NCC243583_FRO Submitted_20241120

7.CAR6,\
.0 a • FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land-disturbing activity that disturbs one or more acres as covered by the Town of
Clayton Soil Erosion and Sedimentation Control Ordinance before this form and an acceptable erosion and
sedimentation control plan have been completed and approved by the Town of Clayton. Lots smaller than one
acre that are part of a larger plan of development are also subject to Town of Clayton Soil Erosion and
Sedimentation Control Ordinance and are required to complete this form. (Please type or print and, if the
question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
Part A.
1. Project Name Walton Farms Phase 7
2 Location of land-disturbing activity: County JOHNSTON City or Township CLAYTON
Highway/Street Covered Bridge Rd. Latitude 35.67992 Longitude-78.42907
3. Approximate date land-disturbing activity will commence May 2024
4. Purpose of development(residential, commercial, industrial, institutional, etc.):SW Pond Install
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas):2.94 acres
6. Has an erosion and sediment control plan been filed? Yes I✓I No I Enclosed I V
1
7. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name David DeYoung E-mail Address [e-mail]
Telephone[phone] Cell# [phone] Fax# WA
8. Landowner(s)of Record (attach accompanied page to list additional owners):
Walton Farms, LLC [phone] WA
Name Telephone Fax Number
2102 Pritchard Rd. 2102 Pritchard Rd.
Current Mailing Address Current Street Address
Clayton NC 27527 Clayton NC 27527
City State Zip City State Zip
9 Deed Book No. 5403 Page No 0074 Provide a copy of the most current deed
Part B.
1. Company(ies)or firm(s)who are financially responsible for the land-disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet.) If the company or firm is a sole
proprietorship the name of the owner or manager may be listed as the financially responsible party.
Walton Farms, LLC [e-mail]
Name E-mail Address
2102 Pritchard Rd. 2102 Pritchard Rd.
Current Mailing Address Current Street Address
Clayton NC 27527 Clayton NC 27527
City State Zip City State Zip
Telephone[phone] Fax Number WA

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of
the designated North Carolina Agent:
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:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone 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.
Fred Smith Managing Member
Type or print name Title or Authority
Signature Date
I. A 4.s11A in ,Cirn psvn , a Notary Public of the County of I-1ARtsETC
State of North Carolina, hereby certify that (•-Y c d, 5 tip appeared
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 z day of �AA.j , 20 Ili
Nofa p /t-NN 6Z1�1• 0/J
Cary N
-Seal
My commission expires 1—3 I — 2b 21

Filed in JOHNSTON COUNTY,NC CRAIG OLIVE, Register of Deeds Filed 08/09/2019 03:56:39 PM
DEED BOOK:5403 PAGE:74-79 INSTRUMENT#2019623168
Real Estate Excise Tax: $0.00 Deputy/Assistant Register of Deeds: Patty Woodall
Excise Tax $0.00* Recording Time, Book and Page
Tax Parcel Identifier No: 16103027
Verified by • County on the day of , 20
by
Mail after recording to: K&L Gates LLP
Attn.: Robert B.Womble
P.O. Box 17047
Raleigh, North Carolina 27619-0747
This instrument was prepared by: K&L Gates LLP(RBW)
Brief description 51.323 Acre Tract,'Clayton,Johnston County,'North Carolina
for the Index:
NORTH CAROLINA NON-WARRANTY DEED
odiA
THIS DEED made as Of this -1 day of August, 2019, by and between
GRANTOR GRANTEE
FSC Ranch, LLC Walton Farms, LLC
a North Carolina:Iimited liability company a North Carolina limited liability company
400 Riverwood Drive 400 Riverwood Drive
Clayton, North Carolina 27527 Clayton, North Carolina 27527
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.
*This conveyance is for business convenience only. No consideration in property or money is due or was
paid by Grantee to the Grantor. Consequently, no revenue or excise stamps are required for recording
this deed pursuant to N.C.G:S. § 105-228.29[See also Attorney General Opinion 43 N.C.A.G.79(1973)].
303597776 v2

