NCC230554_FRO Submitted_20230302

131 W. Margaret Lane - Post Office Box 8181 00 e 0
Hillsborough, NC 27278
[phone]
h i t/'3,;V W W.
1. Name of Project: Buckhorn Business Center - Phase 2
Te 3k 0 (010 35 Mebane
2. Parcel Identification Number (PIN): J 'J" ; ;J �,�;�—® Planning Jurisdiction:
3. Size of Tract: 23.55 acres; Area Disturbed: 20.91 acres
4. Fees:
Erosion Control Plan Review
Required with Application �'� $ 5 $$ FOR OFFICE USE ONLY
and Disturbing Permit W IP ?-0 i ®$ Date Paid • t �2, Z Receipt # . "
V Optional with Initial Application t �,0 $ 13
Date Paid � •®i Z Receipt # o (9 6170
Stormwater Management Plan Review
Orange County Planning Jurisdiction Only Date Paid
Required with Applica $
19 9iq ` � ®otal $ 1 $
5. Approximate Date Land Disturbance Will Begin: October 1, 2022
6. Landowner(s) of Record: (Use additional pages if necessary and attach to application)
See attached
Name Name
Street Address
Current Mailing Address
City State zip
Telephone Fax
Email Address
QQ
t s.Pa`9�
P C C.
dz7-��
Street Address
Current Mailing Address
City
Telephone
Email Address
7l1'`C
Receipt #
State zip
Fax
Page 1

Future Landowners (if applicable): (Use additional pages if necessary and attach to application)
Company / Organization ' Company / Organization
Contact
Street Address
Current Mailing Address
City
Telephone
e-mail
Contact
Street Address
Current Mailing Address
Tta7te— Zip city
Telephone
e-mail
7. Person(s) or Firm(s) Financially Responsible for this Land Disturbing Activity:
Company / Organization:
Company / Organization:
AL Neyer LLC
Contact
Contact
Bob Brooks
Street Address
Street Address
4509 Creedmoor Rd., Suite 201
Current Mailing Address
Current Mailing Address
4509 Greedmoor Rd., Suite 201 NC 27912
City State Zip
City
Raleigh NC 27612
Telephone
Telephone
919.816.6227
e-mail
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
Street Address Telephone
Current Mailing Address Email
State Zip
State Zip
State Zip
Page 2

9. Project Description:
Industrial development north of West Ten Road in Mebane, NC to include new warehouse buildings, public road and utilities, parking and stormwater management.
Page 3

10. Plans Prepared By:
Stewart Tim Summerville
Name of Person or Firm Contact Person
101 West Main Street [e-mail]
Mailing Address Email
Durham NC 27701 919.866.4794
City State zip 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 while under oath.
T­'
Signamfe of Financially Responsible
'C-LJ -"A
Title or Authority
Type or Print Name Legibly
Date
a Notary Public of the County of
r j
41
hereby certify that personally 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.
Witness my hand and notarial seal, this -% Day of ur
Signature of Notary
HAYDEN PAULS
Notary Public, North Carolina
Wake County
My Commission Expires
February 15, 2027
My Commission Expires
Page 4

Property Owners
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HILL DONALD JR
HILL KAREN L
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GREENPOINTE LLC
71 2 U 1 C,,' R E E C, it C, F F.'-D
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P,,L.LEfGH
NC
Z-1 I 12
9834154904
A--Ti'VE
HILL KAREN L TRU STEE ETA L
RET14AFORD KRISTY L
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MEBANE
Nc
27
m
HILL KAREN L TRUSTEE ETA L
RETHAFORD KRI STY M
z �i'Z 1119, C RA IVI.7- OR D S
M, E 2,A IN
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9834G59397
AC71-VE
GREENPOINTE LLC
720 1 CRE ED' 00-P PD - L
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FALEIGr
N-C
27� 12
9,334151396
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HILL KAREN L TRUSTEE ETA L
RETHAFORD KRI STY L
MEBANE
NC
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