NCC240213_FRO Submitted_20240124

WAKE COUNTY FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
WAKE No person may initiate any land-disturbing activity on one or more acres as covered by the Wake
Unified Development Ordinance before this form and an acceptable erosion and
COUNTY sedCountyimentation control plan have been completed and approved by Wake County Department of
Wi ��(nay i INN 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 Wise Property
2. Location of land-disturbing activity: Jurisdiction Town of Garner (Wake Co. or Municipality)
Highway/Street Curtiss Drive Latitude 35°43'2.82"N Longitude 78°36'23.58"W
3. Approximate date land-disturbing activity will commence: End of Summer/Beginning of Fall 2023
4. Type of development(residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed qr uncovered (including off-site utilities and borrow/waste
areas):2.22 ac
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Kevin Wise E-mail Address [e-mail]
Telephone [phone] Cell# Fax#
7. Landowner(s)of Record (attach accompanied page to list additional owners):
Equity Trust Company Custodian
FBO Kevin D. Wise IR 513-226-3921 [e-mail]
Name(s) Telephone Fax or E-mail address
3708 Woodside Rd 3708 Woodside Rd
Current Mailing Address Current Street Address
Garner NC 27529 Garner NC 27529
City State Zip City Stale Zip
8. Deed Book No.18591 Page No.2789 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):
Kevin Wise zkwisez(c�hotmail.com
Name E-mail Address
3708 Woodside Rd 3708 Woodside Rd
Current Mailing Address Current Street Address
Garner NC 27529 Garner NC 27529
City State Zip City State Zip
Telephone [phone] Fax Number
1��,\

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) 1f 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:
Kevin Wise [e-mail]
Name of Registered Agent E-mail Address
3708 Woodside Rd 3708 Woodside Rd
Current Mailing Address Current Street Address
Garner NC 27529 Garner NC 27529
City State Zip City State Zip
Telephone [phone] 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. •
e IA 5 nowt•Pr
Type or print name Title or Authority
(oh 12-3
Signature Date
I, 1 a-is6 ri ' l lk(V( , a Notary Public of the County of�L
J ) vLTTDA1 (Q
State of North Carolina, hereby certify that kJ)VI (,U/5E appeared
personally before me this day and being duly sworn acknowle ged that the above form was executed by him.
Witness my hand and notarial seal, this 04 da of 2
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TARY9‘;..7 S.
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• '' �: My commission expires 06,
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BK018591PG02789 WAKE COUNTY, NC
TAMMY L. BRUNNER
REGISTER OF DEEDS
PRESENTED & RECORDED ON
07-09-2021 AT 15:01:26
STATE OF NC REAL ESTATE
EXCISE TAX: $300.00
BOOK: 018591 PAGE: 02789 - 02790
Submitted electronically by "Newman & Newman Attorneys at Law"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the wake County Register of Deeds.
NORTH CAROLINA GENERAL WARRANTY DEED
uJ
Excise Tax: Soo .
Parcel Identifier No.35363 Verified by County on the day of ,20_
By:
Mail/Box to: GRANTEE: 3708 Woodside Rd, Garner,NC 27529
This instrument was prepared by: Jenna Bass.Attny.Newman&Newman.PLLC, 304 E Jones St. Raleigh, NC 27601
Brief description for the Index: TRACT 1, 0 CREECH RD(4.74 ACRES)
THIS DEED made this 6th day of July ,2021,by and between
GRANTOR GRANTEE
Luis Crespo and wife,
Diana Crespo Equity Trust Company Custodian fbo Kevin D
95 Harding Avenue Wise IRA
Dover,NJ 07801 Property: 00 Creech Rd Gamer, NC 27529
Mailing: 3708 Woodside Rd
Garner, NC 27529
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 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 Garner , Township, Wake County,
North Carolina and more particularly described as follows:
BEING all of Tract 1, containing 4.74 acres as reflected on map prepared by Stewart-Proctor,PLLC Engineering and
Surveying, by Herbert N. Proctor, Jr., LS 3621, dated March 30, 2006, as recorded in Book of Maps 2006,Page 786,Wake
County Registry.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 16240 page 208 .
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 2006 page 786
Page 1 of 2
NC Bar Association Form No. 3 0 1976,Revised 0 1977,2002,2013 This standard form has been approved by:
Printed by Agreement with the NC Bar Association—1981 North Carolina Bar Association—NC Bar Form No.3

BK018591 PG02790
TO HAVE AND 1'O 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:
1)2021 Ad Valorem Taxes,
2)Utility Easements and unviolated covenants,conditions or restrictions that do not materially affect the value of the Property
1N WITNESS WHEREOF,the Grantor has duly executed the ft( g as of the ° •nd year firs •hove written:
(SEAL)
(Entity Name) y Name: Luis Crespo
By:
(SEAL)
Printll'ype Name&Title: rin .Type Name: Diana C n
By: (SEAL)
Print/Type Name&Title: Print/Type Name:.
By: (SEAL)
Print/Type Name&Title: Print/Type Name:
11t.% -County or City of . /110122C5
\,,, ,) "the undersigned Notary Public of the County or City of . bow_ and State aforesaid,certify that
L,, it spo and Diana Crespo personally appeared before me this day d acknowled ed the due
execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stem r al this 5 day of
soar
FRANCISCO r Notary PublicOE JESUS R. _
Jersey
My Commission Expires: LIe#2390685 Notary Public
(Affix Seal) Commission 111551orr '�'202�L Notary's Printed or Typed
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: Notary Public
(Affix Seal) 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 came before me this day and acknowledged that
_he is the of a North Carolina or
corporation/limited liability company/general partnership/limited partnership(strike through the
inapplicable),and that by authority duly given and as the act of such entity,_re signed the foregoing instrument in its name on its
behalf as its act and deed. Witness my hand and Notarial stamp or seal,this day of .2(1
My Commission Expires: Notary Public
(Affix Seal) Notary's Printed or Typed Name
Page 2 of 2
NC Bar Association Form No. 3 C 1976.Revised®1977.20Ca.2013 This standard form has been approved by:
Printed by Agreement with the NC Bar Association-1981 North Carolina Bar Association—NC Bar Form No.3