NCC221836_FRO Submitted_20220518

Durham City/County
Sedimentation and Erosion Control
JCN
(Office Use Only)
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FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
WITH LANDOWNER CONSENT FORM
No person may initiate any land -disturbing activity covered by the Durham City -County Unified Development Ordinance before a
Land Disturbing Permit is issued by the Sedimentation and Erosion Control Office. Issuance of a Land Disturbing Permit does not
relieve the permittee of the obligation to obtain any other licenses, permits and approvals as may be required by Federal, State,
County or Municipal governments. This office must be notified in writing of any change to the information on this form.
PLEASE TYPE OR PRINT
1. Project name: � �hr A us- w.d . Y GV1 Y\ Y Ira2 Yo � qwj t
2. Road location of land -disturbing activity: 550 5 ell/11(A ia.Q SC Koad . bVA NnaM , NC, a1103
TaxMap- Block - Parcel: �°ILy0 Uis PIN: 0QJ1 02. ' S1 L LagI
3. Square footage of land to be disturbed or uncovered: AV)OYO X 5 Olc c, Qa 1B , 00 0 Seq- it
4. List below the landowner of record. Each landowner must complete Item 8.
(If there are multiple owners, please list on a separate page):
S t O IA tt F "M LL G
Name
550 NC, QjJQ3
Address
rdMV n Nc a7��3
City State zip
,N Pt N 1 A N A
Telephone Fax Email
5. List the person or entity financially responsible for this land -disturbing activity: The financially responsible party shall
be (1) the developer or other person who has or holds themselves as having financial or operational control over the land -
disturbing activity and/or (2) the land owner or person in possession or control of the land when they have directly or
indirectly allowed the land -disturbing activity or have benefited from it and (3) the named party on the Land Disturbing
Permit.
Name \1
550 oftn4 BOSS ok
Street Address
%Ah" Nc a110a
City State zip
NIA NJA NJ
Telephone Fax Email
The Sedimentation and Pollution Control Act (Act) and the Durham City -County Unified Development Ordinance
(Ordinance) includes, but is not limited to, the following legal obligations of the financially responsible party:
■ Maintain a set of approved sedimentation and erosion control plans, if required, on site.
■ Display permit on site.
■ Understand and implement any required plan, including the construction sequence and details.
■ Inspect, maintain and repair sedimentation and erosion control measures, especially after rainfall events.
■ Provided adequate ground cover or otherwise stabilize all areas that have not been actively graded within 21 calendar
days.
201 E. Main St, 5' Floor, Durham, N.C. 27701 a [phone] • Fax [phone]
www.co.durham.nc.us/ceng

■ Plan and conduct all land -disturbing activity so as to prevent off -site sedimentation.
6. For business applicants, list below the North Carolina registered agent for the financially responsible entity:
Sahli \e\nssQj11 Stowtt -3r—
Name
ls;2 W i�0Y0o� DY
Street Address
EQAQ;g�
City j
State Zip
01101 - LOaa _ 6yaa t4 1I VsfioL a+00.COM
Telephone Fax Email
7. The above information is true and correct to the best of my knowledge and belief and was provided by me while under oath. I
understand that the person or entity listed on Line 5 above will be: (1) the owner of the Land Disturbing Permit when issued;
(2) responsible for ensuring compliance with the Act and Ordinance; and, (3) will be the only person or entity with standing to
appeal any action taken or decision made by the Sedimentation and Erosion Control Office.
3 -L) ' 22 tulip st0kA":Z
Date Type or Print Name
1101 - laaa - 5 4 as d1A Sri 1Qj "@+bIN
Telephone Fax Title or Authority
Email
Signature
Business Applicant (Provide corporate resolution on signatory authority)
a Notary Public of the County of NNM Y-t
State of G , hereby certify that -TO In V� 1QM SS OMN C.W 0" -B:-
personally came before me this day and acknowledged that he is _ SO\e tAW 10I&Y
of S\oul't't fw41t t! j fMM LLD and acknowledged, on behalf of co, M ?r
See, 0 aft" n� 0101A_AMtol othe due execution of the foregoing instrument.
Witness my hand and official seal, this
My exP
Incllvidiamlit�'z1� V
State of " ` .,,, /r:.. `.: %%(
1'h day of M ow C , 20 a a
Notary Pu lic
20
a Notary Public of the County of
hereby certify that
personally appeared before me this date and under oath acknowledged that the above form was executed by them.
Witness my hand and official seal, this
My commission expires
day of
Notary Public
20
LAND DISTURBING PERMITS ARE NON -TRANSFERABLE
20

