NCC233321_FRO Submitted_20231108

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WINDSOR
TRANSMITTAL MEMO
Date: October 6, 2023
To: Jalen Hairston- Land Quality Section, Winston-Salem Regional Office
Project Name: Mahogany Drive, Thomasville (Ledford South Phase 4 Subdivision)
Project ID: DAVID-2021-005
Subject: Assuming control of existing ESC permit for Ledford South Ph 4
Enclosed please find a Financial Responsibility Form and a statement saying Windsor
Investments, LLC assumes responsibility for the Erosion Control Plan in its entirety.
Thank you,
Sebastian Vallejo
Land Development Assistant
WINDSOR Homes
1007 Battleground Ave.,Suite 301
Greensboro,NC 27408
[phone]
WindsorHomes.us
WINDSOR
HOMES
Windsor Investments
PO Box 9147 • Greensboro,NC 27429
Phone [phone] • Fax [phone]

FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
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.1. Project Name Ledford South Phase 4 Subdivision
2. Location of land-disturbing activity: County Davidson City or Township Thomasville
Highway/Street Mimosa Drive Latitude 35.9450501 Longitude-80.112784
3. Approximate date land-disturbing activity will commence:September 1, 2020
4. Purpose of development(residential, commercial, industrial, institutional, etc.):Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 11 .60 ac.
6. Amount of fee enclosed: $NA- PAID . The application fee of $65.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is$585).
7. Has an erosion and sediment control plan been filed? Yes X No Enclosed
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name David Michaels, Company Agent E-mail Address [e-mail]
Telephone[phone] Cell# [phone] Fax#
9. Landowner(s)of Record (attach accompanied page to list additional owners):
Windsor Investments, LLC [phone]
Name Telephone Fax Number
PO Box 9147 1007 Battleground Ave., Suite 301
Current Mailing Address Current Street Address
Greensboro NC 27429 Greensboro NC 27408
City State Zip City State Zip
10. Deed Book No. 1212 Page No. 1764 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.
Windsor Investments, LLC [e-mail]
Name E-mail Address
PO Box 9147 1007 Battleground Ave., Suite 301
Current Mailing Address Current Street Address
Greensboro NC 27429 Greensboro NC 27408
City State Zip City State Zip
Telephone[phone] Fax Number

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone Fax Number
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an
assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible
Party is a Corporation, give name and street address of the Registered Agent:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone Fax Number
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
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 Person). I agree to provide
corrected information should there be any change in the information provided herein.
David Michaels Company Agent
Typ o i t Title or Authority
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Signa ure Date
I, V---f—icT.T1/411(\ 1 t irn , a Notary Public of the County of V 41' t f)r(X
State of North Carolina, hereby certify that \ ct t,1 c, IY'i Cin 6 , S appeared
personally before me this day and being duly sworn acknowledged that the above form was
executed by him. 0
Witness my hand and notarial seal, this�V . day of C )be,r , 20 9-3
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My commission expires 141/ 131
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Lefdford South Phase 4 Deed References
• Lot#200: 196 Mimosa Dr BK: 2553 PG: 0458
• Lot#201: 216 Mimosa Dr BK: 2553 PG:0458
• Lot#202: 242 Mahogany Dr Excluded: House/Yard complete
• Lot#203: 672 Mahogany Dr Owner: Ledford Downs
• Lot#204: 660 Mahogany Dr Owner: Ledford Downs
• Lot#205: 644 Mahogany Dr Owner: Ledford Downs
• Lot#206: 630 Mahogany Dr Owner: Ledford Downs
• Lot#207: 612 Mahogany Dr Owner: Ledford Downs
• Lot#208: 584 Mahogany Dr Owner: Ledford Downs
• Lot#209: 673 Mahogany Dr Excluded: House/Yard complete
• Lot#210: 661 Mahogany Dr Excluded: House/Yard complete
• Lot#211: 645 Mahogany Dr BK: 2600 PG: 1456
• Lot#212: 633 Mahogany Dr Excluded: House/Yard complete
• Lot#213: 625 Mahogany Dr BK: 2611 PG: 2364
• Lot#214: 613 Mahogany Dr BK: 2615 PG: 1961
• Lot#215: 599 Mahogany Dr BK: 2615 PG: 1961
• Lot#216: 585 Mahogany Dr BK: 2612 PG: 2249
• Lot#217: 573 Mahogany Dr BK: 2619 PG: 1547
• Lot#218: 561 Mahogany Dr BK: 2609 PG: 0115

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WINDSOR
Responsibility Statement
Date: October 5, 2023
To: North Carolina Department of Environmental Quality
Subject: Assuming responsibility of Erosion Control Plan for Ledford South Phase 4
Windsor Investments, LLC understands and accepts responsibility for the current Erosion
Control Plan in place for Ledford South Phase 4. Windsor Investments,LLC assumes the
responsibility in its entirety.
Your 1
Davi B. Michaels
Company Agent
Windsor Companies
1007 Battleground Avenue, Suite 301
Greensboro,NC 27408
M: 336-207-8003
Windsor Investments
PO Box 9147 • Greensboro,NC 27429
Phone [phone] •Fax [phone]