DEED B:5403 P:75
WITNESSETH, that Grantor, for a valuable consideration paid by Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey
unto Grantee in fee simple, all that certain tract or parcel of land described on Exhibit A attached
hereto and made a part hereof(the"Property").
TO HAVE AND TO HOLD the Property and all privileges and appurtenances thereto
belonging to Grantee in fee simple.
Grantor makes no warranty, express or implied, as to title to the Property.
The Property does not include the primary residence of Grantor.
[Signature Page Follows]
2

DEED B:5403 P:76
IN WITNESS WHEREOF, Grantor has executed this instrument under seal as of the day and
year first above written.
Grantor:
FSC Ranch, LLC
By: Fred Smith Company
By:
Fred J ith, Jr.
Pre ent
STATE OF NORTH//CAROLINA
COUNTY OF 11/41e
I, the undersigned, a Notary Public of the County and State aforesaid, certify that the following person
personally appeared before me this day, each acknowledging to me that he voluntarily signed the
foregoing document for the purpose stated therein and in the capacity indicated: Fred J. Smith Jr.,
President of Fred Smith Company, a North Carolina corporation, Manager of FSC Ranch, LLC, a North
Carolina limited liability company O
-
Witness my hand and official seal,this the O day of August,2019.20
My commission expires:
/-/8 -Z oz. / Notary Public
[NOTARY SEAL] Print Name of Notary
ROBERT B.WOMBLE
NOTARY PUBUC
WAKE COUNT(N.C.
My Commttslo n Wino Jamuaiy le,2024
Signature Page to Non-Warranty Deed
303597776 v2

DEED B:5403 P:77
Exhibit A
Description of Property
BEING all of that certain tract or parcel of land lying and being in Wilders Township, Johnston
County, North Carolina, and being more particularly described as follows:
BEGINNING at an existing iron pipe on the northern right-of-way of NCSR 1700, said point also
being a common corner with Larry and Connie Mills; thence along the northern right-of-way of
NCSR 1700 S42-19-01 W 835.16'to an existing iron pipe; thence continuing along said right-of-
way along a curve to the right having a radius of 1570.00'an arc length of 294.16' and a chord
bearing and distance of S47-41-05W 293.73' to an existing iron pipe; thence continuing along
said right-of-way S53-03-08W 468.32'to an existing iron pipe; thence continuing along said
right-of-way S53-35-10W 51.97' to an existing concrete monument, said point also being a
common corner with Johnny and Sherry House; thence leaving said right-of-way along a line in
common with Johnny and Sherry House N38-37-00W 218.21'to an existing concrete monument
a common corner with Johnny and Sherry House and Mavis C. House; thence along a line in
common with Mavis C. House N38-37-00W 1556.82'to a point in or near the center of a creek;
thence following said creek and a common line with Ravens Ridge Subdivision Open Space the
following 36 calls:
Thence N39-09-07E 45.57'to a point;
Thence N52-50-58E 55.12'to a point;
Thence S63-00-45E 7.96'to a point;
Thence S76-35-56E 34.94'to a point;
Thence S76-59-21 E 46.36'to a point;
ThenceS41-23-39E 60.22'to a point;
Thence S17-04-50E 46,26'to a point;
Thence S63=1'2-13E 18.44'to a point;
Thence N82-20-15E 28.96'to a point;
Thence N39-37-37E 32.83'to a point;
Thence N14-52-12W 46.80'to a point;
Thence N79-11-37E 13.31'to a point;
Thence N45-40-48E 36.02'to a point; •
Thence N16-51-04E 32.42'to a point;
Thence N68-22-17E 14.36'to a point;
Thence 566-31-04E 16.62'to a point;
Thence S89-00-07E 95.16'to a point;
Thence 542-43-47E 63.58'to a point;
Thence S83-37-34E 17.51'to a point;
Thence S61-53-55E 30.85'to a point;
Thence 518-41-05E 34.83'to a point;
Thence S64-54-16E 30:49'to a point;
Thence N77-59-48E 182.00'to a point;
Thence N33-30-09E 62.93' to a point;
Thence N89=11-36E 71.24'to a point;
Thence S57-28-44E 33.81'to a point;
Thence S34-47-49W 48.50'to a point;
Thence 564-47-16E 63.29'to a point;
Thence N69-12-07E 38.34'to a point;
Thence N33-22-10E 22.06'to a point;
Exhibit A, Page 1
303597776 v2

