NCC233393_FRO Submitted_20231115

6HOLLY CIVIL CONSTRUCTION
,, SPRINGS DRAWING APPLICATION
N ... North Carolina
Submittal Requirements
All items listed are required for a complete submittal. Incomplete submittals will be rejected and
delay the process.
Beginning the week of April 3, 2023, all applications submitted by NOON on Friday will be routed
the following week for review:
Submit the following items via the Portal (Construction & UDO Permits -> Apply for a Permit):
• Complete Application
• One complete, combined set of PDF Civil Construction Drawings
• Calculations and Reports as needed
• Action Notice from Preliminary Plan Review
• Environmental Agency Documentation (NCDEQ 401/USACE 404 Permitting Status)
• Copies of USGS and Wake County Soil Survey stream information for the project location.
Once your submittal is deemed complete and accepted, staff will send you a confirmation and
advise that submittal fees (if applicable) are available for payment in the Portal.
Visit our website for a current fee schedule:
https://www.hollyspringsnc.us/335/Forms-Review-Schedules-Fee-Sheet
For questions about your submittal, please reach out to [e-mail]
This application is for Construction Drawing Plan Approval, Erosion & Sedimentation Control Plan
Approval, NPDES Stormwater Review, Land Disturbance Permit Issuance and Statement of
Ownership and Financial Responsibility. Check all that apply:
[] Construction Drawing Plan Review El Erosion & Sedimentation Control Plan Review
I] NPDES Stormwater Review
PROJECT INFORMATION
Project Name Regency Subdivision Phase 3
Total LF Streets 4,048 LF
Disturbed Acres 34.60 AC-1.35 AC(Phase 1)=33.25 AC
LF of Sidewalk 8,466 LF LF Sewer Line
LF of Water Line LF Stormwater
# SCMs < 5AC # SCMs > 5AC
Latitude Longitude
FEMA/FIRM Map # Panel #
Effective Date: _ PIN #
Total Post Development Impervious Surface(FT2):
Approximate Date Land Disturbance will begin:
Description of Construction or Land Disturbance:
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,p HOLLY CIVIL CONSTRUCTION
SPRINGS DRAWING APPLICATION
North Carolina
CONTACT INFORMATION (Attach additional sheets if needed)
Applicant and Financially Responsible Party will need to register for an account on the Portal
Landowner(s) of Record
Name: Toll Southeast LP Company,Inc. Company: Toll Southeast LP Company, Inc.
Mailing Address: 1140 Virginia Drive
City, State, Zip: Fort Washington,PA 19034-3204
Mobile Phone: [phone] E-Mail: [e-mail]
Landowner(s) of Record
Name: Company:
Mailing Address:
City, State, Zip:
Mobile Phone: E-Mail:
FUTURE Landowner(s) if applicable
Name: Company:
Mailing Address:
City, State, Zip:
Mobile Phone: E-Mail:
FUTURE Landowner(s) if applicable
• If Landowner will be different at time of plan approval, provide documentation that the FRP has
permission to apply on their behalf.
Name: Toll Southeast LP Company,Inc. Company: Toll Southeast LP Company,Inc.
Mailing Address: 1140 Virginia Drive
City, State, Zip: Fort Washington,PA 19034-3204
Mobile Phone: [phone] E-Mail:[e-mail]
Book & Page where Deed or Instrument is Filed in Wake County:
Location Description: South side of Holly Springs New Hill Road,west of the intersection with Cedar Wren Lane.
Parcel Identification Number (PIN): 0639-21-8028
Tax Map, Block and Lot Number: N/A
Book: 018556 Page: 00422 ; Book: Page:
Person or Firm Financially Responsible for Land-Disturbing Activity
Name: James Woofter Company:Toll Southeast LP Company,Inc.
Mailing Address: Toll Southeast LP Company,Inc.
City, State, Zip: Fort Washington,PA 19034-3204
Mobile Phone: [phone] E-Mail: [e-mail]
Registered Agent for Person or Firm Financially Responsible for Land-Disturbing Activity
Name: Company:
Mailing Address:
City, State, Zip:
Mobile Phone: E-Mail:
Plans Prepared By:
Name:Jeremy Finch,PE Company: McAdams Company
Mailing Address: 2905 Meridian Parkway
City, State, Zip: Durham,NC 27713
Mobile Phone: [phone] E-Mail: [e-mail]
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� HOLLY CIVIL CONSTRUCTION
1 SPRINGS DRAWING APPLICATION
\*.ftuaggp North Carolina
____99
CERTIFICATE OF COMPLETION
The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath. (This form must be signed by the Financially Responsible
Person if an individual(s) or their 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.
Signature of Financially Responsible Party: 74
42 G(>- //n
Print Name: James Woofter ,..
Title: Vice President of Land Development Date: 10/23/23
I, 3Gt4/02-f* er a.-r , a Notary Public of the County of cIt s(5f
State of North Carolina, hereby certify that eS J OO 2P'y
appeared personally before me this day and being duly sworn acknowledged that the
above form was executed by them.
Signature of Notary Public: ,( h /777/(--- /L-g--4._
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Print Name: \land-R. 6 ch_e
My Commission Expires: ic)--Vc:)-7 ,
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Page 3 of 3