NCC242512_FRO Submitted_20240816

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 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.Project Name COATS AMERICA CCR BASIN REINFORCEMENT
1.
2. Location of land-disturbing activity: CountyMcDowell City or Township
Highway/Street American Thread Rd Latitude 35.789046 Longitude-82.025349
3. Approximate date land-disturbing activity will commence:September 15, 2024
4. Purpose of development(residential, commercial, industrial, institutional, etc.):Other
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 3.9
DURING REVIEW DISTURBED AREA WAS CHANGED TO 4.3 ACRES BASED ON COMMENTS.AN ADDITIONAL$100 CHECK WAS SENT WITH REVISED PLANS THAT WERE APPROVED
6. Amount of fee enclosed: $ 400 . The application fee of$100.00 per acre
(rounded up to the next acre) is assessed without a ceiling amount(Example: 8.10 ac= $900.00).
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 Dan Feltman E-mail Address [e-mail]
Telephone [phone] Cell# Fax#
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Coats America Inc
Name Telephone Fax Number
630 American Thread Rd
Current Mailing Address Current Street Address
Marion NC 28252
City State Zip City State Zip
10. Deed Book No.OO1 O5 Page No.O 18O 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.
Coats America Inc [e-mail]
Name E-mail Address
630 American Thread Rd
Current Mailing Address Current Street Address
Marion NC 28252
City State Zip City State Zip
Telephone [phone] 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:
John Moss [e-mail]
Name E-mail Address
630 American Thread Rd
Current Mailing Address Current Street Address
Marion NC 28252
City State Zip City State Zip
Telephone [phone] 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:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
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.
John Moss Facilities Engineering Manager
Type or print name Title or Authority
'7oo/2-
ature Date
I, 0.0\t'6\kr W ebr , a Notary Public of the County of f l C-bawtL\
State of North Carolina, hereby certify that '3 3c N Jv appeared
personally before me this day and being duly sworn acknowledged that the above form was
executed by him.
Witness my hand and no ttliii, ,101 day of 'S v` , 20 a
W
n p V= Notary
Seal +O L/BL\G
O
.2F --- �.`,,.� My commission expires I b ) 13) 0,&
C CO ,,,