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2218 Hwy 801SDAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Fax #/ (336)751-8786 OPERATION PERMIT Account #: 990003957 Tax PIN/EH #: 5789-27-1920 Billed To: Justin Coranatzer Subdivision Info: Reference Name: Location/Address: 2218 NC Highway 801 S.-27006 Proposed Facility: Residence Property Size: 1.80 Acres ATC Number: 4619 **NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of time. System Type: Q1i S.T. Manufacturer. S476�P Tank Date I0 -Z0 Tank Size,, Pump Tank Size System Installed By: �,i Y1.� 11 � ��1`L.H. Sped P4z 4-pl�f &�v �.s t W-04 T DCHD 11/06 (Revised) - ' DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 ' (336)751-8760 Fax # (336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990003957 Billed To: Justin Coranatzer Reference Name: Proposed Facility: Residence ATC Number: 4619 Tax PIN/EH #: 5789-27-7820 Subdivision Info: Location/Address: 2218 NC Highway 801 S.-27006 Property Size: 1.80 Acres Site Type:.i�New ❑Repair ❑Expansion **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use chanze. Residential Specifications: # Bedrooms 23' # Bathrooms Z # People I Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Lot Size Type of Water Supply: Zunty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow (GPD) 54q—Tank Size 1000 GAL. Pump Tank GAL. Trench Width Ste; Max. Trench Depths Rock Depth Linear Ft. Site Modifications/Conditions/Other: Contact the Davie County Enviro mental Health Section for final inspection of this system between 8:30 — 9:30a.m. on the day of installation. Telephone # (336)751-8760. --1 s _l R1 R Mia, Sr -.nva I d Environmental Health Specialist Date: D1JU DCHD 11/06 (Revised) Mh%nVF.6U0 ov inl�,,1a� 1 SITE EVALUATION/IMPROVEMENT PERMIT &ATC Davie County Health. Department Environmental Health Section P.O. Box 848/210 Hospital Street 4-$0ocksville, NC 270288 Fax (336)751-8786 rovement Permit ❑ Authorization To Construct(ATC) ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed -f In YhG\1 Z !✓ ontact Person Billing Address u7-41 Home Phone I t tg --Q 2(p 1 City/State/ZIP 6 Business Phone (.Fly - D9- 6,1 Name on Permit/ATC if Different than Above Address PROPERTY INFORMATION City/State/Zip NOTE: A survey plat or site plan must accompany this application. G -S/ 0h 000 60 Z (Permit is valid f r 60 months with site plan, no expiration withomplete plat.) Street Address City -:� V41i CC Tax PIN# ~ &&U di-E83I Subdivision Name Section/Lot# L ize Directions To Site: C -,u v iw Date House/Facility Corners Flagged '4f=Ail - 0 (a / 1,-1 L 6- cc fb tr,,j 3 - 12-x 7 If the answer to any of the following questions is "yes", supporting documentation�ust be attached. Are there any existing wastewater systems on the site? Dyes C- 0 Does the site contain jurisdictional wetlands? Dyes Erg -0 Are there any easements or right-of-ways on the site? Dyes Cdgo Is the site subject to approval by another public agency? Dyes Will wastewater other than domestic sewage be generated? ❑Yes o TF R F.RMF.NC .R FTT .T T. OT TT THF. RC)X RFT .C)W 3 Pgr a C- # # People # Bedrooms # Bathrooms Garden Tub/Whirlpool ❑Yes o Basement: ❑Yes o Basement Plumbing: ❑Yes 2<o IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sitiks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats . n"r JC Type system requested: 9donventional,/Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type:i Ounty/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes (5Iqo If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed. I understand that I am responsible for all charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to a ermine com �lipce with applicable laws and rules on the above described property located in Davie County and owned by 'Ve lb kk,�- 'Proper owner's owner's legal representative signature v Date Sign givenes ❑No Revised 2/0 Site Revisit Charge Date(s): Client Notification Date: EHS: pami4 �Account #� '� 7��(L Invoice # 17 `U .. � g,. :�� 4:• "� , �;,<., �, .:.r,s` � x�1`:; �.": �" . ax" "°rx" '._"#:a ' a .