NCC223692_FRO Submitted_20221028

FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
EXPRESS PERMITTING OPTION
No person may initiate any land -disturbing activity on one or more acres as covered by the Act 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 NC Fayetteville Dunn
2. Location of land -disturbing activity: County Cumberland City or Township Fayetteville
Dunn Road 35.060077-78.837915
Highway/Street LatltUde(decimaldegrees) Long ltUde(decimaldegrees)
3. Approximate date land -disturbing activity will commence: 9-1-22
4. Purpose of development (residential, commercial, industrial, institutional, etc.): industrial
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 32.95
6. Amount of fee enclosed $5,3000.00 The Express Permitting application fee is a dual charge.
The normal fee of $100.00 per acre (rounded up to the next acre) is assessed without a ceiling amount.
In addition, the Express Permitting supplement is $250 per acre up to eight acres, after which the Express
Permitting supplemental fee is a fixed $2,000.00 (Example: 8.10-acre application fee is $2,900). Checks
should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes ❑ Enclosed ❑x No ❑
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Ryan Krall Email Address [e-mail]
Phone: Office # 864-603-1760 Mobile # [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
AOM 11, LLC Att.: John McCauley [phone] or [phone]
Name Phone: Office # Mobile #
P.O. Box 361 1351 Wilmington Hwy
Current Mailing Address Current Street Address
_Fayetteville NC 28302 Fayetteville NC 28306
City State Zip City State Zip
10. Deed Book No. 10228 Page No. 176 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).
NC Fayetteville Dunn, LLC
Company Name
201 Riverplace, Ste 400
Current Mailing Address
Greenville SC 29601
City State Zip
Phone: Office # 864-603-1760
[e-mail]
E-mail Address
NIA
Current Street Address
NIA
City State Zip
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:
Name of Registered Agent
Current Mailing Address
City State Zip
Phone: Office #
E-mail Address
Current Street Address
City State Zip
Mobile #
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:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office # Mobile #
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
(d) If order to facilitate Express Permitting, it is necessary to be able to contact the engineer or other
consultant who can assist in providing any necessary information regarding the plan and its preparation:
Arnold Consulting Engineering Services
Engineering firm or other consultant
Brandy Zackery
Individual contact person (type or print)
[e-mail]
E-mail Address
270-780-9445
Phone: Office # Mobile #
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.
Ryan Krall Development Manager
Type or print name
Si gpoMFe
Title or Authority
7/28/22
Date
a Notary Public of the County of LG
State of Uortfa Carolina, hereby certify that ku &VI (.- appeared personally
before me this day and being duly sworn acknowledged ed that the above form was executed by him/her.
Witness my hand and notarial seal, this �(J day of U20
Notary
My Commission Expires
My commission expires Jane 26, 2025
`01111irl/i1 `
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Y
..PUBLIC
''�iO NTH CA RC �\�P``

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:
Phone: Office # Mobile #
Name
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:
Phone: Office # Mobile #
Name
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:
Phone: Office # Mobile #
Name
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:
Phone: Office # Mobile #
Name
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 9 in Part 8 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
Current Mailing Address
E-mail Address
Current Street Address
City State Zip City
Phone: Office # Mobile #
State Zip

Construction Narrative
The subject property is located along Dunn Road in Fayetteville, North
Carolina. The site lies along the south side of Dunn Road and the east side of
North Plymouth Street. The project consists of clearing approximately 33 acres
of wooded area, constructing a proposed 54,600 sq. ft. building with parking lot
and drive aisles surrounding the site in Phase 1 along with mass grading of
Phase 2. Drainage quantity and quality requirements are being addressed via a
wet pond with outlet structures on both Phase 1 and Phase 2. The basin
provides a method to lower the runoff below the previous velocities. Methods of
erosion control and grading are shown on the attached plans.
Phase 2 consists of a warehouse building with truck docks, parking areas and a
gravel laydown storage area.

July 28, 2022
RE: Approval and Authorization to Apply for Permitting for the
Property located on Dunn Road, Fayetteville, Cumberland
County, North Carolina owned by AOM II, LLC
Dear Sir or Madam:
Pursuant to the Purchase Agreement dated July 2, 2021 between
the undersigned and RealtyLink Investments, LLC, the
undersigned does hereby authorize RealtyLink Investments,
LLC, and/or RealtyL€nk, LLC, and/or NC Fayetteville Dunn,
LLC, its employees, agents or representatives to apply for
permits related, but not limited to, land disturbance activity, site
work, and construction for the above referenced property.
Sincerely,
AO1
By:
Nan
RECEIVED
AUG 2 9 2022
DEMLR
Fayetteville Regional Office