NCC243054_FRO Submitted_20241023

11:WI 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
WAKECounty 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
NORTH cnaOi.NA Environmental Services, Water Quality Division. (Please type or print and, if the question is not
applicable, place N/A in the blank.)
Part A.
LEO at Wendell
1. Project Name
2. Location of land-disturbing activity: Jurisdiction Wendell (Wake Co. or Municipality)
Highway/Street Eagle Rock Road Latitude 35.792963 Longitude -78.407931
3. Approximate date land-disturbing activity will commence: October, 2023
4. Type of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas): 26.5 Ac
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Mike Anna E-mail Address [e-mail]
Telephone [phone] Cell # Fax#
7. Landowner(s)of Record (attach accompanied page to list additional owners):
SEE ATTACHED
Name(s) Telephone Fax or E-mail address
Current Mailing Address Current Street Address
City State Zip City State Zip
8. Deed Book No. Page No. 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):
LEO@Wendell, LLC [e-mail]
Name E-mail Address
17501 Biscayne Blvd, Suite 300
Current Mailing Address Current Street Address
Aventura, FL 33160
City State Zip City State Zip
Telephone [phone] 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:
Poyner Spruill attn: Chad Essick [e-mail]
Name E-mail Address
301 Fayetteville St., Suite 1900
Current Mailing Address Current Street Address
Raleigh, NC 27601
City State Zip City State Zip
Telephone [phone] 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:
MARC MARIANO [e-mail]
Name of Registered Agent E-mail Address
17501 BISCAYNE BLVD, SUITE 300 17501 BISCAYNE BLVD, SUITE 300
Current Mailing Address Current Street Address
AVENTURA, FL 33160 AVENTURA, FL 33160
City State Zip City State Zip
Telephone [phone] 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.
MARC MARIANO VICE PRESIDENT, LEO AT WENDELL, LLC
Type or print name Title or Authority
Naito,N. 8/29/204
Signature Date
JoQ4JKAPi1Z t, I205IO-iayo , a Notary Public of the County of f t niE►-t-AS
FLow-"tD MAYj�- Maw-I�No appeared
State of , hereby certify that PP
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 2°I day of °N�vCT ,20 24.
, a. k2
#% Joanmair E Rubio-Arroyo N ry
Te
* 7/4,.diotary Public,State of Florida�� "Commission No.NH 184145 My commission expires t0/'� �
My Commission Expires:10/10/25

STATEMENT OF LANDOWNER CONSENT FOR LAND DISTURBING ACTIVITIES
Date:
Project Name LEO at Eagle Rock
Financially Responsible Party: aavenir Oakley Capital
Parcel Identification Nos/Addresses: 1774544526,1 7747 3 1 848,1774733510
Owner Contact Information: Bunn Family Irrevocable Trust I
As the landowner of record for the above referenced property(ies), I authorize Advenir Oakley Capital
to submit an erosion and sedimentation control plan and to conduct the anticipated land disturbing activities.
Clsh le . diode rs do
Type or print name Title or Authority
Signatu Date
I, C RkkA fl`� K %n , a Notary Public of the County of %A IL--
State of North Carolina, hereby certify that J _ Q-' L.G=kU ft r ppeared 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 d day of , 20 Q2.3
044‘4.
Z Ofts ?cliary
• 4o,y commission expiresIstA) °W1,14

Propert\• Owners
PI\:: ITT 17:3:3510. 177 IfL ;. ITT: 1 IK
Bunn Family Irrevocably Trust
MiAnt Bunn Anderson. _1.hle• I. & \Irle,sa \I, Andrrson Trustees
:31:1 Old Battle Bridge Road
Wendell. NC 27591
Phone: (919) (;69-9919
Email: ;;rec•nevi•.I259►.nol.com
PIN: 1 71-15 28:3
.1:hlct• I.. Anderson and Melissa NI. Audi r.on
813 Eagle Kock Road
Wendell. NC 2 591
Phone: (9 I9)-5!1-'1.,r;r(;
Kmail: a hle}-laur,•nandpr•on (anaril.enin
The understgneef property owners heretic authort,ce the filing of this
application and any -ul►.e•quent re•ct•iun.s thereto. The filing of this application
ant home. thy Town of Wendell staff to enter upon tht, site to conduct relevant site
inspections as deemed n CI.ary to process thy application.
steCZ';k-
Bunn Eam amity irrevocable Trust I
\ tL c I, .1 1e o„t
By: „to �2
c: 'Alton Anderson. DDate: ;
Date: �'-y
. . 12
Bunts I'a ilv rre‘oe:thlr• Trust I \Ieliss:, AI. Ander-on
B�- Ashley L. Anderson. Triistee' Date- e_ '
Date. !f• �'�� t!
Bunn Family IrTeroe•ahle. 'I'rua I
Iiy_ \leliss.t .\I_ \nele-r.on. i't•at•te•r
Date- elGyLA.2—

