NCC223947_FRO Submitted_20221128

JCN
® Durham City/County (office Use Only)
Sedimentation and Erosion Control
in FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
WITH LANDOWNER CONSENT FORM
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
1. Project name: 100 kV Bus Tie
2. Road location of land -disturbing activity: 4058 Patriot Drive
Tax Map - Block - Parcel:
3. Square footage of land to be disturbed or uncovered: 79,250
PIN: 0748-75-94-4191
4. List below the landowner of record. Each Iandowner must complete Item 8.
(If there are multiple owners, please list on a separate page):
Cree, Inc Accounts Payable Dept
Name
PO Box 110005
Address
Durham NC 27709
City�+ State Zip
919-407-5809 brian.vick a wolfspeed.com
Telephone Fax Email
5. List the person or entity financially responsible for this land -disturbing activity: The financially responsible party 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 party on the Land Disturbing Permit.
Wolfspeed, Ono. ,
Name
4600 Silicon Drive
Street Address • . is
Durham NC 27703
City State Zip
919-407-5809 [e-mail]
Telephone
Fax
Email
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.
201 E. Main St, 5th Floor, Durham, N.C. 27701 • [phone] • Fax [phone]
www.co.disrhain.m.us/eeng

■ 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:
Brian Vick, Senior Project Manager
Name
4600 Silicon Drive
Street Address
Durham NC 27703
City State Zip
919-407-5809 [e-mail]
wolfspeed.com
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.
8--1 t7--2 Z Brian Vick
Date Type or Print Name
919-407-5809 Senior Project Manager
Telephone Fax T
_ijlyor Authority
[e-mail] &1�^ L14c_::2
Email Signature
Business Amollcant (Provide corporate resolution on sii;natory authorit
a Notary Public of the County of L('"..S:->
State of ._ , hereby certify that fay V �►Z�,
personally came before me this day and acknowledged that he is 5Q'^t a r 6` tc`�e cc1X.a e-�-
of wo w Ve and acknowledged, on behalf of
the due execution of the foregoing instrument.
Witness my hand and official seal, this ' day of k 'i 20
Notary Public sHEGniE r wHErFiE40
My commission expires �. 2Q 2-2— Rotary ubItc North Carolina
PersonMy Commission Ekplres Oct B, 2022
Individual Applicant
I, , a Notary Public of the County of
State of , hereby certify that
personally appeared before me this date and under oath acknowledged that the above form was executed by them.
Witness my hand and official seal, this day of , 20
Notary Public
My commission expires
LAND DISTURBING PERMITS ARE NON -TRANSFERABLE

Provide a Notarized Item 8 for each landowner listed in Item 4.
8. Land Owner Consent. As a landowner, I provide my consent for land -disturbing activities to occur on the property listed in
Item 2 by the person or entity listed in Item S.
g— (7 ` �L& Brian Vick
Date Type or Print Naive
919-407-5809 Senior Project Manager
Telephone Fax ale or -Authority -j
Email
Signature
Business Landowner (Provide corporate resolution on sianatory authorit
k\AA'L! , a Notary Public of the County of 'f "c.) r~
State of - hereby certify that 01-t CAtti y `f t Lk
personally came before me this day and acknowledged that. he is Ye Vt or �(eff �� l "� G Yi a t
of a and acknowledged, on behalf of wo S Cdf
, the due execution of the foregoing instrument,
Witness my hand and official seal, this � ` A t� day of
Notary Public SHE4.0IE t. HirriELD
My commission expires ) ' �� , 20m21?. _. Notary Public • North Carollna
Person County
My CommjsOon Explres Oct 8, 2022
**�*fi*t�� �.*���k.��
Individual Landowner
I,
State
a Notary Public of the County of
hereby certify that
personally appeared before me this date and under oath acknowledged that the above form was executed by them.
Witness my hand and official seal,
My commission expires
20
day of
Notary Public
SE-03 Rev.07/06