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HomeMy WebLinkAboutNCC221668_FRO Submitted (2)_20220429BUNCOMBE COUNTY FINANCIAL RESPONSIBILITY/IB PLANNING & DEVELOPMENT OWNERSHIP OFOR AN (828) 2504830 - pianninginfa@BuncombeCounty.org EROSION CONTROL PERMIT www.buncombecounty.orglplanning INSTRUCTIONS: All sections must be completed. Section E must be CASE NUMBER: completed in the presence of a Notary Public. PIN (Numbers): See attached supplemental information form Project Name: Stone Rid e S divisi n 2) Latitude: 35.584333 Longitude:-82.714042 Amount of fee enclosed: $ 14,1 Q I.50 Project Location - Highway/Street: See attached supplemental information form Proposed Use: 0 Single Family Residence ❑ Multi -Family n Vacation Rental ❑ Cominercial/Industrial/Other ❑ Other Proposed Disturbed Area (Include offsite borrow and waste areas): 26.86 acre(s) rn 26-228(b) of the Buncombe County Soil Erosion and Sedimentation Control Ordinance: "Erosion control plans shall be panied by a notarized statement of financial responsibility and ownership". This statement shall be signed by the person ally responsible for the land disturbing activity or Ills attorney in fact. The undersigned states that he/she is the person financially responsible for laird disturbing activity described in this application and acknowledges receipt of a copy of the County of Buncombe Soil Erosion and Sedimentation Control Ordinance and that he/she has thereby been advised of the requirements therein as well as the penalties and resources available to the County in the event of violation of the Ordinance, including revocation of the Land Disturbing Permit and all building permits issued in connection with the project covered by the application. Name of Business: Airo Way, LLC Name of Applicant: Vladimir Grebenyuk Mailing Address: 2348 Smokey Park Hwy, Candler, NC 28715 Street address: E-mail address: artem@rpmearoline-com Cell: 828-242-1$79 Fax: Telephone:C. Landowner(s) of Record Name of Landowner(s) of Record: BI H IIIS Construction LLC Mailing Address: 120 )o wood Rd, Candler, NC 28715 Recorded in Deed Book No: 6050 Page: 1531 7Mn.coinpliance rr6-228(b) of the Buncombe County Soil Erosion and Sedimentation Control Ordinance: "If the person financially responsible esident of North Carolina, a North Carolina agent must be designated in the statement for the purpose of receiving notice of ornon-compliance with the plan, the Act, this ordinance, or rules or orders adopted or issued pursuant to this ordinance." The person noted below is the designated North Carolina agent and is duly authorized by the financially responsible person to accept and convey correspondence regarding the aforementioned project. Name of Agent: Mailing Address: E-mail address: Telephone: Cell: Date: Fax Signature: 1, the undersigned, attest that I am the financially responsible party or an authorized representative with signatory authority for the financially responsible party, responsible for the construction activities and maintenance of the site until ownership is completed for the above referenced project. I acknowledge receipt of a copy of the County of Buncombe Soil Erosion and Sedimentation Control Ordinance and have thereby been advised of the requirements therein as well as the penalties and resources available to the County in the event of violation of the Ordinance. The above information is true and correct to the best of my knowledge and belief and was provided by me while under oath. Name: Q•i- Q t�i1l Title: ��/�� r I Signature: Date: r7! 2 IZ 1 I �fa trt� a Notary Public for the County off Aea.v] C Y✓Je.10 State of C , hereby certify that 4d [tY'�--�'''f'Y appeared before me this day and under oath acknowledged that the above form was executed by him and is COI Pe a �►l;` knowledge and belief. 02 day of t� L 20 O Witness my hand and seal, this Notary �7{ s••— !i • .C' - G ;2' USL1G y p D j-1/` 0 21 p�Q- M Commission Ex ires OFFICE Review Fee: $ Permit No.: Check No: USE Date Paid: Received by: Date Issued: The County of Buncombe does not discriminate on the hasis of disability in the admission or access to, or treatment or employment in, its programs oractivities. Requests for appropriate auxiliary aids and services, tivdten. necessary in offer a personwith a disability an equal opportunity to participate in or enjoy the benefts of County services, progrars, or activities, may he made by contacting Buncombe County Erosion Control, (828) 250-4848. Buncombe County's TDD number is (828) 250-4001.