BK017570PG02499
WAKE COUNTY, NC 200
CHARLES P. GILLIAM
REGISTER OF DEEDS
PRESENTED 8 RECORDED ON
09/10/2019 15:50:2G
BOOK:017570 PAGE:82499 — 02501
Excise Tax: $0.00 Recording Time, Book and Page
REID: 0001920 PIN: 1774457283
Alf V
Prepared by: 'Darren G. Jackson, a licensed North Carolina attorney
Return to: Gay,Jackson & McNally, P.O. Box 10, Zebulon, NC 27597
(NO TITLE CERTIFICATION, NO TAX ADVICE AND NO TITLE EXAMINATION) _
Brief description for the Index: 3.26 gross acres
Property Address: 813 Eagle Rock Road, Wendell,NC 27591
NORTH CAROLINA GENERAL WARRANTY DEED
--fTHIS DEED made this the day of January, 2019 by and between:
GRANTOR GRANTEE
Bunn Family Irrevocable Trust I Ashley L. Anderson and
313 Old Battle Bridge Road Melissa Anderson
Wendell, NC 27591 813 Eagle Rock Road
Wendell, NC 27591
(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 Marks Creek Township,Wake County,North Carolina,and more particularly
described as follows:
BEING all of Tract 2,containing 3.26 acres(2.81 net acres)as shown on the map entitled "Samuel G.anderson,
Marks Creek Township, Wake County, North Carolina" recorded in Book of Maps 1987, Page 1483, Wake
County Registry.

BK017570PG02500
The property hereinabove described was acquired by Grantor by instrument recorded in Book 16474, Page 505,Wake
County Registry.
A map showing the above described property is recorded in Book of Maps 1987, Page 1483, Wake County Registry.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereunto belonging
to the said Grantee and his heirs and assigns forever.
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 except for the exceptions hereinafter
stated. Title to the property hereinabove described is subject to the following exceptions:
1. Ad valorem taxes for the year of delivery of this instrument and subsequent years.
2. Rights-of-way of public highways and roads and public utilities,easements and restrictions of public record,
and noncompliance,if any,with local,county,state or federal government laws,ordinances,or regulations
relative to zoning,environment,subdivision,occupancy,use,construction or the development of the subject
property.
3. All matters which would be revealed by a visual inspection of the property or an accurate survey of the
same.
IN WITNESS WHEREOF,the Grantor has hereunto set his 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.
Bunn Family Irr vocable Trust I
(SEAL) (SEAL)
Anthony . Gay, rust e
SEAL-STAMP
STATE OF NORTH CAROLINA COUNTY OF jJ cif-'�
,,ygYN,U„p„4N ��
�401 L. ,9" I, a Notary Public for the County and State aforesaid, certify that Anthony'W. Gay personally came
c , 40 Tq ty fore me this day and acknowledged that he is the Trustee of Bunn Family Irrevocable Trust I,Grantor,
rf Comm` R'�' l that by authority duly given and as the act of the trust,the fore oing instrument was signed by its
lik EXp, T stee. Witness my hand and official stamp or seal,thi day , 2019.
A 2 2p21.
4BLIG �G y commission expires J
Not P lc
„,,,,,,,,,,,
The foregoing Certificate(s) of is/are certified to be correct. This
instrument and this certificate are duly registered at the date and time and in the Book and Page shown on the first page
hereof.
REGISTER OF DEEDS FOR WAKE COUNTY
By Deputy/Assistant-Register of Deeds