Provide a Notarized Item 8 for each landowner listed in Item 4.
8. Land Owner Consent. As a landowner, I provide my consent for land -disturbing activities to occur on the property listed in
Item 2 by the person or entity listed in Item 5.
ShAAAA LLt j
Date Type or Print Name
S014b MkM10"
Telephone Fax Title or Authority
Email
Signature
Business Landowner (Provide corporate resolution on signatory authority)
I, VP/InIW NV1 Gk, faQ h , allotary Public of the County of W 1 qj
State of Ci , hereby certify that Jra hh LAA t 79
personally came before me this day and acknowledged that he is _ s0 \1 41)j 4W
of S•t01/ k� "\ k4 %N to U.G and acknowledged, on behalf of
the due execution of the foregoing instrument.
Witness my hand and official seal, this t% day of kA w Y C 1,2, ,20 o�
Notary tublic
State o Iti (` [', L►
—1,)-)14 .20
'U
.Z, a Notary Public of the County of
hereby certify that
personally appeared before me this date and under oath acknowledged that the above form was executed by them.
Witness my hand and official seal, this
My commission expires
20
day of , 20
Notary Public
SE-03 Rev.07/06

2018.
Stoutt Family Farm, L.L.C.
OPERATING AGREEMENT
THIS AGREEMENT is made and entered into to become effective as of the 24th day of October,
1. Organization. Members are authorized and directed to execute such documents and
take such actions as may be necessary to properly organize the Company under North
Carolina law. John Russell Stoutt IV shall be the initial Registered Agent for the service of
process and the initial Registered Office of the Company shall be 7832 Wakebrook Drive,
Raleigh, N.C. 27616. The Registered Agent shall deliver any communications received on
behalf of or intended for the Company to the Members in a timely fashion.
2. General Purpose. The Company's general purpose shall be to conduct farming operations
and other business for any lawful purpose. The Company shall have the authority to do all
things necessary or convenient to accomplish its purpose and operate its business as
provided herein.
3. Sole Members, Initial Contribution. Members shall be the sole Members of the
Company. No additional Members shall be admitted as members of the Company without
the prior written consent of all Members and only on such terms and conditions as the
Members may deem appropriate. The Members shall each initially contribute One Hundred
Dollars ($100) to the capital of the Company. John Russell Stoutt, IV is the sole initial
member and organizer.
4. Management. Management of the Company is initially vested in its Manager, John
Russell Stoutt III. He has full general authority to manage any and all aspects of the
Company. He shall have continuing responsibility and exclusive authority for management
and control of the business affairs of the Company including, but not limited to,
management and operation of the Company in accordance with the provisions of Chapter
57D of the North Carolina Statues. The Company agrees to hold him harmless from and
against any and all liability caused by his good faith actions of in managing the Company.

5. Books and Records. The Company shall maintain a system of books and records
which is adequate for the financial and tax reporting needs of the Company's business. The
Company shall provide financial and other reports at such time and in such manner as the
Manager may deem reasonable and appropriate. Management of books and records and
payment of appropriate taxes are the responsibility of the Manager.
6. Amendment. The Agreement may be amended or modified upon written consent of
all Members holding an interest in the Company at the time of any such amendment or
modification.
7. Governing Law. This Agreement shall be governed by and construed in accordance with
the laws of the State of North Carolina. If any provision of this Agreement shall be contrary
to the laws of the State of North Carolina or any other applicable law, such provision shall be
deemed null and void and such shall not affect the legality of the remaining provisions of the
Agreement. This Agreement shall be deemed to be modified and amended so as to comply
with applicable law and this Agreement shall then be construed in such a way as will best
serve the intention of the parties at the time of execution of the Agreement.
8. Binding Effect. The terms and provisions of the Agreement shall be binding upon and
shall inure to the benefit of the Members and each Member's successors and assigns.
IN WITNESS WHEREOF, the parties have executed this Agreement to become effective on the
day and year set forth above.
By:
ohn Russell Stoutt III, y4nager
By:
John Russell Stoutt IV, Member and
Organizer