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Home My WebLink AboutNCC215330_FRO Submitted_20210927WAKE 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 WAKE County 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 MATH c1rOUNIk Environmental Services, Water Quality Division. (Please type or print and, if the question is not applicable, place NIA in the blank.) Part A. 1. Project Name Park -stone Village, Phase 1 (54 lots) 2. Location of land -disturbing activity: Jurisdiction Knightdale (Wake Co. or Municipality) Highway/Street Parkstone Towne Blvd. Latitude 35.795040 Longitude-78.499680 3. Approximate date land -disturbing activity will commence: August 15, 2021 4. Type of development (residential, commercial, industrial, institutional, etc.): Residential 5. Total acreage disturbed or uncovered (including off -site utilities and borrow/waste areas): 1.874 acres 6. Person to contact should erosion and sediment control issues arise during land -disturbing activity: Name Thomas Chalk E-mail Address tchalk@mungo.com Telephone (919) 303-8525 Cell # 919-259-0434 Fax # 919-303-8524 7. Landowner(s) of Record (attach accompanied page to list additional owners): Clayton Properties Group, Inc. 919-303-8525 aspeiran@mungo.com Name(s) Telephone Fax or E-mail address 441 Western Lane 2521 Schieffelin Road, Suite 116 Current Mailing Address Current Street Address Irmo, SC 29063 Apex, NC 27502 City State Zip City State Zip 8, Deed Book No. 018590 Page No. 00212-00214 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): Clayton Properties Group, Inc. aspeiran@mungo.com Name E-mail Address 441 Western Lane 2521 Schieffelin Road, Suite 116 Current Mailing Address Current Street Address Irmo, SC 29063 Apex, NC 27502 City Telephone 919-303-8525 State Zip City State Zip Fax Number 919-303-8524 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: NIA 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: NIA 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. Clayton Properties Group, Inc. by: Adam Speiran, agent Type or print name C� s� Signature Assistant Secretary Title or Authority 7-19-21 Date I, Katherine Conner Lusk , a Notary Public of the County of Franklin State of North Carolina, hereby certify that Adam Speiran 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 19th day of July , 20.- 21 -- KATHERfNE E usKlC--- Notary Public, North Garoiina Notary Franklin County My Gommis, siort expires y, „�� My commission expires Parkstone Village - Phase 1 Disturbed Drainage Lot # Address Wake County PIN Area (acre) Pattern Type 1 953 Parkstone Towne Boulevard 1744749624 0.031 D 2 955 Parkstone Towne Boulevard 1744749631 0.031 D 3 957 Parkstone Towne Boulevard 1744749539 0.031 D 4 959 Parkstone Towne Boulevard 1744749537 0.031 D 5 961 Parkstone Towne Boulevard 1744749535 0.031 D 55 224 Palmetto Tree Way 1744842689 0.03 D 56 226 Palmetto Tree Way 1744842782 0.03 D 57 228 Palmetto Tree Way 1744842774 0.03 D 58 230 Palmetto Tree Way 1744842776 0.03 D 59 232 Palmetto Tree Way 1744842778 0.03 D 60 234 Palmetto Tree Way 1744842870 0.03 D 61 236 Palmetto Tree Way 1744842873 0.03 D 62 238 Palmetto Tree Way 1744842875 0.03 D 63 7900 Flatrock Park Drive 1744842800 0.037 D 64 7902 Flatrock Park Drive 1744841870 0.037 D 65 7904 Flatrock Park Drive 1744841850 0.037 D 66 7906 Flatrock Park Drive 1744841830 0.037 D 67 7908 Flatrock Park Drive 1744841810 0.037 D 68 7912 Flatrock Park Drive 1744840789 0.037 D 69 7914 Flatrock Park Drive 1744840769 0.037 D 70 7916 Flatrock Park Drive 1744840739 0.037 D 71 7918 Flatrock Park Drive 1744840719 0.037 D 72 7920 Flatrock Park Drive 1744749799 0.037 D 73 935 Parkstone Towne Boulevard 1744749813 0.032 D 74 937 Parkstone Towne Boulevard 1744749811 0.032 D 75 939 Parkstone Towne Boulevard 1744749719 0.032 D 76 941 Parkstone Towne Boulevard 1744749726 0.032 D 77 943 Parkstone Towne Boulevard 1744749724 0.032 D 78 945 Parkstone Towne Boulevard 1744749722 0.032 D 79 320 George Pine Way 1744843885 0.034 E 80 322 George Pine Way 1744843883 0.034 E 81 324 George Pine Way 1744843881 0.034 E 82 326 George Pine Way 1744843788 0.034 E 83 328 George Pine Way 1744843796 0.034 E 84 330 George Pine Way 1744843794 0.034 E 85 332 George Pine Way 1744843792 0.034 E 86 334 George Pine Way 1744843790 0.034 E 116 224 George Pine Way 1744847762 0.039 A 117 226 George Pine Way 1744847764 0.039 A 118 228 George Pine Way 1744847767 0.039 A 119 230 George Pine Way 1744847769 0.039 A 120 232 George Pine Way 1744847861 0.039 A 121 234 George Pine Way 1744847864 0.039 A 122 236 George Pine Way 1744847866 0.039 A 123 238 George Pine Way 1744847868 0.039 A 124 7818 Flatrock Park Drive 1744844861 0.037 A 125 7816 Flatrock Park Drive 1744844881 0.037 A 126 7814 Flatrock Park Drive 1744845811 0.037 A 127 7812 Flatrock Park Drive 1744845831 0.037 A 128 7808 Flatrock Park Drive 1744845861 0.037 A 129 7806 Flatrock Park Drive 1744845882 0.037 A 130 7804 Flatrock Park Drive 1744846802 0.037 A 131 7802 Flatrock Park Drive 1744846832 0.037 A 132 7800 Flatrock Park Drive 1744846852 0.037 A 54 1.874 BKO1859OPGO0212 SPECIAL WARRANTY DEED Excise Tax: $7,020.00 Tax Parcel ID No. Out of PIN 1744843799 and REID 0014790 Verified by County on the day of June 2021 By: Mail/Box to: Grantee WAKE