NCC242665_FRO Submitted_20240828

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WILSON
Financial Responsibility-Ownership Form
No person may partake in any land disturbing activity within the confines of the City of Wilson
Sedimentation and Erosion Control Ordinance before completing and filing this form with the City of
Wilson Erosion Control Division. (*Indicate N/A if a question is not applicable)
PROJECT NAME:Lee Motor Company
PROJECT LOCATION:4170 Raleigh Road Pkwy W. (35.756,-77.975)
APPROXIMATE PROJECT START DATE:Spring 2024
(#)ACRES TO BE DISTURBED 1.49 X$150.00/ACRE=$223.50
Person(s)or Firm(s)financially responsible for this land disturbing activity:(If out of state,a registered
agent in North Carolina must be used.)
Lynlu Investments, LLC
Name(Person or Firm)
4170 Raleigh Road Pkwy W.
Street Address(No P.O.BOX)
Wilson, NC 27896
City,State,Zip
252-291-6000
Telephone#
N/A
Fax#
[e-mail]
E-mail address
Registered agent for the person or firm who is financially responsible:
John F. Lee
Name(Person or Firm)
4170 Raleigh Road Pkwy.W.
Street Address(No P.O.BOX)
Wilson, NC 27896
City,State,Zip
252-291-6000
Telephone#
N/A
Fax#
[e-mail]
E-mail address
PROJECT NAME:Lee Motor Company

WILSON
\O A OLINA
In case of a violation please list the preferred contact(either the Financially Responsible Person or
Registered Agent on the line below:
John F. Lee or
Financially Responsible Person Registered Agent
The above information is true and correct to the best of my knowledge and belief and as provided by
me while under oath.(This form must be signed by the Financially Responsible Person if an individual or
by an officer,director,partner,and attorney-in-fact,or other person with authority to execute
instruments for the financially responsible person if not an individual.)
Date
Managing Member
�tleorAuth ity
ignature
oh . Lee
Type or Print Name
Qua S-ac( .nG ,a Notary Public of the County of IA-, • 1 u?1
State of`North Carolina hereby certifies U
John F, personally appeared before me this day and under
oath acknowledged that the above form was executed by him.
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Witness my hand and notary seal,this U day of T¢-o r a 0.2
(Notary Public) i� ,- thf
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My commission expires I �� i,s s�,Df i
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