NCC231158_FRO Submitted_20230510

Check if this project is ARPA-funded ❑
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, including any
activity under a common plan of development of this size as covered by the NCG01 permit, 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. Project Name Appalachian State University Holmes Parking Deck
*If this project involves American Rescue Plan Act (ARPA) funds, list the Project Name below
under which you applied for funding through the Division of Water Infrastructure (DWI).
2. Location of land-disturbing activity: County Watauga City or Township Boone
Highway/Street Holmes Dr Latitude(decimal degrees) 36.2101 Longitude(decimal degrees) -81.6767
3. Approximate date land-disturbing activity will commence: June 1, 2023
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Institutional
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 1.92 acres
6. Amount of fee enclosed: $ 200 . 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.
7. Has an erosion and sediment control plan been filed? Yes ❑ Enclosed IX No ❑
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Mark Nuessmeier E-mail Address [e-mail]
Phone: Office# [phone] Mobile#
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Appalachian State University [phone] N/A
Name Phone: Office# Mobile#
PO Box 32050 438 Academy Street
Current Mailing Address Current Street Address
Boone NC 28608 Boone NC 28608
City State Zip City State Zip
10. Deed Book No. 54 Page No. 376 Provide a copy of the most current deed.
00 000 (DB and PG number not listed on deed or GIS)

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 or if the landowner(s)is
an individual(s), the name(s)of the owner(s)may be listed as the financially responsible party(ies).
Appalachian State University [e-mail]
Company Name E-mail Address
PO Box 32050 438 Academy Street
Current Mailing Address Current Street Address
Boone NC 28608 Boone NC 28608
City State Zip City State Zip
828 262-4961 N/A
Phone: Office# � ) Mobile#
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:
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)
(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 Agent(if RegisteredA g t 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.
Jeff Pierce Director, Planning Design & Construction
Type or Et name Title or Authority
c�9 Mips- 23
Sig a Date
I, c , rAxiOal , a Notary Public of the County of VVrr 4-a I Ol
State of North Carolina, hereby certify that '1'24" r leAYGQ_, appeared personally
before me this day and being duly sworn acknowledgedg that the above form was executed by him/her.
Witness my hand and notarial seal, this t�1 day of VIA4t4f cAe'► , 20 2-3
o S - oo(Ad
Lane S Moody Nota
yNotary Public
r uga
My Commission ExpiresresAug.7,2023 A County, My con r iission expires / 7 Z02-3
q

Continued from Items 9 & 10 in Part A of the Financial Responsibility/Ownership Form for multiple
owners. Attach copies of this page as needed to list all landowners.
Landowner 2 of Record:
Board of Trustees of the Endowment Fund of Appalachian State University [phone] N/A
Name Phone: Office# Mobile#
ASU Box 32002 438 Academy St
Current Mailing Address Current Street Address
Boone NC 28608 Boone NC 28608
City State Zip City State Zip
Deed Book No. 425 Page No. 656
g Provide a copy of the most current deed.
621 319
1329 180
Landowner 3 of Record:
State of North Carolina [phone] N/A
Name Phone: Office# Mobile#
1321 Mail Service Center 116 West Jones Street, Room 4055
Current Mailing Address Current Street Address
Raleigh NC 27699 Raleigh NC 27603
City State Zip City State Zip
Deed Book No. 373 Page No. 140 Provide a copy of the most current deed.
377 28
Landowner 4 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 5 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.

Continued from Item 1 in Part B of the Financial Responsibility/Ownership Form for multiple parties.
Attach copies of this page as needed to list all financially responsible parties.
Company 2 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 3 Name E-mail Address
-- Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 4 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 5 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#