NCC243132_FRO Submitted_20241016

"WI WAKE COUNTY FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMATOLLOOL AC
No person may initiate an......1.7y land-disturbing
IN activityPO onUTI oneN orCONTR more acres asT
covered by the Wake
WAKE i County Unified Development Ordinance before this form and an acceptable erosion and
COUNTYrip--
sedimentation control plan have been completed and approved by Wake County Department of
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 Exchange at 401 - Phase 6-8 Single Lot Erosion Control
2. Location of land-disturbing activity: Jurisdiction Town of Garner (Wake Co. or Municipality)
Fayetteville Road - 35.676889
Highway/Street US401 Latitude Longitude -78.678531
3. Approximate date land-disturbing activity will commence: Spring/Summer 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): 32.34
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Scott Cobb E-mail Address [e-mail]
Telephone 919 - 816 - 1152 Cell# 919 - 291 - 8025 Fax#
7. Landowner(s) of Record (attach accompanied page to list additional owners):
Pulte Home Company, LLC 919-816-1100
Name(s) Telephone Fax or E-mail address
1225 Crescent Green Drive, Suite 250 1225 Crescent Green Drive, Suite 250
Current Mailing Address Current Street Address
Cary NC 27518 Cary NC 27518
City State Zip City State Zip
8. Deed Book No. 019326 Page No. 01332 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):
Pulte Home Company, LLC [e-mail]
Name E-mail Address
2626 Glenwood Avenue, Suite 550 2626 Glenwood Avenue, Suite 550
Current Mailing Address Current Street Address
Raleigh NC 27608 Raleigh NC 27608
City State Zip City State Zip
Telephone 919 - 816 - 1 146 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:
Corporation Service Company [e-mail]
Name of Registered Agent E-mail Address
1225 Crescent Green Drive, Ste. 250 1225 Crescent Green Drive, Ste. 250
Current Mailing Address Current Street Address
Cary NC 27518 Cary NC 27518
City State Zip City State Zip
Telephone 919 - 816 - 1146 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.
Chris Raughley VP of Land
Type or print name Title or Authority
c,Ls
Signature Date
I, M$1tS4 , a Notary Public of the County of WA
State of North Carolina, hereby certify that vi S h te,tj appeared
personally before me this day and being duly sworn acknowledged that t e above form was executed by him.
Witness my hand and notarial seal, this 2(41 day of kQ Y+ II , 20 2-
5P'SMET %% Notary
Seal
OTAIN •y',,9 " My commission expires o7 f 21/2 7
V =

MANAGER'S CERTIFICATE FOR PULTE HOME COMPANY,LLC
December 20, 2022
The undersigned, does hereby certify that he is the duly elected and qualified sole Manager of
Pulte Home Company, LLC, and therefore, the keeper of the books and records of Pulte Home
Company, LLC, a Michigan limited liability company ("Company"), and hereby certifies to the
Administrative Agent and the Lenders as follows:
1. Incumbency. Below are/is the name(s) of the person(s) that are duly elected and/or
appointed, qualified, and acting officers and/or Responsible Officers of the Company who
are authorized to take any and all further actions and to execute and deliver all documents
on behalf of the Company.
Name and Title
Todd N. Sheldon, President
Ellen Padesky Maturen, Secretary
D. Bryce Langen, Treasurer
D. Bryce Langen, Vice President
Chandler Voiles, Assistant Secretary
Gregory S. Rives, Assistant Treasurer
Kimberly M. Hill, Vice President
Janis S. Sigman, Assistant VP
Jarod D. Blaney,Vice President
Kristina Dalman, Vice President and Assistant Secretary
Sheila R. Novak, Vice President and Assistant Secretary
Christopher Ward, Vice President and Assistant Secretary
Scott Williams, Vice President and Assistant Secretary
Mark McIntyre,Vice President and Assistant Secretary
Ross E. Irwin, Assistant Secretary
Eric S. Fratter, Assistant Secretary
Kim Roser, Assistant Secretary
Bradley J. Nicholas, Assistant Secretary
Chris Raughley, Vice President
IN WITNESS WHEREOF, the undersigned has executed and caused this Certificate to
be delivered as of the day and year first written above.
By: Todd N. Shel on, Sole Manager of Pulte Home
Company, LLC