NCC222979_FRO Submitted_20220825

FOR OFFICE USE ONLY
Re%iew Fee:
COUNTY OF BUNCOMBE
PemvtNo.:
Dare Issued;
Planning and Development
Date Paid:
46 Valley Street
Asheville, NC 28801
Check No.:
[phone]
Reed Br
APPLICATION FOR STORMWATER PERMIT
Financial Responsibility / Ownership Form
INSTRUCTIONS: All sections must be completed. Please type or print information. Section 4 must be completed in the presence of a Notary
Public. (3 Originals must be submitted)
1) Project Name: 605 Old US 70 Hw E
Project Location: Highway/ Street 605 Old S 70 Hwv E Latitude 35.619 Longitude-82.290
Property Identification No. (PIN): 0629-27-3007
Purpose of development (residential / commercial) Residential
Total Area Disturbed 5.8 acres(s).
Total Acres of Site 8.35
Amount of fee enclosed: 3 045
2) Division 5 section 1(a) of the Stormwater Management Ordinance "The developer/applicant and or property owner must maintain
stormwater improvements until accepted by a property owners association or lot owner" The undersigned states that he/she is the
applicant/developer and/or property owner and is financially responsible for installation, operation and maintenance of the stormwater
controls until ownership is conveyed and acknowledges receipt of a copy of the County of Buncombe Stormwater Management
Ordinance and that he/she has thereby been advised of the requirements therein as well as the penalties and resources available to the
County in the event of violation of the Ordinance.
Name of Business: RHOHOUSE, LLC
Name of Applicant: Chris Eller Date: 6/17/2020
Mailing Address: P.O. Box 5474, Asheville, NC 28813
Street address:
E-mail address:
Telephone No.: 828 252-5388 Cell No: Fax no:
Signature.
3) Landowner(s) of Record:
Name: RHOHOUSE, LLC
Mailing Address: . Box 5474.Asheville,
Recorded in Deed Book No. 5456 Page: 1361
4) The above information is true and correct to the best of my knowledge and belief and was provided by me while under oath. (If the
financially responsible person is an individual, this form must be signed by the individual or his attorney -in -fact; if the financially
responsible person is not an individual, this form must be signed by an officer, director, partner, or registered agent with authority to
execute instruments for the financially responsible person.)
Name: Chris Eller Date:6/17/2020
I. C%QX&, , a Notary Public for the County of � r%MM\bxL ,
State of M C% , hereby certify that Gnt 1S EAN4------_personally
appeared before me this day and under oath acknowledged that the above form was voluntarily executed by him and is correct to the
best of his knowledge and belief.
Witness my hand and seal, this `~day of —Zui• 201.�D .
SANDRA INGLE
Notary Public °
North Carolina �`/lwz
Buncombe County y Commission Expires ,.
The County of Buncombe does not discriminate on the basis of disability in the admission or access to, or treatment or employment in, its
programs or activities. Requests for appropriate auxiliary aids and services, when necessary to offer a person with a disability an equal
opportunity to participate in or enjoy the benefits of County services, programs, or activities, may be made by contacting Buncombe County
Planning and Development, [phone]. Buncombe County's TDD number is [phone].