� <' � � t' �� - ��`_ �.C,'- � ' g.'::t `y ,^ a;,, - a.: : _:> .,4� ': t�. ,?�.•. > ,. ,� P � �.. �.^N�,i - y� t'. `.'� .>r{�" is�``:�� .�`�" sii.._ ' �-R 'moi � �ac'� �`.... -°� ��f '' .� . fir, mot M1 .. •aaa ,s = •"""-��,...�, ,, .. .�" . . ♦ . -. ;�.3 _ m. �, <�. '�"='s .Lw N :�� �.�:'. (,�, s t ,r n '. v.Zfl qW,.'t"'%�'r. r. 179 `. too 6 E,,, -v^ • s e a s , :,.c8'�..' 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Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003957 Tax PIN/EH #: 5789-27-5826 Billed To: Justin Coranatzer Subdivision Info: Reference Name: Location/Address: 2218 NC Highway 801 ��7006 Proposed Facility: Residence Property Size: 1.80 Acres Date Evaluated: c�� g Water Supply: Evaluation By: On -Site Well Community Public r Auger Boring Pit_ (16w, Cut FACTORS 1 2 13 4 5 6 7 Landscape position k_k7-1 L Sloe % HORIZON I DEPTH I Texture groupL L Consistence Structure l Mineralogy HORIZON II DEPTH Texture group 9 6c- CConsistence Consistence E' ' Structure /Ij—. MineralogyS� HORIZON III DEPTH i' - 4(6 Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON '— SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE . i� SITE CLASSIFICATION:` - EVALUATION BY: 17 ' LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS LEGEND Landscape Position R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope Texture S - Sand LS - Loamy sand SL- Sandy loam L - Loam SI - Silt SICL Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm. VFI - Very firm EFI - Extremely firm 3y1t NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP -'Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed LIQts� Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05105 (Revised) ■■■■■■■■■■■■■■■■■■■■ecce■■■■■■■■■■■■■■■ee■■■■■■e■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■®■■■■■■■■■■■■■■■■■■■■e■■■■■eee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■'■CSL[1613\L'.ri�l■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■e■■■■■■■!■■��■■■■■■■■V■■■■■■%iZY■■■■e■:�Je�e■■e■■■■eee■■■■■■■ee■ ■■■■■■ ONE ■■■■■■■■■I■■■■eee■■1I,T1■■I,u■ii■■■■■■■■■■■■■■■■e■■■■■■ONE mom ■■■■■■■■■■■■I■■rle■■I■■/■■■■■/■i■■e■■■�i■■■■■e■■■e■ee■■ee■■■■■e■eee■■■■ ■e■e■ee■■e■I>•nf� ■■e■I■■r:�;-,,■w■■■■■■■■■�I■■■■e■■■■■■■■■■■■■■■e■■■■■e■■■■ MEN ■■■e■■■ ■■■■IPMME—E==D:■■■■■mom ■I■■■■■■■e■■■■■■■■NONE ■■■■■■■■e■■ niiiiiiiiiiii�imilotiiil ' MEMNONMENNENMEMNONiiiiiil�l ■■■■■■■■■■■■■■■■■■�■■■■■/■■11■�■■■■■■■■■■■■■■■■■■■■■eee■■■■■■■■■■■■ I■e■ee■■e■■■■e■ee■e■■■■■■■■ell■■■■■■■■e■■■■■■■■■■■■■eee■e■ee■■■■■■e■ ■■■■■■■■■■■■■■■■■e■■■■■■■e�lle■■■�i■ecce■■■■■■■■■■■■ee■■■■■■■■■■e■■ e■■//■/■■/■■//■■■■■■■■e■/■■ale■■■■■■■■■■e■■■■■e/e■■■ee■■/e■■■■e■■■■ ■■■■■■■■■■■■■■■■■■■■■■e■■t•.ill■■■■e■a■■■■■■■■■e■■e■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■�■ale■■■■■■■■■■■■■■■■■■■ee■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■�■glee■■■■■■■■■■■■e■■■■e■■■■■e■e■■■■■■■■■■ ■■■■■e■e■■■■■■■e■■■■■■■e■■■■I■■e■ ■■■■■■eee■■■■■■■■■■■■■ee■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■I■■■G1■■■■e■/■■■■..n...�...�■■e■■■■■■■■■ ■■■■■■■■■■■■eee■■■■■■■■■■■■■r/■�1C;e\■■■■■■■■■■�■ecce■■■■■■■■e■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■i.cue■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■ ■■■■■■■■■■■■■■ee■■ee■■■■ee■■■e■■■■e■■eee■■■e■■e■■■■e■■■■■■■■■■e■■■ ■■■■■■■eee■■■■■■■■■■e■■■■■■e■■■■■■■■■■■■e■■■■■■■■■■■■■■■■e■■■e■■ J © G 20 BAR 2 �Oua � pAO�Ecoucy�► MAIL AFTER RECORDING TO: Grantee; 2218 801 South Advance, NC 27006 THIS INSTRUMENT WAS PREPARED BY: MARK E. RANDOLPH, Attorney at Law NTC 07-00-149 NORTH CAROLINA ) NORTH CAROLINA GENERAL WARRANTY DEED DAVIE COUNTY ) THIS DEED made this 26"' day of March, 2007, by and between Charles Wesley Cornatzer, GRANTOR; Charles Justin Cornatzer, GRANTEE. . 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 situated in Davie County, North Carolina and more particularly described as follows: See "Exhibit A" attached hereto and incorporated herein by reference. 