BK017570PG02501
lo:JUFmpti7577,8`'R,AGE, 62499 - 02501
1.111111.1111111111111111.11N
01.111111.11\
WAI(E
COUNTY
NORTH CAROLINA
Please retain yellow trailer page
It is part of the recorded document and must be submitted with the original for re-
recording.
Charles P. Gilliam
Register of Deeds
Wake County Justice Center
300 South Salisbury Street, Suite 1700
Raleigh, NC 27601
❑ New Time Stamp ❑ $25 Non-Standard Fee
❑ Additional Document Fee ❑ Additional Reference Fee
This Customer Group This Document# of Excessive Entities �J # of Pages 0\5
# of Time Stamps Needed

BK016474PG00496
WAKE COUNTY. NC 28
LAURA M RIDDICK
REGISTER OF DEEDS
PRESENTED & RECORDED ON
07/29/2816 18:26:41
BOOK:016474 PAGE:00496 — 08498
Excise Tax $0.00
Tax Lot No. 0288681 Parcel Identifier No. 1774544526
Mail after recording to: Gay, Jackson & McNally, LLP
P.O. Box 10, Zebulon,NC 27597 (Box#68)
• This instrument was prepared by: Andy W. Gay, Attorney at Law
(NO TITLE CERTIFICATION, NO TAX ADVICE AND NO TITLE EXAMINATION)
Brief description for the Index: 21.80 acres
Property Address: 313 Old Battle Bridge Road, Wendell,NC 27591
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this the 22nd day of January, 2016 by and between:
GRANTOR GRANTEE
Ramona M'Lou Anderson Bunn Family Irrevocable Trust I
313 Old Battle Bridge Road
Wendell, NC 27591
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 Marks Creek Township,Wake County,North Carolina, and more particularly
described as follows:
BEING all of Tract One containing 23.94 gross acres as depicted in map entitled "Property Survey for Samuel G.
Anderson Heirs" and recorded in Book of Maps 2000,Page 2174,Wake County Registry, reference to which is
hereby made for a greater certainty of description.

BK016474PG00497
v.
The property hereinabove described was acquired by Grantor by instrument recorded in Book ,Page ,Wake
County Registry.
A map showing the above described property is recorded in Book of Maps 2000, Page 2174, Wake County Registry.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereunto belonging
to the said Grantee and his heirs and assigns forever.
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 except for the exceptions hereinafter stated. Title to
the property hereinabove described is subject to the following exceptions:
1. Ad valorem taxes for the year of delivery of this instrument and subsequent years.
2. Rights-of-way of public highways and roads and public utilities,easements and restrictions of public record,
and noncompliance, if any,with local,county,state or federal government laws,ordinances,or regulations
relative to zoning,environment,subdivision,occupancy,use,construction or the development of the subject
property.
3. All matters which would be revealed by a visual inspection of the property or an accurate survey of the same.
IN WITNESS WHEREOF,the Grantor has hereunto set his 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.
j_ (SEAL) (SEAL)
mona M'Lou A derson
SEAL-STAMP
NORTH CAROLINA toc.ke County
I, a Notary Public for the County and State aforesaid, certify that Ramona M'Lou Anderson, Grantor,
personally appeare,�,.li oge,mg'+day and acknowledged the due execution of e foregoing instrument.
Witness my hanc ' �It• ,or seal, this the 22nd d y an ry, 20 6
My commission egp' = ,
a is
= 4-2-2016. I § to blic
The foregoing Certificate(s)of ""'' ,,,,,.l, ,'�r, is/are certified to be
correct. This instrument and this certificate are duly registered at the date and time and in the Book and Page shown
on the first page hereof.
REGISTER OF DEEDS FOR WAKE COUNTY
By Deputy/Assistant-Register of Deeds

BK016474P000498
BOOK:016474 PAGE:00496 - 00498
1171
WAKE
COUNTY
NORTH CAROLINA
Please retain yellow trailer page
It is part of the recorded document and must be submitted with the original for re-
recording.
Laura M. Riddick
Register of Deeds
Wake County Justice Center
300 South Salisbury Street, Suite 1700
Raleigh, NC 27601
❑ New Time Stamp ❑ $25 Non-Standard Fee
❑ Additional Document Fee ❑ Additional Reference Fee
This Customer Group This Document
# of Excessive Entities 3 # of Pages 3-
#of Time Stamps Needed