HomeMy WebLinkAboutNCC243258_FRO Submitted_20241023 For TOWF Use Only Application #:
Project Name:
Date Received: Acres:
Date Approved: Fees Paid:
TOWN o
f
WAKE FOREST
4
LAND DISTURBING (E&SC)
PERMIT APPLICATION, PLAN CHECKLIST, &
FINANCIALLY RESPONSIBLE OWNER (FRO) FORM
NO PERSON MAY INITIATE ANY LAND-DISTURBING ACTIVITY ON 1/2 ACRE OR MORE BEFORE THESE FORMS, FEES,AND AN
EROSION AND SEDIMENTATION CONTROL PLAN SEALED BY A NORTH CAROLINA REGISTERED PROFESSIONAL ENGINEER OR
LANDSCAPE ARCHITECT HAVE BEEN COMPLETED AND APPROVED BY THE TOWN OF WAKE FOREST. MULTIPLE SINGLE
FAMILY LOTS THAT DISTURB MORE THAN 1/2 ACRE ALSO REQUIRE A PERMIT AND SHALL FOLLOW THE STANDARD
PROCEDURES OUTLINED BELOW. SEE THE UNIFIED DEVELOPMENT ORDINANCE FOR ADDITIONAL INFORMATION AND FULL
ORDINANCE REGULATIONS.
NOTE: THE APPLICATION FEE OF$500.00 PER ACRE(ROUNDED UP TO THE NEXT ACRE I.E.:1.1 ACRES = 2 ACRES*
$500=$1,000)IS DUE AT TIME OF SUBMITTAL. IF FEES ARE NOT SUBMITTED THE PLAN WILL AUTOMATICALLY BE
DISAPPROVED.
DISCLAIMER:TOWN OF WAKE FOREST FEES AND CHARGES ARE SUBJECT TO CHANGE WITHOUT NOTICE.
PLEASE CALL 919-435-9443 TO CONFIRM CURRENT FEES AND CHARGES.
PART A: PROJECT INFORMATION
PROJECT NAME Rosedale Subdivision Phase 7B
1. TAX PIN NUMBER 1860-27-3883, 1860-38-1819
2. ZONING PUD CU RZ-18-13
0 AVERETTE RD
3. LOCATION/ADDRESS OF TRACT
4. SUBDIVISION N/A LOT# N/A
5. DEED BOOK 18318 PAGE 793
*PLEASE PROVIDE A COPY OF THE MOST CURRENT DEED
6. PURPOSE OF DEVELOPMENT Townhomes
7. TOTAL NUMBER OF UNITS 79
8. PERCENT IMPERVIOUS SURFACE 49%
9. TOTAL TRACT ACREAGE: 11.39
10. TOTAL ACREAGE DISTURBED(INCLUDING OFF-SITE UTILITIES AND ROADWORK): 9.7
11. AMOUNT OF FEE ENCLOSED:
ROUNDED UP ACREAGE 10 * $500/ACRE = $ 5,000.00
CHECK NUMBER
DATE PAID
DISCLAIMER:Town of Wake Forest fees and charges are subject to change without notice.Please call 919-435-
9443 to confirm current fees and charges.
