NCC233743_FRO Submitted_20231220

WAKE COUNTY FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land-disturbing activity on one or more acres as covered by the Wake
WAKE
County Unified Development Ordinance before this form and an acceptable erosion and
COUNTY sedimentation control plan have been completed and approved by Wake County Department of
Environmental Services, Water Quality Division. (Please type or print and, if the question is not
applicable, place N/A in the blank.)
Part A. ��(( ^,�
1. Project Name\ `�'v i''1 6h c f Zo a d1
2. Location of land-disturbing activity: Jurisdiction waive_ (Wake Co. or Municipality)
Highway/Street 11rl Am Latitude 35.53-'700 I Longitude —75 • 34 O 6 O
3. Approximate date land-disturbing activity will commence:
4. Type of development(residential, commercial, industrial, institutional, etc.): \AtS�,.,e+n r l A
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas): -Itq
6. Person to contact should
erosion
and sediment control issues arise/during land-disturbing activity:
Name CAfC9c>1 64" E-mail Address (A cOriebil"t- 10'Iwii►I S.CO vr7
Telephone 1( 1 COO 7I 1 cl Cell # Fax#
7. Landowner(s) of Record (attach accompanied page to list additional owners): I ' l
a0-` 0k I d ot,c1 t-4c cs l---L C cl (.12 g 7 3 ag ni 61d uJ I rl km es t� n11 .Corr
Name(s) / Telephone Fax or E-mail address
('1 6t (nONkt
Current Mailing Address AA'' Current Street Address
�avei 51- /VG .)-eIc'7
City [,� State Zip City State Zip
8. Deed Book No. ICI 117 Page No. a' C6 I 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):
Atlx11-646 wl11 &rives La, rAbc,( ivJ In tiC s7mai 1. ri
Name E-mail Address V
U G AANse'.
Current Mailing Address Current Street Address
ttjAV e s-j, n)G a7,17
City State Zip City State Zip
Telephone °i (41 a'?g 3° Fax Number

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 E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone 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 ofI the Registered Agent: /
oAi
Name of Registered Agent E-mail Address
k ( Wa�
Current Mailing Address Current Street Address
to of vim. SDI
City ` State Zip City State Zip
Q�
Telephone J 1 g 6>3O 7 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 informationAnfiel//should there be any change in the information proviided heere.n.
wl "� Ow t t'/{/1477" 6 a l udt vl LjLc
,
Type or pr t name Title orrity
Signature Date
I, ( Otto caddti i , a Notary Public of the County of Fron l41;n
State of North Carolina, hereby certify that Mai (0.tdl4 i n 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, th•
is al day of rs10,/ , 20 3
P. NICOLE RAY CADDELL
NOTARY PUBLIC OA �,,�"
Franklin County r�4n�
North Carolina Notary
My mission Expires S W'103.M
My commission expires ('A1 I I A0a4

BK019472PG02561 WAKE COUNTY, NC
TAMMY L. BRUNNER
REGISTER OF DEEDS
PRESENTED & RECORDED ON
11-07-2023 AT 11:00:49
STATE OF NC REAL ESTATE
EXCISE TAX: $525.00
BOOK: 019472 PAGE: 02561 -02562
X NORTH CAROLINA GENERAL WARRANTY DEED
Excise Ta,'
Parcel Identifier No.366755,366756,366799 Verified by County on the day of
,20_
BY:
MailBox to: Grantee
This instrument was prepared by: north Carolina Real Estate Law Firm,6739 Falls of Neuse Road,Suite 201,Raleigh,NC 27615.
without title or tax advice given
Brief description for the Index: Lots 8,9,48,&53 Wakefield Meadows
THIS DEED made this/2y day of aerWet ,24 s,by and between
GRANTOR GRANTEE
Woody Built,LLC,a North Carolina limited liability company Matt Baldwin Homes,L.L.C.
209 W.Millbrook Road 401 Wait Ave.
Raleigh,NC 27609 Wake Forest,NC 27587
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, parcel of land or
condominium unit situated in the City of Zebulon,Wake County,North Carolina and more particularly described as follows:
BEING all of Lots 8,9,41/0 Wakefield Meadows Subdivision as is shown on a map recorded in in Book of Maps 2008,Pages
4 360-362,Wake County Registry.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
The property herein described was acquired by Grantor by deed recorded in Book 16057,page 2171,Wake County Registry.
NC Bar Association Form No. 3®1976,Revised 01/1/2010,2013 This standard form has been approved by:
Printed by Agreement with the NC Bar Association North Carolina Bar Association-NC Bar Form No, 3
submitted electronically by "warren, shackleford & Thomas, P.L.L.c."
1 in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Wake County Register of Deeds.

BK019472PGO2562
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 what ever percentage or interest held, in fee
simple,has the right to convey the same in fcc 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 year and reservations,easements,restrictions and covenants of record,matters shown on the above plat,
and zoning or other municipal ordinances.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as o •da and y r first above written.
i/G (SEAL)
K. oody,III,Manager
oody Built,LLC
State of North Carolina—County of 4i6lt/ i
I,the undersigned Notary Public of the County and State aforesaid,certify that John K.Woody,III,Manager of Woody Built,
LLC,a North Carolina limited liability company 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
4G,14• cr ,20 42-3 e�
My Commission Expires: lQ��-Y��,-� ,�t,� ER w'q� �/ t�
.ir `y otary�� NpTAR Y O
17 COMMISSION+ s
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1 NC Bar Association Form No. 3®1976,Revised 01/1/2010,2013 This standard form has been approved by
Printed by Agreement with the NC Bar As o iation North Carolina Bar Association-NC Bar Form No. I
1