NCC242515_FRO Submitted_20240819

DURHAM JCN
COUNTY Durham City/County (Office Use Only)
Sedimentation and Erosion Control
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
� �� WITH LANDOWNER CONSENT FORM
\'• 1881 •
No person may initiate any land-disturbing activity covered by the Durham City-County Unified Development Ordinance before a
Land Disturbing Permit is issued by the Sedimentation and Erosion Control Office. Issuance of a Land Disturbing Permit does not
relieve the permittee of the obligation to obtain any other licenses, permits and approvals as may be required by Federal, State,
County or Municipal governments. This office must be notified in writing of any change to the information on this form.
PLEASE TYPE OR PRINT
1. Project name: Durham Logistics Center Extension: Yes or No
2. Road location of land-disturbing activity: 1716 Camden Avenue, Durham, NC 27712 Lat:36.017, Lon:-78.87
Tax Map-Block-Parcel: PIN: 0832844718
3. Square footage of land to be disturbed or uncovered: 1,208,790 sf(27.75 ac)
4. List below the landowner of record. Each landowner must complete Item 8.
(If there are multiple owners,please list on a separate page):
CRP/LOVETT DURHAM INDUSTRIAL OWNER, L.L.C.
Name
401 Franklin St., Suite 2555
Address
Houston. TX 77002
City State Zip
[phone] [e-mail]
Telephone Fax Email
5. List the person or entity financially responsible for this land-disturbing activity:The financially responsible party shall be
(1)the developer or other person who has or holds themselves as having financial or operational control over the land-disturbing
activity and/or(2)the land owner or person in possession or control of the land when they have directly or indirectly allowed
the land-disturbing activity or have benefited from it and(3)the named party on the Land Disturbing Permit.
CRP/LOVETT DURHAM INDUSTRIAL OWNER, L.L.C.
Name
401 Franklin St.,Suite 2555
Street Address
Houston,TX 77002
City State Zip
[phone] [e-mail]
Telephone Fax Email
14.l As the Financially Responsible Party,I consent to receiving notifications regarding this project via electronic
(Initials) communication at ken.chang©lovettindustrial.com .
(Email Address)
1 agree to provide any updated email addresses as necessary to ensure consistent communication is maintained between myself
and Durham County Sedimentation and Erosion Control.
Electronic notifications may include Plans Review Comments,Approvals,Disapprovals,and/or enforcement actions including
Notices of Violation,Stop-Work Orders,and/or Civil Penalties.
201 E.Main St,5t" Floor, Durham,N.C.27701 •[phone]•Fax[phone]
www.co.durham.nc.us/ceng

6. For business applicants,list below the North Carolina registered agent for the financially responsible entity:
CT Corporation
Name
160 Mine Lake CT, Suite 200
Street Address
Raleigh, NC 27615-6417
City State Zip
Telephone Fax Email
7. The above information is true and conect to the best of my knowledge and belief and was provided by me while under oath. I
understand that the person or entity listed on Line 5 above will be: (1)the owner of the Land Disturbing Permit when issued;
(2)responsible for ensuring compliance with the Act and Ordinance;and,(3)will be the only person or entity with standing to
appeal any action taken or decision made by the Sedimentation and Erosion Control Office.
t i 141. Kenneth Chang
Date Type or Print Name
[phone] Authorized Signatory
Telephone Fax Tit thority
ken.changc Iovettindustrial.com
Email Signature
***********************************************************************************************************************************
Business Applicant�(Provii"dee�corporate resolution on signatory authority) ` 1
I. L,p f�e.i.�G 1 L �p�.Yl.� ,a Notary Public of the County of -6...trrl__5
State of l .X45 ,hereby certify that Kenneth Chang
personally came before me this day and acknowledged that he is Authorized Signatory
CRP/LOVETT DURHAM
of INDUSTRIAL OWNER, L.L.C. and acknowledged,on behalf of CRP/LOVETT DURHAM INDUSTRIAL OWNER, L.L.C.
,the due execution of the foregoing instrument.
Witness my hand and official seal,this T3 day of As..) ,20
10.1"°Ue LORELEI COPELAND
i ' n Notary ID#134449471_) Not n P blic
";7 o rfiouitAitst�Ja4pifapirek 1. y !t. 20 � .
F of July 12, 2027
Individual Applicant
I, a Notary Public of the County of
State of ,hereby certify that
personally appeared before me this date and under oath acknowledged that the above form was executed by them.
Witness my hand and official seal,this day of ,20
Notary Public
My commission expires 20
Provide a Notarized Item 8 for each landowner listed in Item 4.

8. Land Owner Consent. As a landowner,I provide my consent for land-disturbing activities to occur on the property listed in
Item 2 by the person or entity listed in Item 5.
Kenneth Chang
Date Type or Print Name
[phone] Authorized Signatory
Telephone Fax Ti hority
[e-mail]
Email Si ure
Business Landowner(Provide corporate resolution on signatory authority)
1, Lor.elG. Cr ttejci ij ,a Notary Public of the County of k-1-6-0-1, S
State of 'T S ,hereby certify that Kenneth Chang
personally came before me this day and acknowledged that he is Authorized Signatory
CRP/LOVETT DURHAM
of INDUSTRIAL OWNER, L.L.C. and acknowledged,on behalf of CRP/LOVETT DURHAM INDUSTRIAL OWNER, L.L.C.
,the due execution of the foregoing instrument.
fir avow handandafficial§pal,this 13 day of AO ,20 9-11
SeJidx3 uo}SsIwwoD AW %IV (
1406`yy£1#01tiP1ON ,111W tDT ary Public
0 d li 0t _t�u ex i'�.Atl�' J( l',) ,20 .:3"7 .
#############################################################################################################*###################
Individual Landowner
I, ,a Notary Public of the County of
State of ,hereby certify that
personally appeared before me this date and under oath acknowledged that the above form was executed by them.
Witness my hand and official seal,this day of ,20
Notary Public
My commission expires 20
The Sedimentation and Pollution Control Act(Act)and the Durham City-County Unified Development Ordinance(Ordinance)
includes,but is not limited to,the following legal obligations of the financially responsible party:
• Maintain a set of approved sedimentation and erosion control plans,if required,on site.
• Display permit on site.
• Understand and implement any required plan,including the construction sequence and details.
• Inspect,maintain and repair sedimentation and erosion control measures,especially after rainfall events.
• Provided adequate ground cover or otherwise stabilize all areas that have not been actively graded within 21 calendar days.
• Plan and conduct all land-disturbing activity so as to prevent off-site sedimentation.
SE-03 Rev.07/06