NCC222460_FRO Submitted_20220708

City of Charlotte Soil Erosion and
Sedimentation
Control Ordinance
Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity on one or more acres as covered by Chapter 17 of the Charlotte
City Code of Ordinances before this form and an acceptable erosion and sedimentation control plan have been completed
and approved by the City of Charlotte. The financially responsible party will be on record as the party to accept any Notices
of Violation or related documents for any non-compliance of the City of Charlotte Soil Erosion and Sedimentation
Ordinance. If the financially responsible party is out of State, a North Carolina agent must be assigned. All relevant
items on this form must be filled out accurately and completely
Please Type or Print
PART A
1. Project name: 84Y_ 1 f?cp0H,% G - CL.7-
2. Address of land -disturbing activity: 250Z a 46-
CAWU K715
3. Approximate date land -disturbing activity will commence:
Month D y Year
4. Purpose of Development (Residential, Commercial, Industrial, etc.): -e0v i "ZX C llg1_
5. Total acreage of land to be disturbed or uncovered: 3• e5
6. List total site acreage: Jr+ �� -
7. Landowners of Record (attach accompanied page to list additional owners). If the landowner of record is not
the person(s) or firm(s) financially responsible as listed in Part B, item 1, a separate letter of consent signed
by the landowner of record or their authorized agent is required:
Name: Ar-&4 ZN�( f�-eA�_i� . L-L(.
Address: S) i VLge y Si.
,
"
Telephone: - Z$ " Zq 15 Fax: G (q -'gU` 9 j5 Z
(Area Code) (Area Code)
Email Address: IN0:1 6IKt�2O_ roy t �lq. Co wj
Address:
Telephone: Fax:
(Area Code)
Email Address:
(Area Code)
8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or
instruments) Book 3 y 7 Page Z%?S Book Page
Book Page Book Page
Page 1

Continue - Financial Responsibility/Ownership Form
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity(Note: If the financially responsible
person(s) or firms) has an out-of-state address, a North Carolina agent must be designated in item 2 below):
Telephone: It P - IC Fax: L
(Area Code r r (Area Code)
Email Address: bdulPS �i I� (0-/1r6oAG I Com
2.-If4hFinancially Responsible Party is not a resident of North Carolina, give name and street address of the
designate Carolina agent:
Person or
Telephone: Fax: `�-
(Area Code) (Area Code)
Email Address:
3. The above information is true and correct to the best of my knowledge and belief and was provided by me
while under oath. (This form must be signed by the financially responsible person if an individual or by an
officer, director, partner, attorney -in -fact, or other person with authority to execute instruments for the
financially responsible company or entity, if not an individual.) I
`�_6by (•�Sy
Printed Nape I Title
2 -Z- Z7
Signature V Date
1,Ol Nola O • Q>Ja00Zq G�l�bVe �- a Notary Public of the County
of ____,State of L`'^�-' �-��a W a hereby
certify that �O Y VZD V \C 5 personally
appeared before me this day and under oath acknowledge that this form was executed by him/her.
Witness my hand and n ria1 seal, this NG ve��!da6tiom 20 a�
Notary Signature. QI
My Commission expires:
9W
RAC O MAN PUBLIC
rypTARY
WAKE COUNTY
North Carole 2
�mission Exp.
c harrlottenc.gov
Storm Water Services — Land Development
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone: [phone]
h!V.Hcharlottene.gov/developiiientcenter
Rev. 09/2021 Page 2

Mark Lee February 2" 2022
Mercury Realty LLC City of Charlotte
517 Mercury Street
Phone [phone]
Fax [phone]
Email [e-mail]
To whom it may concern,
Mercury Realty, LLC, owner of parcel 19920119, hereby grant
Baker Roofing Company and their assignees permission to
perform land disturbing activities on this parcel.
Sincerely
Mark Lee
Managing Member
Mercury Realty LLC

For Registration
Fredrick Smith
Register of Deeds
Mecklenburg County, NC
Electronically Recorded
2021 Aug 27 01:05 PM RE Excise Tax: $ 750.00
Book: 36462 Page: 475 - 478 Fee: $ 26.00
Instrument Number: 2021165408
Parcel Identifier No.:199-201-19
Excise Tax: $750.00
Mail after recording to: GRANTEE
This instrument was prepared by: John Miller Law Firm, PLLC (JMM)
2145 McClintock Road, Suite 112
Charlotte, NC 28205
Brief description for the Index: Lot 10 Heart Park Charlotte, Map Book 21, Page 570
NORTH CAROLINA SPECIAL WARRANTY DEED
THIS DEED made this 27th day of August, 2021, by and between
GRANTOR
Wyoming Holdings, LLC,
a North Carolina limited liability company
Address:
401 Hawthorne Ln., Suite 110-136
Charlotte, NC 28204
GRANTEE
Mercury Realty, LLC,
a North Carolina limited liability company
Mailina Address:
517 Mercury Street
Raleigh, NC 27603-2341
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.
submitted electronically by "Alexander Ricks PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Mecklenburg county Register of Deeds.

WITNESSETH, that the Grantor for a valuable consideration as part of an IRC § 1031 Tax -Deferred
Exchange, 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 Mecklenburg County, North Carolina and more particularly described as
follows:
See Exhibit A attached hereto and incorporated herein by reference.
All or a portion of the property herein described does not include the primary residence of a grantor
(per NC GS § 105-317.2).
The property hereinabove described was acquired by Grantor by instrument recorded in Book
31746, Page 370 of the Mecklenburg County Public Registry.
A map showing the above described property is recorded in Map Book 21, Page 570 of the
Mecklenburg County Public 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 has done nothing to impair such title as
Grantor received, and Grantor will warrant and defend the title against the lawful claims of all
persons claiming by, under or through Grantor, except for the exceptions hereinafter stated.
Title to the Property is subject to all matters which may appear of record and the lien of taxes for
the current year which have been prorated between the parties.
[Signatures Appear on Following Page]
2

IN WITNESS WHEREOF, the Grantor has hereunto set its hand through its duly
authorized officer, the day and year first above written.
Wyoming Holdings, LLC
By:�.
Andrew W. Williams, Jr.,
Manager and Member
STATE OF NORTH CAROLINA
COUNTY OF MECKLENBURG
I certify that the following person(s) personally appeared before me this day and is/are personally
known to me or identified by me through satisfactory evidence, and acknowledged to me that he/she
voluntarily signed the foregoing document for the purpose stated therein and in the capacity
indicated: Andrew W. Williams, Jr. Manager nd Member.
Date: VS F
Notary 1'u 1
Print Name: t 1. l i (6 ,f
[AFFIX SEAL BELOW]
`��y1riNI1I11!/ y
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ti lyptery Public
Mecklenburg _
z county
My Comm E%D
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My commission expires:
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EXHIBIT A
Being all of Lot 10 Hart Park Charlotte, as shown on map thereof recorded in Map Book 21 at Page
570 in the Mecklenburg County Public Registry, reference to said map being hereby made for a more
particular description of said lot.
Property Address:
5432 Wyoming Avenue
Charlotte, NC 28273
PIN: 199-201-19
E