NCC221687_FRO Submitted_20220512

No person may initiate any land -disturbing activity covered by the
Durham City -County Unified Development Ordinance before a Land
Disturbing Permit is issued by the Sedimentation and Erosion Control
Office. Issuance of a Land Disturbing Permit does not relieve the
permittee of the obligation to obtain any other licenses, permits and
approvals as may be required by Federal, State, County or Municipal
governments. This office must be notified in writing of any change to
the information on this form.
PLEASE TYPE OR PRINT
I. Project name: American Industrial Center Williams Scotsman Storage Yard
2. Road location of land -disturbing activity: 905 Ellis Road, Durham, NC 27703
Tax Map - Block - Parcel: Parcel ID 156790 PIN: 0830-12-95-0783
3. Square footage of land to be disturbed or uncovered: 2.0 Acres
4. List below the landowner of record. Each landowner must
complete Item 8.
(If there are multiple owners, please list on a separate page):
Name: J3 Durham NC, LLC.
Address: 192 Water Street #4W, Brooklyn, NY 11201
City: Brooklyn State: New
York Zip: 11201
Telephone
Fax
Email
5. List the person or entity financially responsible for this land -
disturbing activity: The financially responsible parry shall be (1) the
developer or other person who has or holds themselves as having
financial or operational control over the land -disturbing activity
and/or (2) the land owner or person in possession or control of the
land when they have directly or indirectly allowed the land -disturbing
activity or have benefited from it and (3) the named parry on the Land

Disturbing Permit.
Name" J3 Durham NC, LLC
Street Address: 192 Water
City: Brooklyn
York Zip: 11201
Telephone
4638 Fax
[e-mail]
Street, 94W, Brooklyn,
State:
Email:
NY
New
(917)-757-
The Sedimentation and Pollution Control Act (Act) and the Durham
City -County Unified Development Ordinance (Ordinance) includes,
but is not limited to, the following legal obligations of the financially
responsible party:
• Maintain a set of approved sedimentation and erosion control plans,
if required, on site.
• Display permit on site.
• Understand and implement any required plan, including the
construction sequence and details.
• Inspect, maintain and repair sedimentation and erosion control
measures, especially after rainfall events.
• Provided adequate ground cover or otherwise stabilize all areas that
have not been actively graded within 21 calendar days.
• Plan and conduct all land -disturbing activity so as to prevent off -site
sedimentation.
6. For business applicants, list below the North Carolina registered
agent for the financially responsible entity:
Name: Registered Agent, Inc.
Street Address: 4030 Wake Forest Road, STE 349
City: Raleigh
27069
State:
NC
Zip:
Telephone: Fax Email:

7. The above information is true and correct to the best of my knowledge
and belief and was provided by me while under oath. I understand
that the person or entity listed on Line 5 above will be: (1) the owner
of the Land Disturbing Permit when issued; (2) responsible for
ensuring compliance with the Act and Ordinance; and, (3) will be the
only person or entity with standing to appeal any action taken or
decision made by the Sedimentation and Erosion Control Office.
Date: `MO-�-tA o-I" t a® c�Q
Print Name: Joshua Witz
Telephone: [phone] Fax
or Authority: Manager
Email: [e-mail]
Type or
Title
Signature:
Business Applicant (Provide corporate resolution on signatory_
authori _)
a Notary Public of the
County of
State of CT
Joshua A. Witz
hereby certify that
personally came before me this day and acknowledged that he is
Manager
of J3 Durham NC, LLC and acknowledged, on behalf of J3
Durham NC, LLC, the due execution of the foregoing instrument.
Witness my hand and official seal, this
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MY Comntiwion Fxpirm.12-31-2024