NCC231031_FRO Submitted_20230427

01004, Gaston County
' - :' ' Gaston Natural Resources Department
1303 Cherryville Highway, Dallas, NC 28034 Telephone: [phone]
844z . Soil Erosion & Sedimentation Control
foi
a.:.µ 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 N/A in blank)
PART A:
1. Project Name Lowell Woods
2. Location of land-disturbing activity
City Lowell Highway/Street Preston Rd, South of State Road 2201
3. Approximate date land-disturbing activity will commence January 2022
4. Purpose of development (residential, commercial, industrial, etc.) Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas) 27 ac.
6. Amount of fee enclosed $$100 •
7. Soil Erosion & Sedimentation Plan Filed? Yes V No
8. Landowner(s) of Record (Use blank page to list additional owners)
Dependable Development, Inc.
Name Name
2649 Brekonridge Centre Drive
Mailing Address Mailing Address
Monroe NC 28110
City State Zip City State Zip
704-779-4126
Telephone Number Telephone Number
9. Indicate Deed Book and Page where deed(s) or instrument(s) are recorded
Deed Book 4268 Page 0095
Deed Book Page
10. Tax Map No. Block Lot No.
Page I

PART B:
1. Person(s) or firm(s)who are financially responsible for this land-disturbing activity
Dependable Development, Inc.
Name Name
2649 Brekonridge Centre Drive
Mailing Address Mailing Address
Monroe NC 28110
City State Zip City State Zip
704-779-4126
Telephone Number Telephone Number
2. If the Financially Responsible Party is not a resident of North Carolina, give name and street
( IL address of a North Carolina agent.
-J t„ V4.,I4A/ini
Name 1
a3rcr Ce"frL 1Z.,
Mailing Address Street Address
l`1� L N L leito 70 - III �- (o
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
4. 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.
Shaun Gasparini Project Manager
Type or Print Name Title or Authority
) ` /I/L
Signature Date
I, i)co/1 ( , a Notary Public of,the County of WI On , State of North
Carolina, her by certify that f 1 appeared personally before me this day
and being my sworn acknowledged that the ve for was exe uted by him.
Witn ss my hand n otarial seal, this )1 day of , 2 Ocl i
O. )aC
N tary KUNJAL PATEL SEAL y Commission Expires
NOTARY PUBLIC File: Financial Responsibility-Ownership Form.mw
Union County
North Carolina
My Commission Expires January 28,2025
Page 2

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FW: Lowell Woods FRO Form
Shaun Gasparini <[e-mail]>
Tue 8/31/2021 11:35 AM
To: Laura James <[e-mail]>
2 attachments (1 MB)
20025-Lowell Woods-StormwaterFinancialResponsibilityOwnershipForm (NOT SIGNED).pdf; 20025-Lowell Woods-
FinancialResponsibilityOwnershipForm (NOT SIGNED).pdf;
Please print email and PDFs.
Shaun Gasparini
Market Partner—Land Development
True Homes
M: 704-779-4126
[../../../../../Icozart/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/OOS4VYK7/truehomesusa.comj
TrueHomes
IT'S ALL ABOUT U
TrueHomesUSA.corrm
From: Melissa Thai<[e-mail]>
Sent: Monday, August 30, 2021 10:09 AM
To: Shaun Gasparini <[e-mail]> _
Cc: Hy Nguyen <[e-mail]>
Subject: Lowell Woods FRO Form
[EXTERNAL SENDER]This email originated outside of True Homes. Do not click on any links or open any attachments unless you
recognize the sender and are expecting an email from them!
Good morning Shaun,
I hope you had a good weekend! See attached for Lowell Wood's Erosion control and Stormwater Control Financial
Responsibility Ownership Form. Please review and sign. Let me know if you have any questions or need me to make any
revisions.
There are two payments that can be made by check or money order to Gaston County..
Stormwater Control Fee: $9450
Erosion Control Fee: $8100
Total: $17,550
The point of contact is:
Joseph D.Alm, Administrator
Gaston Natural Resources Department
Telephone: [phone] Fax: [phone]
Joesph's Desk Phone: [phone]
E-mail: joseph.almft_gastongov.com
Thank you,

GOIINT Gaston County
Gaston Natural Resources Department
* 11 l 1303 Cherryville Highway, Dallas, NC 28034 Telephone: [phone]
8
01Ti v Stormwater
,
a f/ 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 Stormwater Ordinance, before this form and an
acceptable Stormwater 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 N/A in blank)
PART A:
1. Project Name Lowell Woods
2. Location of land-disturbing activity
City Lowell Highway/Street Preston Rd., South of State Road 2201
3. Approximate date land-disturbing activity will commence January 2022
4. Purpose of development (residential, commercial, industrial, etc.) Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas) 27 ac.
6. Amount of fee enclosed $9450
7. Soil Erosion & Sedimentation Plan Filed? Yes v No
8. Landowner(s) of Record (Use blank page to list additional owners)
Dependable Development, Inc.
Name Name
2649 Brekonridge Centre Drive
Mailing Address Mailing Address
Monroe NC 28110
City State Zip City State Zip
704-779-4126
Telephone Number Telephone Number
9. Indicate Deed Book and Page where deed(s) or instrument(s) are recorded
Deed Book 4268 Page 0095
Deed Book Page
10. Tax Map No. Block Lot No.
Page I

PART B:
1. Person(s) or firm(s) who are financially responsible for this property.
Dependable Development, Inc.
Name Contact Name for Inspection Reports
2649 Brekonridge Centre Drive
Mailing Address Email Address
Monroe NC 28110
City State Zip Telephone Number
704-779-4126
Telephone Number Fax Number
2. If the Financially Responsible Party is not a resident of North Carolina, give name and street
address of a North Carolina agent.
S k iAtn� G AJ,,.,,
Name
l(P-1 ug,c 6K .3,, .r
C e• i 0,
Mailing Address Street Address
IllonroL NC— ,�Y /0 ) -7 "1- i.-) y - ill ')-
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
4. 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.
Shaun Gasparini Project Manager
Type or Print Name Title or Authority
AA_ )„• • 9/I J 'I
Signature Date /
I, V�lh\CO ! V , a No pry Ppplic of the County of U NO , State of North
Carolina, hereby certify that cS �0 C GAS XY\(\\ appeared personally before me this day
and being dt`►fy sworn acknowledged that the o'e fo w s executed by him.
Wi ess my hapd an otarial seal, this day o , ( , 2®a.( .
(,,I Igloo
Not y L. to Commission Expires
KUNJAL PATEL File:Financial Responsibility Ownership Form.mw
NOTARY PUBLIC
Union County
North Carolina Page 2
My Commission Expires January 28,2025