NCC240102_FRO Submitted_20240321

WWI WAKE COUNTY 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 Wake
WAKE County Unified Development Ordinance before this form and an acceptable erosion and
COUNTY sedimentation control plan have been completed and approved by Wake County Department of
,,;<„ *, Environmental Services, Water Quality Division. (Please type or print and, if the question is not
applicable, place N/A in the blank.)
Part A.
1. Project Name SWEETWATER SUBDIVISON LOTS: 60,61,62,63,64,65,66,67,68, & 69
2. Location of land-disturbing activity: Jurisdiction WAKE (Wake Co. or Municipality)
Highway/Street River Bend Ln Latitude 35.734216 Longitude -78.495837
3. Approximate date land-disturbing activity will commence: 10/1/23
4. Type of development(residential, commercial, industrial, institutional, etc.):RESIDENTIAL
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas):_ 8.06 ac
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name JESSE SATTERWHITE.JR E-mail Address satterwhiteconstructioninc(@amail.com
Telephone [phone] Cell# N/A Fax# N/A
7. Landowner(s)of Record (attach accompanied page to list additional owners): Lots 62-67 see attached for
Sweetwater Wake LLC additional ownership
JESSE SATTERWHITE.JR 919-266-0033 satterwhiteconstructioninc(a�omail.com
Name(s) Telephone Fax or E-mail address
5933 FARMWELL ROAD 5933 FARMWELL ROAD
Current Mailing Address Current Street Address
RALEIGH NC 27610 RALEIGH NC 27610
City State Zip City State Zip
8. Deed Book No.SEE ATTACHED Page No.SEE ATACHED Provide a copy of the most current deed.
Part B.
1. Person(s) or firm(s) who are financially responsible for the land-disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet. Include requested information):
SWEETWATER WAKE,LLC satterwhiteconstructioninc(c�umail.com
Name E-mail Address
5933 FARMWELL ROAD 5933 FARMWELL ROAD
Current Mailing Address Current Street Address
RALEIGH NC 27610 RALEIGH NC 27610
City State Zip City State Zip
Telephone [phone] Fax Number N/A

7. Landowner(s)of Record (attach accompanied page to list additional owners): Lots 60,61, 68 & 69
Satterwhite Construction, Inc
JESSE SATTERWHITE.JR 919-266-0033 satterwhiteconstructioninc(a7amail.com
Name(s) Telephone Fax or E-mail address
5933 FARMWELL ROAD 5933 FARMWELL ROAD
Current Mailing Address Current Street Address
RALEIGH NC 27610 RALEIGH NC 27610
City State Zip City State Zip

Lots 62-67 - SWEETWATER WAKE LLC
2. (a) If the Financially Responsible Party is not a resident of Wake County, identify a designated agent in
Wake County to receive any notice, process, pleading in any action or legal proceeding arising out of any
matter relating to the Wake County Erosion and Sedimentation Control Ordinance and/or Land
Disturbance Permit:
n/a n/a
Name E-mail Address
n/a n/a
Current Mailing Address Current Street Address
n/a n/a
City State Zip City State Zip
Telephone n/a Fax Number n/a
(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:
Jesse Satterwhite Jr [e-mail]
Name of Registered Agent E-mail Address
5933 Farmwell Rd same
Current Mailing Address Current Street Address
Raleigh NC 27610
City State Zip City State Zip
Telephone [phone] Fax Number n/a
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.
Jesse Satterwhite Jr Manager
Type or print name Title or Authority
)2- 2a - 7623
Signat" Date
1 q , a Notary Public of the County of JO hn5 Iv it
State of North Carolina, hereby certify that c )' k ' --re— c )r appeared
personally before me this day and being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notarial seal, this 2D day of lJP�.e. -E ' ,20 d-3
o, GY RA,„ %o
Notary
Sea( °TAR
c_ ; U My commission expires1 ) 202-o0
E.
, C 0° ),,,,
,

Lots 60,61, 68 & 69 - SATTERWHITE CONSTRUCTION, INC
2. (a) If the Financially Responsible Party is not a resident of Wake County, identify a designated agent in
Wake County to receive any notice, process, pleading in any action or legal proceeding arising out of any
matter relating to the Wake County Erosion and Sedimentation Control Ordinance and/or Land
Disturbance Permit:
n/a n/a
Name E-mail Address
n/a n/a
Current Mailing Address Current Street Address
n/a n/a
City State Zip City State Zip
Telephone n/a Fax Number n/a
(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:
Jesse Satterwhite Jr
Name of Registered Agent E-mail Address
5933 Farmwell Rd same
Current Mailing Address Current Street Address
Raleigh NC 27610
City State Zip City State Zip
Telephone [phone] Fax Number n/a
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.
Jesse Satterwhite Jr President
Type or print name Title or Authority
p IZ- ZO - 2675
Signature Date
I,-Y7aC/go,v-i h , a Notary Public of the County of 3DV11\S•
State of North Carolina, hereby certify that \,C.7— 70 1\ C- appeared
personally before me this day and being duly sworn acknowledged
� C.,lthat
�the above form was executed by him.
Witness my hand and, ot�rial„4p�al, this �� no
day of `� , 20 D-3
�GTAR� - Notary
:gea)
��' ' 0 My commission expires Ono,. �3J �0 0
�'URL\G ';
`r,6N coo\„,,iiiiiiiiiiiiii