NCC241591_FRO Submitted_20240528

TOWN OF KNIGHTDALE FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
<1.1P No person may initiate any land-disturbing activity on one or more acres as covered by the Town
of Knightdale Unified Development Ordinance before this form and an acceptable
erosion and sedimentation control plan have been completed and approved by Town of
Knightdale, Public Works Department, Stormwater Division. (Please type or print and, if the
question is not applicable,place N/A in the blank.)
Part A.
1. Project Name Silverstone Phase 5-Lots
2. Location of land-disturbing activity: Knightdale own Limits •r ETJ)
Highway/Street Hodge Road Latitude 35.760525° Longitude -78.519475°
3. Approximate date land-disturbing activity will commence: Q2 2024
4. Type of development(residential, commercial, industrial, institutional,etc.): Residential
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas):7.40
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Jimmy Little E-mail Address [e-mail]
Phone# [phone] Cell#
7. Landowner(s)of Record (attach accompanied page to list additional owners):
VPTM Silverstone LB LLC 919-748-2421 [e-mail]0
Name(s) Telephone E-mail address
901 Marquette Ave S,Suite 3300 901 Marquette Ave S, Suite 3300
Current Mailing Address Current Street Address
Minneapolis, MN 55402 Minneapolis, MN 55402
City State Zip City State Zip
8. Deed Book No. 18933 Page No. 1363-1368 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):
Taylor Morrison of Carolinas, Inc. [e-mail]
Name E-mail Address
15501 Weston Parkway, Suite 100 15501 Weston Parkway,Suite 100
Current Mailing Address Current Street Address
Cary, NC 27513 Cary, NC 27513
City State Zip City State Zip
Phone# [phone]

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 Town of Knightdale Erosion and Sedimentation Control Ordinance and/or
Land Disturbance Permit:
Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone#
(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
Phone#
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.
Christian Sheppard Land Development Director
Type or print name Title or Authority
7,-.41.-. .....t-- - /11711(-- 3////i.y
Signature Date
I, PA m e (A 0. ifs , a Notary Public of the County of 1,/6 l((
State of A) ('' L' C14I,.14, hereby certify that t-Nii54Ian �1(ilea-o4
appeared personally before me this day and being duly sworn acknowledgeat the above form was
executed by him.
Witness my hand and notarial seal, this 1 1 day of AA C% 20 q
d (9' ?.a
STELA 0 EPPS Notary
NOTARY PUBLJC 02,3 7_a
Wake County,North Carolina My commission expires
My Commission Expires February 27,2028