DEED B:5403 P:78
Thence N39-32-48E 18.66'to a point;
Thence N01-27-10W 30.21'to a point;
Thence N51-32-21W 46.24'to a point;
Thence N08-30-35W 30.55' to a point;
Thence N47-27-24E 36.33' to a point;
Thence N59-42-16E 40.59'to a point located at the intersection of said creek and the
proposed western right-of-way of Club Connection Boulevard;
Thence leaving said creek and continuing along the said proposed western right-of-way N46-49-
47W 65.96'to an existing iron pin located on the existing western right-of-way of Club
Connection Boulevard; thence N43-10-13E 50.00'to an existing iron pin located on the existing
eastern right-of-way of Club Connection Boulevard; thence along the proposed eastern right-of-
way of Club Connection Boulevard S46-49-47E 67.80'to a point located at the intersection of
said proposed right-of-way and in or near the center of a creek;thence leaving said proposed
right-of-way and following said creek and a common line with Ravens Ridge Subdivision Open
Space the following 33 calls:
Thence N06-11-13E 6.05'to a point;
Thence N35-15-50W 46.00'to a point;
Thence N44-57-37E 44.15'to a point;
Thence N12-23-50E 15.11'to a point;
Thence N12-23-50E 14.69'to a point;
Thence N81-11-57E 16.86'to a point;
Thence S69-03-51 E 77.43'to a point;
Thence N61-16-38E 18.78'to a point;
Thence N16-59-41E 9.77'to a point;
Thence N46-32-16W 20.33'to a point;
Thence N08-19-59W 27.51'to a point;
Thence N67-41-05E 54.92'to a point;
Thence N11-21-59W 19.55'to a point;
Thence N11-21-59W 24.41'to a point;
Thence N49-52-12E 22.66'to a point;
Thence S66-21-10E 33.70'to a point;
Thence N53-34-03E 11.97'to a point;
Thence N21-24-25E 18.55'to a point;
Thence N46-45-42E 9.12'to a point;
Thence N46-45-42E 29.43'to a point;
Thence N08-11-57E 60.53'to a point;
Thence S78-28-22E 11.41'to a point;
Thence S45-39-25E 31.58'to a point;
Thence N50-03-27E 42.11'to a point;
Thence S43-16-37E 43.64'to a point;
Thence S82-14-19E 20.03'to a point;
Thence N40-35-03E 22.61'to a point;
Thence N85-20-41E 15.19'to a point;
Thence S35-03-24E 20.30'to a point;
Thence N88-50-06E 17.68'to a point;
Thence N58-02-36E 41.51'to a point;
Thence N84-41-43E 34.23'to a point;
Thence N00-30-45E 50.23'to a point a common corner with Badger Pass Subdivision
Open Space;
Exhibit A, Page 2
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DEED B:5403 P:79 END OF DOCUMENT
Thence along a line in common with Badger Pass Subdivision Open Space S54-55-47E 20.00'
to an existing iron pin;thence continuing along the same common line S54-55-47E 721.72'to
an existing iron pipe, said point also being a common corner with Larry and Connie Mills; thence
along a line in common with Larry and Connie Mills the following 3 calls:
Thence S10-29-03E 260.68'to an existing iron pipe,
Thence S42-33-22E 83.53'to an existing iron pipe,
Thence S50-04-52E 104.51'to the point and place of BEGINNING;
and containing 51.323 acres, more or less, as shown on that certain survey entitled"Boundary
Survey for Walton Farms, LLC,Wilders Township, Johnston County, North Carolina" dated
January 9, 2018 and last updated on August 5, 2019, prepared by.Ethan N. Stauffer,
Professional Land Surveyor, of Green brook Surveying, P.C.
Exhibit A, Page 3
303597776 v2