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Home My WebLink AboutNCC230109_FRO Submitted_20230113FINANCIAL 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 Environment and Natural Resources. (Please type or print and, if the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.) Part A. 1. Project Name Si/ 1'1 4 4 d A L.- &rX ( fg L� 2 Location of land -disturbing activity: County Ali ✓ A] 0 04ft City or Township W ► L M i n V I ° A/ Highway/Street 5YA-6,1Zv1P, Latitude �'J . t I )(,, Longitude__ 3. Approximate date land -disturbing activity will commence: J / 5 - S4 ? 3 4. Purpose of development (residential, commercial, industrial, institutional, etc.) 5 Total acreage disturbed or uncovered (including off -site borrow and waste areas) _T&'9 vg, ri)to L- 3.qv 6. Amount of fee enclosed 3 5 'Z, -' The application fee of $65.00 per acre (rounded up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $585). 7. Has an erosion and sediment control plan been filed? Yes No Enclosed J 8. Person to contact should erosion and sediment control issues arise during land -disturbing activity: Name 14 ) L-r. fL d r.F- E-mail Address � C 7k-4's 7 LO -C 0 Telephone 110 - 3E Z -- 210 C Cell # '% I 0 `" S► Z`� 2G sFax # C71 d - 7� 2 ` 'Zg QG 9. Landowner(s) of Record (attach accompanied page to list additional owners): Name Telephone Fax Number l K-0 .-) 0 Current Mailing Address Current Street Address sr 1 r i nn r It U.. City / State Zip City State Zip U 10. Deed Book No. 1 �0 Page No 1 1-`o 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): L A M_ 0- r IV C, 0 A tv -� 11 G I L c L z_ Name E-mail Address F Current Mailing Address Current Street Address City State Zip City State Zip Telephone Fax Number 2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the designated North Carolina Agent: Name Current Mailing Address City Telephone E-mail Address Current Street Address State Zip City State Zip Fax Number (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 Current Mailing Address City Telephone State E-mail Address Current Street Address Zip City State Zip 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. Type or print nam� Signature MAh/A01�V1__ Title or Authority Date 2` J q N - 26� -2-1 a Notary Public of the County of State of North Carolina, hereby certify that -`�� fJ �rr,��r,-► appeared personally before me this day and being duly sworn acknowledged that the above form was executed by him. -Ph Witness my hand and notarial seal, this I2 day of n u r i 20 , '\1 AND, Si NOTARY 'n= PUBLIC ell r0 Notary My commission expires Book 6100 Page 2125 BK: RB 6100 CRDED:DEED: 128 RE2017035961 NC FEE $26.00 RECORDED: 11-06-2017 NEW HANOVER COUNTY, INC 02:31:29 PM TAMMY THEUSCH BEASLEY BY: STEPHANIE PEREZ REGISTEROF DEEDS DEPUTY NORTH CAROLINA SPECIAL WARRANTY DEED Excise Tax: None Parcel Identifier Nos. R01100-008-01 1-005 R04807-001.006-000 R04807-001-007-000 R06500-004-022-000 R06500-005-006- 000, R06500-005-0071000, and R06500.006.012-000 _ Verified by County on the day of ,20 By MaiUBox to: Morgan & Carter, PLLC, 602 Market St.. Wilmingtton, NC 28401 This instrument was prepared by: R.M. Morgan, Morgan & Carter, PLLC, 602 Market St., Wilmington, NC 28401 Brief description for the Index: THIS DEED, made this day of November, 2017, by and between GRANTOR CAMERON COMPANY, L.L.C., a North Carolina limited liability company P. O, Box 3649 Wilmington, NC 28406 GRANTEE CAMERON COMPANY TIMBER, LLC, a North Carolina limited liability company P. O. Box 3649 Wilmington, NC 28406 Enter in appropriate 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 the singular, plural, masculine, feminine or neuter as required by context. WHEREAS, the hereinafter described property was conveyed to Cameron Company Limited Partnership by various deeds recorded in the New Hanover County Registry; and WHEREAS, Cameron Company Limited Partnership was converted to the Grantor, Cameron Company, L.L.C., by articles of conversion