COUNTY, NC TAMMY L. BRUNNER REGISTER OF DEEDS PRESENTED & RECORDED ON 07-08-2021 AT 14:35:55 STATE OF NC REAL ESTATE EXCISE TAX: $7,020.00 BOOK: 018590 PAGE: 00212 - 00214 This instrument was prepared by: Michael F. King, K&L Gates, LLP, 4350 Lassiter at North Hills Avenue, Suite 300, Raleigh, NC 27609:[Without title examination. No title opinion is expressed directly or indirectly by our preparation of this Deed.] Brief description for the index: Lots 1-5, 55-86 and 116-132, Book of Maps 2021, Pages 1015-1018, Wake County Registry Ono 7 THIS DEED, made this the hday of July, 2021, by and between GRANTOR: Knightdale Development Ownership, LLC, a Delaware limited liability company whose mailing address is 5786 Widewaters Parkway, P.O. Box 3, DeWitt, NY 13214, and GRANTEE Clayton Properties Group, Inc., a Tennessee corporation whose mailing address is 441 Western Lane, Irmo, South Carolina 29063 W I T N ESSETH: For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged, Grantor hereby gives, grants, bargains, sells and conveys unto Grantee in fee simple, subject to the Exceptions and Reservations hereinafter provided, if any, the following described property located in the Town of Knightdale, County of Wake, State of North Carolina, more particularly described as follows: BEING all those certain tracts or parcels of land located in the Town of Knightdale, Wake County, North Carolina and being more particularly described as follows: BEING ALL of those certain tracts or parcels of land identified as Lots 1, 2, 3, 4, 5, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76,77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131 and 132, Parkstone Village Subdivision, Phase 1, as shown on plat of survey entitled "FinalPlat Subdivision of Lot 1, Parkstone Village, Phases 1, 2 & 3, Phase 1 Lots" recorded in Book of Maps 2021, Pages 1015-1018, Wake County Registry, which plat is referenced for a more particular 1 309848764.4submitted electronically by "Moore & Alphin, PLLC in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the wake County Register of Deeds. BKO1859OPGO0213 P. description. Said property having been previously conveyed to Grantor by instrument(s) recorded in Book 016734, Page 01222, and being reflected on plat(s) recorded in Map/Plat Book 2018, page/slide 1574. All or a portion of the property herein conveyed _ includes or X does not include the primary residence of a Grantor. TO HAVE AND TO HOLD unto Grantee, together with all privileges and appurtenances thereunto belonging, in fee simple, subject to the Exceptions and Reservations hereinafter and hereinabove provided, if any. And Grantor hereby warrants thatGrantorhas done nothing to impair the title as received by Grantor and that Grantor will forever warrant and defend the title against the lawful claims of all persons claiming by, through or under Grantor. This conveyance is made subject to the following Exceptions and Reservations: a. Ad valorem real property taxes not yet due and payable; b. Applicable zoning ordinances and all other applicable governmental rules, laws and codes; c. Rights -of -way of existing public roads and streets; d. - General service line and utility easements, if any, which are recorded and non-specific in describing location of lines and facilities. e. Restrictions, reservations of easements and conditions contained in instruments recorded in Book 16935, Page 65; Book 17061, Page 1750 and amended in Book 17291, Page 2036; Book 17440, Page 823, and Book 18589, Page 2615 Wake County Registry, and Book 18589, Page 2618, Wake County Registry. f. Easements, setbacks and rights of way as shown on the plats recorded in the Wake County Registry in Book of Maps 2017, Page 606; Book of Maps 2017, Page 1996; Book of Maps 2018, Page 1574; and Book of Maps 2021, Pages 1015-1018,. g. ,Parkstone Subdivision Utility Allocation Agreement recorded in Book 16667, Page 2285, Wake County Registry. h. Parkstone Subdivision Amendment to Utility Allocation Agreement recorded in Book 18099, Page 2236, Wake County Registry. i. Easement in favor of Duke Energy Progress, LLC recorded in Book 16988, Page 354, Wake County Registry. j. Declaration of Maintenance, Covenant, Stormwater Easement and Agreement for Maintenance, Replacement Contribution for Stormwater Control Facilities recorded in Book 17130, Page 1818, Wake County Registry, as amended by the instrument recorded in Book 18558, Page 1868, Wake County Registry. All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and assigns, and shall include the singular, plural, masculine, feminine or neuter as required by context. [Signature Page Follows] 2 309848764.4 BKO1859OPGO0214 11 . I IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. KNIGHTDALE DEVELOPMENT OWNERSHIP, LLC By: (SEAL) Name: Jos R. Scuderi Title: Manajer State of_, County of I certify that the following `ISerson(s) personally appeared before me this day, each acknowledging to me that he or she signed the foregoing document: Joseph R. Scuderi. Date: Notary Public Nota P m e d or Ted Name My CQmmi,5sion Expires: (Official/Notarial Seal) JOSEPH M. SNYDER Notary Public In The Sta' 'e Of New York Qualified In Onondaga County No.4887370 My Commission Expires February 23, 20_ 309848764.4