NCC243081_FRO Submitted_20241009

A City of Winston-Salem Field Operations Department I Erosion Control Division
Office: 100 E.First Street,Suite 328,Winston-Salem,NC 27101
11iIislmiSldP01 Mailing:PO Box 2511,Winston-Salem,NC 27102
Financial Responsibility/Ownership Form
No person may initiate any land-disturbing activity exceeding 20,000 square feet for Single-Family Dwelling construction, 10,000
square feet for any other non-exempt purpose,or part of a larger common plan of development exceeding these thresholds,before this
form and an acceptable Erosion Control Plan have been submitted,reviewed,and approved by the City of Winston-Salem Erosion
Control Division and a Grading/Erosion Control Permit has been issued.Please type or print.Please place"N/A"in the blank space if
not applicable.
Part A
Project Name: 4672 Gallant Lane
Grading/Erosion Control Permit#:
Location of Land-disturbing Activity: 4672 Gallant Lane
Latitude: 36.1438 Longitude: -80.1388
Approximate Date that Land-disturbing Activity will Commence: Fall 2024
Purpose of Grading:
❑ Commercial ❑ Residential Multi-family ❑Residential Single-family Subdivision
❑ x Residential Single-family Lot/Lots 0 Other
Total Site Acreage: 3.00 acres Acreage to be Disturbed: 1.37 acres
Grading/Erosion Control Permit Fee: $....1,688.00
Person to contact should Erosion Control related issues arise during land-disturbing activities:
Name: Keith Slate Email: sherryPtkofnc.com
Office Phone: .[phone] Mobile Phone: ..[phone] Fax#:
Landowner of Record: (use blank page to list additional owners if needed)
Parcel PIN#:6867-42-1768 Tax Block#: not posted online Tax Lot #:.not posted online
Name: Keith B.Slate&Sherry B.Slate
Street Address/PO Box:....112 Edgehill Court
City/State/Zip Code. Kernersville, NC 27284
Office Phone: ..[phone] Mobile Phone: ..[phone] Fax#:
Grading Contractor Information: (if known at time of submitting the Erosion Control Plan for review)
Value of Grading Contract: $ TBD City of WS Contractor ID#:
Name of Grading Contractor: NC License#:
Contractor Contact Person: Contact Phone:
Street Address/PO Box:
City/State/Zip Code:

Part B
Person(s)or firms who are financially responsible for this land-disturbing activity: (use blank page to list additional
person(s)or firms if needed) ***Contractors are not considered fmancially responsible for property not under their ownership***
Name of Person or Firm: Keith B. Slate
Street Address/PO Box: 112 Edgehill Court
City/State/Zip Code: Kernersville,NC 27284 '•
Office Phone: [phone] Mobile Phone: [phone] Fax#:
lithe financially responsible party is an out-of-state firm, provide information for the in-state registered agent:
Name of Registered Agent.
Street Address/PO Box.
City/State/Zip Code:
Office Phone: Mobile Phone: Fax#:
If the financially responsible party is a partnership, provide information for each General Partner:
(use blank page to list additional partners if needed)
Name of Registered Agent:
Street Address/PO Box:
City/State/Zip Code:
Office Phone: Mobile Phone: Fax#:
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 fmancially responsible person,if an individual,or their attorney-in-fact,or if not an individual,by an officer.
director,partner,or registered agent with 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.
Type or Print Name: Keith B. Slate
Title or Authority: .. wne Signatur Date: t�9'� ` -� At
1, re-e-Leis m 90 an rt—c. ,a Notary Public of the County of etc-((1.5(�4-41
State of...I\10 C'Cxra mac. , do hereby certify that...V?. ! S Cett , 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 S t cvl\P-e r , 20 2-14
Notary Public Name: BrY.✓t aro,. 5 rn Q✓E 1 gREIVDA S. McDANIEL •
BLIC
Notary Public Signature: 4 . S n'lam`-1--A''- M ROCK NOTARY
COUNTY
NORTH CA-OLwA
My commission expires: 05 " o`1— v`Z-0 2. q,l My co _ton E O