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HomeMy WebLinkAboutNCC241762_FRO Submitted_20240609 FINANCIAL RESPONSIBILITY/OWNERSHIP FORM SEDIMENTATION POLLUTION CONTROL ACT EXPRESS PERMITTING OPTION 08012007 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 Aria at Idlewild 2. Location of land-disturbing activity: County Union City or Township Stallings Highway/Street 14812 Boyd Funderburk Drive Latitude 35.120809 Longitude-80.655684 3. Approximate date land-disturbing activity will commence:June 2021 4. Purpose of development(residential, commercial, industrial, institutional, etc.): Residential 5. Total acreage disturbed or uncovered (including off-site borrow and waste areas):20 6. Amount of fee enclosed: $3300 . The Express Permitting application fee is a dual charge. The normal fee of $65.00 per acre is assessed without a ceiling amount. In addition, the Express Permitting supplement is $250.00 per acre up to eight acres, after which the Express Permitting supplemental fee is a fixed $2,000.00 (Example: 9 acres total is $2,585). NOTE: Both fees are rounded up to the next whole acre and need to be paid by separate checks to NCDENR. 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 Brian Miller E-mail Address bmiller@bohlereng.com Telephone 980-272-3400 Cell# 919-357-5989 Fax# 9. Landowner(s) of Record (attach accompanied page to list additional owners): Idlewild Apartments LLC $O3- 1 - V- Sy613 ( o3) 33► - q 9 q Name Telephone Fax Number 3368 Lake Wylie Dr 14812 Boyd Funderburk Drive Current Mailing Address Current Street Address Rock Hill SC 29732 Matthews NC 28104 City State Zip City State Zip 10. Deed Book No.7770 Page No.0762 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 sole proprietorship, the name of the owner or manager may be listed as the financially responsible party. !c..,-} .13 p r-ye_14s u_cgutrusingh@gmail.com Name E-mail Address 3 0 c1 Pv s-4' 04 t 1 cc,D r tn\ (3-V-T tJG ® (A1M \ Current Mailing Address Current Street Address • irwiLNC 2 City State Zip � City State Zip Ts,-H„v„€ 0 �-�Z.- 5L1L9) Fax Number(e03 \ 433‘ - Ck q Ct 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: • e9� S NN O S c)rA t�hi+.� Sam to t4t*) sc1l�travAk . coo-, Name of R tered Agent E-mail Address 3o % ?® Fri et- br Current Mailing Address Current Street Address I o 141 r) $ Tr aq I t� N�. 2 C)1 l e City ( State Zip City State Zip Telephone\1 0`) (, ( - 0 U 3 3 Fax Number<, CVA) (o s '4 -GO 3 5" (c) In order to facilitate Express Permitting, it is necessary to be able to contact the Engineer or other consultant who can assist in providing any necessary information regarding the plan and its preparation: Bohler Engineering NC, PLLC bmiller@bohlereng.com Engineering Firm or other consultant E-mail Address Brian Miller 980-272-3400 Individual contact person (type or print) 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. • Or\t‘<e., S co V N M Flr .$ 0.9 t N S ni 6c Type or print name Title or Authority Mrs I I � 7--0 �1 Signature Date , a Notary Public of the County of State of North Carolina, hereby certify that appeared 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 �--1 day of J 3YI(J C I) , 20 3 1 :.�. Notary . . L Seal= My commission expires 1 -•c a0ag 4 ,c . , aIRS ..,.‘v Hel. A..1 for New EIN Exit EIN Assistant • Your Progress: • 1. Identity'/ • 2.Authenticate I • 3.Addresses" • 4.Details • 5. EIN Confirmation Congratulations! The EIN has been successfully assigned. EIN Assigned: 85-1678895 Legal Name: IDLEWILD APARTMENTS LLC The confirmation letter will be mailed to the applicant. This letter will be the applicant's official IRS notice and will contain important information regarding the EIN.Allow up to 4 weeks for the letter to arrive by mail. We strongly recommend you print this page for your records. Click"Continue"to get additional information about using the new EIN. fa IRv EIN Assistant Your Progress; 1.Idhntity • 2,Authenticate • 3,Arid,- sna 4.Detaitc. 