NCC240368_FRO Submitted_20240209

117WI WAKE COUNTY 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 Wake
WAKECounty Unified Development Ordinance before this form and an acceptable erosion and
COUNTY sedimentation control plan have been completed and approved by Wake County Department of
Environmental Services, Water Quality Division. (Please type or print and, if the question is not
applicable, place N/A in the blank.)
Part A.
1. Project Name Parker Ridge
2. Location of land-disturbing activity: Jurisdiction Wake (Wake Co. or Municipality)
Highway/Street School Street Latitude 35.914044 Longitude-78.464286
3. Approximate date land-disturbing activity will commence: December 2023
4. Type of development(residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas): 62.9
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Wesley Smith E-mail Address [e-mail]
Telephone [phone] Cell # 919-608-7567 Fax#
7. Landowner(s) of Record (attach accompanied page to list additional owners):
W.H. Paker, Doris Faye Harold Parker
Name(s) Telephone Fax or E-mail address
149 Stonebridge Dr 149 Stonebridge Dr
Current Mailing Address Current Street Address
New London NC 28127 New London NC 28127
City State Zip City State Zip
8. Deed Book No. Page No. 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):
Lennar Carolinas, LLC robert.smart©lennar.com
Name E-mail Address
1100 Perimeter Park Drive Suite 112 1100 Perimeter Park Drive Suite 112
Current Mailing Address Current Street Address
Morrisville NC 27560 Morrisville NC 27560
City State Zip City State Zip
Telephone [phone] Fax Number

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 Wake County Erosion and Sedimentation Control Ordinance and/or Land
Disturbance Permit:
N/A
Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone Fax Number
(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:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone Fax Number
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.
Robert Smart Division President
Type or p t me Title or Authority
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Signature Date
I, —7;2:E(o2 1NI. Fr.)rat S , a Notary Public of the County of WAKE
State of North Carolina, hereby certify that J2�vG--¢'C SMA(LT appeared
personally before me this day and being duly sworn acknowledged that the above form was executed by him.
114
Witness my hand and notarial seal, this L( day of CCTQ4- , 20 23
Notary
Seal NOTAF1 N
My commission expires 5 / /2-0Z7
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STATEMENT OF LANDOWNER CONSENT FOR LAND DISTURBING ACTIVITIES
Date: 10/3/2023
Project Name Parker Ridge Subdivision
Financially Responsible Party:Lemrwcorpora5on
Parcel Identification Nos/Addresses: 1758988411&1758983710
Owner Contact Information: Harold Parker,149 Stonebridge Dr New London,NC,28127
As the landowner of record for the above referenced property(ies),I authorize Lennar of the Carolinas
to submit an erosion and sedimentation control plan and to conduct the anticipated land disturbing activities.
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Signature Date
I, E Qre 'J• CCLr t-Q u\ ,a Notary Public of the County of PNagNX...61 p�
State of North Carolina,hereby certify that UY, itflyrokk Pc ( ae,C , (' appeared personally before me this
day and being duly sworn acknowledged that the above form was executed by him/her.
Witness my hand and notarial seal,this It day of 07.1-010-' ,20:_7J
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STATEMENT OF LANDOWNER CONSENT FOR LAND DISTURBING ACTIVITIES
Date: 10/3/2023
Project Name Parker Ridge Subdivision
Financially Responsible Party: Lennar Corporation
Parcel Identification Nos/Addresses: 1758884270
Owner Contact Information: Rolesville Development LLC PO BOX 30803GREENVILLE,NC,27833
As the landowner of record for the above referenced property(ies),I authorize
Lennar of the Carolinas
to submit an erosion and sedimentation control plan and to conduct the anticipated land disturbing activities.
Rolesville Development, LLC
By: Thomas J. Glennon Manager
Type or print name Title or Authority
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Signature Date
\ 1 •I, %,k,01\_ F142- ,a Notary Public of the County of V tAls
State of North Carolina, hereby certify that Thomas J. Glennon appeared personally before me this
day and being duly sworn acknowledged that the above form was executed by him/her.
Witness my hand and notarial seal,this lU day of October ,20 23
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