NCC240468_FRO Submitted_20240220

Financial Responsibility/Ownership Form Sedimentation Pollution Control Ordinance
No person may initiate any land-disturbing activity on one or more acres as covered by the ordinance before this form and an
acceptable erosion and sedimentation control plan have been completed end approved by the Rowan County Environmental
Management Department.
PartA Parcel ID Number
373 061 &373 002
1.Project Name*
Sweetwater Village
2.Location of land-disturbing activity(Highway/Street)*
0 Holshouser Road(South of HWY 152)
Latitude Longitude
35°32'42.00"N 80°26'21.00"W
3.Approximate date land-disturbing activity will be commenced
2/1/2023
4.Purpose of development(residential,commercial,industrial,etc.)
Residential
5.Approximate acreage of land to be disturbed or uncovered*
87 Acres
6.Person to contact should sediment control issues arise during land-disturbing activity* Cell Phone Number*
Sam King [phone]
'this Information will be made available on the Rowan County Planning 8 Development webslte.
Email Address
[e-mail]
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7.Landowner of Record Landowner of Record
Sweetwater Village LLC
Name Name
Current Mailing Address Current Mailing Address
1340 Creekshire Way(Suite 210)
Winston Salem,NC 27103
8.Recorded in Deed Book Number Page Number
Part B
1.Person or Firm who are financially responsible for this land- Person or Firm who are financially responsible for this land-
disturbing activity disturbing activity
Sweetwater Village LLC
Name of Person(s)or Firm(s) Name of Person(s)or Firm(s)
Current Mailing Address Current Mailing Address
1340 Creekshire Way(Suite 210)
Winston Salem,NC 27103
Phone Number Phone Number
a.If the Financially Responsible Party is not a resident of North Carolina,give name and street address of a North Carolina Agent.
Name of Agent Name of Agent
Current Mailing Address Current Mailing Address
Phone Number Phone Number
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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 the name and street address of the Registered
Agent.
Name of Registered Agent
Sweetwater Village LLC
Current Mailing Address Current Street Address
1340 Creekshire Way(Suite 210)
Winston Salem,NC 27103
Telephone Number Telephone 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 authority to execute instruments for the Financially Responsible Person).I agree to provide correctional information
should there be any change in the information provided herein.
Name Title or Authority
Brian Lucas Manager
Signature Date
2/8/2024 1
I,./ t f,4 t /( ffry///1a Notary Public of the County of 41///t/jOki State of North Carolina,hereby certify that
/Iria 4u69f appeared personally before me this dpy and bein duly sworn acknowledged that the above form was
executed by him/her.Witness my hand and seal of Notary,this " day of r r 20g.
Notary My commission expires
11/16/2028
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Download a copy of the Erosion and Sedimentation Control Plan - O : y Z —
Checklist(PDF) y A(/
G: BLIG
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Page 1 of 5 Type: CONSOLIDATED REAL PROPERTY
See Addendum Recorded:10/17/2023 3:43:23 PM
Fee Amt: $7,946.00 Page 1 of 5
Revenue Tax: $7,920.00
Rowan,NC
J.E.Brindle Register of Deeds
BK 1431 PG 423
Prepared by&Return To:
Sperry&Hatley,P.C.
15801 Brixham Hill Avenue
Suite 225
Charlotte,NC 28277
NORTH CAROLINA
GENERAL WARRANTY DEED
Excise Tax:47,1Z0.,—
Brief ID:
Parcel ID No.567501452959 3"j 3 O`f 4 3 73 GoL.
Mail after recording to:the grantee
This instrument was prepared by:Ryan David Halley,NC Attorney,Sperry&Hatley,P.C.
Any delinquent taxes to be paid by closing attorney/settlement agent upon disbursement of closing proceeds to the county tax
collector.
THIS DEED made this CJ day of October,2023 by and between
GRANTOR
Summerhouse Investments,LLC,a North Carolina Limited Liability Company
9109 Spratt Lane,Waxhaw,NC 28173
GRANTEE
Sweetwater Village,LLC,a North Carolina Limited Liability Company
Property Address:0 llolshouser Road,Rockwell,NC 28138
Mailing Address:1340 Creekshire Blvd.,Suite 210,Winston Salem,NC 27103
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 or parcel of land located in Rowan County,North Carolina and more particularly described as follows:
General Warranty Deed
0 Holshouser Road,Rockwell,NC 28138
Page 1 of 3
Submitted electronically by "Biesecker, Tripp, Sink & Fritts, LLP"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Rowan County Register of Deeds.
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