NCC243365_FRO Submitted_20241120

11:WI 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
WAKECounty 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
NORTH cnaOi.NA 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 13621, 13625&13629 Old Creedmoor Rd
2. Location of land-disturbing activity: Jurisdiction Wake County (Wake Co. or Municipality)
Highway/Street Old Creedmoor Latitude 35.999508 Longitude -78.694594
3. Approximate date land-disturbing activity will commence: 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):2.92
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Carla Lunday E-mail Address [e-mail]
Telephone [phone] Cell # 336-675-3590 Fax# N/A
7. Landowner(s)of Record (attach accompanied page to list additional owners):
Copper Builders, LLC 704-397-4334 [e-mail]
Name(s) Telephone Fax or E-mail address
1235 East BLVD#155 1235 East BLVD#155
Current Mailing Address Current Street Address
Charlotte NC 28208 Charlotte NC 28208
City State Zip City State Zip
8. Deed Book No.019476 Page No.01503-01505 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):
Copper Builders, LLC [e-mail]
Name E-mail Address
1900 W Morehead Street STE 102 1900 W Morehead Street STE 102
Current Mailing Address Current Street Address
Charlotte NC 28208 Charlotte NC 2820
City State Zip City State 8 Zip
Telephone [phone] Fax Number N/A

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:
Carla Lunday [e-mail]
Name E-mail Address
4801 Glenwood Ave STE 200 4801 Glennwood Ave STE 200
Current Mailing Address Current Street Address
Raleigh NC 27612 Raleigh NC 27612
City State Zip City State Zip
Telephone [phone] 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:
Copper Builders, LLC [e-mail]
Name of Registered Agent E-mail Address
1900 W Morehead Street STE 102 1900 W Morehead Street STE 102
Current Mailing Address Current Street Address
Charlotte NC 28208 Charlotte NC 28208
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.
Carla Lunday VP of Commuities
Ty r pri t ame Title or Authority
Si a Date
I, Emily Mattocks , a Notary Public of the County of Johnston
State of North Carolina, hereby certify that Carla Lunday appeared
personally before me this day and being duly sworn acknowledged that the above form was executed by him.
Witness my i NIAMJ1iibtoiipl seal, this 27 day of September , 2024
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y;• ��`fr�4��, 2= My commission expires 11-28-2026
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CONSENT OF SHAREHOLDERS/BOARD OF DIRECTORS/
VICE PRESIDENT OF COPPER BUILDERS LLC.
TO
ACTION WITHOUT MEETING
I, the undersigned, being the sole shareholder and sole Director of Copper
Builders, LLC, do hereby adopt the following resolution to formalize the
appointment of an additional Officer by signing my written consent thereto:
Appointment of Officer
RESOLVED, that the following person is hereby appointed as an officer of
the corporation to serve as such until his successor shall have been duly appointed
and qualified:
Carla Lunday-Vice President of Communities (Triangle)
RESOLVED FURTHER, that the Vice President shall have the full and
complete authority to bind the Company to any and all legal contracts,
including, but not limited to, real property transactions, subcontractor
agreements, marketing and advertising agreements, employment agreements,
partnership agreements, and any other agreement in the furtherance of the
primary business of the Company, with said primary business being the acquisition,
development, improvement, and conveyance of real property. Any third party relying
upon this Consent shall be entitled to rely upon it as conclusive evidence as to the
appropriateness thereof and of the authority of such Office to execute and deliver
any such document and do any such act and thing.
This action is effective this 19th day of June 2024./4„4/te
Wade H. Miller, Sole Shareholder/
Sole Director