filed with the North Carolina Secretary of State on September 29, 2000, effective October 1, 2000, a certificate of which conversion is recorded in Book 2822, Page 587 of the New Hanover County Registry; and WHEREAS, the Grantor desires to convey the hereinafter described property to the Grantee. NOW THEREFORE, 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, tracts or parcels of land situated in New Hanover County, North Carolina and more particularly described as follows: Page 1 of 3 Book 6100 Page 2126 TRACT 1: Being the same property described in a deed from Medsery Company to Cameron Company Limited Partnership, dated July 25, 1989, and recorded in Book 1464, Page 852 of the New Hanover County Registry, reference to which deed is hereby made for a more particular and detailed description, excepting, however, such part of said tract as may have been conveyed by the Grantor, or its predecessor, Cameron Company Limited Partnership, by deed or deeds recorded in the New Hanover County Registry and not subsequently reacquired by the Grantor, or its predecessor, Cameron Company Limited Partnership. The tax parcel number assigned to said property by the New Hanover County Tax Office is RO1100-008-011- 005. TRACT 2: The Noble and Klein 23rd Street Tract, containing 71.84 acres, more or less, which is more particularly described in a deed recorded in Book 1122, Page 924 of the New Hanover County Registry, reference to which deed is hereby made for a more particular and detailed description. Also being the same property described as Tract 1 in a deed from Bruce B. Cameron, et al., to Cameron Company Limited Partnership, dated December 23, 1986, and recorded in Book 1356, Page 1420 of the New Hanover County Registry. Excepting, however, such part of said tract as may have been conveyed by the Grantor, or its predecessor, Cameron Company Limited Partnership, by deeds recorded in the New Hanover County Registry and not subsequently reacquired by the Grantor, or its predecessor, Cameron Company Limited Partnership. The tax parcel numbers assigned to said property by the New Hanover County Tax Office are R04807-001-006-000 and R04807-001-007- 000. TRACT 3: All of Parcel A, containing 10.0 acres, more or less, as shown on a map recorded in Map Book 61, Page 347 of the New Hanover County Registry, reference to which map is hereby made for a more particular and detailed description. The tax parcel number assigned to said property by the New Hanover County Tax Office is R06500-004-022-000. TRACT 4: All right, title, and interest of the Grantor in and to the part of the real estate described in deeds recorded in Book 598, Page 563, Book 707, Page 276, and Book 606, Page 112 of the New Hanover County Registry, that is within the boundaries of tax parcel number R06500-005-006-000, as shown on the records of the New Hanover County Tax Office, reference to which deeds and tax records is hereby made for a more particular and detailed description. TRACT 5: A tract containing 26.5 acres, more or less, known as the W. W. Southerland tract, located near Sunnyvale Drive, being the same property described in a deed recorded in Book 623, Page 590 of the New Hanover County Registry, reference to which deed is hereby made for a more particular and detailed description. Also being the same property described as Tract 11 in a deed from Bruce B. Cameron, et al., to Cameron Company Limited Partnership, dated December 23, 1986, and recorded in Book 1356, Page 1420 of the New Hanover County Registry. The tax parcel number assigned to said property by the New Hanover County Tax Office is R06500-005-007-000. TRACT 6: A tract containing 10 acres, more or less, known as part of the Cumber tract, located on Sunnyvale Drive, being bounded on the North by 'Sunnyvale Drive, on the east and southeast by Bryan Road, on the west by the property described in a deed to Brinson Diesel Sales and Services, Incorporated, recorded in Book 929, Page 