NCC221320_FRO Submitted_20220404

JCN
Durham City/County (Office Use Only)
Sedimentation and Erosion Control
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
WITH LANDOWNER CONSENT FORM
No person may initiate any land -disturbing activity covered by the Durham City -County Unified Development Ordinance before a
Land Disturbing Permit is issued by the Sedimentation and Erosion Control Office. Issuance of a Land Disturbing Permit does not
relieve the permittee of the obligation to obtain any other licenses, permits and approvals as may be required by Federal, State,
County or Municipal governments. This office must be notified in writing of any change to the information on this form.
PLEASE TYPE OR PRINT
1. Project name: The Building Center
2. Road location of land -disturbing activity: 2506 Riddle Rd.
Tax Map - Block - Parcel: See Attached Sheet PIN: See Attached Sheet
3. Square footage of land to be disturbed or uncovered: 814,000
4. List below the landowner of record. Each landowner must complete Item 8.
(If there are multiple owners, please list on a separate page):
Norris Family Investments LLC
Name
10201 Industrial Dr.
Address
Pineville NC 28134
City State Zip
704-634-2555 N/A snorris(Othebuildin gcenterinc.com
Telephone Fax Email
5. List the person or entity financially responsible for this land -disturbing activity: The financially responsible party shall
be (1) the developer or other person who has or holds themselves as having financial or operational control over the land -
disturbing activity and/or (2) the land owner or person in possession or control of the land when they have directly or
indirectly allowed the land -disturbing activity or have benefited from it and (3) the named party on the Land Disturbing
Permit.
Norris Familv Investments LLC
Name
10201 Industrial Drive
Street Address
Pineville NC 28134
City State Zip
704-634-2555 N/A snorris(bthebuildingcenterinc.com
Telephone Fax Email
The Sedimentation and Pollution Control Act (Act) and the Durham City -County Unified Development Ordinance
(Ordinance) includes, but is not limited to, the following legal obligations of the financially responsible party:
■ Maintain a set of approved sedimentation and erosion control plans, if required, on site.
■ Display permit on site.
■ Understand and implement any required plan, including the construction sequence and details.
■ Inspect, maintain and repair sedimentation and erosion control measures, especially after rainfall events.
■ Provided adequate ground cover or otherwise stabilize all areas that have not been actively graded within 21 calendar
days.
201 E. Main St, 5"' Floor, Durham, N.C. 27701 • [phone] • Fax [phone]
www.co.durh9m.nc.us/ceng

■ Plan and conduct all land -disturbing activity so as to prevent off -site sedimentation.
6. For business applicants, list below the North Carolina registered agent for the financially responsible entity:
_Edgar L. Norris Jr
Name
10201 Industrial Drive
Street Address
Pineville
NC
28134
City
State
Zip
704-634-2555
N/A
snorris ,thebuildin centerinc.com
Telephone
Fax
Email
7. The above information is true and correct to the best of my knowledge and belief and was provided by me while under oath. I
understand that the person or entity listed on Line 5 above will be: (1) the owner of the Land Disturbing Permit when issued;
(2) responsible for ensuring compliance with the Act and Ordinance; and, (3) will be the only person or entity with standing to
appeal any action taken or decision made by the Sedimentation and Erosion Control Office.
10/27/2021 Edgar L. Norris
Date Type or Print Name
704.634.2555 Owner
Telephone Fax Tit Authority
snorris ,thebuildin centerinc.com
Email ignature
Business Applicant (Provide corporate resolution on signatory authority)
State of
a Notary Public of the County of
hereby certify that
personally came before me this day and acknowledged that he is
of and acknowledged, on behalf of
the due execution of the foregoing instrument.
Witness my hand and official seal, this day of 120
My commission expires
Notary Public
20
Individual Applicant /1
a Notary Public of the County of
State ohereby certify that �G Yc
personally appeared before me this date and under oath acknowledged that the above form was executed by them.
Witness my hand and official seal, this 4"AL day of Ir 20 Pa-
v...L�.._ Q' NOTAgy �2
My commission expires 20�(� MY
mMMISSION EXPIRES
CO3/17/2026
LAND DISTURBING PERMITS ARE NON -TRANSFERABLE n (
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Parcel A
PIN:0830-15-63-3205
Parcel: 133755
Parcel B
PIN:0830-15-62-3918
Parcel: 214376
Parcel C
PIN:0830-04-62-2473
Parcel: 156896
Parcel D
PIN:0830-04-62-0220
Parcel: 133772
Parcel E
PIN:0830-04-52-8623
Parcel: 13763