NCC242595_FRO Submitted_20240826

Applications may be submitted online:
https://chathamcountync.viewpointcloud.com/categories/1082
Land-Disturbing
1110T Permit Application
Please include all required signatures. For Office Use:
Physical Address Mailing Address
80 East St. PO Box 548
Pittsboro,NC 27312 Pittsboro,NC 27312
Phone: [phone]
Please see PERMITTING FLOW CHART to determine which permit,plan, and fee requirements
apply to your project and then check one of the boxes below:
XLand-Disturbing Permit. The following items are required to obtain this permit: completed
application, plans, deed, and fees. All clearing and disturbance must be included when calculating
disturbed area.
Fee Requirements:
See attached PERMITTING FLOW CHART
For fees that are rounded up to the next whole acre.
Example: 1 acre or less is $500, 1.01-2 acres is $1,000, and 2.01-3 is $1,500.
Plan Requirements:
Design Plan: submit(1)copy of an erosion control plan completed& sealed by a professional land
surveyor, professional engineer, or registered landscape architect. This plan must meet the criteria of the
Chatham County Erosion Control Plan Review Checklist and include all applicable construction details.
These can be found on the Chatham County Watershed Protection website, on the Erosion Control
webpage. This plan must satisfy all local, state, and federal minimum plan requirements.
General Plan: submit(1) copy of site plan showing proposed disturbance limits along with the Chatham
County Residential General Plan. Site plan is not required to be completed by a design professional. The
Residential General Plan can be found on the Chatham County Watershed Protection website,
Residential Land-Disturbing Permit webpage. Complete table on sheet 1 of Residential General Plan.
❑ Residential Lot Permit. The following items are required to obtain this permit: completed
application, site plan, and fee. Page 3 "Financial Responsibility/Ownership Form"not required.
Fee Requirements: Plan Requirements:
$100 flat fee Site Plan showing property boundaries and proposed disturbance limits. The site
plan required by the Environmental Health Department can be used as a base.
ALL CHECKS MADE PAYABLE TO CHATHAM COUNTY
Page 1 of 3

Land-Disturbing
f rt ig N . Permit Application
**The mailing and street address of the principal place of business for the person/entity financially responsible and
the land owner(s) must be provided.A P.O.box is NOT acceptable as an address.
**If the financially responsible party is different from the current land owner,an agreement signed by both parties
must be provided allowing the financially responsible party to conduct the land-disturbing activity on the property.
This agreement is provided on page 3 of this application and must be completed in its entirety.
PROJECT NAME: 25 Hamptons DATE: 07-25-2024
ADDRESS OF PROJECT: 126 Harvest Lane, Pittsboro, North Carolina 27312
LATITUDE/LONGITUDE OF PROPERTY AT SITE ENTRANCE: 35.780011, -79.094925
PARCEL#(S): 85806
TOTAL DISTURBED ACRES or SQUARE FEET: 37,828 S.F.
PURPOSE OF ACTIVITY: Construction of a new single-family home at the currently empty lot 25 Hamptons
FEE AMOUNT SUBMITTED: $500.00 RIVER BASIN: CAPE FEAR
**LANDOWNER(S)OF RECORD(attach page to list additional owners)
Please provide a complete list of partners,managing members and registered agents if the responsible entity or
land owner is a group of individuals, corporate organization or entity.
Name: Robert Latvala-Vice President,Homestead Building Co. phone: [phone]
Address: 900 Ridgefield Dr., Ste. 50 E-Mail: bob@homestea built.com
Raleigh, NC 27609 Signature: f/ f
**FINANCIALLY RESPONSIBLE PARTY(applicable only if different from property owner)
Name: Same Phone: N/A
Address: N/A E-Mail: N/A
N/A Signature: N14
NORTH CAROLINA AGENT(applicable only if either owner or financially responsible party does not
reside in North Carolina)
Name: N/A Phone: N/A
Address: N/A E-Mail: N/A N/A Signature: NIA
ENGINEER/SURVEYOR EROSION CONTROL
Company Name: Taylor Land Consultants, PLLC Person to contact should erosion &sediment
Address: 1600 Olive Chapel Rd.,# 140 control issues arise during land-disturbing activity:
Apex, NC 27502 Contact Person: Jacob Coleman
Contact Person: Jeremy Taylor Company Name: Homestead Building Company
Phone:[phone] Phone: [phone]
E-Mail: [e-mail] E-Mail: [e-mail]
Page 2 of 3
ANTICIPATED START DATE:
09-09-2024 ANTICPATED END DATE:09-09-2025