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 except for the exceptions hereinafter stated. Title to the property hereinabove described is subject to the following exceptions: Easements, restrictions, rights of way and declarations of record, if any, and ad valorem taxes hereafter becoming due and payable. IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal the day and year first above written. (SEAL) (SEAL) Charles Wesley Cornatzer f NORTH CAROLINA ) COUNTY) 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: Charles Wesley Cornatzer Witness my hand and official stamp or seal Date: March, 2007 NORTH CAROLINA, DAVIE COUNTY Notary) Public: My commission expires: (SEAL)=DAPHNIW.ANIELh Carolina;ttypril 0, 2DI The foregoing certificate of a Notary Public of County, North Carolina, is/are certified to be ,correct. This instrument and this certificate are duly registered at the date and time and in the Book and Page shown on the first page hereof. REGISTER OF DEEDS FOR DAVIE COUNTY By: Deputy/Assistant Register of Deeds EXHIBIT G°A" Being Lots Nos. 48, 5, 6, 7, and 8 in Walnut Hill Development, near Advance, NC as shown on the Map or plat of the W.J. Ellis lands, as platted by A.L. Bowles, Surveyor, recorded in Book 3, Page 17, Register's Office of Davie County, NC to which reference is hereby made for a more particular description. This same being a part of the lands known as the Rodgers tract, fully described in deed from Samuel L. Hedge,' et al to W.J. Ellis Recorded in Book 53, page 296, said Register's Office of Davie County, NC. The purpose of this conveyance is to release the Life Estate retained by the Grantor herein in Book 202, page 399, Davie County Register of Deeds Office. 03/17/2007 11105 704462I905 t>EHTS! t lIL 1 t]h► 4 7dtatrc� D This 0 deed is DeA ng "recorded to delete Lot 4 vhieh hes pteviaualy been conveyed by the grantor. This 3rd day of Septsahet. 199!1.. dulsan c. tissue .'.�.. 119u �NBtDERATION STATED tsel.. Tax -PAM '63 own=-" w ,599 n3398 5 5 3 9 1t a na ffEtflS1TRA?m 14,_ 19911- 3:�10P.H. no RECORDED IN BOOK �n7 MUMLG , 1if3111Y t suozE. ftraism OF.DfS DS Recordaa Time. R k Tis rae Me. . .... ......... . ........ ................. ., ..... . _... Farrel 'iic«tis" me. Verieod by _.- .......... ... ... . .. . .. ... ........_.._. cseetr oa the ... . _ .... day of .................. ,.. 19.......... by. .._.... .. .................. _. _. _..... taaG aner ieeotdig * to .-= MUM1atr v4ilpx Pornataarr-,_"t.21fl..thtry, A01„S.- Advattrp ttC_Z70.Qfi . _.._ licehsGatnaets.adveeparedDy..Wlliitaat..li:.1lamen. Jr.*.,Attorney tlt..Law...... _ ........................... Brief dMerlotlen far 0% Index Walnut 11111 Development NORTH CAROLINA, GEMURAL WARRAN'T'Y DEED THL9 DUD trade ihf► ,...3,D._.... day of. April .................... 19.90. .. by and between GRANTOR GRAN4'BIC Charles Wesley Cornatter- Charles Justin Cornatter .MM "mer 1n sapreatialoVotk ter ash Tears rep, adi,ees, esti u awseNa e. rheracur of *utas. e.s. eeraaratbw p oe.ueni to ” • . The desiteatiea Greater and eranbs to used her/la shelf include said portico their heirs, svetemrs. and subm& aetl shall lntlede singular. plural, me,culine. fesdeine or neuter 4i required by context i vhTNE3Shi M that the CranSnr. for -2 .atiJuabL.crstsidvtAtioe iWd by Allo. fuseaft the receipt ei �hleh 1s' bertw aeknewtedge& bu and by tbafe present* does ataet. barlesle, +ell sad coeur♦ unto the Grantee in fee aftnple. all that certsin lot or parcel of land altuated in the City of _. . ShlidY.. Grove._ - . __ Township. ....- . Davie .-..:........ county. North earellna and Mote partitotarly dtatribed ae I6116W%: liming Lots 1209. 48, ..e —% to 7,.•zd a in walnut dill Developlwnt, near Advance; NC as shown on the Hap or plat of the W.J. Ellis lands, as platted by A.L. BOvles, Surveyor[ recorded in Book 3v -page 17..Degi8tar.'z office of bavie.county, .