300 feet from the point where the Western
property line of Fayetteville Street intersects the Northern property
line of Wilson Street, a corner with Lot No 4, and runs thence the
line of Lot No. 4 North 40 degrees 25 minutes West 200 feet to astake
in the right of way line of North Carolina Highway No. 1708, thence
as sad right of way line North 52 degrees 20 minutes. East 32.4 feet,
North 57 degrees 35 minutes East 100 feet-, North 64 degrees 11 minutes
East 100 feet, and Nurth 71 degrees 04 minutes East 100 feet to a
stake on the South side of the Street leading from North- Carolina Highway
No. 1708 to Fayetteville Street extended, thence as the southern
property line of said street South 40 degrees 25 minutes East 117.2
feet to a stake in the Western property line of Fayetteville Street,
thence as the Western property line of Fayetteville Street South 49
degrees 35 minutes West 322.5 feet to the point and place of BEGINNING,
and being all of Lots Nos. 5, 6, and 7 as shown on a map entitled:
"Propertycf Jimmy Gordon", dated May 25, 1964 by William Ragsdale, Jr.
Registered Engineer, said property being a portion of that property
conveyed to the Grantors by deed from Alice B. Wilson March 23, 1966,
and recorded in the Registry of Johnston County.