NCC221620_FRO Submitted_20220511

Gaston County
Gaston Natural Resources Department
1303 Cherryville Highway, Dallas, NC 28034 Telephone: [phone]
Soil Erosion & Sedimentation Control
Financial Responsibility/Ownership
No person may initiate any land -disturbing activity on one (1) or more acres of property in all portions of
Gaston County, except for that property within the city limits of the incorporated municipalities of Gaston
County who have not adopted the Gaston County Soil Erosion & Sedimentation Control Ordinance,
before this form and an acceptable Soil Erosion & Sedimentation Control Plan have been completed and
approved by the Gaston County Natural Resources Department's staff.
(Please type or print and, if question is not applicable, place NIA in blank)
PART A:
Project Name Harper Landing Subdivision
2. Location of land -disturbing activity
City Stanle,, Highway/Street Charles Raper Jonas Highway NC Highway27)
3. Approximate date land -disturbing activity will commence December 01, 2021
4. Purpose of development (residential, commercial, industrial, etc.) Single-family residential
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas) 79.0
6. Amount of fee enclosed $ 23,700.00
7. Soil Erosion & Sedimentation Plan Filed? Yes %/ No
8. Landowner(s) of Record (Use blank page to list additional owners)
a]
10.
Craig Realty & Develoc ment Co
Name
PO Box 550
Mailing Address
Stanley NC 28164
City State Zip
704-822-5102
Telephone Number
Name
Mailing Address
City State Zip
Telephone Number
I
Indicate Deed Book and Page where deed(s) or instrument(s) are recorded
Deed Book _ 0692 Page 0255 Deed Book 1264 Page 0234
Deed Book 0764 Page 0443
Tax Map No. 175734, 175761, 175763, & Block Lot No.
portion of 175764
Page 1

PART B:
1. Person(s) or firm(s) who are financially responsible for this land -disturbing activity
Meritage Homes of the Carolinas, Inc.
Name
13925 Ballant ne Corporate Place. Suite 300
Mailing Address
Charlotte NC 28277
City State Zip
704-944-8900
Telephone Number
Tim Sheehy
Name
Tim.Sheeh a)Meritaclehomes.com
Mailing Address
704-944-8900
City State Zip
704-944-8910
Telephone Number
2. If the Financially Responsible Party is not a resident of North Carolina, give name and street
address of a North Carolina agent.
Name
Mailing Address Street Address
l City State Zip Telephone Number
3. 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 Part is a Corporation give name and street address of the Registered Agent.
Name
Mailing Address Street Address
City State Zip Telephone 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 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.
Tim Sheehy
Type or �nName
Signature
Vice President, Land Dev. & Entitlement
Title or Authority
3 02 o� 0
Date
I, A �. FG 4!:4- , a Notary Public of the County of Katk sue+► ms State of North
Carolina, hereby certify that MnVa C-.h _ appeared personally before me this day
and being duly sworn acknowledged that the above form was executed by him.
Wi es my tT -id notarial seal, this 25�`� day of Nl0u�c �,_ , 2 VZA .
c A. F z,2,zs
SEA . My Commission Expires
NpTAR- File: Financial Responsibility -Ownership Form.mw
PuBoo i - Page 2