NCC230040_FRO Submitted_20230113

FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
EXPRESS PERMITTING OPTION 08012007
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 and/or
fax information unavailable, place N/A in the blank.)
Part A. 1Project Name East Port 11 Apartments
.
2. Location of land -disturbing activity: County Carteret City or Township Beaufort
Highway/Street Professional Park Latitude 34^44'07" Longitude 76"38'35"
3. Approximate date land -disturbing activity will commence: J une 2021
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 4.0
6. Amount of fee enclosed: $1,260 The Express Permitting application fee is a dual charge.
The normal fee of $65.00 per acre is assessed without a ceiling amount. In addition, the Express
Permitting supplement is $250.00 per acre up to eight acres, after which the Express Permitting
supplemental fee is a fixed $2,000.00 (Example: 9 acres total is $2,585). NOTE: Both fees are
rounded up to the next whole acre and need to be paid by separate checks to NCDENR.
7. Has an erosion and sediment control plan been filed? Yes No Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Keith Walker E-mail Address [e-mail]
Telephone [phone] Cell # 252-723-5580 Fax #
9, Landowner(s) of Record (attach accompanied page to list additional owners):
East Carolina Community Development, Inc 252-504-3996
Name
Telephone Fax Number
PO Box 2400
108 Professional Park Dr
Current Mailing Address
Current Street Address
Beaufort, NC 28516
Beaufort, NC 28516
City State
Zip City State Zip
10, Deed Book No.1369
Page No. 200 Provide a copy of the most current deed.
Part B.
1. Company(ies) or firm(s) who
are financially responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible
parties on an attached sheet.) If the company or firm is a sole proprietorship,
the name of the owner or manager may be listed as the financially responsible party.
East Carolina Community Development,
Inc [e-mail]
Name
E-mail Address
PO Box 2400
108 Professional Park Dr
Current Mailing Address
Current Street Address
Beaufort, NC 28516
Beaufort, NC 28516
City State
Zip City State Zip
_.. 252-504-399u
Telepho
Fax Number