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HomeMy WebLinkAboutNCC232599_FRO Submitted_20230828 WAKE COUNTY 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 Wake WAKECounty 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 CAROLINA 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 THE POINT-PHASES 11-13 2. Location of land-disturbing activity: Jurisdiction ROLESVILLE (Wake Co. or Municipality) Highway/Street EAST YOUNG STREET Latitude 35.908 Longitude -78.458 3. Approximate date land-disturbing activity will commence: JANUARY 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): 26.29 AC. 6. Person to contact should erosion and sediment control issues arise during land-disturbing activity: Name RAYMOND RINKER-ASHTON WOODS E-mail Address raymond.rinker@ashtonwoods.com Telephone (919)229-3238 Cell# Fax# 7. Landowner(s) of Record (attach accompanied page to list additional owners): ASHTON RALEIGH RESIDENTIAL LLC Name(s) Telephone Fax or E-mail address 900 Lake Boone Trail,suite 335 Current Mailing Address Current Street Address RALEIGH,NC 27609 City State Zip City State Zip 8. Deed Book No. 017720 Page No. 01663 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): Ashton Raleigh Residential LLC raymond.rinker@ashtonwoods.com Name E-mail Address 900 RIDGEFIELD DRIVE,SUITE 335 900 Ridgefield Drive, suite 335 Current Mailing Address Current Street Address RALEIGH,NC 27609 Raleigh NC 27609 City State Zip City State Zip Telephone (919)229-3238 Fax Number 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: Name E-mail Address Current Mailing Address Current Street Address City State Zip City State Zip Telephone Fax Number (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: Name of Registered Agent E-mail Address Current Mailing Address Current Street Address City State Zip City State Zip Telephone Fax Number 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. RAYMOND RINKER VP OF LAND DEVELOPMENT Type or print e Title or Authority 12/15/2022 Sign Date Mary Herold , a Notary Public of the County of Wake State of North Carolina, hereby certify that Raymond Rinker appeared personally before me this day and being duly sworn acknowledged that the above form was executed by him. Witness my hand and notarial seal, this 15 day of December 2022 MARY HILL HEROLD { 1 NOTARY PUBLIC Notary q M WAKE�kJNTY, N.C. My commission expires I' M 1114 y Commission Expires 9-24-2026.