NCC223929_FRO Submitted_20221206

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NORTH C;ARO L I NA
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]
https://www.oran eg coLitil iie. ov/1302IErosion-Control-Stormwater
1. Name of Project: Summit Place Townhomes & Residence Inn Hotel
2. Parcel Identification Number (PIN): 9799-48-1814 & 9799-48-0252 Planning Jurisdiction: Chapel Hill, NC
3. Size of Tract. 17.69 acres; Area Disturbed: 435,050 SF 998 A acres
4. Fees:
Erosion Control Plan Review 1 350
Required with Application $
Land Disturbing Permit 2 700
Optional with Initial Application $
Stormwater Management Plan Review
Orange County Planning Jurisdiction Only 0
Required with Application $
Total $ 4,050
FOR OFFICE USE ONLY
Date Paid Receipt #
Date Paid Receipt #
Date Paid Receipt #
5. Approximate Date Land Disturbance Will Begin: October 23, 2022 [Estimated]
6. Landowner(s) of Record: (Use additional pages if necessary and attach to application)
Name Name
SHG LLC
Street Address Street Address
3141 John Humphries Wynd., Suite 200
Current Mailing Address Current Mailing Address
Raleign NC 27612
City State Zip City State Zip
919-676-2822
Telephone Fax Telephone Fax
[e-mail]
Email Address Email Address
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Future Landowners (if applicable): (Use additional pages if necessary and attach to application)
Company / Organization Company / Organization
Contact Contact
Street Address
Street Address
Current Mailing Address
Current Mailing Address
City State Zip
City State Zip
Telephone
Telephone
e-mail
a-mai l
7. Person(s) or Firm(s) Financially Responsible for this Land Disturbing Activity:
Company / Organization:
Company / Organization:
SHG LLC
Contact
Contact
Craig Eick
Street Address
Street Address
3141 John Humphries Wynd. Suite #200
Current Mailing Address
Current Mailing Address
Raleigh NC 27612
City State Zip
City State Zip
Telephone
Telephone
919-576-2822
e-mail
e-mail
[e-mail]
8. Registered Agent (if any) for the P rson(s) or Firm(s) Financially Responsible:
(NOTE: a North C ent is requi if a applicant is not a resident of North Carolina)
Name City State Zip
Street Address Telephone
'S7S� ks ors
Current Mailing Address Email
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9. Project Description.
Development of a 52 Dwelling Unit Townhome neighborhood and the addition of 54 suites at an existing hotel on Erwin Road
in Chapel Hill. Removal of an existing farm pond and the establishment of a new stormwater management system to serve
both portions of this mixed use development.
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10. Plans Prepared By:
The Nau Company Jon Eakins, PE
Name of Person or Firm Contact Person
PO BOX 810 [e-mail]
Mailing Address Email
Rolesville NC 27571 919-616-4716
City State Zip 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 w ' e u der oath.
C (-i
Signature a a y Responsible Type or Print Name Legibly
-1 .
Title or Authority Date
I, J O S *VA-D.51 f- OR T7 LVa Notary Public of the County of 0 4 kV -
hereby certify that IOL tlt(L� F-4p,sN 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 n3k hand and notarial seal, this Day of S
,.
Siof Notary gn
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PUBLICUN
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01 pC)k/6M jEa 20 2Z
My Commission Expires
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