NCC231688_FRO Submitted_20230606

FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
EROSION & SEDIMENTATION CONTROL
IR E D E L L No person may initiate any land-disturbing activity on one or more acres, 1/2 acre or more inside a
COUNTY NC watershed, as covered by the Sedimentation Pollution Control Act and the Iredell County Land
Development Code, before an acceptable erosion and sedimentation control plan has been submitted
and approved by the Iredell County Planning&Development,Erosion Control Section.
(Please type or print)
Part A.
1. Project Name Courtyards at Lake Davidson
2. Location of land-disturbing activity: County_Iredell City or Township none
1936 Meckle nbur§1wy
Highway/Street_Moore 8vl lb.NC Latitude 35.521067° Longitude -80.843396°
3. Approximate date land-disturbing activity will commence: ASAP
4. Purpose of development(residential,commercial, industrial, institutional,etc.): Residential
5. Total acreage disturbed or uncovered(including off-site borrow and waste areas): 53.0 Acres
6. Amount of fee enclosed:$ 9,275.00 . An application fee of$175.00 per acre(rounded up to the next acre)is
assessed without a ceiling amount (Example: a 8.10-acre application fee is $1575). For projects > than 0.5 acres but no
greater than 0.99 acres in a water supply watershed, a flat fee of$100.00 is assessed.
7. Has an erosion and sediment control plan been filed? Yes_ _No _Enclosed
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Andy Gibbon,EPCON Communities E-mail Address [e-mail]
Telephone_ [phone] Cell# [phone] Fax# N/A
9. Landowner(s)of Record(attach accompanied page to list additional owners):
Aldo Properties II LLC
(Under Contract to EPCON Communities) N/A
Name Telephone Fax Number
16714 Okachobee Dr 16714 Okachobee Dr
Current Mailing Address Current Street Address
Houston TX 77044 Houston TX 77044
City State Zip City State Zip
10. Deed Book No. 2309 Page No. 167-171 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):
[e-mail]
EC New Vison Carolinas,LLC
Name E-mail Address
500 Stonehenge Parkway 500 Stonehenge Parkway
Current Mailing Address Current Street Address
Dublin OH 43017 Dublin OH 43017
City State Zip City State Zip
Telephone [phone] Fax Number N/A
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2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the designated
North Carolina Agent:
Corporation Service Company
Name E-mail Address
2626 Glenwood Avenue, Suite 550 2626 Glenwood Avenue, Suite 550
Current Mailing Address Current Street Address
Raleigh NC 27608 Raleigh NC 27608
City State Zip City State Zip
Telephone [phone] 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:
Corporation Service Company
Name of Registered Agent E-mail Address
2626 Glenwood Avenue, Suite 550 2626 Glenwood Avenue, Suite 550
Current Mailing Address Current Street Address
Raleigh NC 27608 Raleigh NC 27608
City State Zip City State Zip
Telephone [phone] 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 by any change in the information provided herein.
Type or print name Title or Authority
r//s 16/Z4C7T-ig
Signature Date
I, LU' J \ . 1' L , a Notary Public of the County of K.ClOvC1\1U-
State of North Carolina, hereby certify that SLCN Y�i40/1—?[:,1' 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 l�:V 1 day of kPfU L.- ,20 23
Notary
Seal
My commission expires V t2Ywi'\VlAj 1U1 ''A 21
Breonna G. Weaver
NOTARY PUBLIC
Mecklenburg County
North Carolina
My Commission Expires February 10,2027
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