$IC to which reference is hereby made for a more particular description. +,itis same being a part of the leeda�known as the Rodgers tract, = fully described in a deed from Samuel L. Rage, at al to W.J. Ellis Recorded in Book 53, page 296, said Register's office of Davie county. ttc- ; The grantor retains a life *skate in the..above-propar_tieS. - MO I= RfGiste4IM *his is _a . gift deed.goat—hel;8 6.10 Y.tt. pp����� DAt TIt1E R'JD 1f6C W IN NOOK X13. -PAG 52 149111" L• SNORE, REGiS7=11 OF DMS i DAvtE Nr.Jy 4�r.ra..rl��D/hi,o.w.ivsH7-..�...�em,+.e..M •wr-..r a...r. Ae*latent 1 . 891-1 10/Wd 804-1 28889919SP 110A I Nd1O0MRl—i1 sd6I:Z0 10 -8Z -SO 03/17/2007 11:05 70d4621905 DENISE WILTON PAGE -04 0'7 OL r"r ..-..J..Q� i Ot 1900K ~r� v p OEM BOOK -RV PAGhs� The proMtr 1IRM—bove described etas acquired by Gfaatas by lnstrva ent recorded in A resp drowiny the above deee►ibad property L rtoorded in Plat I:looh . . ....... past...... .. .... . TO HAVE AND TO TOLD the aforeaald lot or paretl of land and all privpeees and appurleaances thereto belonlitep to • the Grantee In tae alneplt. And the (.raster cotenants well the GntMm that Granter teselecd of the ar mise! In i» simple. hat the ri;bt to convey tht Sams in fee Wmpl ; that 1111t In marketable and free and dear of all eacumbraeccs, and that Grantor will warrant. end defend the tItle apainet the lawful elalma of all ptrrons wbom4e- e► eeeept Sar the exceptlono ber!1Mefrer stated. Title to the property hereinabove daeribtd IS subject to ihe.followin= aereptiaost rN wirlata! erelepadl. 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All.• w .tfla � _- _.moi.• r • J ` MRP •S>rOwiMG• I i. yl'AtiY�1f•11i6t R�AIS 73frso4pI+ tf �� - �S,roltrl Asis ADYANrI N•q 41KM%ssw4 -sty A -proPWJ•E-[L S. 741 •`•• i �.y.. •. _ •orf /+�,_.�'. � - ` � J •-� E5I-1 10/10,d EOS-1 2089S919EE+ 81M 1 Hd100HYM4mJd NOON 10 -EZ -EQ BAR 2 MAIL AFTER RECORDING TO: Grantee; 2218 801 South Advance, NC 27006 THIS INSTRUMENT WAS PREPARED BY: MARK E. RANDOLPH, Attorney at Law NTC 07-00-149 NORTH CAROLINA ) NORTH CAROLINA GENERAL WARRANTY DEED DAVIE COUNTY ) THIS DEED made this 26"' day of March, 2007, by and between Charles Wesley Cornatzer, GRANTOR; Charles Justin Cornatzer, GRANTEE. 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 situated in Davie County, North Carolina and more particularly described as follows: See "Exhibit A" attached hereto and incorporated herein by reference. 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 except for the exceptions hereinafter stated. Title to the property hereinabove described is subject to the following exceptions: Easements, restrictions, rights of way and declarations of record, if any, and ad valorem taxes here after becoming due and payable. IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal the day and year first above written. (SEAL) (SEAL) Charles Wesley Cornatzer f NORTH CAROLINA ) �j COUNTY) 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: Charles Wesley Cornatzer Witness my hand and official stamp or seal, Date: March , 2007 NORTH CAROLINA, DAVIE COUNTY Notaryl Public: _ My commission (SEAL) =DAPHNlA%N EL x Carollrla yP6I 30, 2011 ,;,;'? The foregoing certificate of , a Notary Public of County, North Carolina, is/are certified to be correct. This instrument and this certificate are duly registered at the date and time and in the Book and Page shown on the first page hereof. REGISTER OF DEEDS FOR DAVIE COUNTY By: Deputy/Assistant Register of Deeds EXHIBIT "A" Being Lots Nos. 48, 5, 6, 7, and 8 in Walnut Hill Development, near Advance, NC as shown on the Map or plat of the W.J. Ellis lands, as platted by A.L. Bowles, Surveyor, recorded in Book 3, Page 17, Register's Office of Davie County, NC to which reference is hereby made for a more particular description. This same being a part of the lands known as the Rodgers tract, fully described in deed from Samuel L. Hedge,' et al to W.J. Ellis Recorded in Book 53, page 296, said Register's Office of Davie County, NC. The purpose of this conveyance is to release the Life Estate retained by the Grantor herein in Book 202, page 399, Davie County Register of Deeds Office.