NCC220985_FRO Submitted_20220314

IC1 Ir ' Il M CQUN I°Y
Land -Disturbing
Permit Application
PROJECT NAME: LOT 27 & 28 DATE: 3/31125
ADDRESS OF PROJECT: 184 SEAFORTH LANDING DR., PITTSBORO, NC 27312/71 PINE CONE LOOP, PITTSBORO, NC 27312
LATITUDE/LONGITUDE OF PROPERTY AT SITE ENTRANCE: 35°4247"N, 79'04'3"W /
PARCEL #(S)• 92048 & 92049 35°42-49"N, 79"04'5"W
TOTAL DISTURBED ACRES or SQUARE FEET: 31,180 OR +/-0.71 AC.
PURPOSE OF ACTIVITY: HOME CONSTRUCTION
FEE AMOUNT SUBMITTED: $500.00
LANDOWNE AS) OF RECORD (attach page to list additional owners)
Please provide a complete list of partners, managing members and regis ed agen711
he responsible entity or
land owner is a group of individuals, corporate organization or entity.
Name: JP Swain Company Phone: 919-427-
Address: 3520 FERNWOOD DRIVE E-Mail: JEFF I Y.COM
RALEIGH, NC 27612 Signatu
FINANCIALLY RESPONSIBLE PARTY a licable onl if dill a roe owner
Name: Phone:
Address: E-Mail:
Signature:
NORTH CAROLINA AGENT (apulicable only if owner or financially responsible pgjy does not reside in
North Carolina)
Name: Phone:
Address: E-Mail:
Signature:
ENGINEERISURVEYOR
Company Name: CE GROUP, INC.
Address: 301 GLENWOOD AVE., SUITE 220
RALEIGH, NC 27603
Contact Person: MARK ASHNESS
Phone: [phone] EX. 101
E-Mail: [e-mail]
EROSION CONTROL
Person to contact should erosion & sediment
control issues arise during land -disturbing activity:
Contact Person: MARK ASHNESS
Company Name: CE GROUP, INC.
Phone: [phone] EX. 101
E-Mail: [e-mail]
Page 2 of 3

a
CII rA-F# 1AM C. "U
PROJECT NAME: LOT 31 & 42
Land -Disturbing
Permit Application
DATE: 3/31 /2021
ADDRESS OF PROJECT: 41 BLUFFTONWOOD DR, PITTSBORO, NC 27312, 36 BLUFFTONWOOD DR, PITTSBORO, NC 27312
LATITUDE/LONGITUDE OF PROPERTY AT SITE ENTRANCE: 35.4879-N, 79-1731-W / 35'4W22 N, 79.123M
PARCEL #(Sl: 86855 & 86866 35°48-20-N, 79-12-41"W / 35°48-25--N, 79-12-45-W
TOTAL DISTURBED ACRES or SQUARE FEET: 43,560 OR +/-1.00 AC.
PURPOSE OF ACTIVITY: HOME CONSTRUCTION
FEE AMOUNT SUBMITTED: $500
LANDOWNERS) 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: JP Swain Company Phone: 919-427-
Address: 3520 Femwood Drive
RALEIGH, NC 27609
FINANCIALLY RESPONSIBLE PARTY (applii
Name: JP Swain Company
Address: 3520 Fernwood Drive, Raleigh, NC 27612
E-Mail: 1
Signs e:
ile only if di f
Phone: 919-4;
E-Mail: Same
Signature: _
com
NORTH CAROLINA AGENT ("licable only if owner or financially responsible party does not reside in
North Carolina)
Name: Phone:
Address:
ENGINEER/SURVEYOR
Company Name: CE GROUP, INC.
Address: 301 GLENWOOD AVE., SUITE 220
RALEIGH, NC 27603
Contact Person: MARK ASHNESS
Phone: [phone] EX. 101
E-Mail: [e-mail]
E-Mail:
Signature:
EROSION CONTROL
Person to contact should erosion & sediment
control issues arise during land -disturbing activity:
Contact Person: MARK ASHNESS
Company Name: CE GROUP, INC.
Phone: [phone] EX. 101
E-Mail: [e-mail]
Page 2 of 3