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Home My WebLink AboutNCC242802_FRO Submitted_20240912 WAKE COUNTY 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 Wake WAKE County Unified Development Ordinance before this form and an acceptable erosion and COUNTY sedimentation control plan have been completed and approved by Wake County Department of Nonni cnnou Environmental Services, Water Quality Division. (Please type or print and, if the question is not applicable, place N/A in the blank.) Part A. II 1. Project Name D. 600 eaddidvSe �oo�C/1 2. Location of land-disturbing activity: Jurisdiction ,n1Ake (Wake Co. or Municipality) Highway/Street Latitude 3 S. g S5.- Longitude "-73.310 3. Approximate date land-disturbing activity will commence: cl- -ajt II 4. Type of development(residential, commercial, industrial, institutional, etc.): /J�1'b1CJ c-14 s a I 5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste areas): .636 6. Person to contact should erosion and sediment control issues arise during land-disturbingn "^" acttivity: Name D'CNW$ 1 ` E-mail Address �L��ISI ' ] bi , friL i.et,� Telephone Cell# rFax# 7. Landowner(s) of Record (attach accompanied page to list additional owners): 44 6A(cL4 tV \\++MCS/ LLL q 11 a-78" 730.8y njoAljwinLaMe5atiti;f cc►i! Name(s) Telephone Fax or E-mail address Ito l WAi - k eAWkE- Current Mailing Address Current Street Address tAleke 6ces-(- pi c a-,c'1 City State Zip City� State Zip 8. Deed Book No.0,q�gS Page No.OIL J �/-01646 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 attache sheet. Include requested information): UVI L.L. AC11 wlhIA0614 4i/.CL' ►1) Name / E-mail Address J Ilk)att Pk-kg/ Current Mailing Address Current Street Address Wdke JL �-7sg7 City State Zip City State Zip Telephone tit(le 1g-13� 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: IgkedrPSak Li 1 IA Name of Regist red Agent E-mail Address ko �AI t l- ,,O,ttif� Current.'' Mailing Address Current Street Address W C�ee-g" Nr L -,sti City 7 State Zip City State Zip Telephone �(Q 633661— 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. Type or print name Title or Authority - 7/7— (7di %1 ( gia,21-(- Signature Date I, 614 \v\- L Cr S ' G , a Notary Public of the County of (i0 State of North Carolina, hereby certify that WX {- JAQ{.° ►j A I d f o 1 vv- appeared personally before me this day and being duly sworn acknowledged that the above form was executed by him. S— Witness my han r,�t rial seal, this 1 day of A A S , 20 a�t h, ESP guy, ei,„60 ,A,.-tF/f4% /°. a Notary Seal ---(G G My commission expires 2 JZ ).CI ,�9 vet •�..,,•,cou BK019488PG01658 WAKE COUNTY, NC TAMMY L. BRUNNER REGISTER OF DEEDS PRESENTED & RECORDED ON 11-29-2023 AT 17:01:01 STATE OF NC REAL ESTATE EXCISE TAX: $180.00 BOOK: 019488 PAGE: 01658-01660 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: $180.00 Parcel Identifier No.0366750 Verified by County on the day of ,20 By: Mail/Box to: Grantcc This instrument was prepared by: North Carolina Real Estate Law Firm;6739 Falls of Ncusc Road,Suite 201,Ralcigh,NC 27615, without title or tax advice given Brief description for the Index: Lot 3 Wakefield Meadows THIS DEED made this day of ,20_,by and between GRANTOR GRANTEE Matt Baldwin Homes,L.L.C.,a North Carolina limited liability Hedgehog Ventures,LLC,a North Carolina limited liability company company 401 Wait Ave 27703 Leesville Road Wakc Forest,NC 27587 Durham,NC 27703 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 fcc simple, all that certain lot, parcel of land or condominium unit situated in the City of Zebulon,Wake County,North Carolina and more particularly described as follows: BEING all of Lot 3 Wakefield Meadows Subdivision as Is shown on a map recorded in in Book of Maps 2008,Pages 360-362, Wake County Registry. All or a portion of the property herein conveyed does not include the primary residence of a Grantor. The property herein described was acquired by Grantor by deed recorded in Book 17532,page 888,Wake County Registry. submitted electronically by "warren, shackleford & Thomas, P.L.L.C." in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Wake county Register of Deeds. NC Bar Association Form No. 3 )1976.Revised 0 1/1/2010,2013 This standard form has been approved by: Printed by Agreement with the NC Bar Association North Carolina Bar Association-NC Bar Form No. 3 BK019488PG01659 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 what ever percentage or interest held, in fee simple,has the right to convey the same in fcc 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: Ad valorem taxes for current year and reservations, easements,restrictions and covenants of record,matters shown on the above plat, and zoning or other municipal ordinances. IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. Hedgehog Ventures,LLC i By: I, e N r5Ti✓pii :e 40/,5 �4 Title: Maw a State of N ar> —County of t�a_OA v O� j I,the undersigned Notary Public of the County and State aforesaid,certify that 1Yi5Idbher-- PO SJ (2- ,Manager of Hedgehog Ventures,LLC,a North Carolina limited liability company personally appeared bef8re me this di and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this i 7 day of 0CT)eyvtljQl(� ,20 3 . My Commission Expires: -1� -/ O c-S J tary Public ( p,r,Z )- , Get:,, LENZ H.GELIN •`?+ ' Notary Public,State of Florida 2 Ai Commission#HH 172517 irIri My comm.expires Sept.6.2025 2 NC Bar Association Form No. 3 C 1976,Revised C I/I/2010,2013 This standard form has been approved by: Printed by Agreement with the NC Bar Association North Carolina Bar Association-NC Bar Form No. 3 BKO19488PGO166O Exhibit "A" Being all of Lot 3, Wakefield Meadows, Phase 5, as shown on plat recorded in Book of Maps 2008, Page 360, Wake County Registry, Legal Description 23 W ST00893l22