Soil Erosion and Sedimentation Control
CHATHAM CC.ILINCTY
eV 18 V Vi V 161, U 106 Financial Responsibility/Ownership Form
NOT REQUIRED TO BE COMPLETED FOR RESIDENTIAL LOT PERMITS.
PLEASE READ THE FOLLOWING INFORMATION:
I)This section must be signed in the presence of a Notary.
2)This form must be signed by the property owner if an individual.If owned by a company or corporation,this form must be signed by an officer,
director,partner,attorney-in-fact,or other person with authority to execute instruments for the corporation and accompanied by a complete list of all
partners,managing members and registered agents of the company or corporation.
3)This form must also be signed by the financially responsible party and NC agent(if applicable).Same provisions of#2 above apply.
4)If the landowner and financially responsible party are different,the completion and signing of this page shall serve as documentation
acknowledging the landowner consents to and authorizes the financially responsible party to undertake the proposed land-disturbing activity on the
landowner's tract(s)of land identified on this application.
5)The information provided on this form is true and correct to the best of my knowledge and belief and was provided by me while under oath.
6)All Land-Disturbing permits are valid for up to (2)years from the date of issuance. If circumstances warrant,the permit may be extended for
(2) years per the conditions of the Chatham County Soil Erosion and Sedimentation Control Ordinance. Upon written notice, the Land-Disturbing
permit may be revoked for failure to comply with the Ordinance. If the permit is revoked, all other permits and approvals are withheld until
the property is once again in compliance with Chatham County regulations. Also,upon written notice,a civil penalty(fine)can be instigated
against the property owner and/or additional financially responsible party(if any)for violations of the Chatham County Soil Erosion and
Sedimentation Control Ordinance.This penalty is up to$5000.00 per violation per day and is assessed daily for every day the property is in violation.
Interfering with or hampering an inspection can result in a civil penalty without written notice.
OWNER OF PROPERTY:
Name and Title: Robert Latvala-Vice President
Company(if a �lii able): Ho estead Building Company
Signature:
FINANCIALLY RESPONSIBLE PARTY (applicable only if different from property owner):
Name and Title: Same
Company: N/A
Signature: p lA
NORTH CAROLINA AGENT (if any):
Name and Title: N/A
Company: NA
N A
Signature:
******************************************�************************
I, ctrtW ins , a Notary Public of LI 7q''y l E County in the state
of ivortitCar b j h0. do hereby certify that Nobs ♦ C..Ctfvat a personally
appeared before me this day and under oath acknowledged reading the information above and acknowledged that the
above form was executed by him or her. ^_„a ���
Witness myhand and official seal,this the 0( --- day
of y ,20
. ANDREW J.HURT
1►{a/�- ;(/�� NOTARY PUBLIC
Notary Public Wake County
North Carolina
My commission expires aU,t y 02o a""7 fwagdnlln!.<lon Expires July 4,2027
Page 3 of 3

Permitting Flow Chart
CPOD = Common Plan of Development2
Design Plans are required to be -- --_________
completed by a PE,PLS,or RLA -.,O I Non-Residential Construction
and must meet the requirements.. Residential Construction , Start Here
Chatham County Checklist for Pia Submittal. Start Here3i4 ._,..,,
Yes Will the project
" disturb
,.>� Project in a
>20,000 sq.ft.?
CPOD?
No Yes No
Wili the project
disturb ,,�' Disturbing 1 bra'" Project in a
>25,000 sq ft.? acre or more? CPOD?
No
No Yes Yes Yes
No v7:424 '
::::,>.
s1.s
w,::
Land
Dist " flisturbit
RP s €,f
Fees: r
11 t ea , Plan Review.$100/1ot 1 l;Fees lj_Fees:
$500/disturbed acre , Permit:$250/disturbed acre I _500/:asturbe acre $500/disturbed acre
2)Plan Pequire3nents. 2JPIanRequiremencs 2j,_Plan Requirements: ')Plan Requirements-
Design Plan Design Plan or General Plan Design Plan Design Plan
1.All projects requiring a Land Zisturbina Permit from Chatljam County must complete the same application. It is a three page application called Land Disturbing
Permit Application.Signature on Page 3 should be completed at a notary.
2.Common plan of development examples:subdivisions,commercial property,campuses.Others can include any announcement,documentation,or physical
demarcation indicating construction activities are planned to occur on a specific plot of land regardless of ownership of the parcels.
3.A Residential Lot Permit is not necessary for new additions(e.g.porches,patios,bedrooms,garages).
4.Driveway,septic&septic line,well,utilities,yard,and any area of natural or existing groundcover planned to be disturbed must be included when calculating
disturbed acreage for residential lots.

!t t'. BUSINESS CORPORATION ANNUAL REPORT
1/6/2022
NAME OF BUSINESS CORPORATION: Homestead Building Company
0695972 Filing Office Use Only
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: NC
E-Filed Annual Report
0695972
REPORT FOR THE FISCAL YEAR END: 12/31/2022 CA202322001186
8/8/2023 02:15
SECTION A: REGISTERED AGENTS INFORMATION ❑X Changes
1. NAME OF REGISTERED AGENT: Heidel, John H.
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
900 Ridgefield Dr. Suite 50 900 Ridgefield Dr. Suite 50
Raleigh, NC 27609 Wake County Raleigh, NC 27609
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Residential Construction
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
900 Ridgefield Dr.Suite 50 900 Ridgefield Dr.Suite 50
Raleigh, NC 27609 Raleigh, NC 27609
6. Select one of the following if applicable. (Optional see instructions)
I I The company is a veteran-owned small business
The company is a service-disabled veteran-owned small business
SECTION C: OFFICERS(Enter additional officers in Section E.)
NAME: Dean Sackett NAME: John Heidel NAME: Robert Latvala
TITLE: President TITLE: Treasurer TITLE: Vice President
ADDRESS: ADDRESS: 900 Ridgefield Drive ADDRESS: 900 Ridgefield Drive
900 Ridgefield Drive,Suite 50 Suite 50 Suite 50
Raleigh, NC 27609 Raleigh, NC 27609 Raleigh, NC 27609
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entity.
John Heidel 8/8/2023
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
John Heidel Treasurer
Print or Type Name of Officer Print or Type Title of Officer
This Annual Report has been filed electronically.
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525