HomeMy WebLinkAboutSW6140503_Permit Information Update Application Form_20220413STATE STORMWATER:
PERMIT INFORMATION UPDATE APPLICATION FORM
There is NO FEE for updating project name or permittee information.
This form is to only to be used by the current permittee to notify the Division of.
1) changes to the Point of Contact (signing official) for the current permittee (LLC, Corporation, HOA or POA);
2) changes to the mailing address, phone number or email address of the current permittee;
3) changes to the name of the project; and
4) changes to the legal corporate name as documented by a Name Change or Merger filed with the NCSOS.
A. NEW PERMIT INFORMATION
State Stormwater Permit Number: SW6140503
Are you updating
(check all that apply):
If so, please provide the updated information:
❑ Project name
❑ Corporation Name'
❑ Permit Contact Name2.3
❑ Permit Contact Title
❑� Mailing Address3
2709 Thorngrove Court, Fayetteville, NC 28303
❑� Phone number
4g101864-3232
❑0 Email address
Erind@c-sprop.com
Provide documentation such as a Name Change / Merger filed with the NCSOS.
Provide supporting documentation such as NCSOS filing. The permit contact's position must be in accordance
with 15A NCAC 02H .1040(1).
If more than one point of contact or mailing address is being changed, please attach a separate sheet.
B. CERTIFICATION OF PERMITTEE
1, Carolyn R Armstrong the current permittee, hereby notify DEMLR that I am making the changes as listed
in Section A above. I further attest that this application for an update to the permit information -currently on file is accurate
and complete to the best Qf my knowledge. n
Signature:
1/ - 9— 2-0,2-Z
1, Erin Douglas , a Notary Public for the State of North Carolina
County of Hoke do hereby certify that Carolyn R Armstrong
personally appeared before me this the +� day of 0 ] ; I 201� and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
s•r1 ......
'�IOTAR)-
Notary Signature , _
My commission expires °UBLIG f0
COU.,
Stormwater Permit Information Update Form Page 1 of 1 " "ll.u61114011% May 11, 2017
SOSID: 1251878
Date Filed: 3/16/2022
Elaine F. Marshall
t LIMITED LIABILITY COMPANY ANNUAL REPORT North Carolina Secretary of State
1-- 1/6/ s22
CA2022 075 01139
NAME OF LIMITED LIABILITY COMPANY: CBMM Properties, LLC
SECRETARY OF STATE ID NUMBER: 1251878 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR:
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Carolyn R Armstrong
2. SIGNATURE OF THE NEW REGISTERED AGENT:
MChanges
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS-& COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2709 Thorngrove Court 2709 Thorngrove Court
Fayetteville, NC 28303 Cumberland Fayetteville, NC 28303 Cumberland
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate
2. PRINCIPAL OFFICE PHONE NUMBER: (910) 864-3232 3. PRINCIPAL OFFICE EMAI Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS a r
r
2709 Thorngrove Court 2709 Thorngrove Court
Fayetteville, NC 28303 Cumberland Fayetteville, NC 28303 Cumberland
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Carolyn R Armstrong
TITLE: President
ADDRESS:
NAME: Brian L Armstrong NAME:
TITLE: Vice President TITLE:
ADDRESS:
2709 Thorngrove Court 2709 Thorngrove Court
Fayetteville, NC 28303 Cumberland Fayetteville, NC 28303 Cumberland
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
• March 1, 2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Brian L Armstrong Vice President
Print or Type Name of Company Official Print or Type .Title of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200
MAIL TO: Secretary of State. Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525