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NCC243036_FRO Submitted_20241002
Check if this project is ARPA-funded ❑ Attach a copy of the Letter of Intent to Fund 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, including any activity under a common plan of development of this size as covered by the NCGO1 permit, 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 Name White Oak Creek Crossing 'If this project involves American Rescue Plan Act(ARPA)funds, list the Project Name or Project Number(e.g., SRP-D-ARP-0121) below under which you were approved for funding through the Division of Water Infrastructure(DINO). 2. Location of land-disturbing activity: County Harnett City or Township Angier Rawls Church Rd 35.523908 -78.755304 Highway/Street Latitude)decimal degrees) Longitude(dearraI degrees) 3. Approximate date land-disturbing activity will commence: 6/1/24 4. Purpose of development(residential, commercial, industrial, institutional,etc.): Residential 5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 48 4 800.00 6. Amount of fee enclosed: $ . 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 0 Enclosed 0 No 0 8. Person to contact should erosion and sediment control issues arise during land-disturbing activity: Name Jordan Franco Garcia E-mail Addressjfgarcia@truehomes.com Phone: Office# Mobile# 732-337 1564 9. Landowner(s)of Record (attach accompanied page to list additional owners): B & C Land Farming LLC 980-313-3297 Name Phone: Office# Mobile# 2627 Brekonridge Centre Drive Ste 103 Same as Mailing Current Mailing Address Current Street Address Monroe, NC 28110 City State Zip City State Zip 10. Deed Book No.4249 Page No.451 Provide a copy of the most current deed. t 1 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). True Homes LLC jward@truehomesusa.com Company Name E-mail Address 2649 BREKONRIDGE CENTRE DR#104 Current Mailing Address Current Street Address Monroe NC 28110 City State Zip City State Zip Phone: Office# Mobile#714-425-4732 Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form the landowners 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. SEE ATTACHED SIGNAUTRE AUTHORITY FORM 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: 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: Wesley S. Hinson whinson@hinsonfaulk.com Name of Registered Agent E-mail Address 121 Sheilds Park Drive, Suite G 121 Sheilds Park Drive, Suite G Current Mailing Address Current Street Address Indian Trail NC 28079 Indian Trail NC 28079 City State Zip City State Zip Phone: Office# 704-684-0034 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. 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. Jon Ward Market Partner Type or ' ame Title or Authority Si( • Date -------------------------------------------------------------------------- I, ✓'-a7) -jr'/S/2 a- , a Notary Public of the County of L/4/,6: State of North Carolina, hereby certify that TDj?14)— (A/ 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 2 6 day of 20 Z \\0�8C HRH�ii/, Notary oTARy�'�.�r canon boy My commission expires C K ZoZ6 .41101 PtjIL1G (r -, F . . •/, Cotner( September 5,2024 DEMLR N.C. Department of Environmental Quality Attn: Brooklyn Broussard 225 Green Street, Suite 714 Fayetteville,North Carolina 28301 Re: White Oak Creek Crossing Subdivision Ownership Transfer RAWLS CHURCH RD ANGIER,NC 27501 Harnett PIN: 0674-25-9617.000 & 0674- 36-9630.000 To Whom it May Concern: This letter is intended to notify NCDEQ that ownership of the White Oak Creek Crossing subdivision was transferred to B And C Land Farming LLC on August 23rd, 2024. B And C Land Farming would like to request that the financially responsible party for the White Oak Creek Crossing subdivision be transferred to True Homes LLC, who is responsible for land disturbing activity. Accompanying this letter,please find the newly executed FRO form and deed indicating ownership transfer. Please contact me via email or phone with any questions. Sincerely, Jordan Franco Garcia Sr. Project Specialist 732-337-1564 Land-Raleigh I True Homes Landowner of Record Letter of Consent B & C Land Farming, LLC 2627 Brekonridge Centre Drive, Ste 103 Monroe,NC 28110 PIN: 0674-25-9617.000 & 0674- 36-9630.000 Land Owner Consent. As a landowner, I provide my consent for all permitting of land- disturbing activities which may occur on the property with PIN noted above by the person or entity known as Jon Ward with True Homes, LLC with a mailing address of 2649 Breckonridge Centre Drive #104, Monroe,NC 28110-5629. This consent applies to permitting and land disturbing activities. Date Type or Print Name —104+- Ulfnna� Telephone Fax Title or Authority nnLcci.tl @ Caro vttopr-.ri.+. /mil mail C.c),' Signature I G-ve+c.