HomeMy WebLinkAboutNCC230036_FRO Submitted_20230117FINANCIAL RESPONSIBILITYlOWNERSHIP 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 Environmental Quality. Submit the completed form to the appropriate
Regional Office. (Please type or print and, if the question is not applicable or the e-mail address or phone
number is unavailable, place NIA in the blank.)
Part A.
Project Name 5 Lots Little Creek Road
2. Location of land -disturbing activity: CountyNew Hanover City or Township Castle Hayne
13,17,21,101,103 Little Creek Road
Highway/Street Latitude(depmai degrees) 34.3047 Longitudecdeanim degrees -77.9510
3. Approximate date land -disturbing activity will commence: ASAP
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 1.18
6. Amount of fee enclosed: $ NIA . The application fee of $100.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: 8.10-acre application fee is $900).
Checks should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes {a Enclosed ❑ No ❑
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Celeo Banegas Gonzalez & Hugo Camacho Garduno Name E-mail Address clendeninlynette@gmail.com
Phone: Office # 910-796-2065 Mobile # 910-431-4503
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Ceieo Banegas Gonzalez & Hugo Camacho Garduno 910-796-2065
Name
341 Lullwater Drive
Current Mailing Address
Phone: Office #
341 Lullwater Drive
Current Street Address
910-431-4503
Mobile #
Wilmington, NC 28403 Wilmington, NC 28403
City State Zip City State Zip
10. Deed Book No. 6424 Page No. 905-907 Provide a copy of the most current deed.
Part B.
1. Company(ies) who are financially responsible for the land -disturbing activity (Provide a comprehensive list
of all responsible parties on accompanied page.) If the company is a sole proprietorship or if the landowner(s) is
an indnWdual(s), the name(s) of the owner(s) may be listed as the financially responsible party(ies).
Celeo Banegas Gonzalez & Hugo Camacho Garduno
Company Name E-mail Address
341 Lullwater Drive 341 Luliwater Drive
Current Mailing Address Current Street Address
Wilmington, NC 28403 Wilmington, NC 28403
City State Zip City State Zip
clendeninlynette@gmail.com
Phone: Office # 910-796-2065 Mobile # 910-431-4503
Note: If the Financially Responsible Parry is not the owner of the land to be disturbed, include with this form
the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation
control plan and to conduct the anticipated land disturbing activity.
2. (a) If the Financially Responsible Parry is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
Name of Registered Agent
Current Mailing Address
City
Phone: Office #
E-mail Address
Current Street Address
State Zip City
Mobile #
Name of Individual to Contact (if Registered Agent is a company)
State Zip
(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 registry:
Name of Registered Agent E-mail Address
Current Mailing Address
City State Zip
Phone: Office #
Current Street Address
City State Zip
Mobile #
Name of Individual 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 is Doing Business As. If the Financially Responsible Party is an individual, General
Partnership, or other company not registered and doing business under an assumed name, attach a copy
of the Certificate of Assumed Name.
Company DBA 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 individual(s)
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 Party). I agree to provide
corrected information should there be any change in the information provided herein.
Celeo Banegas Gonzalez & Hugo Camacho Garduno Owners
Type or print name
Title or Authority
Signature Date
1, Lynette R Clendenin , a Notary Public of the County of Brunswick
Celeo Banegas Gonzalez & Hugo Camacho Garduno
State of North Carolina, hereby certify that appeared personally
before me this day and being duly sworn acknowledged thattheabove form was executed by him/her.
Witness my hand and notarial seal, this �r� day of 7.! , r-%�A A ru , 2Q 23
LYNETTE R CLENDENIN
Notary Public, North Carolina Not ry
SrunswikC
c ounty
�tr -My Commission Expires��
April 08, 2023 My commission expires Fe� 4
Book 6424 Page 905
BK: RB 6424
PG: 906 - 907
NC FETE $26.DO
2021012785
RECORDED:
NEW HANOVER COUNTY,
0&16=21
REAL ESTATE
TAMMY TMELISCH PIVER
01:01:40 PM
EXTXS270.00
REGISTER OF DEEDS
BY: ANGELA ENGLISH
DEPUTY ELECTRONICALLY RECORDED
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $ 270.00
Parcel Identifier No. SEE ATTACHED Verified by County on the day of , 20_
By:
Mail/Box to: Eugene B. Davis. Jr.. P.C. Attorney at Law: 1612 Military Cutoff Road, Suite 301, Wilmington, NC 2840341t>
This instrument was prepared by: Eugene B. Davis. Jr.. P.C.. 1612 Mifilary Cutoff Road. Suite 301, Wilmington, NC 28403
Brief description for the Index: LOT 1-5. Walnut Hills
THIS DEED made this 15th day of March , 202l , by and between
GRANTOR
IRAP Investments, LLC
P.O. Box 12067
Wilmington, NC 28405
GRANTEE
Celeo Banegas Gonzalez, married and,
Hugo Camacho Garduno, unmarried
A 1/2 undivided interest each
341 Lullwater Drive
Wilmington, NC 28403
Enter in appropriate block for each Orantor 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.
