HomeMy WebLinkAboutNCC220619_FRO Submitted_20220203WAKE COUNTY FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
A�r No person may initiate any land -disturbing activity on one or more acres as covered by the Wake
WECounty 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
N<>�T� c,�R�,�;�., Environmental Services, Water Quality Division. (Please type or print and, if the question is not
applicable, place N/A in the blank.)
Part A.
1. Project Name Huffington Farm Subdivision
2. Location of land -disturbing activity: Jurisdiction Wake (Wake Co. or Municipality)
Highway/Street Mount Pleasant Road Latitude 35d34'10" N Longitude 78d39'16"W
3. Approximate date land -disturbing activity will commence: December 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): 22.8 ac
6. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name
Bobby Hilgoe E-mail Address bhilgoe@truehomesusa.com
7
Telephone (919) 669-4057 Cell # Fax #
Landowner(s) of Record (attach accompanied page to list additional owners):
True Homes, LLC. (919) 669-4057
Name(s) Telephone
900 Perimeter Park Drive - Suite E
Fax or E-mail address
Current Mailing Address
Current Street Address
Morrisville, NC 27560
City State Zip
City State Zip
8. Deed Book No. 08789 Page No.
01540 Provide a copy of the most current deed.
Part B.
1. Person(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):
True Homes, LLC. - Bobby Hilgoe
bhilgoe@truhomesusa.com
Name
E-mail Address
900 Perimeter Park Drive - Suite E
Current Mailing Address
Current Street Address
Morrisville, NC 27560
City State Zip
City State Zip
Telephone (919) 669-4057
Fax Number
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:
Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone Fax Number
(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 E-mail Address
Current Mailing Address Current Street Address
City
Telephone
State Zip
City
Fax Number
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.
Bobby Hilgoe - True Homes, LLC.
Type or print name
::�/ P�\ —
Signature
Market Partner
Title or Authority
11 /23/2021
Date
I, AmpAk a Notary Public of the County of
State of North Carolina, hereby certify that QO�y u`�a- 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 221VA day of N VIL"YOCr , 20 '2\
al
4 Notary Public
Lee
s County
2 +
0�TH fC AFt,-1,`����
Notary
My commission expires , V l�)\'I ? ;
Landowner(s) of Record (attach accompanied page to list additional owners):
Cool Hand Holdings of Harnett, LLC.
Name
P.O. Box 310
Current Mailing Address
Angier, NC 27501
City State Zip
(919)821-0826
Telephone Fax Number
Current Street Address
City State Zip
Deed Book No. 018140 Page No. 01218 Provide a copy of the most current deed.