NCC221866_FRO Submitted_20220524

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 Act before this
form and an acceptable erosion and sedimentation control plan have been completed and approved by
the Land Quality Section, N.C. Department of Environmental Quality. Submit the completed form to the
appropriate Regional Office. (Please type or print and, if the question is not applicable or the e-mail and/
or fax information unavailable, place N/A in the blank.)
Part A. 2019 CWSRF Sanitary Sewer Project
1. Project Name
2. Location of land -disturbing activity: CountyNash City or Township Bailey
Highway/Street Varies LatitudeVarles LongitudeVarieS
3. Approximate date land -disturbing activity will commence: March 1, 2022
4. Purpose of development (residential, commercial, industrial, institutional, etc.):Governmental
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas):2.08
6. Amount of fee enclosed: $195.00 . The application fee of $65.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $585).
7. Has an erosion and sediment control plan been filed? Yes No Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
NameJoseph W. McKemey E-mail Addressjwm2 @mcdavid-inc.com
Telephone [phone] Cell # [phone] Fax # [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners)
Town of Bailey
[phone] [phone]
Name
Telephone Fax Number
P.O. Box 40
6217 Main Street
Current Mailing Address
Current Street Address
Bailey NC
27807
Bailey NC 27807
City State
Zip
City State Zip
10. Deed Book No. (See Attached Page)
Page No.
Provide a copy of the most current deed.
Part B.
1. Company(ies) or firm(s) who
are financially
responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible
parties on an attached sheet.) If the company or firm is a sole proprietorship,
the name of the owner or manager may
be listed as the
financially responsible party.
Town of Bailey
[e-mail]
Name
E-mail Address
P.O. Box 40
6217 Main Street
Current Mailing Address
Current Street Address
Bailey NC
27807
Bailey NC 27807
City State
Zip
City State Zip
[phone]
235-2196
Telephone
Fax Number(252)

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone Fax Number
(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:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone Fax Number
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.
Thomas Richards Mayor - Town of Bailey
Type or print name Title or Authority
Signature Date
ICj�_Ot � l�>e'r k rr�� a Notary Public of the County of
State of North Carolina, hereby certify that I ' wr�ca S �ic'AMA r�. appeared
personally before me this day and being duly sworn acknowledged that the above form was
executed by him.
Witness my hand and notarial seal, this -day of 120 1
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