NCC233596_FRO Submitted_20231206

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.
1. Project Name ?-e vY1 S--S+Ask' Qt-k- -1/1 rvk t :21)(1d, (--()"1" I 6
2. Location of land-disturbing activity: County vp.m10..ciketYs, City or Township Li naen
Highway/Street VIZ C.T Latitude .3 E.:7-L4.7-(4, (C\ Longitude --9-15 •i,i3c0I-E--0
3. Approximate date land-disturbing activity will commence: V)A) 2-
4. Purpose of development(residential, commercial, industrial, institutional, etc.): PocSa6.ey\)-1 I
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): • 1/2.- Pk
6. Amount of fee enclosed: $ t . The application fee of$100.00 per acre
(rounded up to the next acre)is assessed without a ceiling amount(Example: 8.10 ac=$900.00).
7. Has an erosion and sediment control plan been filed? Yes No Enclosed J c
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
NamEc.,..) (s.pc."-k-Qeir E-mail Address -r--"-Pt.) aoveIcfrvti2r-r-1-06r c-61"
Telephone Cell# 9 ° Fax#
9. Landowner(s)of Record (attach accompanied page to list additional owners):
ve--( yre eNrer U.) L2)9 7 b /3
Name Telephone F;x Number
( "Cb 71 Rci 4e/
Current Mailing Addrdss Current Street Address
c- r)31/ L py-\
City State Zip City State Zip
10. Deed Book No. ck Page No. c 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 sof:proprietorship,
the name of the owner or manager may be listed as the financially responsible party.
C) (VW-Witt r7 k.,e- We r • •c__;0 re\
Name E-rnaH Address
Yri ST- `6 vnfr--7 Current
-
Current Mailing Address Current Street Address
ti f\ck)gr\ RC 23cC-4, Nc- c83
City State Zip City State Zip
Telepho' et t ( (0 7- Fax Number

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
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 ao individud
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 Responsibile Person). I agree to provide
corrected information should there be any change in the information provided herein.
Type print n e Title or Amthonty
t 1 e--2.;s-
•Sig at re Date
, crC a Hotry Pubiie of the County of
State of North Carolina, hereby certify that 5:0 n pv_4119‘,6 AC-CW-41_ _ appeared
personally before me this day and being duly sworn acknowledged that the abuse form was
executed by him.
Witness my hand and notarial seal, this ol) day o 0 Lit , 20 a 3
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Seal '1,11 s I Ai" I n Z.
11 2 °BOO My commission expires AR
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