NCC230452_FRO Submitted_20230216

Durham City/County
Sedimentation and Erosion Control
JCN
(Office Use Only)
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 40 Moore Drive Wolfspeed Tenant Uplifts
2. Road location of land -disturbing activity: 40 Moore Dr Durham NC
Tax Map - Block - Parcel: 225020 PIN: 0749-05-70-7635
3. Square footage of land to be disturbed or uncovered 130,680 SF
4. List below the landowner of record. Each landowner must complete Item 8.
(If there are multiple owners, please list on a separate page):
ARE -NC REGION NO 19 HOLDING LLC
Name
PO BOX 847
Address
CARLSBAD CA 92018
City State Zip
Teleohon Fax Emai
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.
Wolfspeed. Inc.
Name
4600 Silicon Drive
Street Address
Durham
City State Zip
919-407-5809 Brian.VickAwolfspeed.com
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 • [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:
Chris McCann
Name
4600 Silicon Drive
Street Address
Durham NC
27703
City State
Zip
919-842-0435
Chris.McCannAwolfspeedxom
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.
August 15, 2022
Chris McCann
Date Type or Print Name
919-842-0435 Dlrec crpr,, oth Proiect Manaqement
Telephone Fax Tr
Chris. [e-mail]/
rorr,
Email
Business Applicant (Provide coirlorate resolution on sienatory authori
I, Shelbie L. Whitfield a Notary Public of the County of Person
State of North Carolina hereby certify that Chris McCann
personally came before me this day and acknowledged that he is Director, Global Project Management
of Wolfspeed. Inc. and acknowledged, on behalf of Wolfspeed. Inc.
the due execution of the foregoing instrument.
Witness my hand and official seal, this 15th day of August , 2022
Notary Public SHEL%A°WHITFIELV�
Notary Public • North Carolina
My commission expires October 8 12022 Person County
My Commission Cxpirts Ott 8, 2022
Individual Applicant
I, , a Notary Public of the County of
State 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 day of 120
My commission expires
20
Notary Public
LAND DISTURBING PERMITS ARE NON -TRANSFERABLE

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.
Date
Telep one
0�tayvU (
Email
MAGO
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Print Name
Fax /.T.j'fle'or Aut&rity
Business Landowner (Provide comorate resolution on signatory authori
M
I, S 0-6iv)o- N Lthk i v, S , a Notary Public of the County of
State of ()pro1 vjjx- hereby certify that
personally came before me this day and acknowledged that he is N6�'Vv_el
I P-eal Esfok
of Wi,—Kvl 1 , and acknowledged, on behalf of le�<nkAr i /i
%I'&— - (j i`h e in ( - —, the due execution of the foregoing instrument.
Witness my hand and official seal, this ZZ day of IPMOIUM- 20 2 Z
Notary -Public • cpffkw 00
My commission expires 3(}\)\XWY) 20 C
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Individual Landowner
a Notary Public of the County of ,///,C ,,�G ��`
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State
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
20
5E-03 Rev.07/06