NCC250478_FRO Submitted_20250214

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 1812 Stream Manor Court
2. Location of land-disturbing activity: Jurisdiction Wake (Wake Co. or Municipality)
Highway/Street Stream Manor Court Latitude 36.029628 Longitude-78.589180
3. Approximate date land-disturbing activity will commence: 2/1/2025
4. Type of development(residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site utilities and borrow/waste
areas): 0.95 acres
6. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Ryan Speight E-mail Address [e-mail]
Telephone [phone] Cell# N/A Fax# N/A
7. Landowner(s) of Record (attach accompanied page to list additional owners):
Speight Built, LLC 919-889-5694 [e-mail]
Name(s) Telephone Fax or E-mail address
12333 Wingspread Way 12333 Wingspread Way
Current Mailing Address Current Street Address
Raleigh NC 27614 Raleigh NC 27614
City State Zip City State Zip
8. Deed Book No. 019534 Page No. 02555 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):
Speight Built, LLC [e-mail]
Name E-mail Address
12333 Wingspread Way 12333 Wingspread Way
Current Mailing Address Current Street Address
Raleigh NC 27614 Raleigh NC 27614
City State Zip City State Zip
Telephone [phone] Fax Number N/A

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 N/A
Name E-mail Address
N/A N/A
Current Mailing Address Current Street Address
N/A N/A N/A N/A N/A N/A
City State Zip City State Zip
Telephone N/A Fax Number N/A
(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:
Thomas Ryan Speight [e-mail]
Name of Registered Agent E-mail Address
12333 Wingspread Way 12333 Wingspread Way
Current Mailing Address Current Street Address
Raleigh NC 27614 Raleigh NC 27614
City State Zip City State Zip
Telephone [phone] Fax Number N/A
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.
Type or print Title or Aut ority
Signatur Date
I, 1 1 L .. ( Notary Public of the County of Wake__
State of North qarolina hereby certify that S c,
Jt7 J � appeared
personally before me this day and being duly sworn acknowledged that the above rm was executed by him.
��glti
Witness my hand and notarial seal, this L.0 day of c1r1a+'Fr+- , 20
BRITTANY L MASTRANGELO
Notary Public-North Carolina Otary
SWake County
My Commission Expires Apr 23, 2029 [ ��
My commission expires