HomeMy WebLinkAboutNCC242922_FRO Submitted_20240920 FINANCIAL RESPONSIBILITY/OWNERSHIP FORM pxPE.s
SEDIMENTATION POLLUTION CONTROL ACT • 1�'� •
WATER RESOURCES Ol i
105-B Upchurch Street '�
Town of Apex, North Carolina 27502 NIY p,Fi
Contact: James Misciagno
Phone: (919)372-7470 E-Mail: 'ames.misciagno@apexnc.org.
No person may initiate any land-disturbing activity on twenty(20)thousand square feet or more before this form has been
completed and filed with the Town of Apex Water Resources Department.
PART A
Name of Project:The Depot a'.North Salem
Location of Land-Disturbing Activity:2200 Candun Dr.(PIN 0753016629),2215 Candun Dr.(PIN 0753025086),2520 Laura Duncan Rd.(PIN 0753019933)
Approximate Date Land-Disturbing Activity will Commence: 1'9'2°24
Acreage of Land to be Disturbed:7 28
Latitude: 3'76"92 Longitude: -78.828894
Land Owner(s) of Record (use blank page to list additional owners):
Name:Old Apex Associates,LP Name:
Current Mailing Address: Current Mailing Address
100 10th ST NE
STE 300
City, State,Zip:C'rarlottesville,VA 22902 City, State,Zip
PART B
Person or firm financially responsible (developer)for this land disturbing activity. Financial responsibility includes, but
may not be limited to: payment of civil fines and criminal penalties and any other costs associated with bringing the
project into compliance with the Town of Apex Soil Erosion and Sedimentation Control Ordinance.
Name of Person or Firm:Old Apex Associates,LP
Telephone:434-531-6301 E-mail:ishifflett@castledp.com
Current Mailing Address: Street Address(if different from mailing address)
100 10th ST NE
STE 300
City,State,Zip:Charlottesville,VA 22902 City,State,Zip
Revised 9/19/2019 Page 1
If the financially responsible party is not a resident of Wake County, complete the following for an appointed agent, in
Wake County, to receive any notice, process, pleading in any action or legal proceeding arising from a violation of the
Town of Apex Soil Erosion and Sedimentation Control Ordinance. By signing below,it is agreed that any notice, process,
or pleading against the person or firm who is financially responsible for this land-disturbing activity may be served on
the undersigned and shall be of the same force and effect as if served on the financially responsible person or firm. The
intent of this provision is to establish the presumption that the constructive notice from the Town of Apex will be
addressed through the undersigned agent.
Name: Thomas H. Johnson, Jr.
Telephone: 919-981-4006
Current Mailing Address: Street Address (if different from mailing address)
301 Fayetteville Street, Suite 1700
City, state,zip:Raleigh, NC 27601 City, State,Zip
Signature: /iZbl�1lZQ- 7 •
If the financially responsible party is a partnership or other person engaging in business under an assumed name,complete
Page 4 of this form, or attach a copy of the Certificate of Assumed Name or Partnership as recorded in the Register of
Deeds. If the financially responsible party is a corporation, complete the information on Page 5 of this form and submit a
current copy of the Annual Report as filed with the Secretary of State.
The information contained in this form is true and correct to the best of my knowledge and belief and was 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, or registered agent with authority to execute instruments for a corporation or partnership if it is the
financially responsible party). I agree to provide corrected information should there be any change in the information
provided herein.
Name: 4A] 'Y M G& J1 Y Date: %/eV.°L/
Title or Authority: HC(9'f / el' 4EA A-6
Signature: (�
5-tti0 6 C/"y a Notary Public of the County of 141!jcnk./ , State
of Ne h-earolina hereby certify that personally appeared before me this
day and under oath acknowledged that the above form was executed by him/her. Witness my hand,and,5,eal this
day of 2 0? 7 Q
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Financial responsibility encompasses personal liability by the person signing this disclosufb,Q 'ifT'aa� Orrt�r in a
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partnership or if an officer or director of a corporation which is either:(a)dissolved lawfully under. A IVtcth, aroliNa statutes:
(b) suspended from transacting business in North Carolina by the North Carolina Secretary of State; (c) insolvent; (d) in
bankruptcy; (e) undercapitalized to the extent it is unable to comply with the Soil Erosion and Sedimentation Control
Ordinance; or(f) a "shell" corporation.
