NCC221232_FRO Submitted_20220407

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 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 and/
or fax information unavailable, place N/A in the blank.)
Part A. Summerhaven West Phase 1
1. Project Name
2. Location of land -disturbing activity: County Alamance City or Township Melville
Highway/Street NC Hwy 119 Latitude 36.16185 Longitude -79.2851
3. Approximate date land -disturbing activity will commence:upon approval
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 13 ac
6. Amount of fee enclosed: $ Paid The application fee of $100.00 per acre
(rounded up to the next acre) is assessed without a ceiling amount (Example: 8.10 ac = $900.00).
7. Has an erosion and sediment control plan been filed? Yes X No Enclosed
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Jess Meyer, CPESC, CESSWI E-mail [e-mail]
Telephone Cell # 919-215-6561 Fax #
9. Landowner(s) of Record (attach accompanied page to list additional owners):
DR Horton, Inc. 919-215-6561
Name Telephone Fax Number
2000 Aerial Center Pkwy, Suite 110 2000 Aerial Center Pkwy, Suite 110
Current Mailing Address Current Street Address
Morrisville NC 27560 Morrisville NC 27560
City State Zip City State Zip
10. Deed Book No. 4304 Page No. 772-776 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.
DR Horton, Inc. [e-mail]
Name
2000 Aerial Center Pkwy, Suite 110
Current Mailing Address
Morrisville NC 27560
City
E-mail Address
2000 Aerial Center Pkwy, Suite 110
Current Street Address
Morrisville
State Zip City
Telephone [phone] Fax Number
NC 27560
State Zip

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.
Jessica Meyer, CPESC, CESSWI NPDES Technical Compliance Administrator
or print name
6
Title or Authority
V�b'-U&!24a (9c`v��
Date
a Notary Public of the County of tan
State of North Carolina, hereby certify that cu;au aw— appeared
personally before me this day and being d worn acknowledged that the above form was
executed by him.
Witness my hand and notarial seal, this V
=Forsyth
H
day of 20ZZ
Notary) — - \1"*s"
My commission expires K -aZZ

Type: CONSOLIDATED REAL PROPERTY
Recorded: 2/18/2022 9:43:42 AM
Fee Amt: $9,576.00 Page 1 of 5
Revenue Tax: $9,550.00
Alamance, NC
David Barber Register of Deeds
BK 4304 PG 772 - 776
This inrtrwnent prepared by: Amanda P. Hodierne a licensed North Carolina Attorney. Delinquent taxes, if any, to be paid by the closing Attorney
to the County Tax Collector upon disbursement of closing proceeds,
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $9,550.00
Parcel Identifier No. See ]Eogpit 5 Verified by County on the day of 20_
By:
Mail/Box to: GRANTEE
This instrument was prepared by: Isaacson Sheridan (without title examination)
Brief description for the Index: Lots 1-24 64-66 & 69-78 Summerhaven East, Ph 1, PB 82, Page 342 and Lots 1-5, 77-88 & 105-
125, The Landing at Summerhaven, Ph 1, PB 82-350
THIS DEED made this �1 day of February, 2022, by and between
GRANTOR
Desco Summerhaven, LLC
a North Carolina limited liability company
600 Market Street, Suite 206
Chapel Hill, NC 27516
GRANTEE
D.R. Horton, Inc.
a Delaware corporation
Mailing Address:
2000 Aerial Center Parkway, Suite 1 10
Morrisville, NC 27560
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 Melville Township, Alamance County, North Carolina and more particularly described as follows:
SEE EXHIBIT A ATTACHED HERETO AND INCORPORATED BY THIS REFERENCE.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 4042, Page 807.
All or a portion of the property herein conveyed —includes or X does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book 82, Page 342 and Plat Book 82, Page 350,
submitted electronically by "Bagwell Holt smith P.A."
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Alamance county Register of Deeds.
Book: 4304 Page: 772 Page 1 of 5

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:
Subject to all restrictions, easements and rights -of -way of record and ad valorem taxes for the current year.
[SIGNATURE ON FOLLOWING PAGE]
NC Bar Association Form No. 3 © 1976, Revised © 1/1/2010
Printed by Agreement with the NC Bar Association
Book: 4304 Page: 772 Page 2 of 5

IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
DESCO SUMMERHAVEN LLC
a North Carolina limited liability company
By.—
Print/Type Name & Title: Eric S. Dischinger, Manager
State of North Carolina
GU Ar- County
I certify that the following person(s) 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: Eric S. Dischigger.
Date: /� / 7 , 2022
Awk4 k
Official Signature o Notary
(Official Seal)
:Ilzabeth Spow�z
Nole Y Publro
Weke Cout1ty
M Commlaelonh xelrel8 H
NC Bar Association Form No, 3 © 1976, Revised © 1/1/2010
Printed by Agreement with the NC Bar Association
Ar"Zkj 01H , Notary Public
Printed or typed name
My commission expires: 0`do8�o?�,2y
Book: 4304 Page: 772 Page 3 of 5

Exhibit A
Legal Description
TRACT ONE:
BEING all of Lots 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 64, 65, 66, 69, 70, 71,
72, 73, 74, 75, 76, 77 and 78, as shown on plat of record entitled, "FINAL PLAT SUMMERHAVEN PHASE I AKA
SUMMERHAVEN EAST PHASE 1", of record at Plat Book 82 Pages 342 through 344, inclusive, Alamance County
Registry.
TRACT TWO:
BEING all of Lots 1, 2, 3, 4, 5, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 105, 106, 107, 108, 109, 110, 111, 112, 113,
114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124 and 125, as shown on plat of record entitled, "FINAL
SUBDIVISION PLAT THE LANDING AT SUMMERHAVEN PHASE I", of record at Plat Book 82 Pages 350 through
353, inclusive, Alamance County Registry.
NC Bar Association Form No. 3 © 1976, Revised © 1/1/2010
Printed by Agreement with the NC Bar Association
Book: 4304 Page: 772 Page 4 of 5

Exhibit B
Parcel ID:
a portion of 173775
a portion of 159680
a portion of 172460
a portion of 172461
a portion of 172462
Book: 4304 Page: 772 Page 5 of 5