NCC221361_FRO Submitted_20220425

CITY OF MONROE STANDARD SPECIFICATIONS AND DETAIL MANUAL
07.06 EROSION CONTROL FORMS AND CHECKLISTS
07.06.01 EROSION CONTROL FINANCIAL RESPONSIBILITY FORM
No person may initiate any land -disturbing activity as defined in Chapter 158 of the Monroe City Code prior to
completion of this form, and an applicable and acceptable erosion and sedimentation control plan has been approved by
the City of Monroe Engineering Department. (Please type or print)
Part I
1. Name of Project Secrest Commons - Tract 2
2. Address where land disturbing activity will take place 660 S M.L.K. Jr Blvd EROSI
Just west of the intersection of M.L.K. Jr Blvd. & State Road 3514
3. Approximate date disturbing activity will commence 05 01 f 2022
4. Purpose of development (residential, commercial, industrial, etc.) Residential
5. Total acreage of land to be disturbed or uncovered 20.92 Acres
6. Amount of fee enclosed (fee will be the amount of current policies per acre multiplied by the total number
of acres or any part of an acre from number 5. i.e. 7.28 acres equals 8 acres.) $2,500
7. Agent to contact should sediment control issues arise during land disturbing activity
Robert Price - Forestar Phone [phone]
8. Landowner(s) of Record (use blank page to list additional owners)
Name Forestar (USA) Real Estate Group INC Name
Mailing Address 3330 Cumberland Blvd., Suite 275 Mailing Address
Atlanta, GA 30339
Street Address same Street A
Phone [phone] Phone
9. Indicate Book and Page where deed of the property where land disturbing activity will take place is recorded
(use blank page to list additional owners)
Book 8045 Book
11 *R;
10. Tax Map Parcel Number where land disturbing activity will take place 0932 -- 10 -- 04D
07-18 Permits. Checklists, and Forms
Division 07

CITY OF MONROE STANDARD SPECIFICATIONS AND DETAIL MANUAL
Part II
Person(s) or firm(s) who are financially responsible for this land disturbing activity (use blank page to list
additional owners)
Name Forestar Group INC Name
Mailing Address 481 Munn Road E., St. 150
Fort Mill, South Carolina 29715
Street Address same
Mailing Address
Street Address
Phone [phone] Phone
Fax Fax
A) If the Financially Responsible Party is not a resident of North Carolina, give name and address of a North
Carolina Agent
Name of Registered Agent Chicago Title
Mailing Address 200 S. Tryon Street, Charlotte, North Carolina 28202
Street address City State Zip
Phone [phone] Email N/A Fax 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 the name and street address of the Registered Agent:
Name of Registered Agent Robert C. Price
Mailing Address 481 Munn Road E. Suite 150 Fort Mill South Carolina 29715
Street address City State Zip
Phone [phone] Email [e-mail] Fax N/A
3. The above information is true and correct to the best of my knowledge and belief and was provided by me
under oath. I agree to provide corrected information should there be any change in the information provided
herein. (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 authority to execute instruments
for the financially responsible person)
Director of Real Estate Investments &
Type or Pr in a Robert C. Price Title Develonment - Carnlinas 13
::: � �77
Signature s Date 2 1 2 S/ Z o 2 2_
1, n , a otary Public of the County of � State of+4&th Carolina,
hereby certify that C appeared person y before me this day and being chly sworn acknowledged
that the above form was executed by him.
Witness tmtythand and notarial seal, this day of_ bnic
ttt//
yf,,
p1ARY
{V. (Notary)
My commission expires
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G - 07-19 Permits, Checklists, and Forms
pU��,t `�Q'� Division 07