NCC216357_FRO Submitted_20211115

SEDIMENTATION POLLUTION CONTROL ACT
EXPRESS PERMITTING OPTION 08012007
No person may initiate any land -disturbing activity on one or more acres as covered by the Act before
this form and an acceptable erosion and sedimentation control plan have been completed and approved
by the Land Quality Section, N.C. Department of Environmental Quality. Submit the completed form to the
appropriate Regional Office. (Please type or print and, if the question is not applicable or the e-mail and/or
fax information unavailable, place N/A in the blank.)
Park A.
1. Project Name Binderholz Enfield LLC, Sawmill Project Pavement Improvements
.2. Location of land -disturbing activity: County Halifax City or Township Enfield
Highway/Street260 Piper Ln Latitude36.218809 Longitude-77.632247
3. Approximate date land -disturbing activity will commence: November 151 2021
4. Purpose of development (residential, commercial, industrial, institutional, etc,): Commercial
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 88.0
6. Amount of fee enclosed: $7,720 . The Express Permitting application fee is a dual charge.
The normal fee of $65.00 per acre is assessed without a ceiling amount. In addition, the Express
Permitting supplement is $250.00 per acre up to eight acres, after which the Express Permitting
supplemental fee is a fixed $2,000.00 (Example: 9 acres total is $2.585). !VOTE: Both fees are
rounded up to the next whole acre and need to be paid by separate checks to NCDENR.
T Has an erosion and sediment control plan been filed? Yes No Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Leo Green E-mail [e-mail]
Telephone [phone] cell # 252-230-4381 Fax # [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Binderholz Enfield LLC 770-722-1065
Name
Telephone Fax Number
260 Piper Ln
260 Piper Ln
Current Mailing Address
Current Street Address
Enfield NC 27823
Enfield NC 27823
City State ,Zip
City State Zip
10, Deed Book No. 2643 Page No. 150 Provide a copy of the most current deed.
Part B.
1. Company(ies) or firm(s) who are financially
responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet.) if the company or firm is a sole proprietorship,
the name of the owner or manager may be listed as the financially responsible party,
Binderholz Enfield LLC (Gebhard Duenser)
[e-mail]
Name
E-mail Address
260 Piper Ln
260 Piper Ln
Current Mailing Address
Current Street Address
Enfield NC 27823
Enfield NC 27823
City State Zip
City State Zip
[phone]
Telephone
Fax Number

2. (a) if the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Christian Rindler
Name
260 Piper Ln
Current Mailing Address
Enfield NC 27623
City
[e-mail]
E-mail Address
3 Olde Chimney Rd
Current Street Address
Roanoke Rapids NC
State Zip City
Telephone [phone]
Fax Number
State
(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
Current Mailing Address
City State Zip
Telephone
E-mail Address
Current Street Address
City State Zip
Fax Number
(c) In order to facilitate Express Permitting, it is necessary to be able to contact the Engineer or other
consultant who can assist in providing any necessary information regarding the plan and its preparation:
Green Engineering, PLLC [e-mail]
Engineering Firm or other consultant E-mail Address
Jon Meade
252-237-5365 252-243-7489
Individual contact person (type or print) Telephone Fax Number
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.
Gebhard Duenser
Type int name
ignature
Managing Director
Title or Authority
10-27-2021
Date
a Notary Public of the County of _KY
State of North Carolina, hereby certify that W&= _KUV&W appeared personally
before me this day and being duly sworn ackdnowledged that the above form was executed by him.
Witness my hand and notarial seal, this ON a day of 4C�1f 20 ai
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