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HomeMy WebLinkAboutNCC221531_FRO Submitted_20220420FINANCIAL 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 address or phone number is unavailable, place N/A in the blank.) Part A. 1. Project Name St. James Place - Phase 2 (Lee-2021-010) 2. Location of land -disturbing activity: County Lee City or Township Jonesboro Township Cemetar Road 35.44249-79.1515 Highway/Street y Latltude(decimal degrees) LOngltUde(decimal degrees) 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): 21 .1 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-acre application fee is $900). Checks should be addressed to NCDEQ. 7. Has an erosion and sediment control plan been filed? Yes ❑x Enclosed ❑ No ❑ 8. Person to contact should erosion and sediment control issues arise during land -disturbing activity: Name Jess Meyer E-mail AddressJameyer@drhorton.com Phone: Office # Mobile # 919-215-6561 9. Landowner(s) of Record (attach accompanied page to list additional owners): DR Horton, Inc - Jess Meyer Name Phone: Office # Mobile # 2000 Aerial Center Pkwy, Suite 110 2000 Aerial Center Pkwy, Suite 110 Current Mailing Address Morrisville NC Current Street Address 27560 Morrisville NC 27560 City State Zip City G� State Zip 10. Deed Book No. Page No. �✓ Provide a copy of the most current deed. Part B. 1. Company(ies) who are financially responsible for the land -disturbing activity (Provide a comprehensive list of all responsible parties on accompanied page.) If the company is a sole proprietorship or if the landowner(s) is an individual(s), the name(s) of the owner(s) may be listed as the financially responsible party(ies). DR Horton, Inc - Jess Meyer jameyer@drhorton.com Company Name E-mail Address 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 Phone: Office # 919-215-6561 Mobile # Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation control plan and to conduct the anticipated land disturbing activity. 2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State business registry, give name and street address of the Registered Agent: DR Horton, Inc. jameyer@drhorton.com Name of Registered Agent E-mail Address 2000 Aerial Center Pkwy, Suite 110 2000 Aerial Center Pkwy, Suite 110 Current Mailing Address Morrisville NC 27560 City State Zip Current Street Address Morrisville NC 27560 City State Zip Phone: Office # 919-215-6561 Mobile # Jess Meyer Name of Individual to Contact (if Registered Agent is a company) (b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the designated North Carolina agent who is registered on the NC Secretary of State business registry: Name of Registered Agent E-mail Address Current Mailing Address Current Street Address City State Zip City State Zip Phone: Office # Mobile # Name of Individual to Contact (if Registered Agent is a company) (c) If the Financially Responsible Party is engaging in business under an assumed name, give name under which the company is Doing Business As. If the Financially Responsible Party is an individual, General Partnership, or other company not registered and doing business under an assumed name, attach a copy of the Certificate of Assumed Name. Company DBA Name 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(s) 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 Party). I agree to provide corrected information should there be any change in the information provided herein. r'�A �'"o'OVAU- Mw( T pe or print name Title or Authority r-- ign ture Date �JIJ r� a Notary Public of the County of State of North Carolina, hereby certify that S�C✓4��� C� appeared personally before me this day and being duly sworn ackn dged thatt heabove form was executed by him/her. Witness my hand and notarial seal, this 2� day of S. C.L.AINE IUDSPETH Notary Public North Carolina otary Forsyth County My commission expires �ZZ BK 1675 PG 0453 FILED ELECTRONICALLY LEE COUNTY NC = PAMELA G. BRITT REGISTER OF DEEDS Revenue Stamps: $2,900.00 FILED Feb 24, 2022 AT 04:18:18 PM BOOK 01675 START PAGE 0453 END PAGE 0457 INSTRUMENT # 01552 EXCISE TAX $2,900.00 Parcel #9651-55-393600 Prepared by: Chad Wesley Riggsbee, Attorney at Law, P.O. Box 147, Pittsboro, NC 27312 Return to Grantee at: 2000 Aerial Center Parkway, Suite 110, Morrisville, NC 27560 Description for the Index: Parcel #9651-55-393600, 0 Saint James Way, Sanford, NC 27332 STATE OF NORTH