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HomeMy WebLinkAboutNCC242481_FRO Submitted_20240816 TOWN OF KNIGHTDALE 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 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 Silverstone Phase 2, 3 & 4 Knightdale town Limit or ETJ) Location of land-disturbing activity: �' Highway/Street Hardin Hill Latitude 35.760252° Longitude -78.519475° 3. Approximate date land-disturbing activity will commence Q3 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) 5042 6. Person to contact should erosion and sediment control issues arise during land-disturbing activity: Name Jimmy Little E-mail Addressjlittle@taylormorrison.com Phone# Nip` Cell# 984-363-5453 7 Landowner(s) of Record (attach accompanied page to list additional owners): VPTM Silverstone LB LLC 919-638-1877 cferraguto@taylormorrisoncorn Name(s) Telephone E-mail address 901 Marquette Ave S, Suite 3300 Current Mailing Address Current Street Address Minneapolis MN 55402 City State Zip City State Zip 8. Deed Book No 18933 Page No. 1363 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): Taylor Morrison of Carolinas, Inc cferraguto@taylormorrison.com Name E-mail Address 15501 Weston Parkway, Suite 100 Current Mailing Address Current Street Address Cary NC 27513 City State Zip City State Zip Phone# 910-638-1877 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 Town of Knightdale Erosion and Sedimentation Control Ordinance and/or Land Disturbance Permit: Name E-mail Address Current Mailing Address Current Street Address City State Zip City State Zip Phone# (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 Phone# 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. t\n.f;s w � ��y� V�� cki25jAev,A- Type or print name Title or Authority at Date I, ,a t7 C&"Rrc,tA.) a Notary Public of the County of Chd4harn State of North Carolina, hereby certify that 0\ri 54 'Q( 1�Q(rZq O appeared personally before me this day and being duly sworn acknowledged at the above forr%as executed by him Witness my hand and notarial seal, this 93 day of 3 u.,V , 20 all / P" g/L0-34A-- dt `) '1,•'> No ary Seal Notary Public Chatham _ My commission expires Li/Lilac/ CountyEa My Comm. Exp. 2 04-04-2029 Q-