NCC240649_FRO Submitted_20240312

NC Department rF
Environmental Quality
Received
Check if this project is ARPA-funded
AP 2Q23
•
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM Winston-Salem
SEDIMENTATION POLLUTION CONTROL ACT
Regional Office
No person may initiate any land-disturbing activity on one or more acres as covered by the Act, including any
activity under a common plan of development of this size as covered by the NCG01 permit, 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 address or phone
number is unavailable, place N/A in the blank.)
Part A. - 7o- U\9
1. Project Name Kirkman Self Storage
*If this project involves American Rescue Plan Act (ARPA) funds, list the Project Name below
under which you applied for funding through the Division of Water Infrastructure (DWI).
2. Location of land-disturbing activity: County Stokes City or Township King
Newsome Rd 36.264 degrees)-80.373
LonItUde decimal Highway/Street Latitude(decimai degrees) g (
3. Approximate date land-disturbing activity will commence: 5/26/2023
4. Purpose of development(residential, commercial, industrial, institutional, etc.): Commercial
5. Total acreage disturbed or uncovered(including off-site borrow and waste areas): 5.00
6. Amount of fee enclosed: $ 500.00 . The application fee of$100.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: 8.10-acre application fee is $900).
Checks should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes❑ Enclosed 0 No ❑
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Nolan Kirkman E-mail Address [e-mail]
Phone: Office# Mobile# [phone]
9. Landowner(s)of Record (attach accompanied page to list additional owners):
Salem Dare Properties, LLC [phone]
Name Phone: Office# Mobile#
220 Ellis Crest Ln.
Current Mailing Address Current Street Address
Pilot Mountain NC 27041
City State Zip City State Zip
755
10. Deed Book No. Page No. 2012 Provide a copy of the most current deed.

Part B.
1. Company(ies)who are financially responsible for the land-disturbing activity(Provide a comprehensive list
of all responsible parties on accompanied page.)If the company is a sole proprietorship or if the landowner(s)is
an individual(s), the name(s)of the owner(s)may be listed as the financially responsible party(ies).
Salem Dare Properties, LLC [e-mail]
Company Name E-mail Address
220 Ellis Crest Ln.
Current Mailing Address Current Street Address
Pilot Mountain NC 27041
City State Zip City State Zip
Phone: Office# Mobile# [phone]
Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form
the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation
control plan and to conduct the anticipated land disturbing activity.
2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
Salem Dare Properties, LLC [e-mail]
Name of Registered Agent E-mail Address
220 Ellis Crest Ln.
Current Mailing Address Current Street Address
Pilot Mountain NC 27041
City State Zip City State Zip
Phone: Office# Mobile# [phone]
Christi Kirkman
Name of Individual to Contact(if Registered Agent is a company)
(b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina agent who is registered on the NC Secretary of State business registry:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Name of Individual to Contact(if Registered Agent is a company)

(c)If the Financially Responsible Party is engaging in business under an assumed name, give name under
which the company is Doing Business As. If the Financially Responsible Party is an individual, General
Partnership, or other company not registered and doing business under an assumed name,attach a copy
of the Certificate of Assumed Name.
Company DBA Name
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(s)
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 Party). I agree to provide
corrected information should there be any change in the information provided herein.
Christi Kirkman Owner Manager
Type or print name Title or Authority
710 4bsiobd 3
Si nature Date
I, M . plena Mq r$h a I l , a Notary Public of the County of Q AN` e
State of North Carolina, hereby certify that Chris 4-i Kirkrn an appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him/her.
Witness my hand and notarial seal, this as day of R?'(k� , 20 a�
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