WI TNESSETH, 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, parcel of land or condominium unit
situated in the City of , Cape Fear Township, New Hanoyer County,
North Carolina and more particularly described as follows:
See Attached Exhibit "A"
The property hereinabove described was acquired by Grantor by instrument recorded in Book 6126 page 1783
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 68 page 11
Page I of 2
NC Bar Association Form No. 3 ®1976. Revised ®1977, 2002, 2013 This standard form has been approved by.
Printed by Ag02ement with the NC Bar Association —1981 North Carolina Bar Association — NC Bar Form No. 3
submitted electronically by "Eugene S. Davis, Jr. P.C."
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the New Hanover county Register of Deeds.
Booac 6424 Page 906
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 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:
ad valorem taxes for current and subsequent years; applicable zoning and land use ordinances, statutes and regulations; and
applicable restrictive covenants and easements of record.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
IRAP Investments, LLC, a Commonwealth of Vir inia limited (SEAL1,
(Enti a Print/Type Name:
(SEAL)
Print/Type Name & Title: Coskutt IC. AndolsuU Print/Type Name:
Manager/Member
By: (SEAL)
Prinv Type Name & Title: Print/Type Name:
By: (SEAL)
Printfl* Warne & Title: Printfl'ype Name:
State of - County or City of
I, the undersigned Notary Public of the County or City of and State aforesaid, certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of
20,^ ..
My Commission Expires: .
(Affix Seal)
Notary Public
Notary's Printed or Typed Name
State of - County or City of
I, the undersigned Notary Public of the County or City of and State aforesaid, certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of
,20 .
My Convnission Expires:
(Affix Seal)
Notary Public
Notary's Printed or Typed Name
State of North Carolina - County or City of - New Hanover
Z, the undersigned Notary Public of the County or City of " nd State aforesaid, certify that
Coskun X. Andolsun personally come befo a this day and acknowledged that
.he is the Manager/Member of IRAP Investments LLC, a Commonwealth of Vir inia limited , a-XQatzC� �r__a1jua- or
peWesstieltetil-iiabilitycompany/ strike through the
inapplicable), and that by authority duly given and as the act of such. entity, _he signed e f reg 1 ag instrument in its name on its
Of behalf as its act and deed. Witness my hand and Notari#*t9rpp rWY&4,,this 15th day o March , 2021
My Commission Expires: .• J • ••'• v %
(Affix Sean=;'•�47ARy':�''
Z
NC Bar Association Form No. 3 ® 1976, Rr-vised ® 1977, 2002, 2ti1,r3 U VE R CO
Printed by Agreement with the NC Bar Association —1981ttua�``�
t �ty Notary Public
or Typed Name
This standard form has been approved by:
North Carolina Bar Association — NC Bar Form No. 3
Book 6424 Page 907
Exhibit "A"
Being all of Lots 1, 2, 3, 4, & 5 as shown on that plat entitled "Minor
Division For IRAP Investments, LLC Cape Fear Public Utility Authority
Property at Walnut Hills Subdivision as recorded in Deed Book 61.26, Pg.
1783-1786 of the New Hanover County Registry" prepared by Mark A.
Stocks, Professional Land Surveyor, dated April 15, 2020, and recorded in
Map Book 68, Page 11 of the New Hanover County Registry, to which plat
reference is hereby made for a more particular description.
Having"the following Tax Parcel Nos.: R02420-007-035-000; R42420-007=
034-000; R02420-007-033-000; R02420-007-001-000; R02420-007-032-
000.