NCC243809_FRO Submitted_20241216

Check if this project is ARPA-funded ❑
Attach a copy of the Letter of Intent to Fund
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 Act, including any
activity under a common plan of development of this size as covered by the NCG01 permit, 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 N/A in the blank.)
Part A.
1. Project Name Providence Subdivision
*If this project involves American Rescue Plan Act(ARPA) funds, list the Project Name or Project
Number(e.g., SRP-D-ARP-0121) below under which you were approved for funding through the
Division of Water Infrastructure (DWI).
2. Location of land-disturbing activity: County Cumberland City or Township Rock Fish
Highway/Street Sand Hill Rd Latitude(decima�degrees)34.9323 Longitude�dea�a�degrees) -79.9063
3. Approximate date land-disturbing activity will commence: 10/25/25
4. Purpose of development(residential, commercial, industrial, institutional,etc.): Residential
5. Total acreage disturbed or uncovered(including off-site borrow and waste areas): 104.41
6. Amount of fee enclosed: $Previously paid 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 0 Enclosed 0 No 0
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Andrew Calla E-mail Address [e-mail]
Phone: Office# N/A Mobile# [phone]
9. Landowner(s)of Record (attach accompanied page to list additional owners):
Tamarack Land - McKellar Park LLC 612 584 1296
Name Phone: Office# Mobile#
712 Vista BLVD suite 303 712 Vista BLVD suite 303
Current Mailing Address Current Street Address
Waconia, MN 55387 Waconia, MN 55387
City State Zip City State Zip
10. Deed Book No. 12075 Page No.0098 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 individual(s), the name(s)of the owner(s)may be listed as the financially responsible party(ies).
Tamarack Land - McKellar Park LLC [e-mail]
Company Name E-mail Address
712 Vista BLVD suite 303 712 Vista BLVD suite 303
Current Mailing Address Current Street Address
Waconia, MN 55387 Waconia, MN 55387
City State Zip City State Zip
Phone: Office# 612 584 1296 Mobile#[phone]
Note: If the Financially Responsible Party 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 Party is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
Andrew calla [e-mail]
Name of Registered Agent E-mail Address
2365 Sylvan Rd 2365 Sylvan Rd
Current Mailing Address Current Street Address
Grover, NC 28073 Grover, NC 28073
City State Zip City State Zip
Phone: Office# Mobile# [phone]
Name of Individual to Contact(if Registered Agent is a company)
(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:
Capital Corporate Services andrew@tamarackland. com
Name of Registered Agent E-mail Address
176 Mine Lake Ct, Ste 100 16 Mine Lake Ct, Ste 100
Current Mailing Address Current Street Address
Raleigh NC 27615 Raleigh NC 27615
City State Zip City State Zip
Phone: Office# 919-810-15 5 7 Mobile#
Andrew Calla
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.
Andrew Calla Land Development Manager
Type or print name Title or Authority
11/4/24
nature Date
I, u kln-tc,t t4{ti.i - a NotaryPublic of the Countyof (�/
� �.-l�'f.1a
State of North Carolina, hereby certify that Arw appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him/her.
Witness my hand and notarial seal, this L`4-day of J/w , 20 Z(1
C-5)0„ti
Not*
PATRICIA C WHITE
°?• Notary Public, North Carolina i
Cleveland County My commission expires 10 L t
M Commission Expires
Y
October i 1,2025

Continued from Items 9 & 10 in Part A of the Financial Responsibility/Ownership Form for multiple
owners, Attach copies of this page as needed to list all landowners.
Landowner 2 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 3 of Record;
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 4 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 5 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.

