HomeMy WebLinkAboutNCC242739_FRO Submitted_20240909 Date: Feb. 1, 2024
From: MARY ELIZABETH POTTS HEIRS; C/O Jerry& Charles Potts
To: NCDEMLR, Erosion and Sedimentation Control
RE: Consent to Submit Erosion Plan and Conduct Land Disturbing Activities
Dear Review Engineer:
As required on the Financial Responsibility form submitted with the enclosed erosion control plans, and
as landowners within the planned disturbed area, we provide this written consent for the applicant,
AREA Land Investments, LLC,to submit a draft erosion and sedimentation control plan and to conduct
the anticipated land disturbing activity.
Best Regards,
Jerry Potts
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Charles Potts
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Check if this project is ARPA-funded ❑
Attach a copy of the Letter of Intent to Fund
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, including any
activity under a common plan of development of this size as covered by the NCGO1 permit, 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 address or phone
number is unavailable, place N/A in the blank.)
Part A.
1. Project Name Foxcroft Residential Subdivision
*If this project involves American Rescue Plan Act(ARPA) funds, list the Project Name or Project
Number(e.g., SRP-D-ARP-0121) below under which you were approved for funding through the
Division of Water Infrastructure (DWI).
2. Location of land-disturbing activity: County Davie City or Township Advance
Highway/Street SR1618 Markland Road Latitude(decimal degrees)35.9289 -80.4187
Longitude(declmal degrees)
3. Approximate date land-disturbing activity will commence: 8/30/24
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 12.75
6. Amount of fee enclosed: $ 1300'00 . The application fee of$100.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: 8.10-acre application fee is $900).
Checks should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes ❑ Enclosed ❑✓ No ❑
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Joseph Lassiter E-mail Address jlassiter@pinellascorp.com
Phone: Office# 919-459-1999 Mobile# 919-971-9643
9. Landowner(s)of Record (attach accompanied page to list additional owners):
POTTS MARY ELIZABETH HEIRS; C/O Jerry&Charles Potts
Name Phone: Office# Mobile#
PO BOX 37
Current Mailing Address Current Street Address
Advance, NC 27006
City State Zip City State Zip
57 158
10. Deed Book No. Page No. Provide a copy of the most current deed.
Part B.
1. Company(ies)who are financially responsible for the land-disturbing activity(Provide a comprehensive list
of all responsible parties on accompanied page.) If the company is a sole proprietorship or if the landowner(s)is
an individual(s), the name(s) of the owner(s)may be listed as the financially responsible party(ies).
AREA Land Investments, LLC mark@ArcadiaREA.com
Company Name E-mail Address
4515 Falls Of Neuse Road Suite 175 Same
Current Mailing Address Current Street Address
Raleigh, NC 27609 Same
City State Zip City State Zip
Phone: Office# 919-459-1999 Mobile#
Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form
the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation
control plan and to conduct the anticipated land disturbing activity.
2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
Mark A. MacDonald mark@ArcadiaREA.com
Name of Registered Agent E-mail Address
8540 Colonnade Center Drive Suite 105 Same
Current Mailing Address Current Street Address
Raleigh, NC 27615-3052 Same
City State Zip City State Zip
Phone: Office# Mobile#
Name of Individual to Contact(if Registered Agent is a company)
(b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina agent who is registered on the NC Secretary of State business registry:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Name of Individual to Contact(if Registered Agent is a company)
(c) If the Financially Responsible Party is engaging in business under an assumed name, give name under
which the company is Doing Business As. If the Financially Responsible Party is an individual, General
Partnership, or other company not registered and doing business under an assumed name, attach a copy
of the Certificate of Assumed Name.
Company DBA Name
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(s)
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 Party). I agree to provide
corrected information should there be any change in the information provided herein.
Mark A. MacDonald Manager
Type�o/r rin na// e Title or Authority
Signature Date
h , a Notary Public of the County of l•�State of of North Carolina, hereby certify that Ftr--k <e4.- appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him/her.
Witness my hand and notarial seal, this day of F ck),-Lcs:-k...d , 20,2
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