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NCC231701_FRO Submitted_20230602
DURHAM JCN COUNTY Durham City/County (Office Use Only) ir Sedimentation and Erosion Control FINANCIAL RESPONSIBILITY/OWNERSHIP FORM WITH LANDOWNER CONSENT FORM No person may initiate any land-disturbing activity covered by the Durham City-County Unified Development Ordinance before a Land Disturbing Permit is issued by the Sedimentation and Erosion Control Office. Issuance of a Land Disturbing Permit does not relieve the permittee of the obligation to obtain any other licenses, permits and approvals as may be required by Federal, State, County or Municipal governments. This office must be notified in writing of any change to the information on this form. PLEASE TYPE OR PRINT 1. Project name: Stella View 2. Road location of land-disturbing activity: 1011 Sherron Road Tax Map-Block-Parcel: PIN: 3. Square footage of land to be disturbed or uncovered: 2,071,609 4. List below the landowner of record. Each landowner must complete Item 8. (If there are multiple owners,please list on a separate page): Name Address City State Zip Telephone Fax Email 5. List the person or entity financially responsible for this land-disturbing activity: The financially responsible party shall be (1) the developer or other person who has or holds themselves as having financial or operational control over the land- disturbing activity and/or(2)the land owner or person in possession or control of the land when they have directly or indirectly allowed the land-disturbing activity or have benefited from it and(3)the named party on the Land Disturbing Permit. Lennar Carolinas, LLC Name 1100 Perimeter Park Drive Suite 112 Street Address Morrisville NC 27560 City State Zip 919-465-5900 robert.smart©lennar.com Telephone Fax Email The Sedimentation and Pollution Control Act(Act)and the Durham City-County Unified Development Ordinance(Ordinance) includes,but is not limited to,the following legal obligations of the financially responsible party: • Maintain a set of approved sedimentation and erosion control plans, if required,on site. • Display permit on site. • Understand and implement any required plan, including the construction sequence and details. • Inspect,maintain and repair sedimentation and erosion control measures, especially after rainfall events. • Refer to Section 12.10.4B of the Durham City/County UDO for groundcover time line requirements. • Plan and conduct all land-disturbing activity so as to prevent off-site sedimentation. 120 E.Parrish Street,Law Bldg., 1st Floor,Durham,N.C.27701 • (919)560-0735• Fax(919)560-0740 www.dconc.gov/index.aspx?page=180 6. For business applicants,list below the North Carolina registered agent for the financially responsible entity: Robert Smart Name 1100 Perimeter Park Drive Suite 112 Street Address Morrisville NC 27560 City State Zip 919-465-5900 robert.smart@lennar.com Telephone Fax Email 7. The above information is true and correct to the best of my knowledge and belief and was provided by me while under oath. I understand that the person or entity listed on Line 5 above will be: (1) the owner of the Land Disturbing Permit when issued; (2)responsible for ensuring compliance with the Act and Ordinance; and, (3)will be the only person or entity with standing to appeal any action taken or decision made by the Sedimentation and Erosion Control Office. • C '2023 Robert Smart Date Type or Print Name 919-465-5900 Vice President Telephone Fax Title A r. robert.smart@lennar.com Email Signature *********************************************************************************************************************************** Business Applicant(Provide corporate resolution on signatory authority) I, Chi) h n.e 1c/L ch ,a Notary Public of the County of kiet- -e. State of jQ( Carob'0 . ,hereby certify that l,o bu-I- Lc r Et✓' personally came before me this day and acknowledged that he is �C,e_ Prt.<S,eli44 of lin ncv Carol'r►s LAC and acknowledged,on behalf of L-fn 0Gtr Ca 0i 1 n j 1_LC1 ,the due execution of the foregoing instrument. Witness my hand and official seal,this � day of RIOt 20 23 Weicu I Notary Public My commission expires /(1/ L� � CHRISTINE WELCH .l NOTARY PUBLIC ************************************************************************************** 1*************YPaICri'l'iE/mity************* * North Carolina My Commission Expires February 16,2028 Individual Applicant „ic _,. ��.,,,v��,,�_,.,r,,✓��.ii�.�i�i I, ,a Notary Public of the County of State of ,hereby certify that personally appeared before me this date and under oath acknowledged that the above form was executed by them. Witness my hand and official seal,this day of ,20 Notary Public My commission expires 20 LAND DISTURBING PERMITS ARE NON-TRANSFERABLE Provide a Notarized Item 8 for each landowner listed in Item 4. 8. Land Owner Consent. As a landowner,I provide my consent for land-disturbing activities to occur on the property listed in Item 2 by the person or entity listed in Item 5. Date Type or Print Name Telephone Fax Title or Authority Email Signature *********************************************************************************************************************************** Business Landowner(Provide corporate resolution on signatory authority) I, ,a Notary Public of the County of State of ,hereby certify that personally came before me this day and acknowledged that he is of and acknowledged,on behalf of ,the due execution of the foregoing instrument. Witness my hand and official seal,this day of ,20 Notary Public My commission expires ,20 ********************************************************************************************************************************* Individual Landowner I, ,a Notary Public of the County of State of ,hereby certify that personally appeared before me this date and under oath acknowledged that the above form was executed by them. Witness my hand and official seal,this day of ,20 Notary Public My commission expires 20 SE-03 Rev.10/13