NCC241950_FRO Submitted_20240626

TOWN OF KNIGHTDALE FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
leNo person may initiate any land-disturbing activity on one or more acres as covered by the Town
of Knightdale Unified Development Ordinance before this form and an acceptable
erosion and sedimentation control plan have been completed and approved by Town of
Knightdale, Public Works Department, Stormwater Division. (Please type or print and, if the
question is not applicable, place N/A in the blank.)
Part A.
1. Project Name Old Milburnie Village
2. Location of land-disturbing activity: Wake Co. (Town Limits or ETJ)
Highway/Street Old Milburnie Road Latitude 35.831164 Longitude —78.496254
3. Approximate date land-disturbing activity will commence: Spring 2023
4. Type of development(residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas):83.05
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Ryan Barker E-mail Address [e-mail]
Phone# [phone] Cell#
7. Landowner(s) of Record (attach accompanied page to list additional owners):
Trigate-Suncrest Brio West, LLC
Name(s) Telephone E-mail address
2701 East Camelback Road, #180 2701 East Camelback Road, #180
Current Mailing Address Current Street Address
Phoenix AZ 85016 Phoenix AZ 85016
City State Zip City State Zip
019117 00922,01794,02501
8. Deed Book No. Page No. 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):
Trigate-Suncrest Brio West, LLC
Name E-mail Address
2701 East Camelback Road, #180 2701 East Camelback Road, #180
Current Mailing Address Current Street Address
Phoenix AZ 85016 Phoenix AZ 85016
City State Zip City State Zip
Phone#

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