Continued from Item I in Part B of the Financial Responsibility/Ownership Form for multiple parties.
Attach copies of this page as needed to list all financially responsible parties.
Company 2 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 3 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 4 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 5 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#

BK 12075 PG 0098 FILED ELECTRONICALLY
CUMBERLAND COUNTY NC
J. LEE WARREN, JR.
FILED Oct 02, 2024
AT 11:53:10 AM
BOOK 12075
START PAGE 0098
END PAGE 0103
INSTRUMENT # 29682
RECORDING $26.00
EXCISE TAX $10,188.00
Prepared by and return to: Check here if all or part of subject
Clark,Newton&Evans,PA property is any Seller's personal
509 Princess Street, Wilmington,NC 28401 residence
Brief Description: 67.53 Ac+/- Pin:Pt 0423609850000, 0423719116000
McDonald/Cashwell Tracts Excise Tax : $ 10,188.00
Unpaid taxes, if any,to be paid
By closing attorney
NO TITLE EXAMINATION PERFORMED OR
TAX ADVICE GIVEN BY PREPARER
NORTH CAROLINA
SPECIAL WARRANTY DEED
COUNTY OF CUMBERLAND
THIS DEED,made this the day of September,2024,by and between, Hope Mills
Providence,LLC,a North Carolina limited liability company, with an address at P.O. Box 3167,
Wilmington,NC 28406(collectively,the"Grantor")and Tamarack Land-McKellar Park,LLC,
a Delaware limited liability company, with a notice and mailing address at 712 Vista Blvd, Suite
303,Waconia,MN ("Grantee"). The designations 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 situated in
CUMBERLAND County,North Carolina, and more particularly described as:
Submitted electronically by "Costner Law Office, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Cumberland County Register of Deeds.

BK 12075 PG 0099
See Exhibit A
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 warrants to the Grantee,that Grantor has done nothing to impair the title
to the property since taking title thereto, and will warrant and defend the title against the lawful
claims of all persons whomsoever claiming a violation of such warranty,except for the exceptions
hereinafter stated:
See Exhibit B
IN WITNESS WHEREOF,the Grantor has hereunto set his hand and seal,or if corporate,
has caused this instrument to be signed in the manner prescribed by law,as of the day and year first
above written.
[Remainder of Page Intentionally Blank]

BK 12075 PG 0100
Signature Page o
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has
caused this instrument to be signed in the manner prescribed by law, as of the day and year first
above written.
Hope Mills Providence,LLC
6 By: JaSAL)
Candice O. Alexander, Manager
NEW HANOVER COUNTY,NORTH CAROLINA
I certify that the following person(s) personally appeared before me this day, each
acknowledging to me that he or she voluntarily signed the foregoing document for the purpose
stated therein and in the capacity indicated: Candice O. Alexander,Manager.
Date: Se mk'rgraod i/ ,2024
N T. &"*".71,17 -1/7-1
t'
I Nor,
"1/7
.in otary Public
w•;. � P/4 I ....-'>741 .,..-
201, Notary's Printed or Typed Name
My commission expires:

