NCC231827_FRO Submitted_20230613

For TOWF Use Only Application #:
Project Name:
Date Received: Acres:
Date Approved: Fees Paid:
TOWN of
WAKE FOREST
LAND DISTURBING (E&SC)
PERMIT APPLICATION, PLAN CHECKLIST, &
FINANCIALLY RESPONSIBLE OWNER (FRO) FORM
NO PERSON MAY INITIATE ANY LAND-DISTURBING ACTIVITY ON 1/2 ACRE OR MORE BEFORE THESE FORMS,FEES,AND AN
EROSION AND SEDIMENTATION CONTROL PLAN SEALED BY A NORTH CAROLINA REGISTERED PROFESSIONAL ENGINEER OR
LANDSCAPE ARCHITECT HAVE BEEN COMPLETED AND APPROVED BY THE TOWN OF WAKE FOREST. MULTIPLE SINGLE
FAMILY LOTS THAT DISTURB MORE THAN 1/2 ACRE ALSO REQUIRE A PERMIT AND SHALL FOLLOW THE STANDARD
PROCEDURES OUTLINED BELOW.SEE THE UNIFIED DEVELOPMENT ORDINANCE FOR ADDITIONAL INFORMATION AND FULL
ORDINANCE REGULATIONS.
NOTE:THE APPLICATION FEE OF$500.00 PER ACRE(ROUNDED UP TO THE NEXT ACRE I.E.:1.1 ACRES = 2 ACRES*
$500=$1,000)IS DUE AT TIME OF SUBMITTAL.IF FEES ARE NOT SUBMITTED THE PLAN WILL AUTOMATICALLY BE
DISAPPROVED.
DISCLAIMER:TOWN OF WAKE FOREST FEES AND CHARGES ARE SUBJECT TO CHANGE WITHOUT NOTICE.
PLEASE CALL 919-435-944.3 TO CONFIRM CURRENT FEES AND CHARGES.
PART A: PROJECT INFORMATION
PROJECT NAME Traditions Townhomes
1. TAX PIN NUMBER 1851128142
2. ZONING Neighborhood Mixed-Use (NMX)
3. LOCATION/ADDRESS OF TRACT Traditions Grande Blvd.,Wake Forest,NC 27587

4. SUBDIVISION Traditions Townhomes LoT# 1-37
5. DEED BOOK 019031 PAGE 00247
*PLEASE PROVIDE A COPY OF THE MOST CURRENT DEED
6. PURPOSE OF DEVELOPMENT Residential
7. TOTAL NUMBER OF UNITS 37
8. PERCENT IMPERVIOUS SURFACE 2.38
9. TOTAL TRACT ACREAGE: 4.76
10. TOTAL ACREAGE DISTURBED(INCLUDING OFF-SITE UTILITIES AND ROADWORK): 1.64
11. AMOUNT OF FEE ENCLOSED:
ROUNDED UP ACREAGE 2.00 *$500/ACRE = $ 1,000
CHECK NUMBER
DATE PAID
DISCLAIMER:Town of Wake Forest fees and charges are subject to change without notice.Please call 919-435-
9443 to confirm current fees and charges.
12. PROPERTY OWNER(S)(PROVIDE LIST OF ADDITIONAL PROPERTY OWNERS ON AN ATTACHED SHEET):
Ea-C*ini oe Al•-'es of 1J
NAME �a1c�Lj L L C. E-MAIL QC/'c��N7oioieeas4wooclA0,"es. Go.•,
ADDRESS 7/0 / c.d.'Woo/ pa, SHi-,Le. //5/ if,Ic/ 4, NC- 276/3
PHONE [phone] CELL V9- 7'27-2962.
13. PERSON TO CONTACT SHOULD EROSION AND SEDIMENT CONTROL ISSUES ARISE DURING LAND-DISTURBING ACTIVITY:
NAME ,4,,o�j C/aw7Go E-MAIL [e-mail]
ADDRESS 7/"/ Crimea/. 001 /e , SG//Tc //.5/ /\4/c..//9%, /V c 276/3
PHONE [phone] CELL 9j 9- 42 7-2 % 6Z

14. Plans Prepared By Path Light Consulting, Inc.
Address 1511 East State Road 434, Suite 3001, Winter Springs, FL 32708
Email www.pathlightpro.com
Phone [phone]
15. DOCUMENTS SUBMITTED(SUBMITTER TO PLACE A CHECK MARK IN THE BOX):
FEES ($500 per acre rounded up, due upon 1st review) X
FINANCIAL RESPONSIBILITY OWNER FORM X
COMPLETED PLAN CHECKLIST X
PLANS (to be submitted with construction set) X
E&SC CALCULATIONS (1 copy) N/A
STORMWATER CALCULATIONS (1 copy) N/A
MAINTENANCE AND OPERATION AGREEMENT N/A
NCDOT Encroachment/Driveway Permit N/A
DWQ 401 Permit N/A
USACOE 404 Permit N/A
NCG010000 Permit COC N/A
EROSION &SEDIMENT CONTROL SURETY N/A
APPROXIMATE DATE LAND-DISTURBING ACTIVITY WILL COMMENCE: 7/3/Z3
THE SOIL EROSION AND SEDIMENTATION CONTROL PLAN, supporting documents, maps and
computations submitted for the above tract conform to the requirements of all applicable
sections of the Town of Wake Forest Erosion & Sedimentation Control Ordinance outlined in
the UDO.
Z-e*-.-i� /"Vice ca.f/olGn lad T //Z/Z.3
SIGNATURE TITLE DATE

PART B. FINANCIALLY RESPONSIBLE OWNER(FRO)/PERSONS INFORMATION
1. PERSON(S)OR FIRMS WHO ARE FINANCIALLY RESPONSIBLE FOR THE LAND-DISTURBING ACTIVITY(PROVIDE A
COMPREHENSIVE LIST OF ALL RESPONSIBLE PARTIES ON AN ATTACHED SHEET):
Eas--v✓o o c/ 1/coves a�A Ale!ALL G [e-mail]
NAME EMAIL
7/01 Creed,'" at- Rd. SN/'Ja //.5
ADDRESS
Raleigh, NC ^!c 2 76/3
CITY STATE ZIP CODE
919-758-8208 9/47- 4'27- 2 96Z
PHONE CELL
2. IF THE FINANCIALLY RESPONSIBLE PARTY IS NOT A RESIDENT OF NORTH CAROLINA,GIVE NAME AND STREET ADDRESS OF
THE DESIGNATED NORTH CAROLINA AGENT:
NAME EMAIL
ADDRESS
CITY STATE ZIP CODE
PHONE CELL
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 E-MAIL ADDRESS
ADDRESS
CITY STATE ZIP

PHONE FAX
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
provided herein.
Andy Crawford Vice President
NAME TITLE OR AUTHORITY
it(/iz/23
SIGNATURE DATE
I, _ k` SO,s& , a Notary Public of the County of
UQ( c.U Statet of North Carolina, hereby certify that
X(_Ac C appeared personally before me this day and being
duly swor' cknowledged that the above form was executed by him.
Ii
Witness my hand and notarial seal, this .2 day of At,,n� , 20 (;--
Mrivigge
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