NCC243208_FRO Submitted_20241017

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 Stallings Automotive
*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 (DWI).
2. Location of land-disturbing activity: County Union City or Township Stallings
Smith Farm Road 35.087255 -80.666822
Highway/Street Latltude�decimai degrees) Longitude(decimal degrees)
3. Approximate date land-disturbing activity will commence: 1/31/24
4. Purpose of development(residential, commercial, industrial, institutional, etc.): Commercial
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 1 .64 acres
6. Amount of fee enclosed: $200.00 . 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 Philipp Yevchik E-mail Address [e-mail]
Phone: Office# 704-989-4250 Mobile# [phone]
9. Landowner(s)of Record (attach accompanied page to list additional owners):
Kay Family Investments 864-384-5611
Name Phone: Office# Mobile#
1725 John B White Sr Blvd #13 1725 John B White Sr Blvd #2
Current Mailing Address Current Street Address
Spartanburg SC 29301 Spartanburg SC 29301
City State Zip City State Zip
10. Deed Book No. 7127 & 7205Page No.426 & 372 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).
K & Y Builders LLC [e-mail]
Company Name E-mail Address
13606 E Independence Blvd 13606 E Independence Blvd
Current Mailing Address Current Street Address
Indian Trail NC 28079 Indian Trail NC 28079
City State Zip City State Zip
Phone: Office# 704-989-4250 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:
Philipp Yevchik [e-mail]
Name of Registered Agent E-mail Address
13606 E Independence Blvd 13606 E Independence Blvd
Current Mailing Address Current Street Address
Indian Trail NC 28079 Indian Trail NC 28079
City State Zip City State Zip
Phone: Office# 704-989-4250 Mobile# [phone]
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:
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.
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.
PkI'II'0 Yw(.v �
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Type or ririt name Title or Authority
—� /I / o 033
Signature Date
I, UfC/a.ka V wd4,1`G , a Notary Public of the County of 6//2f ro0
State of North Carolina, hereby certify that /h r 1,� ' ?e/}z�c<lL appeared personally
before me this day and being duly sworn acknowle ed that the above form was executed by him/her.
Witness my hand and notarial seal, this , Q day of j/o//e 7n h er , 20 c/ 3
&(-}e2o,41-Aicit/k
,��,•`````\`‘P-Nomm�,�fr-,�, Nota0
• 4", / f My commission expires ' r/ 4, 0219021
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Continued from Items 9 & 10 in Part A of the Financial Responsibility/Ownership Form for multiple
owners. Attach copies of this page as needed to list all landowners.
Landowner 2 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 3 of Record
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 4 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 5 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.

Continued from Item 1 in Part B of the Financial Responsibility/Ownership Form for multiple parties.
Attach copies of this page as needed to list all financially responsible parties.
Company 2 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 3 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 4 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 5 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#

I, Ivan Karastanov of Kay Family Investments LLC located at 1725 John B White Dr Blvd #B,
Spartanburg, SC 29301 give consent to Philipp Yevchik of K&Y Builders LLC to submit a draft
erosion and sedimentation control plan and to conduct the anticipated land disturbing activity.
Ivan Ka anov, Kay Family Investments LLC

BK 7127 PG 0426
FILED
UNION COUNTY,NC
CRYSTAL D.GILLIARD
REGISTER OF DEEDS
FILED Mar 29,2018
AT 11:52 am
BOOK 07127
START PAGE 0426
END PAGE 0429
INSTRUMENT# 08084
EXCISE TAX $400.00
AH
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax $400.00 RecordingTime,Book and Page
Tax Lot No.07105008E Parcel Identifier No.
Verified by County on the day of
by
Mail after recording to: Grantee.
This instrument was prepared by: Culp Elliott&Carpenter,P.L.L.C. (32232-02/BHE-WSH)
Brief description for the Index Tract D of
Independence Business Park,
Plat Cabinet B,Slide 322B
THIS DEED made this 3,041 day of February,2018,by and between
GRANTOR GRANTEE
EDWARDS&NEWMAN COMPANY,LLC, KAY FAMILY INVESTMENTS,LLC,
a North Carolina limited liability company a South Carolina limited liability company
P.O.Box 118 2890 Reidvllle Rd.
Indian Trail,NC 28079 Spartanburg,SC 29301
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 Stallings, Union County, North Carolina and more
particularly described as follows:

BK 7127 PG 0427
See Exhibit A attached hereto and incorporated herein by reference.
The property herein conveyed is not the primary residence of the Grantor.
No title search was conducted by the deed preparer and no title opinion is being rendered by the deed preparer.
The property hereinabove described being a portion of the property acquired by Grantor by instrument recorded in
Deed Book 4914, Page 84, Union County Public Registry. A map showing the above described property is
recorded in Plat Cabinet B,Slide 322B,Union County Public Registry.
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,except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
Ad valorem taxes for the current year and subsequent years which are not yet due and payable and all
easements,restrictions,covenants,conditions and other matters appearing of record.
[SIGNATURES APPEAR ON THE FOLLOWING PAGE]

BK 7127 PG 0428
IN WITNESS WHEREOF,the Grantor has hereunto set hislher 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
by authority of its Board of Directors,the day and year first above written.
EDWARDS&NEWMAN COMPANY,LLC,a North Carolina
limited liability company
By 11C-11.4?147 (SEAL)
n Marshall Edwards,Manager
STATE OF NORTH CAROLINA
COUNTY OF 11 Wat4n134A43
I certify that the following person(s)personal! appeared before me this day, each acknowledging to me
that he or she igned the foregoing d,ocument: e2X4/'la14 fet(tia-rd.S GL.s /,1441gr-
1dward5 a ',lavm6141 :um1J"i'qq 1_/_G ° 4
(Name(s)of Principal(s)and CAohcily,if applicable)
Date 2 169 I ZU(?
Zr1 44a 1/ ,Notary Public
‘NP ,, Type or Pri t Name
i
O, y My commission expires: CO4i j 2e 20
Azr 41 Y2?
(Official Seal) =2 O fe � �p
"'o„FCKLEe„;o
�rygUnlpirq�l\P�
32232 02:963950
_

