NCC222480_FRO Submitted_20220711

ORANGE COUNTY PLANNING AND INSPECTIONS
EROSION CONTROL AND STORMWATER DIVISION
APPLICATION
EROSION CONTROL PLAN
LAND DISTRUBING PERMIT (LDP)
STORMWATER MANAGEMENT PLAN (SMP)
131 W. Margaret Lane - Post Office Box 8181
Hillsborough, NC 27278
[phone]
httns://w-ww.orangcQQunt�iicajzov/ 1302/Erosion-Control-Storrnwater
1. Name of Project: Buckhorn Business Center Phase 1
2. Parcel Identification Number (PIN):
3. Size of Tract: 65.51 acres;
4. Fees:
Planning Jurisdiction: Mebane
Area Disturbed: 47.08 acres
Erosion Control Plan Review 23,870
Required with Application $
Land Disturbing Permit $ 58,426
Optional with Initial Application
Stormwater Management Plan Review
Orange County Planning Jurisdiction Only
Required with Application $
Total $ 82,296
FOR OFFICE USE ONLY
Date Paid Receipt #
Date Paid Receipt #
Date Paid Receipt #
5. Approximate Date Land Disturbance Will Begin: March 15, 2022
6. Landowner(s) of Record: (Use additional pages if necessary and attach to application)
See Attached
Name
Street Address
Current Mailing Address
City State
Telephone Fax
Email Address
Name
Street Address
Current Mailing Address
Zip City
Telephone
Email Address
State Zip
Fax
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Future Landowners (if applicable): (Use additional pages if necessary and attach to application)
Company / Organization
Company / Organization
Al. Neyer LLC
Contact
Contact
4509 Creedmoor Road, Suite 201
Street Address
Street Address
4509 Creedmoor Road, Suite 201
Current Mailing Address
Current Mailing Address
Raleigh NC 27612
City State Zip
City State Zip
919.624.3290
Telephone
Telephone
[e-mail]
e-mail
e-mail
7. Person(s) or Firm(s) Financially Responsible for this
Land Disturbing Activity:
Company / Organization:
Company / Organization:
Al. Never LLC
Contact
Contact
Bob Brooks
Sheet Address
Street Address
4509 Creedmoor Rd., Suite 201
Current Mailing Address
Current Mailing Address
4509 Creedmoor Rd., Suite 201 NC 27912
City State Zip
City State Zip
Raleigh NC 27612
Telephone
Telephone
919.816.6227
e-mail
e-mail
[e-mail]
8. Registered Agent (if any) for the Person(s) or Firm(s)
Financially Responsible:
(NOTE: a North Carolina agent is required if the applicant is not a resident of North Carolina)
City State Zip
Name
Street Address Telephone
Current Mailing Address Email
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9. Project Description:
Industrial development west of Buckhorn Road d in Mebane, NC to include new warehouse buildings, public road and utilities, parking and stormwater management.
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10. Plans Prepared By:
Stewart
Name of Person or Firm
101 West Main Street
Mailing Address
Durham
city
NC 27701
State Zip
Tim Summerville
Contact Person
[e-mail]
Email
919.866.4794
Telephone
11. Signature and Witness: the above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath.
Signature of Financially Responsible
�I CL- -P��q -u-(—
Title or Authority
Ty e or Print Name Legibly
Date
I, kAft a Notary Public of the County of
�JIIAIC--
hereby certify that personally before me this day and under oath
acknowledged that this Application for Erosion Control Plan Approval, Stormwater Management Plan
Approval and Land Disturbing Permit / Statement of Ownership and Financial Responsibility
was executed by him or her.
Witness my hand and pQtanal seal, this
Signature of Notary
SEAL
NOT�Fty pirn�,iG
Day of F r —
My Commission Expires
7ti24
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