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HomeMy WebLinkAboutNCC220556_FRO Submitted_20220127WAKE COUNTY FINANCIAL RESPONSIBILITYIOWNERSHIP FORM SEDIMENTATION POLLUTION CONTROL ACT WAnNo person may initiate any land -disturbing activity on one or more acres as covered by the Wake County Unified Development Ordinance before this form and an acceptable erosion and COUNTY sedimentation control plan have been completed and approved by Wake County Department of NOUN rA„",�,NA Environmental Services, Water Quality Division. (Please type or print and, if the question is not applicable, place NIA in the blank.) Part A. 1. Project Name Pearce's Landing Lois 15-19 & 370-377 2. Location of land -disturbing activity: Jurisdiction Wake (Wake Go. or Municipality) Highway/Street Golden Plum Lane Latitude 35.863254 Longitude-78.319014 3. Approximate date land -disturbing activity will commence: Fall 2021 4. Type of development (residential, commercial, industrial, institutional, etc.): Residential 5. Total acreage disturbed or uncovered (including off -site utilities and borrow/waste areas): 1.37 ac 6. Person to contact should erosion and sediment control issues arise during land -disturbing activity: Name Jordan Riley E-mail Address Jr'ile y r�i nvriuc.com Telephone Cell # 803-873-0961 Fax # 7. Landowner(s) of Record (attach accompanied page to list additional owners): Pearce's Landing,LLC Name(s) 506 Main St Ste 300 Current Mailing Address Gaithersburg MD 20878 City State zip S. Deed Book No. 017995 Page No.` Part B. Telephone Current Street Address dabauman a[@nvrinc.corn Fax or E-mail address City State zip 0146 Provide a copy of the most current deed, 1, Parson(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): NVR, INC. dbaunran@nvrinc.com Name E-mail Address 5734 Trinity Road, Suite 200 Current Mailing Address Current Street Address RaleigIr NC 27607 City State Zip City Telephone 919-987-1930 Fax Number State zip 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 Wake County Erosion and Sedimentation Control Ordinance and/or Land Disturbance Permit: NIA Name NIA Current Mailing Address N/A City State Zip Telephone N/A E-mail Address Current Street Address N/A City State Zip Fax Number N/A (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: N/A Name of Registered Agent N/A Current Mailing Address N/A City E-mail' Address N/A Current Street Address N/A State Zip City Telephone N/A Fax Number N/A State Zip 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. Type or 71141 me Title or Authority 9-2-ZI Signatur Date r ` 1 Lc%yS a Notary Public of the County of n State of North Carolina, hereby certify that e- / 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 ra of 20 Y NADINE S.LEWiS NOTARY PUBLIC JOHNSTONCOUNTY Notary NORTH embLINA W COMMISSION EXPIRES 1WI2023 My commission expires INCUMBENCY CERTIFICATE NVR, INC. The undersigned hereby certifies that she is Assistant Secretary of NVR, Inc. organized and existing under the laws of the Commonwealth of Virginia, and that: The following serve as officers appointed by the Board of Directors of NVR, Inc. as of the date of this certification: Paul C. Saville Chief Executive Officer and President Eugene J. Bredow President Financial Services Daniel D. Malzahn Senior Vice President, Chief Financial Officer and Treasurer Gary F. Brown Senior Vice President of Human Resources Paul Praylo Senior Vice President, Chief Operating Officer Matthew Kelpy Vice President, Chief Accounting