Revised 9/19/2019 Page 2
PART C
Contractors and/or subcontractors (person(s) or firm(s)engaging in the land-disturbing activity):
Name Person or Firm: Name of Person or Firm:
Weaver Cooke Construction,LLC Weaver Cooke Construction,LLC
Telephone:336-378-7900 Telephone:336-378-7900
Email: Email:
clee@weavercooke.corn clee@weavercooke.com
Current Mailing Address: Current Mailing Address
8401 Key Boulevard 8401 Key Boulevard
City,State,Zip:Greensboro,NC 27409 City,State,Zip Greensboro,NC 27409
The information contained in this form is true and correct to the best of my knowledge and belief was provided by me
while under oath. (This form must be signed by the person or firm engaging in the land-disturbing activity of an
individual or by an officer, director, general partner, attorney-in-fact, or other person with authority to execute
instruments for the entity engaging in the land-disturbing activity if not an individual. I agree to provide corrected
information should there be any change in the information provided herein.
Name:
Chris Lee Date:09/09/2024
Title or Authority:Senior Vice President of Preconstruction
Signature: -
I, lV 4�t•N _� � a Notary Public of the County of G _ ,State of North
Carolina hereby certify that` personally appeared before me this
day and under oath acknowledged that the above form was executed by him/her. Witness my hand and seal this
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Revised 9/19/2019 Page 3
CERTIFICATE OF ASSUMED NAME OR PARTNERSHIP
(SEDIMENTATION POLLUTION CONTROL ACT)
The undersigned,proposing to engage in business in Wake County,North Carolina, under an assumed name or partnership
name, do hereby certify that:
The name under which the business is to be conducted is (insert assumed or partnership name):
Old Apex Associates,LP
The names and residences and mailing addresses of all the owners of the business are (Insert name and address of
each owner):
Andy Mcginty, 100 10th ST NE STE 300, Charlottesville,VA 22902
IN WITNESS WHEREOF,this certificate is signed by each of the owners of said business, this day of
Owner's from above belo •
State of North acelic,a-
County of Wake A\�{.w.
I, 4-6eL"- Cc"/ a Notary Public, do hereby certify that on this � t day of
202`( , personally appeared before me A44/ t C G•.J7'
who are all signers of the foregoing instrument, and each acknowledges the due execution thereof. IN WITNESS
n // 20 2"„00 'p'N F day of 4 WHEREOF, I have hereunto set my hand and official seal this �Pp
Notar My Commission Expires I O REG. 835
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Revised 9/19/2019 �TH..OF'J'Page 4
Name of Corporation:Old Apex Associates,LP
Name of registered agent,street address,mailing address of registered office in Wake County:
Name: Corporation Service Company
Street Address: 2626 Glenwood Avenue, Suite 550
city,state,zip: Raleigh, NC 27608
Current Mailing Address: 2626 Glenwood Aveune, Suite 550
city,State,Zip: Raleigh, NC 27608
Enter first, middle,and last name of principal officers. Enter title and street address of principal officers.
Name and Title: Name and Title:
Andy E.Mcginty,Manager
Street Address: Street Address:
100 10th ST NE STE 300
City, State,Zip: City,State,Zip:
Charlottesville,Va 22902
Name and Title: Name and Title:
Street Address: Street Address:
City,State, Zip: City, State,Zip:
Enter first, middle,and last name of directors. Enter title and street address of directors. Attach pages as necessary.
Name and Title: Name and Title:
Street Address: Street Address:
City,State,Zip: City,State,Zip:
Name and Title: Name and Title:
Street Address: Street Address:
City, State,Zip: City,State,Zip:
Revised 9/19/2019 Page 5
--cirmuiie,y NORTH CAROLINA
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97 Department of the Secretary of State
To all whom these presents shall come, Greetings:
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do hereby
certify the following and hereto attached to be a true copy of
CERTIFICATE OF FOREIGN LIMITED PARTNERSHIP
OF
OLD APEX ASSOCIATES, LP
the original of which was filed in this office on the 10th day of November, 2021.
"'dE' '• 6y`. IN WITNESS WHEREOF, I have hereunto set my
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4 w'`iii_}' hand and affixed my official seal at the City of
:�t'_--/ ',j J Raleigh, this 10th day of November, 2021.
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Certification#C202130800843-1 Reference#C202130800843-1 Page: 1 of 4 Secretary of State
Verify this certificate online at https://www.sosnc.gov/verification
SOSID: 2303592
Date Filed: 11/10/2021 2:01:00 PM
Elaine F. Marshall
North Carolina Secretary of State
"--"-.;.;;-; ', ,, State of North Carolina C2021 308.008.43
Department of the Secretary of State
•' i� ,\y,- APPLICATION FOR REGISTRATION
`, S• Wll " o AS A FOREIGN LIMITED PARTNERSHIP
Pursuant to §59-902 of the General Statutes of North Carolina, the undersigned hereby submits this application
for Registration as a Foreign Limited Partnership for the purpose of obtaining a Certificate of Authority to
transact business in this State.
