NCC222156_FRO Submitted_20220705

Financial Responsibility/Ownership Form SPCA
See TOFV LIDO, Section §9-1407 SOIL EROSION & SEDIMENTATION CONTROL and Town Standards and Specifications for
additional details.
Part A.
1. Project Name Varina Gateway Townes
2. Location of land -disturbing activity: Highway/Street NC 55/Schnapps Lane
3. Approximate date land -disturbing activity will commence: In progress
4. Type of development (residential, commercial, industrial, institutional,etc.): Residential
5. Total acreage disturbed or uncovered (including off -site utilities and borrow/waste areas): 51.08 acres
6. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Jessica Meyer E-mail Address_j<me�rf=r:.tirl�.tc�n,_rc�i
Telephone [phone] Cell # [phone]
7. Landowner(s) of Record (attach accompanied page to list additional owners):
D. R. Horton Inc. j�rr p .yc l:.(<)drlh.orton,,co
Name E-mail Address
2000 Aerial Center Parkway, Suite 110A 2000 Aerial Center Parkway, Suite 110A
Current Mailing Address Current Street Address
Morrisville NC 27560 Morrisville NC 27560
City State Zip City State Zip
8. Deed Book No. 018903 Page No. 95-98 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):
D. R. Horton Inc. jr rnt (?<4rh_� rlon.c,o
Name E-mail Address
2000 Aerial Center Parkway, Suite 110A 2000 Aerial Center Parkway, Suite 110A
Current Mailing Address Current Street Address
Morrisville NC 27560 Morrisville NC 27560
City State Zip City State Zip
Telephone [phone]
'['own of Fuquay-Varina E" 401 C,id H,,-,nOyc Wt Road, Fuquay-Var a, NC 27,,526
(9'19} (>C>2-1^QO = fuquay-varinaorg

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 Town of
Fuquay-Varina Land Development Ordinance and/or Land Disturbance Permit:
Name
N/A
Current Mailing Address
N/A
City State Zip
Telephone N/A
E-mail Address
N/A
Current Street Address
City State Zip
(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:
D. R. Horton Inc. 'gal rrrtyer @drh.orton.corn
Name E-mail Address
2000 Aerial Center Parkway Suite 110A 2000 Aerial Center Parkway, Suite 110A
Current Mailing Address Current Street Address
Morrisville NC 27560 Morrisville NC 27560
City State Zip City State Zip
Telephone [phone]
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.
T pe or print name Tit e or Authority 22
,6ign ture Date
a Notary Public of the County of
State of North Carolina, hereby certify that
before me this day and being duly sworn ackn IedgE
Witness my hand and notarial seal, this day of
Seal
eeirc appeared personally
the above form was executed by him.
ELAINE HUDSPETH
Notary Public
North Carolina
Forsyth County
, 2022
Notary
ll Z6ZZ
My co is ion expires

C 1 :•1 111•
WAKE COUNTY, NC
TAMMY L. BRUNNER
REGISTER OF DEEDS
PRESENTED & RECORDED ON
02-01-2022 AT 09:24:57
STATE OF NC REAL ESTATE
EXCISE TAX: $16,019.00
BOOK: 018903 PAGE: 00095 - 00098
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax: $ 1 u, oil, h 1
Parcel Identifier No. 0467265 & 0467267 Verified by WAKE County on the day of January, 2022.
By:
Return to:
Prepared by:, Jennifer N Fountain Isaacson Sheridan 804 Green Valley Rd Ste 200 Greensboro, NC 27408
Brief description for the Index: New Lot 2 and New Lot 3 BM 2019 Py, 852
THIS DEED made this 31 day of January, 2022, by and between:
GRANTOR
NC 55-236, LLC,
a North Carolina limited liability company
701 Green Valley Road, Suite 101
Greensboro, NC 27408
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 that
certain lot or parcel of land situated in Wake County, North Carolina and more particularly described as follows:
BEING ALL of "New Lot 2" as shown on plat of survey entitled, "Exempt Subdivision Map of Basal
Creek Development," recorded at Book of Maps 2019, Page 852, Wake County Registry
AND
BEING ALL of "New Lot 3" containing 29.438 acres, more or less, as shown on plat of survey entitled,
"Exempt Subdivision Map of Basal Creek Development," recorded at Book of Maps 2019, Page 852,
Wake County Registry.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 17682, Page 2586, and
Book 18248, Page 71, Wake County Registry.
A map showing the above described property is recorded in Plat Book 2019, Page 852
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 wake county Register of Deeds.

