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Home My WebLink AboutNCC231159_FRO Submitted_20230420 DURHAM JCN COUNTY Durham City/County (Office Use Only) Sedimentation and Erosion Control 0 FINANCIAL RESPONSIBILITY/OWNERSHIP FORM "`, WITH LANDOWNER CONSENT FORM isatl 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: PAGE ROAD TOWNHOMES 2. Road location of land-disturbing activity: 4306& 4320 PAGE ROAD Tax Map-Block- Parcel: 213240 & 208353 PIN: 0757-01-08-7962 & 0757-01-08-8782 3. Square footage of land to be disturbed or uncovered: 6.0 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): MICHAEL DANNIN & PAUL SCHUBERT Name 6300 WESTGATE ROAD Address RALEIGH NC 27617 City State Zip 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. MCKEE HOMES, LLC Name 109 HAY STREET,SUITE 301 Street Address FAYETTEVILLE NC 28301 City State Zip 919-909-9632 BDIPASOUALE(itMCKEEHOMESNC.COM 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. • Plan and conduct all land-disturbing activity so as to prevent off-site sedimentation. 201 E. Main St,5th Floor,Durham,N.C.27701 •(919)560-0735• Fax(919)560-0740 ‘s ww.co.durham.nc.us/cent 6. For business applicants,list below the North Carolina registered agent for the financially responsible entity: PATRICK J. MCKEE _ Name 109 HAY STREET, SUITE 301 Street Address FAYETTEVILLE NC 28301 City State Zip _(919) 793-5237 patgmckeehomesnc.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. Dat q / G Type or Print Name I 5 3 o j_ejephong_ Fax Title or Aut.. S A .C Email Signature Business Applicant(Provide corporate resolution on signatory authority) I, D'f�ndra i'�en n e l-� a Notary Public of the County of CA M ber land State of Nnrs-il Conrol in a ,hereby certify that ?a-kt l c.k M c lee personally came before me"this day and acknowledged that he is V W n. ,(` of M c K e e hemt(it►' ►e S and acknowledged,on behalf of pc Kee lInfo e S _,the due execution of the foregoing instrument. Witness my hand and official seal.this � /L� day of 51.4 I y ,20 a0 ( Lv /� / Notary Public •• ..� BEN,.,,,�� My commission expires �L(S1' 02 0 20 42.3 . Q �yF Individual Applicant . n I g► ?C.)Z_ I, ,a Notary Public of the County of G�,• AU a t.\C'State of hereby certify that 4�Wp�CO 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 20 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 5. Date Type or Print Name S- L`t —cll?h Telephone Fax Title or thority ti-w\ S C (`1"T >e S, C. Email Sig re Business Landowner(Provide corporate resolution on signatory authority) 1, ,a Notary Public of the County of State of ,hereby certify that personally came before me this day and acknowledged that he is of and acknowledged,on behalf of ,the due execution of the foregoing instrument. Witness my hand and official seal,this day of ,20 Notary Public My commission expires .20 ********************************************************************************************************************************* Individual Landowner r I, rI ,�c�lfc flee `nn oS/a ,a Notary Public of the County of Wf4tSe State of NoR t N CW pL I N,\ ,hereby certify that PAA SL,h1/4,b eel personally appeared before me this date and under oath acknowledged that the above form was executed by them. 5t Witness my hand and official seal,this �1 day of -O.Ly ,20 aU Notary Public My commission expires )(kN'v;yZ..n 20 44 SE-03 Rev.07/06 %•` E DE�1 4��,, +,P.••.. ,►. ,q ,. .t\pTA,q $ti NEZ • �Lt "%13 L\G t North Carolina Secretary of State 3/5/13 10:46 AM North Carolina 1:- Elaine F. Marshall DEPARTIMIENT OF THE ` Secretary SECRETARY OF STATE PO Box 29622 Raleigh, NC 27626-0622 (919}R07-2000 Account Login Register Date: 3/5/2013 Click here to: View Document Filings File an Annual Report tin Print a Pre-populated Annual Report Fillable PDF Form Amended A Previous Annual Report Corporation Names Name Name Type NC MCKEE HOMES LLC LEGAL Limited Liability Company Information SOSID: 1136266 Status: Current-Active Effective Date: 2/12/2010 Annual Report Due Date: Citizenship: FOREIGN State of Inc.: DE Duration: PERPETUAL Annual Report Status: CURRENT Registered Agent Agent Name: MCKEE, PATRICK Office Address: 5112 PINE BIRCH DRIVE RALEIGH NC 27606 Mailing Address: 5112 PINE BIRCH DRIVE RALEIGH NC 27606 Principal Office Office Address: 5112 PINE BIRCH DRIVE RALEIGH NC 27606 Mailing Address: 5112 PINE BIRCH DRIVE RALEIGH NC 27606 Officers Title: MEMBER Name: PATRICK JOE MCKEE Business Address: 5112 PINE BIRCH DRIVE RAI Fi(H rvr. 97 na http://wwwsecretary.state.nc.usicorporations/Corp.aspx?Pitemld=9440703= Page 1 of 2