NCC240151_FRO Submitted_20240117

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.` BUNCOMBE FINANCIAL RESPONSIBILITY/
WIC. PLANNING & DEVELOPMENT OWNERSHIP FORM FOR AN
;0.r, (828)[e-mail] EROSION CONTROL PERMIT
www.buncombecounty.orglplanning
INSTRUCTIONS:All sections must be completed.Section E must be CASE NUMBER:
completed in the presence of a Notary Public.
.1. Nvislin2 l'ronertt Information
PIN(Numbers): 9635-81-3360;9634-89-2831;9634-89-8368 Project Name: Argent()on the Broad
Latitude: 35.481885 Longitude: -82.566233 Amount of fee enclosed:$
Project Location-Highway/Street:25,35,&53 Clayton Road;Thunderland Circle.North of Long Shoals Road
Proposed Use: o Single Family Residence 'Multi-Family o Vacation Rental o Commercial/Industrial/Other ❑Other
Proposed Disturbed Area(Include offsite borrow and waste areas): 7.0 acre(s)
B. Cunt.t.t Infnrntation—Pinauciath I I, Persists
Section 26-228(b)of the Buncombe County Soil Erosion and Sedimentation Control Ordinance: "Erosion control plans shall be
accompanied by a notarized statement of financial responsibility and ownership".This statement shall be signed by the person
financially responsible for the land disturbing activity or his attorney in fact.The undersigned states that he/she is the person
financially responsible for land disturbing activity described in this application and acknowledges receipt of a copy of the County of
Buncombe Soil Erosion and Sedimentation Control Ordinance and that he/she has thereby been advised of the requirements therein as
well as the penalties and resources available to the County in the event of violation of the Ordinance,including revocation of the Land
Disturbing Permit and all building permits issued in connection with the project covered by the application.
Name of Business: The Sterling Group Name of Applicant: Clint Patterson
Mailing Address: 3900 Edison Lakes Pkwy,Suite 201,Mishawaka,IN 46545
Street address: 3900 Edison Lakes Pkwy,Suite 201,Mishawaka,IN 46545
E-mail address: [e-mail]
Telephone: N/A Cell: [phone] Fax: [phone]
C. L:otdosviser(s)of Record
Name of Landowner(s)of Record: Biltmore Baptist Church;Biltmore Farms,LLC
Mailing Address: 35 Clayton Rd,Arden,NC 28704;P.O.Box 5355,Asheville,NC 28813
Recorded in Deed Book No: 2052;5050;1222 Page: 0602;1785;0645
I). Contact Information—North Carolina Agent (If.4/r/,licable)
Section 26-228(b)of the Buncombe County Soil Erosion and Sedimentation Control Ordinance:"If the person financially responsible
is not a resident of North Carolina,a North Carolina agent must be designated in the statement for the purpose of receiving notice of
compliance or non-compliance with the plan,the Act,this ordinance,or rules or orders adopted or issued pursuant to this ordinance."
The person noted below is the designated North Carolina agent and is duly authorized by the financially responsible person to accept
and convey correspondence regarding the aforementioned project.
Name of Agent: Gregory Hoffman,P.E.
Mailing Address: 168 Patton Avenue,Asheville,NC 28801
E-mail address: [e-mail]
Telephone: [phone] Cell: Fax: [phone]
Signature: Date: 44.11.
E. Certification
I,the undersigned,attest that I am the financially responsible party or an authorized representative with signatory authority for the
financially responsible party,responsible for the construction activities and maintenance of the site until ownership is completed for the
above referenced project.I acknowledge receipt of a copy of the County of Buncombe Soil Erosion and Sedimentation Control
Ordinance and have thereby been advised of the requirements therein as well as the penalties and resources available to the County in
the event of violation of the Ordinance.The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath.
Name: G ?r14k r,a rl Title: V.);rc e 4 or t(F blue
Signature: Date: /�S.2. ZO L
I, Breen L fl ,a Notary Public for the County of ''`a Ir_„ •Cn
•
‘1I111111,I,,State of h d GL.h.O\ ,hereby certify that CI i t''t4 Pqi4erso1'\• personally
�� ��P.........t, irtyledge and f eared before me this day and under oath acknowledged
that the above form was executed by him and is correct to the best of his
f.
�Q•��\Sg10N Fs9� 1tn4s's my hand and seal,this day of /' ,20 4�
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SSOTAR 1f�"UgM((�
_ n , SEAL,
� •• - Notary err
y o PUBLIC ,n;I r My Commission Expires �'3
ll ti t0 N N0•. rOFFICE Review Fee:$ Permit No.: Check No:
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NT Date Paid: Received by: Date Issued:
' .////it'll I l♦s The County of Buncombe does not discriminate on the basis of disability in the admission or access to,or treatment or employment in,
its programs or activities.Requests for appropriate auxiliary aids and services, when necessary to offer a person with a disability an
equal opportunity to participate in or enjoy the benefits of County services, programs, or activities, may be made by contacting
Buncombe County Erosion Control,[phone]. Buncombe County's TDD number is(828)250-4001.