NCC223965_FRO Submitted_20221129

WAKE COUNTY FINANCIAL RESPONSIBILITYIOWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
WAKENo person may initiate any land -disturbing activity on one or more acres as covered by the Wake
County Unified Development Ordinance before this form and an acceptable erosion and
COUNTY 1 sedimentation control plan have been completed and approved by Wake County Department of
NORT+1 E 4R01IN Environmental Services, Water Quality Division. (Please type or print and, if the question is not
applicable, place NIA in the blank.)
Part A.
1. Project Name Prescott Manor
2. Location of land -disturbing activity: Jurisdiction Wake County (Wake Co. or Municipality)
Lot 28 - 912 Harrison Ridge Road & Lot 37 - 925 Harrison Ridge Road
Highway/Street Latitude 36.0 Longitude 78.36
3. Approximate date land -disturbing activity will commence: J �jC� 2"'()c f
4. Type of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off -site utilities and borrow/waste
areas): .418
6. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Mike Moniz
E-mail Address [e-mail]
Telephone
Cell # 919-889-0114 Fax # [phone]
7. Landowner(s) of Record (attach accompanied page to list additional owners):
Gephart Building Company, LLC 919-745-1002 919-745-1004
Name(s)
Telephone Fax or E-mail address
4016 Barrett Drive - Suite 201
4016 Barrett Drive - Suite 201
Current Mailing Address
Current Street Address
Raleigh NC
27609 4016 Barrett Drive NC 27609
City State
Zip City State Zip
8. Deed Book No. 018039
Page No. 02631-02634 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):
Gephart Building Company, LLC [e-mail]
Name
E-mail Address
4016 Barrett Drive
4016 Barrett Drive - Suite 201
Current Mailing Address
Current Street Address
Raleigh NC
27609 Raleigh NC 27609
City State
Zip City State Zip
Telephone [phone]
Fax Number 919-745-1004

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 Wake County Erosion and Sedimentation Control Ordinance and/or Land
Disturbance Permit:
Name
Current Mailing Address
City
State Zip
E-mail Address
Current Street Address
City
Telephone Fax Number
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:
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.
Richard Gephart
Type or print name
Sildnature
_ Member -Manager
Title or Authority
Date
I, gle-n Ceti- kittkri 3 , a Notary Public of the County of (;l A e�
State of North Carolina, hereby certify that 9ld artf r'� f'r?�rLL� E appeared
personally before me this day and being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notarial seal, this 4 day of TC �t� , 20 7,(
HARRIS Notary
BiAi�o ary Public
Co., North CaroNnaMy commission expires
LVWV,ake
miss� Expires March 1E}, 2D25

BKO1854OPGO1666
WAKE COUNTY, NC
TAMMY L. BRUNNER
REGISTER OF DEEDS
PRESENTED & RECORDED ON
06-07-2021 AT 15.46:46
STATE OF NC REAL ESTATE
EXCISE TAX: $340.00
BOOK: 018540 PAGE: 01666 - 01669
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Stamps: $340.00
Real Estate ID 4: 0476251
After recording, MAIL TO: Grantee
The property does not include the primary residence of the Grantor. (NC GS,ra 105-317.2)
This inst mnent was prepared by: Moore & AL hin PLLC without title examination or tax advice givenj
Brief description for the Index: I,ot 28, Prescott Manor Subdivision
THIS DEED is made this 7th day of June, 2021, by and between
GRANTOR
SANCTUARY PARTNERS, LLC
a North Carolina limited liability company
Grantor's Address:
610 Presidents Walk Lane
Cary, NC 27519
GRANTEE
Gephart Building Company, LLC
a North Carolina limited liability company
Grantee's Address:
4016 Barrett Drive, Suite 201
Raleigh, NC 27609-6623
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.
WITNESSETR 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 New Light Township, Wake County, North Carolina, and being more
particularly described as follows:
See attached Exhibit A
TO HAVE AND TO HOLD the aforesaid lot or parcel of land, all improvements thereon, and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
l
SlIbMiitted electronically by W. Samuel WeathersAtterneyAt Law in enmpliance with North [:arolina statutes goyernin�
recordable documents and the terms of the submitter aLrreementyillb.i,)br %Make County Register of Deeds,

BKO1854OPGO1667
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:
I) The lien of ad valorem real property taxes not yet due and payable.
2) All easements, covenants, conditions, restrictions, and other matters set forth in the County land
records.
IN WITNESS WHEREOF, each Grantor has hereunto set his hand and seal, as of the day and year first set forth
in the notary acknowledgement below.
SANCTUARY PARTNERS, LLC
(SEAL)
Thomas J. Anh t, anger
STATE OF NORTH CAROLINA — COUNTY OF WAKE:
I certify that the following person personally appeared before me this day and acknowledged to me that he/she
voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated:
Date: 1� 014r
(Official Stamp or Seal)
ly�,,
EXP.; _ �
06-13-2023 _=z
tM
Thoma�J. Anhu
Notary Public
Print Name: ' ass
K
My commission expires: G -if s s

BK01854OPG01668
Exhibit A
Lying and being in New Light Township, Wake County, North Carolina and being more
particularly described as follows:
All of Lot 28 as shown on the maps entitled "Prescott Manor Subdivision", prepared by
Cawthorne, Moss & Panciera, P.C. recorded at Book of Maps 2020, Pages 1047-1052, Wake
County Registry,
Property Address: 912 Harrison Ridge Road, Wake Forest. NC 27587
Parcel ID #: 0476251