Officer and Controller James M. Sack Vice President, General Counsel and Secretary Appointed Senior Vice Presidents John E. Harper T. Kent LaMotta Keith W. Tomlinson Brett Hetrick Brian Moyer Kirk Kubista Keith Neiman Appointed Vice Presidents Jeffrey C. Ambrose Jesse Faisant Greg Knapp Ryan Arnold Tiffany Ferri Michael Kohowski Matthew T. Arnoldy James R. Forsyth Michael Kotowski G. Louis Baker, III Seth Foster Robert E. Lattanzi James Bales, Jr. Stephen Gallo Joshua Lemoi Joseph Battaglia Nick J. Gargasz Kris Lightcap Ryan Borleis Chris M. Garner Jon Long Brian Bowe Richard S. Goldberg Ryan C. MacCauley David Branch David Greminger Mark Maier Jason Brant Robert Grothmann Misty Mashburn Kelly Brod Charles Hart John McConnell Seth Brohawn John Hedden Robert W. McCracken Katherine Burke Douglass Hensel Lisa McCulley Jon Cherry Jonathan Hess Patrick McGivern Michael Ciabattoni Todd Hickman Matthew McHale Sean Clancy David Hilton Curtis McKay Kevin Connery Nathan T. Holston Patrick McNeally Michael Scott Daniel Brian Huewe Jason McNec Desiree Davis Gregory James Dan Meador David Deal Henry Johnsen Brad Messenger Tom Delaney Ryan Johnson Peter A. Mielnik Patrick Donahue Douglas Jones Jon Moats James Duszynski Chad L. Joyce Paul Mock Scott Eckley Scott Kalman John Monacci Anne Emison William Kane Marty Moore ScottFaber Thomas King IV Joshua Mowrey Appointed Vice Presidents „(cont) Danielle Mullins Matthew W. Rost Steven Stauffer Stephen Neuberger Evan Ruggiero Kevin Summerville Richard Ohmarun Michael Schaeffer Michael Urian Rongld C. Orie, Jr. Joseph Schmidtke Justin Valdez Josh Pardue Patrick Schulz Aaron VanDyke Giles P. Patterson Thomas C. Sear Nicholas Wade Christopher Pearson Brett Sechler David J. Whitaker David Peterson Eric Shirey Benjamin A. Wilson S. Scott Pjesky Tim Sievers Courtney Wilt Catherine Pollack Daniel Simon Matthew Winkler Cameron Powell Dylan Sinclair Paul Wishnok Stephen Power David H. Smithgall Nadia Wong Sang Christian Riesch Gregory Staufer Aaron York Peter Robertson Appointed Assistant Vice Presidents Justin Brod Rick Coscia Mark Madigan David F. Bruckner Eva Melissa Daniels John McAfee Brett Cameron Thomas Frazier III Jerry Smith Jimmy Shawn Colvin Appointed Assistant Secretaries Denise Amspacher Brittany Fraser Stephanie Moore Dana Andrews Melissa Gallagher Trina Morgan Barbara Bailey Jessica Geisler Deborah Mueller KeIani Bailey Alexandra Gil Victoria A. Nelson Lisa Baldwin Jessica Gonzalez -Vega Ellen Ormsby Lisa Berman Sally Claire Griffith Nancy Patti Emily Bianca Katelyn Hertenstein Jennifer Pfister Brittany Binnie Drusilla Halm Sherri Rada Robert J. Busch Diane Holt Sherry Rehage Carol Caramanico Matthew A. Horsley Lynette Reilly Kathleen Lilly Cleary Wendy Hughes Nicole Richardson Annemarie Cousin Belinda Jarrell Greg D. Sarver Lauren Crain Kimberly S. Kearns Elizabeth Selvage Julie Davis Gina Kerstetter Danielle Shelton Lisa Day Julie Koch Jeremie Smith Samantha Dionne Jennifer Kuse Teresa Taylor -Johnson Karen Disbrow Suzanne B. Lemley Aimee Telegraphis Amy Dolbow Dennis W. Littell Laura Thornton Karen Dombrauskas Lori Martin Rebecca Weiss Sara Dunn Stephanie D. McCraw Patricia Wieman Hilda Duran Jill E. Meyer Deborah J. Wisniewski Karen Eichinger Patricia English Mirabelli Minnie Woodley Lora Enwright Dayna Mitchell Kelly Wroten Melissa Evans IN WITNESS WHEREOF, I have signed this Incumbency Certificate and affixed the seal of the Corporation as of January 14, 2022. Alexandra Gil Assistant Secretary