NCC240250_FRO Submitted_20240202

Orange County Planning & Inspections Department
131 W. Margaret Lane, Suite 200, Hillsborough, NC 27278
919-245-2575 or planningappsAorangecountync.gov
NORTH CAROB IN -_
Land Disturbance Permit (LOP) Application
Please refer to instructions and checklist in completing the following application.
If completing by hand, please use black or blue ink.
Date: 10/6/23 Case Number: LDP22-0106
Check all that apply: 1/ Erosion Control Plan
Stormwater Permit
Stormwater Management Plan
vitimmtions
General Submittal Information
Name of Project: Fifth Third Bank - 1800 Fordham Blvd
Parcel ID Number (PIN): 9799685750 Planning Jurisdiction: Chapel Hill
Size of Tract: 0.97 acres Area Disturbed 1 .148 acres
Fees — Section Completed by Staff
Fee Amount
Erosion Control Plan Review
Required with Application $
Land Disturbing Permit
Optional with Initial Application $
Stormwater Management Plan Review
Orange County Planning Jurisdiction Only
Required with Application $__
Total $
Approximate date land disturbance will begin:
Contact Information
Landowner(s) of Record (Use additional pages if necessary and attach to application):
Name: API Chapel Hill, LLC do Aston Properties, Inc. Name:
Street Address: 610 E. Morehead St., Suite 100 Street Address:
Current Mailing Address: Current Mailing Address:
610 E. Morehead St., Suite 100
City: Charlotte City:
State: NC Zip: 28202 State: Zip:
Phone: [phone] Phone:
Email: [e-mail] Email:
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Contract Purchaser (if applicable) (.Use additional pages if necessary and attach to application}:
Company/Organization: Company/Organization:
Contact Person: Contact Person:
Street Address: Street Address:
Current Mailing Address: Current Mailing Address:
City: City:
State: Zip: State: Zip:
Phone: Phone:
Email:, Email:
Persons) or`Firm(s) Financially Responsible for this Land Disturbing,Activity.
Company/Organization; Fifth Third Bank National AssoCfation Company/Organization:
Contact Person: Tammala Brooks Contact.Person:
Street Address: Street Address:
38 Fountain Square Plaza
Current Mailing Address: Current Mailing Address:
City: Cincinnatti City:
State: OH Zip: 45263 State: Zip:
Phone: [phone] Phone:
Email: [e-mail] Email:
Registered Agent(if any):for the Persons) or Financially Responsible Party:
R.
a North Carolina agent is required if the applicant is not a resident of North"Caroline)
Name: DeAnn Leonard Name:
Street Address: 201 North Tryon St Street Address:
Suite 1800
Current Mailing Address: Current Mailing Address:
City: Charlotte City:
State: NC Zip: 28202 State: Zip:
Phone: [phone] Phone:
Email: [e-mail] Email:
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. .„
Project bgieriptlidii(detaillthitiive-,bf the prickled and nature of land,distu ante)w -
Demo an existing Hardee's restaurant and construct a new Fifth Third Bank branch. There will be a new
drive connection made between this parcel and the adjacent Wegman's parcel. The existing drive on
the Fordham Blvd Service Road will be closed. There will be a new sidewalk constructed on the
Fordham Blvd Service Road connecting the existing sidewalk to the Old Durham Rd sidewalk. The
impervious area Is being reduced by approximately 10,601 sf with the redevelopment.
Mans Preftateid by:
Name of Person/Firm: S&ME IOC...
Contact Person: Te_CIArN
License Number:
Mailing Address: 13.2,/ • Alkf.,. Lirsj_e_b:74
City: lo dilqemecci.'s State: jAi Zip: 1&z37
Phone: (30) 1m,- e, 83 Email: j remeti 6 sme..cpc.co.-7n
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•

linCertification and Signatures ~,.
Signature and Witness: The above information is true and correct to the best of my knowledge and
belief and as provided by me while under oath.
DeAnn Leonard
Signature of Financially Responsible Party Type or Print Name Legibly
VP, Real Estate Manager 10/6/23
Tit / Aut ority • ) Date /�
I, ) n - J a Notary Publi of the County of1 --bOilen, CJu
hereby certify that nn 1 . C(Oyn 1 cQnC1CL personally before me this day and
under oath acknowledged that this4plication for Erosion Control Plan Approval, Stormwater
Management Plan Approval, and Land Disturbing Permit/ Statement of Ownership and Financial
Responsibility was executed by him or her.
Witnes d and notari I se , is (iay of � c, -
/ /J iov J
Signature of N 'ry My Commis n Expires
CECILIA VIDAL-CONLON
NOTARY PUBLIC
SEAL Mecklenbtwg County
Property Owner -4rfi `.
y(ATpi1�17�:J 1• 1 14,�yi m
8
I hereby acknowledge the above information and parties referenced herein have been granted
permission to conduct development activity on referenced property of which I own.
Signature of Property Owners Type or Print Name Legibly
/P /// /23
Dater /
I, 'M. G 7-- y-e_ l I v a Notary Public of the County of (r`C-Le r\pv11-1
hereby certify that 13 Y (if a_d e s '. •i-rL. personally before me this day and
under oath acknowledged that this Application for Erosion Control Plan Approval, Stormwater
Management Plan Approval, and Land Disturbing Permit/ Statement of Ownership and Financial
Responsibility was executed by him or her.
Witness my hand and notarial seal, this I I Day of d(if. , '1-U 2-3
Signature of Notary My Commission Expires
SEAL ;'''"o:, EMMA R KELLY
3.. :;; Notary Public
^� 1.Y
�3r %- North Carolina
-?..`* Mecklenburg County
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