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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.