NCC223613_FRO Submitted_20221021

FINANCIAL RESPONSIBILITWIOWNERSNIP FORM
.SEDIMENTATION PQLLUTIORCONTROL.ACT
.No person. may initiaW:any land -disturbing activity on' one or more'acres' as covered by the Adt 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 ap
Regibnai Office. ; Please type or print and, .If the question is 'not applicable or the e-rtiail addressor prMe-
hone
number 0 urfalWable, place NIA in thei blank.)
Part A.
1. Project Name Triangle Home Services
2. Location of land- disturbing ApQykyi Couhtyfa ke A
City -or Township p x
Highway/street US Hwy 64 35.7430 79.9310
LaOt de�deetnial dvg o _ _ Longitude(dam deg,e"y.
3. Approximate date )and-disiurbIngactivity will corn
mance:101241.2Q22
4. Purpose of development (residentlal, cojnmerciar.-Indi{strial, institutional, etc,): COmmercial
5: Total acreage dfsturbed or uncovered (including off-slte.borrow and.woste areas):8•2
6. Amount:of,fee..enclosed: $900•00 , The,application fee- Of $100.00 per.acre (rounded
up to.the next acre) is assessed without a ceiling amount. (Example: 8:10-acre.appticaticn fee.is $900).
Checks should be addressed to'
7. Has an erosion and sediment control plan been flied? yes M. Enclosed ❑ No' ❑
S. Person to contact should erosion and se..diment control issuesarise during land -disturbing activitya
NameJUS IrI Barbour [e-mail]
Phone: office. # 91 '9-242-1267 Mobile #-921-1313
9. Landowner(s) of Recdrd (attach accornpanled page to list additional owners):.
Shelton Property investments LLC
Name
2701 Weaver Nils Dr
Currant Mailing Address
Apex NC 27502-6548
city 'State zip
919-210-188.9
Phone Office # Movie #
Current Street Address
City st
ate zip
10. Deed Book No.018258 page. No 02648-0265%
._ Prdvide a copy of --the most. current deed

Part B.
I. Company(tes) who -are financially responsible for the land -disturbing activity (Provide a comprehensive list of all kesponstble parties orC.aa;ompanied page.) If ft-0nW8ny*ls,a sole pmo*torstiip orifthe landowner(sj Is
an indiVldUal(sJ, the name(sj of the owttar(s) maybe Nstsd as the flnandalty rnsponsibtQ party(les):
'ShOton Property Investments LLC
Company Name
2701 Weaver Hill Dr
Current Mailing Address
Apex NC 27502.6548
Clty State Zip
Phone:. Office i#
don n [e-mail]
S-map Address
Current Street Address
City state Zip
Moai<s # 919-21 Q-1889
Note: if fhe Financlally Responsible Party is not the owner of the land #d be disturbed, include iftrith this form
the landownef's signed and dated written consent .fof the apolfcantto submit 8 draf#.erosion and sedlmeotatlon
cofitrol plan and to cooduet.the.anticipated land dlsturt>ittg activity.
2. (a) If the Financially Responslhle Party is a°domestic. company registered on fhe NC Secretary of State
business registry, give name and street addreswcf the Registered Agent:
Donnie Shelton
Name of -Registered Agent
2701 Weaver Hill Dr
Current Mairing,Address
Apex NC 27502-6-548
City .State. Zip
[e-mail]
E-map Address
Current Street Address
City State. Tip
Phone Offce. # Mobile # [phone].
Name pf•lgdMdual to Corita'ct (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 tegistry:
Name. of Registered. Agent
Cufrent Malling Address
City State Zip
E-mail,Address
.Current S6We—tAddress
clty State zip.
Phone: Office # Mobile
Name of lndividuat 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 Gs Doing Business As. If the Financially Responsible Party is an individual, General
.Partnership, or other company not registered and riding business under an assumed name, attach,a copy
of the Certificate of Assumed Name.
Cor»pany D8A 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 individuals)
or his attomey in fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute Instruments for the Financiaily'Responsible Party). 1 agree to provide
corrected information should "there be any change In the information provided herein.
Donnie Shelton
T r pr ntnam
Signature
Managing Member
Title or Authority
Date
a Notary Public of the County of L4CLV .
State of North Carolina, hereby certifythaty�t�.,
before me this day and being duly sworn acknoersonally
wledged that the above form was executed baredy him/her,
Witness my hand and notarial seal, this _1day oftor�er' 20;_
5S1NE b
©Tq • C9,
Notary .
M
My commission expires--;�,-— —
cbUN•'

WAKE COUNTY, NC
TAMMY L. BRUNNER
REGISTER OF DEEDS
PRESENTED & RECORDED ON
12-23-2020 AT 16:00:31
STATE OF NC REAL ESTATE
EXCISE TAX: $4,200.00
BOOK: 018258 PAGE: 02648 - 02651
Su_ bmitted electronica v by Stenhenson aw LLP in compliance with North CMA118 statat governine recordable documm
and the terms of the submitter agreement with the Wake County BeZister of Deeds,
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax:S4,200.00
Parcel Identifier No. 007.Oi 89 Verified by County on the day of ,
By: 20
Mail/Box to: Grantee
This instrument was prepared by:David R Godfrey Savage and Godfrey !without title examination or tax advice!
Brief description for the Index: Prop of William & Nancy Houston BM 1988-794
THIS DEED made this �_ day of December, 2020, by and between
I7�:r�i ii 7
JOSEPH VINCENT IANNONE, JR.
and wife,
RENEEIANNONE
Address: 2509 Southwinds Run
Apex, NC 27502
GRANTEE
SHELTON PROPERTY INVESTMENTS, LLC
a NC limited liability company
Address: 2701 Weaver Hill Drive
Apex, NC 27502
Enter in appropriate ro riate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g.
corporation or partnership.
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 bythe Grantee, the receiptofwhich 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
White Oak Township, Wake County, North Carolina and more particularly described as follows:
See Exhibit A attached for description.
See Exhibit 8 attached for exceptions.
Renee Iannone joins In this deed without warranty of any type for the limited purpose ofconveying her marital interest
in the property described herein.
NC Bar Association Form No. 6 a 1/12010
Printed by Agreement with the NC Bar Association