- Pre Ss°- , a Notary of the County of Lkr ior. State of North Carolina, hereby certify that :31 k f\a4-ka„- n--, C cc, i C 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 ( a- day of&Ste 20 z`f \\\G\„\�N P '. Notary `� - r�� So CD P UB\-`G My commission expires 3-7-q-2�a S v � Matthew S. Willis Register of Deeds Harnett County, NC Electronically Recorded 08/23/2024 04:16:46 PM NC Rev Stamp: $7,460.00 Book: 4249 Page: 450 - 451 (2) Fee: $26.00 Instrument Number: 2024014905 HARNETT COUNTY TAX ID # 040674 0022 03 & 0/0 040674 0254 08-23-2024 BY: MMC NORTH CAROLINA SPECIAL WARRANTY DEED Excise Tax:$7,460.00 NO TITLE SEARCH NOR TAX ADVICE GIVEN Parcel Identifier No.040674 0022 03&Portion of 040674 0254 Verified by County on the day of ,20 By: Mail/Box to: Grantee This instrument was prepared by:Currie Tee Howell,Attorney;Adams,Howell, Sizemore&Adams,P.A. Brief description for the Index:Tract 1,containing 22.44 acres and New Recombined Tract 2,containing 6.46 acres;Map#2024- 358 THIS DEED made this 22nd day of August ,2024,by and between GRANTOR GRANTEE Purple Martin Holdings,LLC,a B&C Land Farming,LLC, a North Carolina North Carolina limited Iiability company limited liability company 4808 Abercroft Place 2627 Brekonridge Centre Drive, Ste 103 Fuquay-Varina,NC 27526 Monroe,NC 28110 Enter in appropriate block for each Grantor and Grantee: name,mailing 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 Black River Township,Harnett County,North Carolina and more particularly described as follows: BEING ALL of New Tract 1 Containing 22.44 Acres and New Recombined Tract 2 Containing 6.46 Acres as shown on a Plat of Survey entitled "Recombination and Minor Subdivision For: Property of: Eloise Stephenson and Property of:White Oak Creek Crossing LLC"prepared by Benton W.Dewar PLS L-3040 dated May 21,2024 and recorded in Map#2024-358,reference to which plat is hereby made for a more particular description. submitted electronically by "Nankin & Pack, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Harnett County Register of Deeds. NC Bar Association Form No.6©1/1/2010 Printed by Agreement with the NC Bar Association BK 4249 PG 451 DOC# 2024014905 * being submitted simultaneously herewith The property hereinabove described was acquired by Grantor by instrument recorded in Book * ,Page_*. All or a portion of the property herein conveyed includes or X does not include the primary residence of the Grantor. A map showing the above described property is recorded in Map#2024-358 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 has done nothing to impair such title as Grantor received,and Grantor will warrant and defend the title against the lawful claims of all persons claiming by,under or through Grantor,other than the following exceptions: IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. GRANTOR: Purple Martin Holdings,LLC,a North Carolina limited liability company (Entity Name (SEAL) Philip R. Stephen on,Manager State of -County or City of Ha y-n I,the undersigned Notary Public of the County or City of \),Y y1e-1-1 and State aforesaid, certify that Philip R. Stephenson personally came before me this day and acknowledged that he is the Manager of Purple Martin Holdings,LLC,a North Carolina limited liability company,and that by authority duly given and as the act of such entity,he sibned the foregoing ins ent in its ame on its behalf as its act and deed. Witness my hand and Notarial stamp or seal,this day of ,2024. MyCommission Expires: 27 ary Public p 1 uumu Notary's ted or Typed Name `(Affix Seal) `p ��NNpt llrp�r �T YP N4TARo, o z= m y PUB LIG � s) lCOfut`1:```l~L,w�w NC Bar Association Form No.6©1/1/2010 Printed by Agreement with the NC Bar Association Matthew S. Willis Register of Deeds Harnett County, NC Electronically Recorded 08/23/2024 04:16:45 PM NC Rev Stamp: $0.00 Book: 4249 Page: 447 - 449 (3) Fee: $26.00 Instrument Number: 2024014904 HARNETT COUNTY TAX ID # 040674 0022 03 08-23-2024 BY: MMC NORTH CAROLINA SPECIAL WARRANTY DEED Excise Tax:$0.00 NO TITLE SEARCH NOR TAX ADVICE GIVEN Parcel Identifier No.040674 0022 03 Verified by County on the day of ,20 By: Mail/Box to: Grantee This instrument was prepared by:Currie Tee Howell,Attorney:Adams,Howell,Sizemore&Adams,P_A_ Brief description for the Index: Lot 3,containing 2.11 acres total,Map Book 2010,Pages 721-722 and Map#2021-242 THIS DEED made this 22nd day of August ,2024,by and between GRANTOR GRANTEE White Oak Creek Crossing,LLC,a Purple Martin Holdings,LLC,a North Carolina limited liability company North Carolina limited liability company 4808 Abercroft Place 4808 Abercroft Place Fuquay-Varina,NC 27526 Fuquay-Varina,NC 27526 Enter in appropriate block for each Grantor and Grantee: name,mailing 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 Black River Township,Harnett County,North Carolina and more particularly described as follows: SEE ATTACHED EXHIBIT A The property hereinabove described was acquired by Grantor by instrument recorded