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HomeMy WebLinkAboutNCC243420_FRO Submitted_20241105 WILSON NORTH CAROLINA Financial Responsibility-Ownership Form No person may partake in any land disturbing activity within the confines of the City of Wilson Sedimentation and Erosion Control Ordinance before completing and filing this form with the City of Wilson Erosion Control Division. (*Indicate N/A if a question is not applicable) PROJECT NAME:Bojanglee PROJECT LOCATION:4114 US Hwy 301 S. APPROXIMATE PROJECT START DATE: 12/1/2024 (#)ACRES TO BE DISTURBED 2 ? X$150.00/ACRE=405.00 Person(s)or Firm(s)financially responsible for this land disturbing activity:(If out of state,a registered agent in North Carolina must be used.) REDCO Prooertie;?,LLC Name(Person or Firm) 335 N.Queen St. Street Address(No P.O.BOX) Kinston NC 28501 City,State,Zip 252-208-2233 Telephone# N/A Fax# brad( becajun.com E-mail address Registered agent for the person or firm who is financially responsible: Brad Mercer Name(Person or Firm) 335 N. Queen St. Street Address(No P.O.BOX) Kinston NC 28501 City,State,Zip 252-208-2233 Telephone# N/A Fax# brad_abecajun.com E-mail address PROJECT NAME: ;___ 1 IL S_O NORTH CAROLINA In case of a violation please list the preferred contact(either the Financially Responsible Person or Registered Agent on the line below: Brad Mercer or Financially Responsible Person Registered Agent The above information Is true and correct to the best of my knowledge and belief and as provided by me while under oath.(This form must be signed by the Financially Responsible Person If an individual or by an officer,director,partner,and attorney-In-fact,or other person with authority to execute instruments for the financially responsible person if not an individual.) 7/o/zo z-y Date Valli)aF-4 ?4Prt Title or rl Signature Brad Mercer Type Print Name Print Name Phi 7/relur t`y Title Date L, :3 `V1 r,;l I t- a'v j C ,a Notary Public of the County of L t'-'t.`t Y State of North Carolina hereby certifies rvV'(c ( IU 1C'L( 'tVr personally appeared before me this day and under oath acknowledged that the above form was executed by him. Witness my hand and notary seal,this day of - _)' L , 2- 2-- (Notary Public) f'lfrtft,ACIAA )1i.-C liAa e1e$flIfifehji fission expires 0 , 9 et rY. UP. le CS, ttalAcho • M p d a LAC"Is 301.