. BKO18258PGO2649
The property hereinabove described was acquired by Grantor by instrument recorded in Book 17581 Page 261 Wake County Registry..
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 Page _ Wake County.
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, other than the following
exceptions:
See Exhibit B for exceptions.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
State of North Carolina
County of Wake
1, the undersigned Notary Public of the County and State aforesaid, certify that Joseph Vincent lannone Jr and wife,
Renee Iannone personally came before me this day and acknWledged the due execution of the foregoing instrument.
Witness my hand and Notarial stamp or seal, this 15 day of Decembgr, 2020.
My Commission Expires: �19 -2
NOTARY
MY Comm
Sept. 19, 2025.
PUBLIC
Notary Stamp
NC Bar Association Form No. 6 0 1/1/2010
Printed by Agreement with the NC Bar Association
Notary Public

EXHIBIT A
BEGINNING at an iron pipe in the southern right of way of US
Highway 64 West lying in the western line of now or formerly North
Carolina Department of Transportation (Book 6660 page 194 Wake
County Registry [WCR]) (formerly Durham and South Carolina
Railroad), runs thence with the western line of now or formerly
North Carolina Department of Transportation the following courses
and distances:
(1) a curve having a radius of 3534.50 feet, a length of 20.75
feet, a chord bearing of South 10 degrees 29 minutes 53 seconds
West, and a chord of 20.75 feet;
(2) a curve having a radius of 3889.83 feet, a length of
435.00 feet, a chord bearing of South 07 degrees 08 minutes 01
seconds West, and a chord of 434.78 feet;
(3) South 87 degrees 08 minutes 00 seconds East 20.14 feet;
(4) a curve having a radius of 3869.83 feet, a length of
554.55 feet, a chord bearing of South 00 degrees 11 minutes 29
seconds East, and a chord of 554.08 feet; and
(5) South 04 degrees 24 minutes 04 seconds East 48.85 feet to
an iron pipe, a common corner with now or formerly Hendrick
Automotive Group (Book 14886 page 1178 WCR);
Runs thence with the northern line of now or formerly Hendrick
Automotive Group North 87 degrees 00 minutes 24 seconds West 460.10
feet to an iron pipe in the eastern line of now or formerly Deannas
Dowry LLC (Book 3139 page 920 WCR); runs thence with the eastern
line of now or formerly Deannas Dowry LLC North 01 degrees 36
minutes 36 seconds East 973.81 feet to an iron pipe in the southern
right of way of US Highway 64 West; runs thence with said right of
way North 82 degrees 51 minutes 30 seconds East 467.80 feet to the
point of beginning, and containing 10.196 acres according to a
survey entitled "Boundary & Topographic Survey 3501 US 64 Hwy W" by
Timothy E. Bowles, PLS dated August 29, 2019.
Together with, without warranty of title, any interest the
Grantor may own in the North Carolina Department of
Transportation/Durham and South Carolina Railroad property
adjoining the above -described property to the east.

BKO'18258PGO2651
EXHIBIT B
This property is conveyed subject to the following exceptions
to warranty of title:
1. Rights of way of US Highway 64 and the former Durham and
South Carolina Railroad.
2. CP&L easement (Book 5951 page 190 Wake County Registry),
easement to USA (Book 1906 page 102 Wake County Registry), and Town
of Cary permanent utility and pipeline easement (Book 16716 page
1096 Wake County Registry) along the northern line of the above -
described property as shown on the above -referenced survey.
3. Alternate sewage disposal system and maintenance schedule
recorded in Book 4647 page 924 Wake County Registry.
4. Notice of nonconforming special use approval recorded in
Book 5500 page 145 Wake County Registry.
5. Ad valorem taxes for 2020.
teetogrAes

LANDOWNER CONSENT
Shelton Property Investments, LLC
2701 Weaver Hill Drive
Apex, NC 27502
Re: Triangle Home Services Project — Erosion and Sedimentation Control Plan
To Whom It May Concern:
Shelton Property Investments, LLC (the "Company") is the record owner of real properly located
at 3501 US Highway 64 West, Apex, Wake County, North Carolina, 27502 (the "Property"). The
Company hereby consents to (i) the submission of a draft erosion and sedimentation control plan
by Profile Constriction, Inc. ("Profile") and (ii) the performance by Profile of any land disturbing
activities on the Property in connection therewith. The company further consents the same to
Barbour Brothers Construction, Inc. P11-15-
If you have any questions, please do not hesitate to contact me.
Sincerely,
Shelton Prope/tYJ is LLC
By:
Donnie R. Shelton, Manager
Date: 10/18/2022