12. PROPERTY OWNER(S) (PROVIDE LIST OF ADDITIONAL PROPERTY OWNERS ON AN ATTACHED SHEET):
NAME Tryon Investment Partners II,LLC E-MAIL jlassiter@pinellascorp.com
ADDRESS 8321 Bandford Way,Suite 105,Raleigh NC 27615
PHONE 919-971-9643 CELL 919-971-9643
13. PERSON TO CONTACT SHOULD EROSION AND SEDIMENT CONTROL ISSUES ARISE DURING LAND-DISTURBING ACTIVITY:
NAME Joseph Lassiter E-MAIL jlassiter@pinellascorp.com
ADDRESS 8321 Bandford Way,Suite 105,Raleigh NC 27615
PHONE 919-971-9643 CELL 919-971-9643
14. PLANS PREPARED BY Priest,Craven and Associates,Inc.
ADDRESS 3803b Computer Drive,Suite 104,Raleigh NC 27609
EMAIL bwilliams@priestcraven.com
PHONE 919-781-0300 CELL 919-781-0300
15. DOCUMENTS SUBMITTED(SUBMITTER TO PLACE A CHECK MARK IN THE BOX):
FEES ($500 per acre rounded up, due upon 1st review) �
FINANCIAL RESPONSIBILITY OWNER FORM r
COMPLETED PLAN CHECKLIST r
PLANS (to be submitted with construction set) �
E&SC CALCULATIONS (1 copy) �
STORMWATER CALCULATIONS (1 copy)
MAINTENANCE AND OPERATION AGREEMENT �
NCDOT Encroachment/Driveway Permit
DWQ 401 Permit �
USACOE 404 Permit �
NCG010000 Permit COC Provided post TOWF approval
EROSION & SEDIMENT CONTROL SURETY
APPROXIMATE DATE LAND-DISTURBING ACTIVITY WILL COMMENCE: 05/29/2024
THE SOIL EROSION AND SEDIMENTATION CONTROL PLAN, supporting documents, maps and
computations submitted for the above tract conform to the requirements of all applicable
sections of the Town of Wake Forest Erosion &Sedimentation Control Ordinance outlined in
the UDO.
Project Manager 05/29/2024
SIGNATURE TITLE DATE
PART B. FINANCIALLY RESPONSIBLE OWNER (FRO)/PERSONS INFORMATION
1. PERSON(S)OR FIRMS WHO ARE FINANCIALLY RESPONSIBLE FOR THE LAND-DISTURBING ACTIVITY(PROVIDE A
COMPREHENSIVE LIST OF ALL RESPONSIBLE PARTIES ON AN ATTACHED SHEET):
Tryon Investment Partners II,LLC jlassiter@pinellascorp.com
NAME EMAIL
8321 Bandford Way Suite 105
ADDRESS
Raleigh NC 27615
CITY STATE ZIP CODE
919-971-9643 919-971-9643
PHONE CELL
2. IF THE FINANCIALLY RESPONSIBLE PARTY IS NOT A RESIDENT OF NORTH CAROLINA,GIVE NAME AND STREET ADDRESS OF
THE DESIGNATED NORTH CAROLINA AGENT:
NAME EMAIL
ADDRESS
CITY STATE ZIP CODE
PHONE CELL
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
ADDRESS
CITY STATE ZIP
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 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.
o scpt- £Ass,*Ga- Z.etieI toaMtc.4't .&tA&L
NAME TITLE OR AUTHORITY ✓
L /30 /1 if
SIGNATURE DATE
I, I racal w rCeV\ , a Notary Public of the County of
W e— , State of North Carolina, hereby certify that
�J o ep tt L. .4ss, 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 31J day of Maki , 20 a9
`\011I1110iii/
Notary 40 AR,t.
�'. .04/8L\G `•C)
My commission expires 518 f oZ0192 '.'� .••'
'/// CO UN1\`\\\`
= TOWN of
==� WAKE FOREST
LAND DISTURBING (E&SC) PERMIT PLAN SUBMITTAL CHECKLIST
(SUBMITTER TO PLACE A CHECK MARK NEXT TO EACH ITEM)
✓ 1. LOCATION/VICINITY MAP
2. EXISTING AND PROPOSED COUNTOURS, INCLUDING OFFSITE
✓ 3 CLEARLY DELINEATED BOUNDARIES OF LAND DISTURBANCE WITH ACREAGE
✓ 4. SOILS AREA MAP these sheets are not
'included in plans
✓ 5. DRAINAGE AREA MAP
✓ 6. EXISTING UTILITY EASEMENTS,STORM DRAINAGE, BASINS, LEVEL SPREADERS
✓ 7. EXISTING LOT LINES, LOT NUMBERS,SURROUNDING PROPERTY OWNERS
✓ g• STREAM CENTERLINES, STREAM BUFFERS,WETLANDS, FLOODPLAINS
✓ 9 TEMPORARY EROSION CONTROLS TO BE SHOWN ON PLANS:
✓ 1. EROSION CONTROL CALCULATIONS (SEDIMENT BASIN,SEDIMENT TRAP,
SKIMMER, DITCH, ETC...) ]please provide diversion/ditch
calculations
✓ 2. SKIMMER BASINS REQUIRED FOR DRAINAGE AREA OVER 5 ACRES
3. IF PAM IS TO BE USED ONSITE FOR ANY APPLICATIONS, CALCULATIONS FOR
APPLICATION RATES AND SPECIFICATIONS MUST BE SHOWN. IN ADDITION,
SOIL TESTS MUST BE TAKEN TO DETERMINE CORRECT SOIL CHARGE AND
PRODUCT TYPE PRIOR TO USE.