655 of the New Hanover County Registry, and bounded on the south by the property described in the following deeds: deed to Andrew J. Houser and wife, Josephine Houser, recorded in Book 1136, Page 58 of said Registry, deed to Rodney H. Mintz and wife, Helen Mintz, recorded in Book 596, Page 606 of said Registry, deed to Rodney H. Mintz and wife, Helen Mintz, recorded in Book 631, Page 449 of said Registry, deed to Hal W. Jones, Sr., and wife, Ineal Smith Jones, recorded in Book 910, Page 465 of said Registry, deed to Charles Ray Reaves and wife, Georgia Reaves, recorded in Book 1089, Page 324 of said Registry, deed to Bryant Severt and wife, Berline Smith Severt, recorded in Book 821, Page 400 of said Registry, deed to Bryant Severt and wife, Berline Smith Severt, recorded in Book 563, Page 513 of said Registry, and deed to Lucille Atkinson Elliott, recorded in Book 905, page 83 of said Registry. Said tract is a portion of the tract described in a deed recorded in Book 598, Page 563 of the New Hanover County Registry, and is also a portion of the property described as Tract 12 in a deed from Bruce B. Cameron, et al., to Cameron Company Limited Partnership, dated December 23, 1986, and recorded in Book 1356, Page 1420 of the New Hanover County Registry. The tax parcel number assigned to said property by the New Hanover County Tax Office is R06500-006-012-000. 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 lots, tracts, or parcels of land, and all privileges and appurtenances thereto belonging, to the Grantee in fee simple. Page 2 of 3 Book 6100 Page 2127 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: 2017 taxes, any easements and restrictions of record applicable to the above real estate, and any zoning, building code, and similar laws and ordinances applicable to the above real estate. IN WITNESS WHEREOF, the Grantor has caused the foregoing to be executed by its duly authorized Managers, as of the day and year first above written. CAMERON Wi 'am f Cameron, Manager Icy. rc �A ' C. Sullivan (also known as Scott Christopher Sullivan), Manager STATE OF NORTH CAROLINA COUNTY OF NEW HANOVER I, the undersigned Notary Public of the County of f�,Or��Iv� _ and State aforesaid, do hereby certify that WILLIAM H. CAMERON personally came before me this day, and being personally known to me, acknowledged that he is a Manager of CAMERON COMPANY, L.L.C., a North Carolina limited liability company, and that by authority given, he signed the foregoing instrument as the act of such company. Witness my hand and official seal the - day of November, 2017. A N 41 r _ [IQ-►� =w NOTARY Notary Public — PUBLIC Printed Name of Notary Pkiblic •�rr'�pER v�'�'\ � My commission expires: 9 �'01111111 �� STATE OF NORTH CA LINA COUNTY OF I, the undersigned Notary Public of the County of and State aforesaid, do hereby certify that SCOTT C. SULLIVAN (also known.as Scott Christopher Sullivan) personally came before me this day, and being personally known to me, acknowledged that he is a Manager of CAMERON COMPANY, L.L.C., a North Carolina limited liability company, and that by authority given, he signed the foregoing instrument as the act of such company. rO�l I 1111AN��i�,, Witness my hand and official seal the �� day of November, 2017. CIO =c� NOTARY -n=_ PUBLIC Notary Public j�V= Printed Name of Notary PAic f;i1�'RCI013N�1\\�� My commission expires: in /66L� a Page 3 of 3 Book 6100 Page 2128 TAMMY THEUSCH BEASLEY New Hanover County 0 n Register of Deeds Register of Deeds 320 CHESTNUT ST SUITE 102 • WILMINGTON, NORTH CAROLINA 28401 Telephone 910-798-4530 • Fax 910-798-7716 X d State of North Carolina, County of NEW HANOVER Filed For Registration: 11/06/2017 02:31:29 PM Book: RB 6100 Page: 2125-2128 4 PGS $26.00 Real Property $26.00 Recorder: STEPHANIE PEREZ Document No: 2017035961 DO NOT REMOVE! This certification sheet is a vital part of your recorded document. Please retain with original document and submit when re-recording.