BKO1854OPGO1669
EXHIBIT s
By acceptance of this Deed, Grantee agrees to be bound by all provisions and conditions of that
Agreement of Sale — Prescott Manor dated May 6, 2021, between Gephart Building Company, LLC and
Sanctuary Partners, LL.C, the developer of Prescott Manor Subdivision. This agreement of Grantee shall
be appurtenant to and run with title to the real property herein conveyed and shall automatically terminate
on the third anniversary of the date of recording of this Deed, Unless Developer records an extension of
this agreement in the Office of the Register of Deeds for Wake County, North Carolina, which extension
shall not in any event be for longer than an additional three years.
GRANTEE:
GEPHART BUILDING COMPANY, LLC
A NORTH CAROLINA LIMITED LIABILITY COMPANY
By:
Name:
Title;
State of North Carolina -- County of Wake
1 certify that the following person personally appeared before me this day and acknowledged to me that
he signed the foregoing document in the capacity indicated and for the purposes stated therein:
(print name of signor above)
Date: 17 12-1
(Stamp or Seal)
Signature of Notary
My commission expires: J 1-26 2 3

BK017252PG01532
WAKE COUNTY, NC
CHARLES P. GILLIAM
REGISTER OF DEEDS
PRESENTED & RECORDED ON
09-27-2018 AT 11:47:51
STATE OF NC REAL ESTATE
EXCISE TAX: $990.00
BOOK: 017252 PAGE: 01532 - 01535
Submitted a n' b3E Rms Law Firm PC in g2muliance withh Catoling statutes gmrning recordable documenta
and be toEHjLg_fhc submitter nareemynt with the Wake County Register of Deeds.
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Stamps: $990.00
Real Estate ID #: 0460505, 0460527 & 0460529
After recording, MAIL TO: Grantee
The property does not include the primary residence of the Grantor. (NC GS ¢ 105-317.2)
This instrument was prepared by: Moore & Al hin PLLC without title examination or tax advicegiven)
Brief description for the Index: Lots 23, 37 & 38 Sanctuary at Yates Mill, Phase I
THIS DEED is made this 24TI[ day of SEPTEMM , 2018, by and between
GRANTOR
SANCTUARY PARTNERS, LLC
a North Carolina limited liability company
Grantor's Address:
610 Presidents Walk Lane
Cary, NC 27519
GRANTEE
GJR Construction, Inc.
a North Carolina corporation
Grantee's Address:
2108 Oakton Drive
Raleigh, NC 27606-8908
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 Swift Creek Township, Wake County, North Carolina, and being more
particularly described as follows:
See attached Exhibit A
TO HAVE AND TO HOLD the aforesaid lot or parcel of land, all improvements thereon, and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.

BKO17252PGO1533
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:
1) The lien of ad valorem real property taxes not yet due and payable.
2) All easements, covenants, conditions, restrictions, and other matters set forth in the County land
records.
IN WITNESS VVHEREOF, each Grantor has hereunto set his hand and seal, as of the day and year first set forth
in the :notary acknowledgement below.
SANCTUARY PARTNERS, LLC
`&i�
(SEAL)
Thomas J. An t, anager
STATE OF NORTH CAROLINA — COUNTY OF
I certify that the following person personally appeared before me this day and acknowledged to me that he/she
voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated:
Date: f y D
(Official Stamp or Seal)
£ZpZ-60-LO 1
•dx3 •ww, s
sY%dr, y10,,
Thomas J. Anhut
Notary Public
Print Name: 4�'
My commission expires:

BK017252PG01534
Exhibit A
Lying and being in Swift Creels Township, Wake County, North Carolina and being more
particularly described as follows:
All of Lots 23, 37 & 38 as shown on the maps entitled "Final Plat For Sanctuary at Yates Mill,
Phase 1 ", prepared by Cawthorn, Moss & Panciera, P.C. recorded at Book of Maps 2018, Pages
1743-1746, Wake County Registry.
Property Addresses: 5212 Milner Drive, 2129 & 2125 Gardenbrook Drive, Raleigh, NC 27606
Parcel 1Ds: 0460505, 0460527 & 0460529

BKO17252PGO15335
EXHIBIT B
By acceptance of this Deed, Grantee agrees to be bound by all provisions, terms and conditions including
of that Agreement of Sale — Sanctuary at Yates Mill dated 7/13/2018, by and between GJH Construction,
Inc. and Sanctuary Partners, LLC. This agreement of Grantee shall be appurtenant to and run with title
to the real property herein conveyed and shall automatically terminate on the third anniversary of the
date of recording of this Deed, unless Developer records an extension of this agreement in the Office of
the Register of Deeds for Wake County, North Carolina, which extension shall not in any event be for
longer than an additional three years.
GRANTEE:
GJH CONSTRUCTION, INC.
A NORTH CAROLINA CORPORATION
Name:�nr
Title:
State of North Carolina — County of Wake
I certify that the following person personally appeared before me this day and acknowledged to me that
he signed the foregoing document in the capacity indicated and for the purposes stated therein:
C - . , --- — -J
(print name afsignor above)
Date: ! l a&
(Stamp or Seal) r3 Z�Ly
Si at re of Notary
My commission expires:
MHl WARDNorthBOWE a
ake County
mission Expiresober 06. 2021