NCC242105_FRO Submitted (2)_20240715

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
WAKECounty 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
NORTH cnaOi.NA 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 3329 Manor Ridge Road
2. Location of land-disturbing activity: Jurisdiction Wake County (Wake Co. or Municipality)
Highway/Street Manor Ridge Latitude 35.687255 Longitude -78.699094
3. Approximate date land-disturbing activity will commence: March 2024
4. Type of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas): 4500 sq.ft. 0.10 acres
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Matt Monroe E-mail Address [e-mail]
Telephone Cell# 919-441-8293 Fax#
7. Landowner(s)of Record (attach accompanied page to list additional owners):
Kata Jenkins, Manager 919-412-3325
Name(s) Telephone Fax or E-mail address
8421 Crowder Drive 8421 Crowder Drive
Current Mailing Address Current Street Address
Raleigh, NC 27603 Raleigh, NC 27603
City State Zip City State Zip
8. Deed Book No. 019475 Page No. 01973 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):
Paragon Building Group [e-mail]
Name E-mail Address
5420 Wade Park Boulevard, Suite 320 5420 Wade Park Boulevard, Suite 320
Current Mailing Address Current Street Address
Raleigh, NC 27607 Raleigh, NC 27607
City State Zip City State Zip
Telephone [phone] Fax Number