NCC230016_FRO Submitted_20230104

WAKE COUNTY FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
WAKENo person may initiate any land -disturbing activity on one or more acres as covered by the Wake
County Unified Development Ordinance before this form and an acceptable erosion and
COUNTY sedimentation control plan have been completed and approved by Wake County Department of
NORTH CARDI INA Environmental Services, Water Quality Division. (Please type or print and, if the question is not
applicable, place N/A in the blank.)
Part A.
1. Project Name Wexford Reserve Ph2
2. Location of land -disturbing activity: Jurisdiction Wake County (Wake Co. or Municipality)
7304 WEXFORD WOODS LN 35.994561 78.548767
7817 AILESBURY RD & 7821 AILESBURY RD, 35.993571 & 35.993380 78.569046 & 78.549282
Highway/Street 8008 WEXFORD WATERS LN Latitude 35.995759 Longitude 78.549711
3. Approximate date land -disturbing activity will commence: 02/01/2023
4. Type of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off -site utilities and borrow/waste
areas): 2.56
6. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Robert Russotti E-mail Address [e-mail]
Telephone N/A Cell # 919-360-6099 Fax # N/A
7. Landowner(s) of Record (attach accompanied page to list additional owners):
Exeter Building Company LLC 919-358-0873 N/A
Name(s)
900 Ridgefield Drive
Current Mailing Address
Raleigh NC 27609
City
8. Deed Book No. 2022
State Zip
Page No.
Telephone Fax or E-mail address
900 Ridgefield Drive
Current Street Address
Raleigh NC 27609
City State Zip
1913 Provide a copy of the most current deed.
Part B.
1. Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet. Include requested information):
Exeter Building Company LLC [e-mail]
Name E-mail Address
900 Ridgefield Drive 900 Ridgefield Drive
Current Mailing Address Current Street Address
Raleigh NC 27609 Raleigh NC 27609
City State Zip City State Zip
Telephone [phone] Fax Number N/A

2. (a) If the Financially Responsible Party is not a resident of Wake County, identify a designated agent in
Wake County to receive any notice, process, pleading in any action or legal proceeding arising out of any
matter relating to the Wake County Erosion and Sedimentation Control Ordinance and/or Land
Disturbance Permit:
N/A
Name
N/A
Current Mailing Address
N/A
City
Telephone.
Inn
E-mail Address
N/A
Current Street Address
N/A
State Zip City State Zip
N/A
Fax Number N/A
(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:
N/A NIA
Name of Registered Agent
N/A
Current Mailing Address
N/A
City
Telephone.
N/A
E-mail Address
N/A
Current Street Address
N/A
State Zip City State Zip
Fax Number N/A
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.
John Finan Managing Member
Type or print name Title or Authority
11 /14/2022
Signat Date
---------------------------------------
Jeremy Gage a Notary Public of the County of Wake
State of North Carolina, hereby certify that John Finan appeared
personally before me this day and being duly sworn acknowledged that the above form was exec d by him.
Witness my hand and notarial seal, this 14 day of November_ 20 22
JEREMY GAGE
Notary Public - North Carolina Not
a
Wake County
My,$@emission Expires Apr 3, 2024
My commission expires 2