CAROLINA GENERAL WARRANTY DEED COUNTY OF LEE THIS DEED made this �d d y of 2022, by and between GRANTOR: JAMES D. SILER and PAMELA H. SILER P.O. Box 1874 Sanford, NC 27331 GRANTEE: D.R. HORTON, INC. A Delaware Corporation 2000 Aerial Center Parkway, Suite 110, 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 those certain lots or parcels of land situated in Lee County, North Carolina, and more particularly described as follows: 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 Lee county Register of Deeds. BK 1675 PG 0454 SEE "EXHIBIT A" The property herein described was acquired by Granto by instrument in Book 1197, Page 460, Lee County Registry. This property was was not vthe personal residence of Grantor. TO HAVE AND TO HOLD the aforesaid lots or parcels of land and all privileges and appurtenances thereto belonging to the Grantees in fee simple. And the Grantor covenant 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; Restrictions, rights of way and easements of record. IN WITNESS WHEREOF, the Grantor has caused this instrument to be signed and sealed this the day and year first above written. SIGNATURE PAGES TO FOLLOW 01 BK 1675 PG 0455 'AM"FA W.T State of County of I, a Notary Public for said State and County, certify that JAMES D. SILER appeared before me ay and acknowledged the due execution of the foregoing Instrument for the purposes therein expressed. WITNESS my hand and notarial seal, this the�87 d y of _ %k aye , 2022. Notary 15 / My Commission Expires: 6 Id `'L LEONORA HILDA JUNE KNAPP (Official Seal) Notary Public, North Carolina Chatham County My Commission Expires June 24, 2026 BK 1675 PG 0456 (SEAL) PAMELA H. SILER State of AJu A (2 6011 h C..- County of a ki I, fa Notary Public for said State and County, certify that PAMELA H. SILER appeared bef e)e this day and acknowledged the due execution of the foregoing instrument for the purposes therein exgressed.r ' WITNESS my hand and notarial seal, this the day of U04U, 2022. I -- My Commission Expires; Z "-d .26/ (Official Seal) E CI A HILDA JUNE KNAPPry Public, North Carolina Chatham County Commission Expires June 24, 2026 BK 1675 PG 0457 Exhibit A BEGINNING at an iron rebar found, said iron rebar also being the southwestern corner of the Now or Formerly EWT 70 LLC property, thence with the southerly line of the Now or Formerly EWT 70 LLC property, S 53' 38' 09" E 383,66' to an iron rebar found, said iron rebar also being the southwestern corner of the Now or Formerly Albert Adcock property; Thence with the southerly line of the Now or Formerly Albert Adcock property, S 53' 39' 13" E 390.36' to an iron pipe found; Thence leaving the southerly line of the Now or Formerly Albert Adcock property, S 42' 06' 5 1 " W 1319.52' to an iron pipe set, said iron pipe being located along the northerly line of the Now or Formerly County of Lee property; Thence with the northerly line of the Now or Formerly County of Lee property, N 52' 44' 53" W 710.10' to an iron pipe set; Thence leaving the northerly line of the Now or Formerly County of Lee property, N 37' 16' 54" E 170,02' to an iron rebar found, said iron rebar being along the southerly right-of-way of Paradise Way; Thence crossing the right-of-way of Paradise Way, N 02' 15' 16" E 61.03' to an iron rebar found; Thence N 37' 14' 50" E 150.04' to an iron rebar found; Thence N 52' 16' 23" W 20.09' to an iron pipe found; Thence N 47' 40' 52" E 156.24' to an iron rebar found, said iron rebar being along the westerly right-of-way of Pasile Court; Thence crossing the right-of-way of Pasile Court, N 47' 40' 52" E 49.38' to an iron pipe set; Thence N 290 55' 23" W 18.14' to an iron rebar found; Thence N 50' 48' 27" E 191.44' to an iron rebar found; Thence S 38' 52' 19" E 7.17' to an iron rebar found; Thence N 50' 40' 12" E 168,06' to an iron rebar found, said iron rebar being located along the westerly right-of-way of St. James Way; Thence crossing the right-of-way of St. James Way, N 140 54' 11" E 61.66' to an iron rebar found; Thence N 50' 38' 59" E 173,55' to an iron rebar found; Thence N 390 1 l' 34" W 39.96' to an iron pipe set; Thence N 42' 51' 59" E 140,78' to an iron rebar found, said iron rebar also being THE POINT AND PLACE OF BEGINNING and containing 994,009 square feet or 22.819 acres, more or less. The property described hereon is subject to all easements, rights -of -way, and restrictions of record.