NCC223496_FRO Submitted_20221011

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 address or phone
number is unavailable, place N/A in the blank.)
Part A.
1
2.
3.
4.
5.
6.
7.
8.
Project Name C&B Toothland of Marion, LLC
Location of land -disturbing activity: County McDowell City or Township Marlon
Sugar Hill Road 35.665111-82.021611
Highway/Street Latltude(decimalaegrees) LOngltUde(decimal degrees)
Approximate date land -disturbing activity will commence: mid October 2022
Purpose of development (residential, commercial, industrial, institutional, etc.): commercial
Total acreage disturbed or uncovered (including off -site borrow and waste areas): 2.81 acres
Amount of fee enclosed: $ 300.00 . The application fee of $100.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: 8.10-acre application fee is $900).
Checks should be addressed to NCDEQ.
Has an erosion and sediment control plan been filed? Yes ❑ Enclosed p No ❑
Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name William L. Chambers E-mail Address [e-mail]
Phone: Office # 828-274-9239 Mobile # [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
C&B Toothland of Marion, LLC 828-274-9329
Name
10B Yorkshire Street
Current Mailing Address
Asheville, NC 28803
City State
10. Deed Book No. 1367
828-777-2157
Phone: Office # Mobile #
Same
Current Street Address
Same
Zip City
Page No. 778-779
State
Zip
Provide a copy of the most current deed.

Part B.
1. Company(ies) who are financially responsible for the land -disturbing activity (Provide a comprehensive list
of all responsible parties on accompanied page.) If the company is a sole proprietorship orif the landowner(s) is
an individual(s), the name(s) of the owner(s) may be listed as the financially responsible party(ies).
C&B Toothland of Marion, LLC
Company Name
10B Yorkshire Street
[e-mail]
E-mail Address
Same
Current Mailing Address Current Street Address
Asheville, NC 28803 Same
City State Zip City State Zip
Phone: Office # 828-274-9239 Mobile # [phone]
Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form
the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation
control plan and to conduct the anticipated land disturbing activity.
2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
William L. Chambers
Name of Registered Agent
10B Yorkshire Street
Current Mailing Address
Asheville, NC 28803
City
State
Phone: Office # 828-274-9239
[e-mail]
E-mail Address
Same
Current Street Address
Same
Zip City State Zip
Mobile # [phone]
Name of Individual to Contact (if Registered Agent is a company)
(b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina agent who is registered on the NC Secretary of State business registry:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office # Mobile #
Name of Individual to Contact (if Registered Agent is a company)

(c) If the Financially Responsible Party is engaging in business under an assumed name, give name under
which the company is Doing Business As. If the Financially Responsible Party is an individual, General
Partnership, or other company not registered and doing business under an assumed name, attach a copy
of the Certificate of Assumed Name.
Company DBA Name
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(s)
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 Party). I agree to provide
corrected information should there be any change in the information provided herein.
William L. Chambers
Type or print
r
p-rint name
L041 W � . ckt'w"
Signature
Managing Member
Title or Authority
11IT12�
Date
I, f�cz a Notary Public of the County of ..L5o�` C-0
State of North Carolina, hereby certify that t Wi L—•appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him/her.
11
Witness my hand and notarial seal, this IC) �� day of''y~0.'��y�— 20.,;�12
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al '�" My commission expires