1 i'1 � 111'i
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 the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And Grantor covenants with Grantee, that Grantor has done nothing to impair the title as received by Grantor, has the
right to convey the same in fee simple, 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:
See EXHIBIT A attached hereto and incorporated herein by reference.
[SIGNATURE ON NEXT PAGE]
Page 2 of 4

BKO18903PG00097
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above
written.
GRANTOR:
NC 55-236, LLC
a North Carolina limited
By:
Name: Zachary
State of North Carolina
County of Guilford
I, the undersigned Notary Public of the County of Guilford and State aforesaid, certify that Zachary Tran
personally came before me this day and acknowledged that he is the Manager of NC 55-236, LLC, a North Carolina
limited liability company, and that by authority duly given and as the act of such entity, he signed the foregoing
instrument in its name on its behalf as its act and deed.
Witness my hand and Notarial stamp or seal, this J day of January, 2022,
My Commission Expires:
(Affix Seal Below)
Notary Public
Notary's Printed or Typed Name
Page 3 of 4

1 :•1 111•:
Exhibit A
Exceptions
1. Taxes for the year 2022, and subsequent years, not yet due and payable.
2. Title to any areas within street, highway or railroad rights of way, if any.
3. The creation or loss of land by natural or artificial changes along water forming part of the boundary
of the land; and/or title to land lying below the higher of the mean high water mark and/or the normal
bounds of any body of water; and/or riparian rights incident to any branches, creeks, streams, lakes
or other waters coursing or abutting the land.
4. Any discrepancy, conflict, access, shortage in area or boundary lines, encroachment,
encumbrance, violation, overlap, setback, easement or claims of easement, riparian right, and title
to land within roads, ways, railroads, watercourses, burial grounds, marshes, dredged or filled
areas or land below the mean highwater mark or within the bounds of any adjoining body of water,
or other adverse circumstance affecting the Title that would be disclosed by a current inspection
and accurate and complete land survey of the Land.
5. General Assignment and Bill of Sale of record at Book 14560 Page 2425, Wake County Registry.
6. Agreement (Basal Creek Sewer Collection System Project) with the Town of Fuquay-Varina of
record at Book 13440 Page 1862, Wake County Registry.
7. Easement to Town of Fuquay-Varina of record at Book 13440 Page 1902, Wake County Registry.
8. Boundary Line Agreement of record at Book 8776 Page 1031, Wake County Registry.
9. Right -of -Way Deed to Department of Transportation of record at Book 8839 Page 1926, Wake
County Registry.
10. Right -of -Way Agreement to State Highway Commission of record at Book 1525 Page 627, Wake
County Registry.
11. Easements to Carolina Power & Light Company of record at Book 713 Page 390, Book 1289 Page
484, Book 1445 Page 379, Book 1707 Page 618, Book 2392 Page 392, Book 3413 Page 927,
Book 3571 Page 363, Book 4755 Page 803 and Book 4755 Page 804, Wake County Registry.
12, Right -of -Way Deeds to Department of Transportation of record at Book 8986 Page 2660 and Book
9075 Page 611, Wake County Registry.
13. Right -of -Way Deed to Department of Transportation of record at Book 8880 Page 2720, Wake
County Registry.
14. Right -of -Way Agreements to State Highway Commission of record at Book 1571 Page 529 and
Book 1737 Page 327, Wake County Registry.
15. Right -of -Way Deed to Department of Transportation of record at Book 8928 Page 1385, Wake
County Registry.
16. Joint Well Easement and Agreement of record at Boko 8496 Page 1427, Wake County Registry,
17. Annexation Plat of record at Book of Maps 2007 Page 1490, Wake County Registry.
18. All matter shown on Book of Maps 1987 Page 847, Book of Maps 1999 Page 129, Book of Maps
2007 Page 1928, Book of Maps 2011 Page 1206, Book of Maps 2019 Page 852 and Book of Maps
2021 Page 1554, Wake County Registry.
19. Declaration of Covenants, Conditions and Restrictions for Varina Gateway, a North Carolina
Planned Community of record at Book 18758 Page 258, Wake County Registry.
20. Shared Infrastructure Improvements Maintenance Agreement recorded in Book 17684 Page
1293, Wake County Registry.
21. Easement to Charter Communications LLC recorded in Book 17904 Page 2558, Wake County
Registry.
22. Easement to Duke Energy Progress, LLC recorded in Book 18503 Page 2008, Wake County Registry.
23. Memorandum of Agreement recorded in Book 18594 Page 1014, Wake County Registry.