5.EIN Confirmation Summary of your information Help Topics Please review the information you are about to submit.If any of the information below is incorrect,you will need to start a new application. L.N. What is Form 1128? Click the"Submit"button at the bottom of the page to receive your EIN. Organization Type:LLC LLC Information Legal name: IDLEWILD APARTMENTS LLC County: UNION State/Territory: NC Start date: JUNE 2020 Closing month of accounting year: DECEMBER{The closing month of the accounting year is defaulted to December due to your organization type.To change your closing month of accounting year,complete Form 1128.) State/Territory where articles of organization NC are(or will be)filed: Addresses Physical Location: 309 POST OFFICE DR INDIAN TRAIL NC 28079 Phone Number: 704-684.0034 TPD Name: WESLEY S HINSON TPD Address: 403 GILEAD RD STE J HUNTERSVILLE NC 28078 TPD Phone Number: 704-2745578 Responsible Party Name: MICHEL SCOTT MBR SSN/ITIN: XXX-XX.4417 Principal Business Activity What your business/organization does: OTHER Principal products/services: REAL ESTATE HOLDING MANAGEMENT AND INVESTMENT Additional LLC Information Owns a 55,000 pounds or greater highway motor vehicle: NO Involves gambling/wagering: NO Involves alcohol,tobacco or firearms: NO Files Form 720{Quarterly Federal Excise Tax Return): NO Has employees who receive Forms W-2: NO Reason for Applying: STARTED A NEW BUSINESS We strongly recommend you print this summary page for your records as this will be your only copy of the application.You will not be able to return to this page after you click the"Submit" button. Click"Submit"to send your request and receive your EIN. Submit Once you submit, please wait while your application is being processed.It can take up to two minutes for your application to be processed. ' AR ° , NORTH CAROLINA ' �5, ram, 4� J'' Department of the Secretary of State To all whom these presents shall come, Greetings: I, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby certify the following and hereto attached to be a true copy of ARTICLES OF ORGANIZATION OF IDLEWILD APARTMENTS, LLC the original of which was filed in this office on the 29th day of June, 2020. F` o p' T'!?�1ij,c, El •r IN WITNESS WHEREOF, I have hereunto set my f,�o` 'AA +� �, -. 'F hand and affixed my official seal at the City of 0IthP •a. Raleigh this 29th day of June 2020� Scan to verify online. w � Certification#C202018101353-1 Reference#C202018101353-1 Page: 1 of 3 Secretary of State Verify this certificate online at https://www.sosnc.gov/verification SOSID: 2003271 Date Filed: 6/29/2020 3:52:00 PM Elaine F.Marshall State of North Carolina North Carolina Secretary of State Department of the Secretary of State C2020 181 01353 Limited Liability Company ARTICLES OF ORGANIZATION Pursuant to §57D-2-20 of the General Statutes of North Carolina,the undersigned does hereby submit these Articles of Organization for the purpose of forming a limited liability company. . The name of the limited liability company is: Idlewild Apartments, LLC (See Item 1 of the Instructions for appropriate entity designation) 2. The name and address of each person executing these articles of organization is as follows: (State whether each person is executing these articles of organization in the capacity of a member,organizer or both by checking all applicable boxes.)Note: This document must be signed by all persons listed. Name Business Address Capacity Wesley S. Hinson 309 Post Office Drive,Indian Trail,NC 28079 EMember*Organizer EMember('Organizer OMember*Organizer 3. The name of the initial registered agent is: Wesley S. Hinson 4. The street address and county of the initial registered agent office of the limited liability company is: Number and Street 309 Post Office Drive City Indian Trail State:NC Zip Code: 28079 County: Union 5. The mailing address, if different from the street address, of the initial registered agent office is: Number and Street City State: NC Zip Code: County: 6. Principal office information: (Select either a or b.) a. X The limited liability company has a principal office. The principal office telephone number: (704) 684-0034 The street address and county of the principal office of the limited liability company is: Number and Street: 309 Post Office Drive City: Indian Trail State: NC Zip Code: 28079 County: Union BUSINESS REGISTRATION DIVISION P.O. BOX 29622 Raleigh,NC 27626-0622 (Revised August. 