NCC221949_FRO Submitted_20220524

FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
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.)
Part A. 1. Project Name CALIBER COLLISION - LELANDr NC
2. Location of land -disturbing activity: County BRUNSWICK City orTownshipLELAND
Highway/StreeI.00EAN HIGHWAY Latitude34-12-31.94 N Longitude 78-01 -58.65 W
3. Approximate date land -disturbing activity will commence: MAY 1, 2022
4. Purpose of development (residential, commercial, industrial, institutional, etc.) COMMERCIAL
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas):3.20
6. Amount of fee enclosed: $ 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). NOTE: Both fees are
rounded up to the next whole acre and need to be paid by separate checks to NCDENR.
7. Has an erosion and sediment control plan been filed? Yes No Enclosedx
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
NarneJIM GAMBLE E-mail [e-mail]
Telephone [phone] Cell # 704-905-8190 Fax #
Landowner(s) of Record (attach accompanied page to list additional owners):
NIKI 8951 LLC _
Name
429 E CREEKVIEW RD
Current Mailing Address
HAMPSTEAD, NC 28443
Telephone
Current Street Address
City State Zip City
10. Deed Book No.729 Page No.41 0
Fax Number
State
Zip
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.
PAVILION DEVELOPMENT COMPANY [e-mail]
Name E-mail Address
5605 CARNEGIE BLVD Same
Current Mailing Address
CHARLOTTE, NC 28209
City State
Telephone [phone]
Current Street Address
Zip City State Zip
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:
Name
Current Mailing Address
City State Zip
Telephone
E-mail Address
Current Street Address
City State
Fax Number
Zip
(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
Telephone
E-mail Address
Current Street Address
State Zip City
Fax Number
State Zip
(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:
Engineering Firm or other consultant
Individual contact person (type or print)
E-mail Address
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 provideq herein.
*1& Ob o
Type or print name
Signature
Title or Authority
Date
�S 1 zZ
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I. �� � a Notary Public of the County of _ tr of Qn G
State of North Carolina, hereby certify that I ehAt I mtoahAIA appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him.
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Witness my hand and notarial seal, this ,day of ■ „a 0 dj
Notary
SOTARYP lrer My commission expires Noyem6r 1). �4
NOTARY P11BL1C
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MyComExpires November 11, 2026