EXHIBIT A
Legal Description
LYING and being in Cumberland County, NC and being a portion of two contiguous parcels which are known as:
Lot 1 as shown on plat entitled"Property Map for Arthur D. Cashwell Heirs", said plat having been duly recorded in
Plat Book 103, Page 37, AND Tract 1, as shown on plat entitled,"Property of Ruth S. MacDonald," drawn by John
T. Furmage, RLS L-1525, dated November 1981, and recorded in Map Book 51, Page 23 ,
Said portion being the subject of this description has not been previously subdivided but is a portion of an
approved development plan titled"Hope Mills Tract at 703 Sand Hill Road"to be known as Phase 1 of same
development and is more particularly described as follows:
Beginning at the Northeast corner of the aforementioned MacDonald Parcel, Thence
S 15°14'00"E a distance of 334.86 to a point;
Thence along another MacDonald line S 20°19'40"E a distance of 988.08'to a point; thence leaving the
MacDonald line the following courses and distances:
Thence S 69°16'54"W a distance of 141.22'to a point;
Thence S 89°30'24"W a distance of 66.57'to a point;
Thence S 83°29'49"W a distance of 542.72'to a point;
Thence S 08°18'58"E a distance of 541.62'to a point;
Thence N 79°39'41" E a distance of 166.25'to a point;
Thence N 84°37'38" E a distance of 184.90'to a point;
Thence N 85°33'26" E a distance of 257.84'to a point;
Thence N 71°02'43" E a distance of 53.28'to a point;
Thence S 81°43'34"E a distance of 71.22'to a point;
Thence N 69°16'54" E a distance of 137.55'to a point;
Thence S 20°27'01" E a distance of 603.33'to a point, the Southeast corner of the aforementioned Cashwell
parcel on the Northern Right-of-Way line of Sand Hill Road, thence along the Sand Hill Right-of-Way the following
courses and distances:
Thence S 77°48'24"W a distance of 128.57'to a point;
Thence S 83°29'50"W a distance of 1162.08'to a point, thence leaving said Right-of-Way the following courses
and distances:
Thence N 08°19'21"W a distance of 543.06'to a point;
Thence S 83°13'22"W a distance of 25.43'to a point;
Thence S 83°13'22"W a distance of 594.87'to a point;
Thence N 12°24'04"W a distance of 545.86'to a point;
Thence S 58°34'24"W a distance of 225.16'to a point;
Thence N 15°44'01"W a distance of 34.84'to a point;
Thence N 31°43'06" E a distance of 337.23'to a point;
Thence N 31°29'14" E a distance of 50.00'to a point;
Thence N 11°35'43" E a distance of 134.34'to a point;
Thence S 73°05'55"E a distance of 6.69'to a point;
Thence S 80°27'35"E a distance of 33.07'to a point;
Thence N 88°13'23" E a distance of 28.07'to a point;
Thence N 83°13'22" E a distance of 181.98'to a point;
Thence N 06°46'38"W a distance of 125.00'to a point;
Thence S 83°13'22"W a distance of 17.97'to a point;
Thence N 06°46'38"W a distance of 175.00'to a point;
Thence S 84°42'09"W a distance of 48.03'to a point;
Thence N 85°26'30"W a distance of 50.50'to a point;
Thence N 74°12'28"W a distance of 51.60'to a point;
Exhibit A(Legal Description) NC-24-04139

t O J O Od 5LOZ 1 )18

BK 12075 PG 0102
EXHIBIT A
Legal Description
(Continued)
Thence N 06°19'12"W a distance of 22.15'to a point;
Thence N 06°46'38"W a distance of 46.88'to a point;
Thence N 02°00'02"W a distance of 82.31'to a point;
Thence N 25°20'06"E a distance of 82.41'to a point;
Thence N 09°01'26"E a distance of 243.09'to a point in the Northern line of the aforementioned Cashwell parcel;
Thence along said Northern line N 73°00'05"E a distance of 513.57'to a point;
Thence along another Northern line of the aforementioned Cashwell parcel N 73°35'14"E a distance of 652.73 to
the beginning point, containing 67.54 acres, more or less, and being also known as Phase 1.
Property Address: Chicken Foot Road/McKellar Park, Hope Mills, NC 28348
Parcel ID: 0423609850000
0423719116000
Exhibit A(Legal Description) NC-24-04139

BK 12075 PG 0103
EXHIBIT "B"
Permitted Exceptions
1. Ad valorem taxes for 2024 and subsequent years;
2. Building restriction lines,easements,and any other matters shown on map or plat
recorded in Plat Book 150, Page 4; Plat Book 147, Page 33; Plat Book 103,Page
37; Plat Book 51, Page 23.
3. Easement(s)to the North Carolina Department of Transportation recorded in
Book 11767 at Page 301.
4. Easement(s)to Hope Mills Providence, LLC recorded in Book 11580 at Page 890.
5. An Ordinance to Extend the Corporate Limits of the Town of Hope Mills,North
Carolina Annexation Ordinance No. A2021.02 recorded in Book 11245 at Page
561.
6. Easement(s)to North Carolina Natural Gas Corporation in Book 3060,Page 493;
Book 3060,Page 497; Book 3060, Page 503; Book 3060, Page 507;Book 3060,
Page 511; Book 3060,Page 515; Book 3062, Page 251.
7. Easement(s)to Carolina Telephone&Telegraph Company in Book 737, Page
465; Book 781, Page 211.
8. Boundary Line Agreement as recorded in Book 828 at Page 320.
9. Easement(s)to Piedmont Natural Gas Company, Inc recorded in Book 11986,
Page 686.