BK 7127 PG 0429
EXHIBIT"A"
Legal Description
Lying and being in the City of Stallings,Vance Township,Union County,North Carolina
and more particularly described as follows:
BEING all of Tract D as shown on a Plat of the property of Independence Business Park
recorded in Nat Cabinet B,Slide 322B of the Union County Public Registry,reference to
said Plat being made for a more particular description of said lot.
Together with all of Grantor's right,title and interest in and to that portion of a roadway
easement reserved in Book 412,page 794,re-recorded in Book 413,page 380 and Book
423,page 501 in the Union County Public registry.
Together with all of Grantor's right,title and interest in and to the easements reserved in
Book 328,pages 662 and 669 and in Book 414,page 51 in the Union County Public
Registry.
Being a portion of the property conveyed from Edwards&Newman Company to Edwards&Newman
Company, LLC by deed dated May 30, 2008 and recorded June 12, 2008 in Book 4914, Page 84,
Union County Public Registry.
LESS AND EXCEPT from the property conveyed herein that certain property described in Deed for
Highway Right of Way to the Department of Transportion recorded June 28,2016 in Book 6708,Page
327,Union County Public Registry.

BK 7205 PG 0372
FILED
UNION COUNTY, NC
CRYSTAL D. GILLIARD
REGISTER OF DEEDS
FILED Jul 27, 2018
AT 04:58 pm
BOOK 07205
START PAGE 0372
END PAGE 0374
INSTRUMENT# 21019
EXCISE TAX $2,600.00
KSE
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax:$2,600.00
Parcel Identifier No.07-105-006A Verified by County on the day of ,20
By:
Mail after recording to: Grantee
This instrument prepared by: Timothy B.Gavigan,PLLC,10700 Sikes P1.,Ste 375,Charlotte,NC 28277
Brief Description for the index: 2.48 acres Vance Township
THIS DEED made this day of July,2018,by and between:
GRANTOR GRANTEE
CARLTON STEVEN CLARDY,JR.TRUSTEE OF THE KAY FAMILY INVESTMENTS,LLC,a South
CLARDY FAMILY 2004 IRREVOCABLE TRUST DATED Carolina limited liability company,
NOVEMBER 1,2004,a North Carolina trust, 105 Hollyridge Road
PO Box 1077 Spartanburg,SC 29301
Matthews,NC 28106
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 Indian Trail,Vance Township,Union County,North Carolina,and more particularly described as follows:
See Exhibit A attached hereto
The property herein conveyed does not include the primary residence of Grantor.
No title search was conducted by the deed preparer and no title opinion is being rendered by the deed preparer.
SPECIAL WARRANTY DEED

BK 7205 PG 0373
The property hereinabove described was acquired by Grantor by instrument recorded in Book 6568,Page 343. A map 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 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: All enforceable covenants,easements and restrictions currently of record; and the lien for all taxes for the year
2018 and thereafter,which the Grantee hereby assumes.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
CARLTON STEVEN CLARDY,JR.TRUSTEE OF THE CLARDY FAMILY 2004 IRREVOCABLE TRUST DATED
NOVEMBER 1,2004(SEAL)
By: (SEAL)
Title: Carlton Steven Clardy,Jr.
State of North Carolina,County of rite-pot-A,
I,the undersigned Notary Public of the Lounty State aforesaid,certify that Carlton Steven Clardy,Jr.personally
appeared before me this day and acknowledged that he is the Trustee of THE CLARDY FAMILY 2004 IRREVOCABLE
TRUST DATED NOVEMBER 1,2004,a North Carolina trust,and that by authority duly given and as the act of such entity,he
signed the foregoing instrument in its name on its behalf as its act and deed. Witness my hand and Notarial stamp or seal this 25`h
day of July,2018. J J
My Commission Expires: 7/at1d>f `
Note
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SPECIAL WARRANTY DEED

BK 7205 PG 0374
Exhibit A
to
North Carolina Special Warranty Deed
from
THE CLARDY FAMILY 2004 IRREVOCABLE TRUST, Grantor
to
KAY FAMILY INVESTMENTS,LLC,Grantee
BEGINNING at an iron pipe,an old corner located in the western right of way line of U.S.
Highway No. 74 and runs thence with said right of way line S 39-10 E 270 feet to an iron
stake; thence three new lines as follow: 1st S 50-50 W 400 feet to an iron stake; 2nd N 39-
10 W 270 feet to an iron stake; 3rd N 50-50 E 400 feet to the point of BEGINNING and
containing 2.48 acres,more or less, as surveyed by Douglas P. Moore, R.L.S.,February 3,
1966.
The above described property is conveyed subject to the easement of a 25 foot right of way
for a road more particularly described in that deed from South Central Oil Company, Inc.,
to Joe Neal Ross dated the 6th day of November, 1962, and recorded the 19th day of
November, 1962, in Book 179 on page 543 in the Union County Registry. Being the same
property in all respects conveyed to the Grantor by Deed of Carlton Steven Clardy,Jr. and
Lisa Bennett,as Co-Executors of the Estate of C. Steven Clardy, Sr. and as Co-Trustees of
the C. Steven Clardy, Sr. Amended & Restated Trust u/a/ dtd. 10/7/13 dated October 9,
2015, and recorded in Book 6568 at Page 343 of the Union County Registry.
SPECIAL WARRANTY DEED