NCC241469_FRO Submitted_20240514

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 Environment and Natural Resources. (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.
Pinnix Road Subdivision
1. Project Name
2. Location of land disturbing activity: County Alamance City or Township Burlington
Pinnix Road 36.1099 79.4129
Highway/Street Latitude Longitude
3. Approximate date land-disturbing activity will commence: Late Winter, Early Spring
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Residential
5 Total acreage disturbed or uncovered (including off-site borrow and waste areas): 9.2AC
6. Amount of fee enclosed: $ 650.00 . The application fee of $65.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $585).
7. Has an erosion and sediment control plan been filed? Yes No Enclosed X
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Roy Alley E-mail Address [e-mail]
Telephone N/A Cell# [phone] Fax# N/A
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Pinnix Road Dev LLC [phone] N/A
Name Telephone Fax Number
415 Pisgah Church Road #335 415 Pisgah Church Road #335
Current Mailing Address Current Street Address
Greensboro NC 27455 Greensboro NC 27455
City State Zip City State Zip
10. Deed Book No. 3933 Page No. 811 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):
Pinnix Road Dev LLC [e-mail]
Name E-mail Address
415 Pisgah Church Road #335 415 Pisgah Church Road #335
Current Mailing Address Current Street Address
Greensboro NC 27455 Greensboro NC 27455
City State Zip City State Zip
Telephone [phone] N/A
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 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.
Roy Alley
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Signature Date
I, tita CC(gexS , a Notary Public of the County of b.A.:1‘-czx7)
State of North Carolina, hereby certify that f(At1 ��LL appeared
personally before me this day and being my worn a owledged that the above form was
executed by him.
Witness my hand and notarial seal, this 22 day of Nalosn'llou{ , 20 7 1
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Seal
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