NCC224099_FRO Submitted_20221214

ORANGE COUNTY PLANNING AND INSPECTIONS
EROSION CONTROL AND STORMWATER DIVISION
ry APPLICATION
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IJ 1_1` '"J 1­1 i4t.,; 1_4- "I EROSION CONTROL PLAN
N(,.')R,T'H CAR(DUNA LAND DISTRUBING PERMIT (LDP)
STORMWATER MANAGEMENT PLAN (SMP)
-7 131 W. Margaret Lane - Post Office Box 8181
Hillsborough, NC 27278
[phone]
https://www.orangecountync.gov/ I 302/Ei-osion-Control-Stormwater
1. Name of Project: Jones Street Lots
See Plan q g (Vq S-6'zoo Hillsborough, NC
2. Parcel Identification Number (PIN): Planning Jurisdiction:
3. Size of Tract: 3.69 acres; Area Disturbed: 3.44 acres 1
4. Fees: — 0 t j) pl%t __ 1 2_ 0 , r P-_4 L4 f 24 - 00 3
A-
00 Erosion Control Plan Review
Required with Application 3)( $ 337.50 FOR OFFICE USE ONLY
Land Disturbing Permit Date Paid Receipt #
Land
with Initial Application 71 10 0 s
3Date Paid Receipt #
00 Stormwater Management Plan Review
Orange County Planning Jurisdiction Only Date Paid Receipt #
Required with Application $
Total $ rig P
5. Approximate Date Land Disturbance Will Begin: October 10, 2022
6. Landowner(s) of Record: (Use additional pages if necessary and attach to application)
Yates -Greene, LLC See attached.
Name
Multiple Lots
Street Address
125 Kingston Drive, Suite 206
Current Mailing Address
Chapel Hill
city
919-270-7504
NC 27514
State Zin
Telephone Fax
[e-mail]
Email Address
Name
Street Address
Current Mailing Address
city
Telephone
Email Address
State Zip
Fax
Page I

Company / Organization
Contact
Street Address
Current Mailing Address
n
City f State zip
Telephone
e-mail
Company / Organization:_
Contact
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Street Address
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Current Mailing Address
City
State
Zip
Telephone
e-mail
Company / Organization
Telephone
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e-mail
Company Organization:-
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Contact
Street Address
Current Mailing Address
City State Zip
Telephone
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Name city State zip
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Street Address Telephone
Current Mailing Address Email

6. Landowner(s) of Record: (Use additional pages if necessary and attach to application)
—Name
Name
Street Address
%
Current Mailing Address
City State Zip
Telephone
Fax
Ct
EmaifAddress
,,,,
Telephone Fax —
Email Address
Page I

Future Landowners (if applicable). (Use additional pages if necessary and attach to application) ..
Company / Organization
Company / Organization
Contact
Contact
Street Address
Street Address
Current Mailing Address
Current Mailing Address
City State Zip
City State Zip
Telephone
Telephone
e-mail
e-mail
7. Person(s) or Firm(s) Financially Responsible for this
Land Disturbing Activity:
Company / Organization:
Company / Organization:
Yates -Greene
Contact
Contact
Paul Snow
Street Address
Street Address
125 Kingston Drive, Suite 206
Current Mailing Address
Current Mailing Address
Chapel Hill NC 27514
City State Zip
City State Zip
919-270-7504
Telephone
Telephone
919-270-7504
e-mail
e-mail
8. Registered Agent (if any) for the Person(s) or Firm(s)
Financially Responsible:
(NOTE: a North Carolina agent is required if the applicant is not a resident of North Carolina)
Name
City State Zip
Street Address
f
Telephone
Current Mailing Address
Email
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9. Project Description:
See full plan set
Page 3

10. Plans Prepared By:
Filter Design
Name of Person or Firm
712 Arendell Street
Mailing Address
Morehead City NC 28557
City State Zip
Jay Horton
Contact Person
[e-mail]
Email
252-622-4119
Telephone
11. Signature and Witness: the above information is true and correct to the best of my knowledge and belief and was
provided by,me-,-*hile under oath.
Paul Snow
Signaffire of Financially Responsible Type or Print Name Legibly
Managing Member
Title or Authority
U19*501MA
Date
a Notary Public of the County of
hereby certify that L�('Wvpersonally before me this day and under oath
acknowledged that this Application for Erosion Control Plan Approval, Stormwater Management Plan
Approval and Land Disturbing Permit / Statement of Ownership and Financial Responsibility
was executed by him or her.
411-
Witness my hand and notarial seal, this Day of
Signature of Notary
SEAL Carmen L. 7DUPree
U
EN (VOTARY PUBLIC
Buncombe
My Commission
�
North Carolina
My Commission Carmen
April 25 2�O 2 6]
My Commissi6n Expires
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