1 4. CONSTRUCTION ENTRANCE 50 FOOT MINIMUM WITH WOVEN 20#
TENSILE STRENGTH FABRIC UNDERNEITH
✓ 5. SILT FENCE-METAL POSTS WITH WIRE SPACED AT 6 FEET
✓ 6. HARDWARE CLOTH OUTLETS(SPECIAL SEDIMENT CONTROL FENCE)
1 7. TREE PROTETION FENCE WITH "DO NOT ENTER TREE PROTECTION AREA"
SIGN IN ENGLISH AND SPANISH
i. REQUIRED AROUND PERIMETER OF
PROPERTY
BK018318PG00973 WAKE COUNTY, NC
TAMMY L. BRUNNER
REGISTER OF DEEDS
PRESENTED & RECORDED ON
01-29-2021 AT 16:38:47
STATE OF NC REAL ESTATE
EXCISE TAX: $6,833.00
BOOK: 018318 PAGE: 00973 - 00975
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: S �� 33
t
Parcel Identifier No. 53805&379087 Verified by County on the day of ,20
By:
Mail/Box to: Grantee
This instrument was prepared by: Gwynn & Edwards, P.A., 5909 Falls of Ncuse Ste 200, Raleigh NC 27609 (WITHOUT TITLE
SEARCH OR LEGAL ADVICE)
Brief description for the Index: 2 tracts—BM2013, Page 179&BM2010,Page 575, Wake County Registry
THIS DEED made this day of.lanuary,2021, by and between
GRANTOR GRANTEE
PEARCE HEIRS FARM,LLC, TRYON INVESTMENT PARTNERS II LLC, A NORTH
A NORTH CAROLINA LIMITED LIABILITY CAROLINA LIMITED LIABILITY COMPANY
COMPANY
Mailing Address:
3123 Rock Springs Road 8311 Sandford Way,Suite 7
Charlotte,NC 28226 Raleigh,NC 27615
Enter in appropriate block for each Grantor and Grantee: name, mailing address,and, if appropriate,character of entity,e.g. corporation
or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular,plural,masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in
Wake County,North Carolina and more particularly described as follows:
See attached Exhibit A for legal description
All or a portion of the property herein conveyed includes or X does not include the primary residence of a Grantor.
Submitted electronically by "Manning Fulton & Skinner, P.A."
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Wake County Register of Deeds.
BK018318PG00974
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple,has the right to convey the same in fee
simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, other than the following exceptions:
1. Ad valorem taxes for the current year and subsequent years.
2. Easements,restrictions and other matters of record affecting title to the subject property.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
Pearce Heirs Farm, LLC, a North Carolina limited liability
company
tit amc)
By: ill od
Print Name: S via P. Ross
Title: Manager
State of N ce -County of
1, the undersigned Notary Public of the County of dtate aforesaid,
certify that Sylvia P.Ross personally came before met is day an ackno dged that she is the
Manager of Pearce Heirs Farm,LLC, a North Carolina limited liability company and that
by authority duly given and as the act of such entity, she signed the foregoing instrument in it
name on its behalf as its act and deed. Witness my hand and Notarial stamp or seal,this
BONNIE J MOZINGO day of January,2021.
G
Notary Public .
Mecklenburg Co.,North Carolina 'N=" ` - �' " Ar>ri
My Commission Bcpires Sept � No Public t 1 --i
25,2U2My Commission Expires: QA e 1 a^7.-t
(Affix Notary Seal) Notary's Printed or Typed Name
BK018318PG00975
EXHIBIT A
LEGAL DESCRIPTION
Tract One:
BEING all of that certain 65.104 Acres (62.829 Acres Net) according to a plat entitled "Boundary Survey
Prepared for Pearce Heirs Farm, LLC" dated December 30, 2011, prepared by James O. Murphy, PE and
recorded in Book of Maps 2013, Page 179,Wake County Registry, to which reference is hereby made for a
more particular description.
Tract Two:
BEING all of that certain 1.500 acres according to a plat entitled "Minor Subdivision for Pearce Heirs
Farm, LLC" dated May 5, 2010, prepared by Cawthorne, Moss & Panciera, P.C., Professional Land
Surveyors and recorded in Book of Maps 2010, Page 575, Wake County Registry, to which reference is
hereby made for a more particular description.