NCC232708_FRO Submitted_20230911

TOWN OF KNIGHTDALE FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land-disturbing activity on one or more acres as covered by the Town
of Knightdale Unified Development Ordinance before this form and an acceptable
erosion and sedimentation control plan have been completed and approved by Town of
Knightdale, Public Works Department, Stormwater Division. (Please type or print and, if the
question is not applicable, place N/A in the blank.)
Part A.
1. Project Name Eastgate 540 - Building 7
2. Location of land-disturbing activity: Town (Town Limits or ETJ)
Highway/Street 390 Spectrum Drive Latitude 35.7665 Longitude -78.5142
3. Approximate date land-disturbing activity will commence: 8/31/2023
4. Type of development (residential, commercial, industrial, institutional, etc.): Industrial
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas):^'
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Jeff Witek E-mail Address [e-mail]
Phone# [phone] Cell# 704-907-9872
7. Landowner(s) of Record (attach accompanied page to list additional owners):
BDPF Eastgate 390 Spectrum LP do Bentall Greenoak 301-656-9119 n/a
Name(s) Telephone E-mail address
7315 Wisconsin Ave, Ste 200W 7315 Wisconsin Ave, Ste 200W
Current Mailing Address Current Street Address
Bethesda MD 20814 Bethesda MD 20814
City State Zip City State Zip
8. Deed Book No. 19131 Page No.0937 Provide a copy of the most current deed.
Part B.
1. Person(s) or firm(s) who are financially responsible for the land-disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet. Include requested information):
Hodge Road Building 7, LLC n/a
Name E-mail Address
650 South Tryon Street, Suite 900 650 South Tryon Street, Suite 900
Current Mailing Address Current Street Address
Charlotte NC 28202 Charlotte NC 28202
City State Zip City State Zip
Phone# [phone]

2. (a) If the Financially Responsible Party is not a resident of Wake County, identify a designated agent in
Wake County to receive any notice, process, pleading in any action or legal proceeding arising out of any
matter relating to the Town of Knightdale Erosion and Sedimentation Control Ordinance and/or
Land Disturbance Permit:
Cameron M. Rice [e-mail]
Name E-mail Address
51 Kilmayne Drive, Suite 102 51 Kilmayne Drive, Suite 102
Current Mailing Address Current Street Address
Cary NC 27511 Cary NC 27511
City State Zip City State Zip
Phone# [phone]
(b) 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:
C. Walker Collier, III [e-mail]
Name of Registered Agent E-mail Address
650 South Tryon Street, Suite 900 650 South Tryon Street, Suite 900
Current Mailing Address Current Street Address
Charlotte NC 2:222 Charlotte NC 28202
City State Zip City State Zip
Phone# [phone]
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.
C. Walker Collier, Ill Managing Member
Type or pri t name Title or Authority
/Signature Date
I, iv\i f-��1�,1�\ Ld\eq a Notary Public of the County of MR,,()1tC01/0g('
State of North Carolina, hereby certify that C. Walker Collier Ili appeared
personally before me this day and being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notarial seal, this Z� day of August 2023
4/4"tos,W
a4:1"We\°O"T ,94"463 Notary
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