NCC242344_FRO Submitted_20240801

nu:TOWN or ENGINEERING DEPARTMENT
Holly 128 South Main Street-PO Box 8 Holly Springs, NC 27540
Springs [phone]• FAX [phone]
1 IVORifl CAROLIr1A
Application for Construction Drawing Plan Approval, Erosion&Sedimentation Control Plan Approval, NPDES Stormwater
Review, Land Disturbance Permit Issuance, and Statement of Ownership and Financial Responsibility:
(Check All That Apply)
•■ Construction Drawing Plan Review ID Erosion&Sedimentation ❑� NPDES Stormwater Review
Control Plan Review
1. Project Name, Project ID,and Phase: Regency Subdivision Phase: 2
2. Description of Construction/Land Disturbance:
Construction of 92 SF lots, along with the associated street, utility, SCM's, & other supporting infrastructure
3. Landowner(s)of Record: (Use additional pages if necessary and attach to application)
ESC Ventures LLC
Name Name
501 Earl Goodwin Road
Address Address
Apex, NC 27502
City,State,Zip City, State,Zip
Telephone Fax Telephone Fax
Mobile Phone Email Address Mobile Phone Email Address
4. Future Landowner(s),If Applicable: (Use additional pages if necessary and attach to application)
Name Name
Address Address
City,State,Zip City, State,Zip
Telephone Fax Telephone Fax
Mobile Phone Email Address Mobile Phone Email Address
5. List Book& Page where Deed or Instrument is Filed in Wake County:
Location Description: South side of Holly Springs New Hill Road
Parcel Identification Number(PIN): 0639311837 Tax Map, Block, and Lot Number:
Book: 013811 Page: 02754 Book: Page:
6. Person(s)or Firm(s)Financially Responsible for Land-Disturbing Activity
Toll Southeast LP Company, Inc.
Name Name
1140 Virginia Drive
Address Address
Fort Washington, PA 19034
City, State,Zip City, State,Zip
919-321-4800
Telephone Fax Telephone Fax
919-801-6851 [e-mail]
Mobile Phone Email Address Mobile Phone Email Address
9001
5/2/14

Application for Construction Drawing Plan Approval, Erosion&Sedimentation Control Plan Approval, NPDES
Stormwater Review, Land Disturbance Permit Issuance, and Statement of Ownership and Financial Responsibility:
7. Registered Agent, if any,for Person(s)or Firm(s) Financially Responsible:
(NOTE: A North Carolina agent is required if the applicant is not a resident of North Carolina.)
United Agent Group, Inc
Name Telephone Fax
15720 Brixham Hill Avenue, #300
Address Mobile Phone
Charlotte, NC 28277
City,State,Zip Email Address
8. Plans Prepared By:
McAdams/Jeremy Finch, PE 919-361-5000
Name of Firm/Person Telephone Fax
2905 Meridian Parkway 919-624-3672
Address Mobile Phone
Durham, NC 27713 [e-mail]
City,State,Zip Email Address
9. Site/Project Information:
Total Size of Tract: 119.50 acres Area Disturbed: 33.00 acres ft2
Length of Sidewalk: 8,737 linear feet Length of Streets: 4,711 linear feet
Length of Water Line: 1 ,862 linear feet Length of Sewer Line: 1,644 linear feet
Length of Greenway: N/A Length of Stormwater: 4,890 linear feet
#Stormwater BMPs < 5 acres: 0 #Stormwater BMPs > 5 acres: 2
Latitude: 35.652241 Longitude: -78.891482
FEMA/FIRM Map#: 3720062800J Panel#: 0628 Effective Date: May 2, 2006
Total Post Development Impervious Surface: 473,384 Ft2
10.Approximate Date Land Disturbance Will Begin: Summer 2021
11. Signature and Witness: The abov;infor14 tion is true and correct to the best of my knowledge and
bell= . . as p . ide L o ✓er
� JeffreyW. Westmoreland
• I ature of Person Fin.•cially =esponsi.le Type or Print Name Legibly
Land Entitlements Manager October 18, 2021
Title or Authority ./ /. Date
�(,Wle. 2. 6e h , a Notary Public of the County of d0v1,t15fon , hereby certify
that J-�' (AL WeSf-yito/P___ personally before me this day and under oath acknowledged that
this Application for Construction Drawing Plan Approval and Erosion &Sedimentation Control Plan Approval/Land
Disturbance Permit Statement of Ownership and Financial Responsibility was executed by him or her.
Witne hand and notarial seal, thisML" day of it - 20.21 .
ag,�a
Signature of Notary Public y Commission Expires
cy
s1/46i R BOv ,�, FOR OFFICE USE ONLY
• Date Completeness Verified:
' . F
.'NOTARy'••"A Project Number: PN-
- - Fees Paid:
❑ Construction Drawing Review Fees
PUBLIC •' ❑ Erosion&Sedimentation Control
``� Plan Review Fees
COVE
9001
5/2/14