HomeMy WebLinkAboutNCC242038_FRO Submitted_20240710 WAKE COUNTY 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 Wake
County Un Development co boib
COUNTY sedimentation ified controlev plan haveOrdinan been completedef re and th s approvedform byand an Wake Countyaccepta le Department erosion ofand
NOWT cnaoi iNn 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 Barrington Subdivision - Phase 3D
2. Location of land-disturbing activity: Jurisdiction Town of Zebulon (Wake Co. or Municipality)
Highway/Street Parks Village Rd. Latitude 35.8398* Longitude -78.2942*
3. Approximate date land-disturbing activity will commence: 07-15-2024
4. Type of development(residential, commercial, industrial, institutional, etc.): Commercial Non-Residential
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas): 10.00 AC
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
raleighlandswppp@dreamfindershomes.com
Name James Woofter E-mail Address
Telephone Cell# 703-930-3069 Fax#
7. Landowner(s) of Record (attach accompanied page to list additional owners):
DFC Barrington, LLC chris.butler dfcapitalmanagement.com
Christopher Butler 908-418-6601
Name(s) Telephone Fax or E-mail address
13000 Sawgrass Village, Building 5, Suite 24 13000 Sawgrass Village, Building 5, Suite 24
Current Mailing Address Current Street Address
Ponte Vedra Beach FL 32082 Ponte Vedra Beach FL 32082
City State Zip City State Zip
8. Deed Book No. 018542 Page No. 01854 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):
Dream Finders Homes, LLC
Patrick O. Zalupski
Name E-mail Address
14701 Philips Hwy, Suite 300 14701 Philips Hwy, Suite 300
Current Mailing Address Current Street Address
Jacksonville FL 32256 Jacksonville FL 32256
City State Zip City State Zip
Telephone 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:
Jon McReynolds raleighlandswppp@dreamfindershomes.com
Name E-mail Address
7200 Falls of Neuse, Suite 202 7200 Falls of Neuse, Suite 202
Current Mailing Address Current Street Address
Raleigh NC 27615 Raleigh NC 27615
City State Zip City State Zip
Telephone 919-374-3473 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:
Corporate Creations Network Inc.
Name of Registered Agent E-mail Address
15720 Brixham Hill Avenue #300 15720 Brixham Hill Avenue #300
Current Mailing Address Current Street Address
Charlotte NC 28277 Charlotte NC 28277
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.
Jon McReynolds Division President
Type or print name Title or Authority
Signatur 1 Date
I, /)lam b�r 24G1r> a Notary Public of the County of 4J046_
II
State of North Carolina, hereby certify that J Dn N'i-)e,^ At?dam appeared
personally before me this day and being duly sworn acknowledged th the above form was executed by him.
Witness my hand and notarial seal, this d day of • , 20v�V
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