2017) Form L-01 C'nrtifirotinntt C 111701R1011G2-1 RPfornnrnfL C'111 111R1012G'1-P€rru• 7 of 1 The mailing address, d ess,if different from the street address, of the principal office of the company is: Number and Street: City: State: Zip Code: County: b. The limited liability company does not have a principal office. 7. Any other provisions which the limited liability company elects to include(e.g.,the purpose of the entity)are attached. 8. (Optional): Listing of Company Officials (See instructions on the importance of listing the company officials in the creation document. Name Title Business Address 9. (Optional): Please provide a business e-mail address: The Secretary of State's Office will e-mail the business automatically at the address provided above at no cost when a document is filed. The e-mail provided will not be viewable on the website. For more information on why this service is offered,please see the instructions for this document. 10. These articles will be effective upon filing,unless a future date is specified: This is the 29th day of June ,2020 ignature Wesley S.Hinson,Organizer Type or Print Name and Title The below space to be used if more than one organizer or member is listed in Item#2 above. Signature Signature Type and Print Name and Title Type and Print Name and Title NOTE: 1. Filing fee is$125. This document must be filed with the Secretary of State. BUSINESS REGISTRATION DIVISION P.O.BOX 29622 Raleigh,NC 27626-0622 (Revised August. 2017) Form L-01 rartifioatinnff (`/0'01R1011G2-1 Rafaranraif f lMO1R1(11 c1-Pane• 2 inf.'2 FINANCIAL RESPONSIBILITY/OWNERSHIP FORM SEDIMENTATION POLLUTION CONTROL ACT EXPRESS PERMITTING OPTION 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 2. Location of land-disturbing activity: County City or Township Highway/Street Latitude Longitude 3. Approximate date land-disturbing activity will commence: 4. Purpose of development(residential, commercial, industrial, institutional, etc.): 5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 6. Amount of fee enclosed: $ . The Express Permitting application fee is a dual charge. The normal fee of$65.00 per acre (rounded up to the next acre) is assessed without a ceiling amount. In addition, the Express Permitting supplement is $250.00 per acre up to eight acres, after which the Express Permitting supplemental fee is a fixed $2,000.00 (Example: 9 acres total is $2,585). 7. Has an erosion and sediment control plan been filed? Yes No Enclosed 8. Person to contact should erosion and sediment control issues arise during land-disturbing activity: Name E-mail Address Telephone Cell# Fax# 9. Landowner(s) of Record (attach accompanied page to list additional owners): Name Telephone Fax Number Current Mailing Address Current Street Address City State Zip City State Zip 10. Deed Book No. Page No. 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 sole proprietorship, the name of the owner or manager may be listed as the financially responsible party. Name E-mail Address Current Mailing Address Current Street Address City State Zip City State Zip Telephone 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: WC c S ‘4,1%.) SW.) w o (9 f4 N so (-to Name of Registered Agent E-mail Address 3oc �o S� ocF:mot, b r Current Mailing Address Current Street Address City State Zip City State Zip Telephonk tk—N' tp gy — UU3 4 Fax Numbe(10v1)c„, V1 — V U3 (c) In order to facilitate Express Permitting, it is necessary to be able to contact the Engineer or other consultant who can assist in providing any necessary information regarding the plan and its preparation: Engineering Firm or other consultant E-mail Address Individual contact person (type or print) 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. Type or print name Title or Authority Signature Date , a Notary Public of the County of State of North Carolina, hereby certify that appeared 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 day of , 20 Notary Seal My commission expires