NCC232491_FRO Submitted_20230830

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 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 and/
or fax information unavailable, place N/A in the blank.)
Part A. Beau's View, Phase 3
1. Project Name
2. Location of land-disturbing activity: County Alleghany City or Township Cherry Lane
Highway/Street Turnberry Drive Latitude 36.420 Longitude-80.994
3. Approximate date land-disturbing activity will commence:August 2021
4. Purpose of development(residential, commercial, industrial, institutional, etc.):residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 6•8 Acres
6. Amount of fee enclosed: $ 455 . The application fee of $65.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $585).
7. Has an erosion and sediment control plan been filed? Yes X No Enclosed Yes
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Barry Poole [e-mail]
E-mail Address g
Telephone Cell# 919-724-1957 Fax#
9. Landowner(s)of Record (attach accompanied page to list additional owners):
Olde Beau General Partnership
Name Telephone
PO Box 32 Fax Number
Current Mailing Address Current Street Address
Roaring Gap NC 28668
City State Zip City State
Zip
10. Deed Book No. 149 Page No.802 Provide a copy of the most current deed.
Part B.
1. Company(ies) or firm(s) who are financially responsible for the land-disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet.) If the company or firm is a sole proprietorship,
the name of the owner or manager may be listed as the financially responsible party.
NewCo LLC. [e-mail]
Name E-mail Address
PO Box 41 79 Olde Beau Blvd
Current Mailing Address Current Street Address
Sparta NC 28675 Roaring Gap NC 28668
City State Zip City State
919-724-1957 zip
Telephone Fax Number N�A