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HomeMy WebLinkAboutNCC242972_FRO Submitted_20240925 TOWN OF KNIGHTDALE 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 Town of Knightdale Unified Development Ordinance before this form and an acceptable erosion and sedimentation control plan have been completed and approved by Town of Knightdale, Public Works Department, Stormwater Division. (Please type or print and, if the question is not applicable, place N/A in the blank.) Part A. 1. Project Name Silverstone - Hardin Hill Spine Road Extenstion Town Limits 2. Location of land-disturbing activity: (Town Limits or ETJ) Highway/Street Hodge Road Latitude 35-760525 Longitude-78.519475 3. Approximate date land-disturbing activity will commence. 9/1/20 _ 4. Type of development(residential, commercial, industrial, institutional, etc):Residential 5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste areas): 14.7 �- 6. Person to contact should erosion and sediment control issues arise during land-disturbing activity: Name Jimmy Little E-mail Address jlittle@taylormorrison.com Phone# 984-363-5453 Cell# same 7. Landowner(s)of Record (attach accompanied page to list additional owners): VPTM Silverstone LB LLC 919-407-1232 mailman@taylormorrison.com Name(s) Telephone E-mail address 901 Marquette Ave S. Suite 3300 same Current Mailing Address Current Street Address Minneapolis MN 55402 same City State Zip City State Zip 8. Deed Book No.18933 _. Page No 1363-1368 Provide a copy of the most current deed. Part B. 1. Person(s) or firm(s) who are financially responsible for the land-disturbing activity (Provide a comprehensive list of all responsible parties on an attached sheet. Include requested information): Taylor Morrison of Carolinas, Inc cferraguto@taylormorrison.com Name E-mail Address 15501 Weston Parkway Suite 100 same Current Mailing Address Current Street Address Cary NC 27513 same City State Zip City State Zip Phone# 919-355-0834 2. (a) If the Financially Responsible Party is not a resident of Wake County, identify a designated agent in Wake County to receive any notice, process, pleading in any action or legal proceeding arising out of any matter relating to the Town of Knightdale Erosion and Sedimentation Control Ordinance and/or Land Disturbance Permit: Name E-mail Address Current Mailing Address Current Street Address City State Zip City State Zip Phone# (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 Phone# 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. Christopher Ferraguto VP, Land Development Type o rint name Title or Authority 4/19/2024 I atu Date Christian Lee Sheppard a Notary Public of the County of Lee State of North Carolina, hereby certify that Christopher Ferraguto appeared personally before me this day and being duly sworn acknowledged that the above form was executed by him. Witness my hand and notarial seal, this 19 day of April 20 24 CHRISTIAN LEE SHEPPARD Notary Public, North Carolina Lee County Notary Seal My Commission Expires April 01,2029 My commission expires April 1 , 2029