HomeMy WebLinkAboutNCC243205_FRO Submitted_20241017 v
Financial Responsibility/Ownership Form SedimentationPollution Control Ordinance
No person may initiate any land-disturbing acdvhyunoneormoneaoreoa000venedbytheunbnanoebohonythisformand
an acceptable erosion and sedimentation control plan have been completed and approved by the Rowan County
Environmental Management Department.
Part
Parcel{DNumber
1470084'470066 !
! _J
/.r,oJect Name*
! - ------
Airport Road Storage Yard --
-------- - --- |
2.Location of land-disturbing xxUvkV(HjQbivx�8tmon°
Road --- -- ---- ' --- -----
;Airport
Latitude Lvu:uou,
[35.G4 | '--
! 180.52 |
a.Approximate date land-disturbing activity will becommenced
10/20/2024
4.Purpose wf development(reodendul,cmnm,nciu\iudumr,u\,ou`)
|Industrial
—
_
5.Ap proximate acreage or land mUe disturbed nruocovm ed°
| --' —
14acres ------ ---
i �
---- ------ -- --_ }
6.Person to contact should sediment control issues arise during land-disturbing Cell Phone Nuoohwr°
activity'
' Brian Cody'Darrell Cody 8 Sons
---Grading, LLC 704�4G3�5711
�����^����"m�m on mr�=m���pma����w�,� ' (
Email Address
} kgroding6?Pyahoo.00m
L -- !
7.Landowner^rRecord Leuduwucro[Record
D &K8. LLC
/
Name L
Name
Cn,covt Mailing Address Current MaoiuuAddress
8350O|d Concord Road > --
Salisbury, NC2O14O '
| | |
8.Recorded m Deed Book Number
Page Number
Deed Book 8O3. Panea182' 183mnd
/Deed Book Q41. Pay-o878 ' ! '
. � | /
;
Part
l.Pc/somor Firm vho are fiuuuoiaJ7rcopuusihleforthis Person wc Firm who are fiu000ioD?responsible for tbbl*o6
land-dism ��� guo�vi/? d�iurb}u8uud+i,7Salisbury Airport Road, LLC
`
Name of
—�L _� __ �
--�,-' — ' ^'^ r/ mamecPemun�VorFirnr(s) '
Current Mailing Address_ _ Curron/Muling Address
^ 5123 Virginia Ar11 — -- �
" p'e"t "�d.TN 37027
'' Suite
' |
Phone Number Pbvnr umber
�S15�73�4D8 ' ---' ----' ----- --
-------- — _ -_� }
a. ]fd �u� unciaU?Rcpvnsi � resident
Agent.
Namev[Ago,t -NwmevfAgeut
�Corporation Service Company -
«vrrrnrM^Oh`g Address Cxnrol MaiUne Address
� 2828{3�nvmxodAvenuo. Suho55O � ---- -- �
� Raleigh, NC27808 i
'
�
, -
Phone Number
Phonx'Nvoo6e,
h^If the Financially Responsible yart�is o Purm*mbiy or other p*nm^ eug^�o:in b"un*o under an u,xwocd vvmc ^noco x
copy vr the ce,tmcu/rvroouvmmu"ao.,.lf,h�FinunxkuQIReopnmih�Purg/i�uCorpnrur�m �re�hcuumrxud--' oddoss
o[the R«�mvmdA8on� — ` street
Name nf Registered Agent
Corporation Service Company
----- -
Current Mailing Address Current Street Amurmu
------'--------- r-------
2020 Glenwood Avenue, Suite 650 -- ------ --- ---
Raleigh, NC27OO8 |
|
| | |
Telephone Number Numbe,
Telephone Number
! '
^----- '— /
The above information is true correct m the best of my knowledge and belief and nas provided bymmunder oath.(This
form must ho signed bp the rbuo6mh �o�mn"a�p°,m�"a"n /"a��/=u"rm�a,mru v-rocto«ifpwuuiod{;1UuulU�8D
Offieo�uKrextm,purtomcurm��morrdagent with uuthork} u`cxrvotciomruumnmfoctb`: ~ouodu8yRevpmooiblePemou) l
agree m provide corocdvoui information should there heunj,Change iu tile information 6 i '
providede,eo.
Name
Title or Authority
i ! -- ,
i. Randy Wolcott 1 i President ,i 1 I
.._i .
Signature
Date
'! i
09/30/2024I[
. i
a Notary Public of the County of ClXki1C.Ace..A"\ State of Tennessee ,hereby
certify that ‘2)..c.tn (-IAA(..01i- appeared personally before me this day and being duly sworn acknowledged that the
above form was exeeuidj by him/lier. Witness my hand and seal of Notary.this_2(r-day of kpktrhkter- ,
Notary
My commission expires
r---
i offiliono,„ 3 10x11
1 ‘ vteN Qui*
i 1,
, .... c.,0 •.. 1,:i 1
, •
• STATE OF ‘ S, I Z :
...,..:: :. TENT
= ; TEASRS:E 11
s--_„ -... PUBLIC i 4:: I
2.. :
11, 11. '.,:i0
0 1,,ZUSOIsild"le 6.73
04 '"i‘filiiii1101 ‹..c•j) i
---41/8SIGITTEM3
Seal
Checklist
Download a copy of the Erosion and Sedimentation Control
Plan Checklist(PDF)