1. The name of the foreign limited partnership is:Old Apex Associates, LP
2. If the name of the foreign limited partnership is unavailable for use in the State of North Carolina, the name the
limited partnership wishes to use is:
(The name must contain the words"Limited Partnership,"or the abbreviation"L.P."or"LP,"or the combination
"Ltd. Partnership")
3. The jurisdiction in which the limited partnership was formed is A, United States
and the date of formation was 11/04/2021 . The limited partnership's period of duration is
4. The street address of the principal office is:
Number and Street:230 Court Square
City:Charlottesville State:VA _ Zip Code:22902-5158 County:Albemarle
The mailing address, if different from the street address, of the principal office:
Telephone:
Number and Street:
City: State:VA ZipCode:22902-5158 County:
5. Name of Registered Agent: Corporation Service Company
6, Address of Registered Agent's Office:
Number and Street: 2626 Glenwood Ave Ste 550
City:Raleigh State: NC Zip Code:27608 County: Wake
The mailing address,if different from the street address,of the registered office:
Number and Street 2626 Glenwood Ave Ste 550
City:Raleigh State: NC Zip Code:27608 County: Wake
NOTES:
Filing fee is 550. This document must be tiled with the Secretary of State.
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH,NC 27626-06222
(Revised August,2017) Page 1 Form LP-04
7. In consideration of the issuance of a Certificate of Authority to transact business in North Carolina, the limited
partnership appoints the Secretary of State of North Carolina as the agent to receive service of process,notice or
demand,whenever the foreign limited partnership fails to appoint or maintain a registered agent in this State,or
whenever such registered agent cannot with reasonable diligence be found at the registered office.
8. (Optional): Please provide a business e-mail address: Privacy Redaction
The Secretary of State's Office will e-mail the business automatically at the address provided at no charge when a
document is filed. The e-mail provided will not be viewable on the website. For more information on why this
service is being offered,please see the instructions for this document.
9. Enter the name and address of each general partner: (attach additional sheets if necessary)
Name CDP Apex, LLC Name
Street/No.230 Court Square Street/No,
City_Charlottesville City
State/Zip VA 22902-5158 United States State/Zip _
10. Limited Partners (select 1 or 2, as appropriate)
❑ Attached is a list of the names and addresses of all limited partners (include full name/street
address/city/state/zip code/county); or
The location of the office where list of the names and addresses of the limited partners and their capital
contributions will be kept as long as the limited partnership transacts business in North Carolina is:
Number and Street: 230 Court Square
City:Charlottesville State:VA _ Zip Code:22902 County: Albemarle
11. (Select one)
❑ The foreign limited partnership is a foreign limited liability limited partnership.
❑The foreign limited partnership is not a foreign limited liability limited partnership.
12. This registration will be effective upon filing, unless a future date and/or time is specified:
Old Apex Associates, LP
Typed or printed name
CDP Apex, LLC
Signature Andy McGinty, Mn -- 6.7c e ik I Pe-r I
Title
NO'ITS.
Filing fee is S50. 'Fills document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALETGH.NC 27626-06222
(Revised August, 2017) Page 2 Form LP-04
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CERTIFICATE OF FACT
I Certify the Following from the Records of the Commission:
A certificate of limited partnership was filed with the Commission on behalf of Old Apex
Associates, LP, a limited partnership formed under the law of VIRGINIA, effective as of
f
November 4, 2021.
As of the date set forth below, a certificate of cancellation canceling the existence of Old Apex
Associates, LP, a Virginia limited partnership, has not been filed in the Office of the Clerk of the
Commission.
Nothing more is hereby certified.
�.. Signed and Sealed at Richmond on this Date:
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�',v? ,\ '.IN, 44.'16 November 9,2021
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Bernardi. Logan,Clerk of the Commission
CERTIFICATE NUMBER : 2021110916543976
NORTH CAROLINA
Department of the Secretary of State
CERTIFICATE OF AUTHORITY
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do hereby
certify that
OLD APEX ASSOCIATES, LP
having filed on this date an application conforming to the requirements of the General
Statutes of North Carolina, a copy of which is hereto attached, is hereby granted
authority to transact business in the State ofNorth Carolina.
oMp^mFi',T:s` 0 :do •- IN WITNESS WHEREOF, I have hereunto set
El
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y � r.. �}�_� my hand and affixed my official seal at the City
of Raleigh, this 10th day of November, 2021.
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Document Id:C202130800843 Secretary of State
Verify this certificate online at https://www.sosnc.gov/verification