NCC221299_FRO Submitted_20220406

8. Deed Book No. 18874
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
County Unified Development Ordinance before this form and an acceptable erosion and
sedimentation control plan have been completed and approved by Wake County Department of
Nczwn"I CAR61 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.
1. Project Name Doyle Road Lots 9, 10, 11, and 12
2. Location of land -disturbing activity: Jurisdiction Wake (Wake Co. or Municipality)
Doyle Road
Highway/Street Latitude 35.885480 Longitude -78.375562
3. Approximate date land -disturbing activity will commence: 3/1/22
4. Type of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off -site utilities and borrow/waste
areas): 3.0
6. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Chris Woodall E-mail Address [e-mail]
Telephone [phone] Cell # Fax #
7. Landowner(s) of Record (attach accompanied page to list additional owners):
Matt Baldwin Homes, LLC
Name(s)
4009 Graham Sherron Road
Current Mailing Address
Wake Forest NC
City State Zip City . State Zip
Page No.0463 Provide a copy of the most current deed.
27587
Telephone
Current Street Address
Fax or E-mail address
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):
Matt Baldwin Homes, LLC [e-mail]
Name E-mail Address
4009 Graham Sherron Road
Current Mailing Address Current Street Address
Wake County NC 27587
City State Zip City State Zip
Telephone [phone]
p 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
Current Mailing Address
City
E-mail Address
Current Street Address
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
Current Mailing Address
E-mail 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.
Matt Baldwin
Type or nt nam
Signature
Managing Member
Title or Authority
Date
I, _ bl'talt Sadt ►i , a Notary Public of the County of 60' ""
State of North Carolina, hereby certify that Ma Oaww"" 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 ��/ day of Fc1 , 20 -2)
P NICOLE RAY CADDELL
NOTARY PUBLIC No
Franklin County
Nora?' rolina
MY Commission Expires 5'/11126-a4 My commission expires__frAV

./�\V �VV1 T� VVVTVV
TAMMY L. BRUNNER
REGISTER OF DEEDS
PRESENTED & RECORDED ON
01-07-2022 AT 10:12:04
STATE OF NC REAL ESTATE
EXCISE TAX: $480.00
BOOK: 018874 PAGE: 00463 - 00464
NORTH CAROLINA GENERAL WARRANTY DEED
Delinquent taxes if any, to be vaid by the closine attorney to the county tax collector upon disbursement of closina proceeds.
Excise Tax: $480.00
Parcel Identifier No, 489771; 303640 Verified by _ County on the _____, day of _T _ 20
By:
Mail/Box to: Warren Shaekleford & Thomas, P.LLC
This Instrument was prepared by a licensed North Carolina Attorney : James S. Warren, 343 S. White Street, Wake Forest, NC, 27587
Brief description for the Index: Lot 1 I & 12 Fred Privette
THIS DEED made this January 5, 20222by and between
GRANTOR
Mateo, LLC a North Carolina limited liability company
4537 Zebulon Road
Zebulon, NC 27597
GRANTEE
Matt Baldwin Homes, L.L.C. a North Carolina limited liability
company
4009 Graham Sherron Road
Wake Forest, NC 27587
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, parcel of land or
condominium unit situated in the City of Wake County, North Carolina and more particularly described as follows:
Being all of Lots 11 and 12, as shown on plat entitled "Recombination and Minor Subdivision For Fred Privette", and recorded in
Book of Maps 2021, Page 1.496, Wake County Registry.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 18390 page 1885, Wake County
Registry.
NC Bar Association Form No. 3 (0 Revised 7/ 2013
Printed by Agreement with the NC Bar Association
North Carolina Bar Association - NC Bar Form No. 3
North Carolina Association of Realtors, Inc. - Standard Form 3
submitted electronically by "warren, shackleford & Thomas, P.L.I..C."
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the wake county Register of Deeds.

All or a portion of the property herein conveyed includes or XX does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Book of Maps 2021, Page 1496, Wake County 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 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, other than the following exceptions:
1. Subject to current year ad valorem taxes.
2. Subject to Easements and Restrictions of record which may include an obligation to pay assessments.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written
Mateo, LLG'"
BY:
F deric E. Privette, Manager
STATE OF NORTH CAROLINA
COUNTY OF WAKE
1, a notary Public of the County and State aforesaid, certify that Frederic E. Privette, personally appeared before me this
day and acknowledged that he is Manager of Matco, L.LC a North Carolina limited liability company and that by authority
duly given, the foregoing instrument was signed by him in the Company name as the act of the Company.
Witness my hand and official stam r seal, this the day of January, 2022Vn,`
Notary Public ' • a
:uy fi ''ih 6
My Commission Expires: 10-0 42025 A "�
NC Bar Association Form No. 3 Chi 1976, Revised C� 11112010, 2013 This standard form has been approved by:
Printed by Agreement with the NC Bar Association North Carolina Bar Association - NC Bar Form No. 3