NCC222985_FRO Submitted_20220830

TRANSFER OF EROSION AND SEDIMENTATION CONTROL PLAN
FINANCIAL RESPONSIBILITY NOTICE
G.S. 113A-54.1(f)
For a residential lot under an individual lot approval involving a land disturbance of less than one (1)
acre and where the builder/developer has been named as the financially responsible party for the land
disturbing activity.
I, W C \, U n J ,the Financially Responsible Party for the
Project ID cum ?-) E _ a a3 - a and
Project Name
do hereby notify the DEQ Land Quality Section of the conveyance of the following residential lot and
disturbed acreage:
Lot #
Acreage
This notification does not provide relief from financial responsibility under the NPDES Construction
Stormwater General Permit NCG010000 (NCGO1). In order to terminate coverage under this NPDES
permit, you must request a close-out inspection once the lot has been permanently stabilized.
Upon closure of the erosion and sedimentation control project by the approving authority, you may then
apply for termination of coverage of the NPDES permit by completing the electronic Notice of
Termination (e-NOT) form. Alternatively, coverage may be terminated if the new lot owner applies for
and receives coverage on the same lot under their own NCGO1 permit AND then you apply for
termination through the e-NOT process.
A copy of the latest deed for the subject lot, a signed statement from the new lot owner acknowledging
financial responsibility, and a revised Financial Responsibility Form by the new owner for the above
identified project are attached.
By submittal of this completed and signed form along with the attached completed and signed
documentation mentioned above, I am relieving myselffrom financial responsibility under the
Sedimentation Pollution Control Act of 1973 for the above named lot.
Signature matching the printed name above:
Date:

STATEMENT OF FINANCIAL RESPONSIBILITY
FOR EROSION AND SEDIMENTATION CONTROL
Under North Carolina General Statute 113A-54.1(f), once a residential lot that involves less than one (1)
acre in land disturbance is sold by a builder or developer to a new lot owner, the deed is recorded, and
notification is provided to the permitting or plan review authority, the new lot owner shall assume
financial responsibility for the control of erosion and sedimentation losses from that lot.
I, 6"VVs:T-- puvv}S_ Zed *-CCrS r: , acknowledge that I am the new landowner of this lot
and that by signing the Financial Responsibility/Ownership form that I am responsible for erosion and
sedimentation control under the requirements of the Sedimentation Pollution Control Act of 1973.
Under this Act, any land shall be stabilized to prevent dirt or sediment from leaving the lot.
Stabilization can be in the form of vegetation (e.g., grass, mulch, or pine straw as permanent
landscaping) or through structural means (e.g., pavement or other hardscape). Any land disturbance on
this lot subsequent to closure of the builder's project may require an erosion and sedimentation control
plan be submitted on my behalf to the appropriate plan review authority for approval.
Signature matching the printed name above:
Date: