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Home My WebLink AboutNCC241199_FRO Submitted_20240418 ICWI WAKE COUNTY FINANCIAL RESPONSIBILITY/OWNERSHIP FORM SEDIMENTATION POLLUTION CONTROL ACT WAKENo person may initiate any land-disturbing activity on one or more acres as covered by the Wake County Unified Development Ordinance before this form and an acceptable erosion and COUNTY sedimentation control plan have been completed and approved by Wake County Department of N�1{l7H fAli��l IN:\ Environmental Services, Water Quality Division. (Please type or print and, if the question is not applicable, place N/A in the blank.) Part A. 1. Project Name HOLLYBROOK - PHASE 3 - LOTS 129-178 2. Location of land-disturbingactivity: Jurisdiction WENDELL (Wake Co. or Municipality) NEMESIA DRIVE 3576343 -78.76343 . Highway/Street HOLLYBLUFF DRIVE Latitude Longitude MATTHIOLA DRIVE 5/20/2024 3. Approximate date land-disturbing activity will commence: 4. Type of development(residential, commercial, industrial, institutional, etc.): RESIDENTIAL 5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste areas): 9.12 ACRES 6. Person to contact should erosion and sediment control issues arise during land-disturbing activity: Name JORDAN RILEY E-mail Addressjriley@nvrinc.com Telephone 803-873-0961 Cell# Fax# 7. Landowner(s) of Record (attach accompanied page to list additional owners): SMITH EDWARDS, LLC. 919-987-1930 Name(s) Telephone Fax or E-mail address 2505 WENDELL RD 2505 WENDELL RD Current Mailing Address Current Street Address WENDELL NC 27591 WENDELL NC 27591 City State Zip City State Zip 8. Deed Book No. 012538 Page No. 01623-01625 Provide a copy of the most current deed. Part B. 1. Person(s) or firm(s) who are financially responsible for the land-disturbing activity (Provide a comprehensive list of all responsible parties on an attached sheet. Include requested information): NVR, INC. brijohn@nvrinc.com Name E-mail Address 11700 PLAZA AMERICA DRIVE 11700 PLAZA AMERICA DRIVE Current Mailing Address Current Street Address RESTON VA 20190-4792 RESTON VA 20190-4792 City State Zip City State Zip Telephone 919-987-1930 Fax Number 2. (a) If the Financially Responsible Party is not a resident of Wake County, identify a designated agent in Wake County to receive any notice, process, pleading in any action or legal proceeding arising out of any matter relating to the Wake County Erosion and Sedimentation Control Ordinance and/or Land Disturbance Permit: NVR, INC brijohns@nvrinc.com Name E-mail Address 5734 TRINITY ROAD SUITE #200 5734 TRINITY ROAD SUITE #200 Current Mailing Address Current Street Address RALEIGH NC 27607 RALEIGH NC 27607 City State Zip City State Zip Telephone 919-987-1930 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: JOE SCHMIDTKE jschmidt@nvrinc.com/ brijohns@nvrinc.com Name of Registered Agent E-mail Address 5734 TRINITY RD, STE 200 5734 TRINITY RD, STE 200 Current Mailing Address Current Street Address RALEIGH NC 27607 RALEIGH NC 27608 City State Zip City State Zip Telephone 919-647-7972 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 an individual 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 Person). I agree to provide corrected information should there be any change in the information provided herein. ( k)t� Ecru 6-k-V • Type o rint name Title or Authority Signat e Dat3 Il} I. c� 0�I\ j c:I�IrlJ Grt' �+h, a Notary Public of the County of Y N. <•�1 I\� certify doe /t 1 ri I d`� k�� appeared State of North Carolina, herebythat pp personally before me this day and being duly sworn acknowledged that the above form was executed by him. Witness my hand and notarial seal, this I Ci day of I p v/G (-L41'\ , 20 ?4 3„,,w,,,y,?..„). ,)(IL- ChlrUL L _ 1 �4..b� ".3:0 h's, Notary , AR y 's s My commission expires s • + _ s1 1 / • - R 1 V , - PUg\\ p / s' ''b.41'ulul lllll INCUMBENCY CERTIFICATE NVR,INC. The undersigned hereby certifies that she is Assistant Secretary of NVR,Inc.,a corporation organised and existing under the laws of the Commonwealth of Virginia,and that: The following serve as officers appointed by the Board of Directors of NVR,Inc. as of the date of this certification: Paul C. Saville Chief Executive Officer and President Eugene J.Bredow President Financial Services Daniel D.Malzahn Senior Vice President, Chief Financial Officer and Treasurer Gary F.Brown Senior Vice President of Human Resources T.Kent LaMotta Senior Vice President,Chief Operating Officer Jason Schlosser Senior Vice President of Marketing Matthew