in Book 4131,Page 669. All or a portion of the property herein conveyed includes or X does not include the primary residence of the Grantor. A map showing the above described property is recorded in Map Book 2010,Pages 721-722 and Map#2021-242 NC Bar Association Form No.6 c0 1/1/2010 Printed by Agreement with the NC Bar Association submitted electronically by "Nankin & Pack, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Harnett County Register of Deeds. BK 4249 PG 448 DOC# 2024014904 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 has done nothing to impair such title as Grantor received,and Grantor will warrant and defend the title against the lawful claims of all persons claiming by,under or through Grantor,other than the following exceptions: IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. GRANTOR: White Oak Creek Crossing,LLC,a North Carolina limited liability company (Entity Name) (SEAL) Phil' R. Stephenson, anager State of No_ -County or City of 0, , I,the undersigned Notary Public of the County or City of ay i,e,- }- and State aforesaid, certify that Philip R. Stephenson personally came before me this day and acknowledged that he is the Manager of White Oak Creek Crossing,LLC,a North Carolina limited liability company,and that by authority duly given and as the act of such entity,he signed the foregoing i ttrument in its name on its behalf as its act and deed. Witness my hand and Notarial stamp or seal,this 7 day of ,202_4 ouwza--4--c/L273-yo My Commission Expires: 3otary Public (Affix Seal) o lunu a „. Notary's ' a ted or Typed Name riAt i xyoTAR ETO m~ BOG ,91-7 Fw • ^1/4" 41,6tlrrrrr+CF4 ' NC Bar Association Form No.6 D 1/1/2010 Printed by Agreement with the NC Bar Association BK 4249 PG 449 DOC# 2024014904 EXHIBIT A BRING all of Let 3, 2.11 stem total,Me acres la right at way,2,01 ear net,ware as less,as shown upon that certain inap entitled,",Kura and Maar Subdivishan Fan Iola McLeod Hare Estate'dated September 3,2010 prepared by Jae'PledexattSurveying and recorded he Map fkimber MO,Page 721-772,Harnett sty Registry,reference to which atsrpk hereby ate far greater eertdaty of nit eartrveytatee is apt ensde subject-to the reservation nate the Grantor,his heirs and of that that eta 2 fay'the t and wee opablie and private realties gong the southern line alike ed lat as shown in Map Number 201 Page 721-122,linnets Canny Registry. *In Deed Book 2803, Page 805 **Also see Map#2021-242, Harnett County Registry,for further reference. Contractual Authorization for Market Partners (True Homes,LLC) NOW COMES, Mark Boyce, Manager of True Homes, LLC ("True Homes"), hereby authorizing and executing this Signatory Authorization for certain True Homes' Associates or Partners. This document will confirm that: Market Partners (Land) and Market Partners (Plant). These individuals are employed by True Homes as Market Partners and as such are authorized to sign the following documents on behalf of True Homes: Documents related to binding True Homes as the financially responsible party/responsible authority for erosion control/NOI permits. By signing the acknowledgement below,each Market Partner agrees to deliver signed copies of these documents, as well as any representation or obligation made either verbally or in writing to any third-party (including without limitation any municipal or government entity) to True Homes by filing the document in the appropriate project- specific archives. Provided the individuals below are acting within the course and scope of True Homes' business when executing the documents identified herein, True Homes agrees to defend, hold harmless and indemnify the individuals identified herein to the fullest extent of the law applicable in the county and state where the subject real property is located. These individuals are: • Jeff Guernier,Market Partner(Land) • Shaun Gasparini,Market Partner(Land) • Scott Utsey,Market Partner(Land) • Andrew McDonald,Market Partner(Land) • Jon Ward,Market Partner(Land) • Joel Madden,Market Partner(Land) • Bobby Hilgoe(Plant) • Brad Chrysler(Plant) • Brian McWhirter(Plant) • Chris Buttrill(Plant) • Wesly Gross(Plant) • Tripp Bricketto(Plant) Mark Boyce,as Manager of True Homes, LLC Evl Signed by: 8/26/2024 amigzFr>ature Date Mark Boyce Manager Name(Print) ACKNOWLEDGEMENT By signing below, the Market Partner acknowledges this Contractual Authorization and understands the documents they are authorized to sign on behalf of the Company and any respective dollar limit. The Market Partner further agrees to file signed copies of these documents, as well as any additional representation or obligation made on behalf of True Homes to any third-party (either verbally or in writing), in the appropriate project-specific archives. cisaw DocuSigned by: bin, 04,1. 8/26/2024 riZEVtriffar Signature Date Jon ward Market Partner Name(Print)