Kelpy Vice President,Chief Accounting Officer and Controller James M.Sack Vice President,General Counsel and Secretary Appointed Senior Vice Presidents John E.Harper Brian Moyer Keith W. Tomlinson Brett Hetrick Keith Neiman Kirk Kubista Paul Praylo Appointed Vice Presidents 4' See peg+ Page Jeffrey C.Ambrose Scott Eckley Scott Kalman Ryan Arnold Anne Emison William Kane Matthew T.Amoldy Scott Faber Thomas King IV G. Louis Baker,HE Jesse Faisant Greg Knapp James Bales,Jr. Tiffany Ferri Michael Kohowski Joseph Battaglia James R.Forsyth Michael Kotowski Ryan Borleis ; Seth Foster Robert E.Lattanzi Brian Bowe Stephen Gallo Joshua Lemoi David Branch Nick J. Gargasz Kris Lightcap Jason Brant Chris M. Gamer Jon Long Kelly Brod Richard S. Goldberg Ryan C. MacCauley Seth Brohawn David Greminger Mark Maier Katherine Burke Robert Grothmann Misty Mashburn Jon Cherry Charles Hart John McConnell Michael Ciabattoni John Hedden Robert W.McCracken Sean Clancy Douglass Hensel Lisa McCulley Kevin Connery Jonathan Hess Patrick McGivem Michael Scott Daniel Todd Hickman Matthew McHale Desiree Davis David Hilton Curtis McKay David Deal Nathan T.Holston Patrick McNeally Tom Delaney Brian Huewe Jason McNee Eugene DiMenna Gregory James Dan Meador Patrick Donahue Henry Johnsen Brad Messenger James Duszynski Ryan Johnson Peter A. Mielnik Thomas Eckhoff Douglas Jones Jon Moats Appointed Vice Presidents(cont) Paul Mock Stephen Power Gregory Staufer John Monacci Christian Riesch Steven Stauffer Marty Moore Peter Robertson Kevin Summerville Joshua Mowrey Matthew W.Rost Michael Urian Danielle Mullins Evan Ruggiero Justin Valdez Stephen Neuberger Michael Schaeffer Aaron VanDyke Richard Ohmann Joseph Schmidtke Nicholas Wade Ronald C. Orie,Jr. Patrick Schulz David J. Whitaker Josh Pardue Thomas C. Sear Benjamin A. Wilson Giles P. Patterson Brett Sechler Courtney Wilt Christopher Pearson Eric Shirey Matthew Winkler David Peterson Tim Sievers Paul Wishnok S. Scott Pjesky Dylan Sinclair Nadia Wong Sang Catherine Pollack David H. Smithgall Aaron York Cameron Powell Appointed Assistant Vice Presidents Justin Brod Rick Coscia Mark Madigan David F.Bruckner Eva Melissa Daniels John McAfee Brett Cameron Thomas Frazier III Jerry Smith Jimmy Shawn Colvin Appointed Assistant Secretaries Denise Amspacher Brittany Fraser Dayna Mitchell Dana Andrews Melissa Gallagher Stephanie Moore • Barbara Bailey Jessica Geisler Trina Morgan Kelani Bailey Alexandra Gil Deborah Mueller Lisa Baldwin Jessica Gonzalez-Vega Victoria A.Nelson Lisa Berman Sally Claire Griffith Ellen Ormsby Emily Bianca Katelyn Hertenstein Nancy Patti Brittany Binnie Drusilla Holm Jennifer Pfister Robert J.Busch Diane Holt Sherry Rehage Carol Caramanico Matthew A.Horsley Lynette Reilly Kathleen Lilly Cleary Wendy Hughes Nicole Richardson Annemarie Cousino Belinda Jarrell Greg D. Sarver Lauren Crab Kimberly S.Kearns Elizabeth Selvage Julie Davis Gina Kerstetter Danielle Shelton Lisa Day Julie Koch Jeremie Smith Samantha Dionne Jennifer Kuse Teresa Taylor-Johnson Amy Dolbow Suzanne B.Lemley Aimee Telegraphis Karen Dombrauskas Dennis W.Littell Laura Thornton Sara Dunn Lori Martin Rebecca Weiss Hilda Duran Stephanie D.McCraw Patricia Wieman Karen Eichinger Angela Mejias Deborah J.Wisniewski Christina Engel Jill E.Meyer Minnie Woodley Lora Enwright Patricia English Mirabelli Kelly Wroten Melissa Evans IN WITNESS WHEREOF,I have signed this Incumbency Certificate and affixed the seal of the Corporation as of March 21,2022. A, 9LiQ Alexandra Gil Assistant Secretary Business Corporation Legal Name NVR,INC. Information Sosid:0463461 Status:Current-Active 0 Date Formed:7/1/1998 Citizenship: Foreign State of Incorporation:VA Fiscal Month: December Annual Report Due Date:April 15th Annual Report Status:Current Registered Agent: brporation Service Compa0Y Addresses Mailing 11700 Plaza America Dr#500 Attn:Tax Dept Reston, VA 20190-4792 Principal Office 11700 Plaza America Dr 1t500 Attn:Tax Dept Reston, VA 20190-4792 Reg Office 2626 Glenwood Ave Ste 550 Raleigh, NC 27608 Reg Malting 2626 Glenwood Ave Ste 550 Raleigh, NC 27608 All Notice of Violations,Tax notices,and all other communications from the State or local agency can be sent to NVR, INCs registered agent(Corporate Service Company). NVR, INCs account with Corporate Service Company is under the Sack Law Firm P.C.which is NVR, INCs designated Law firm. All correspondence sent to Corporate Service Company will be shared with NVR, INC. and any Notice of Violations will be addressed as soon as possible.