NCC233776_FRO Submitted_20231221

Orange County Planning & Inspections Department
ORANGE COUNTY 131 W. Margaret Lane, Suite 200, Hillsborough, NC 27278
NORTH CAROLINA 919-245-2575 or [e-mail]
Land Disturbance Permit (LDP) Application
Please refer to instructions and checklist in completing the following application.
If completing by hand, please use black or blue ink.
Date: 5-25-23 Case Number:
Check all that apply: n Erosion Control Plan
n Stormwater Permit
❑ Stormwater Management Plan
General Submittal Information
Name of Project: Oakwood Ph 2-6
Parcel ID Number (PIN): 9825404628,9825502531,9825601982 Planning Jurisdiction: City of Mebane
Size of Tract: 133.90 Phi-6 acres Area Disturbed 66.72 acres
Fees — Section Completed by Staff
Fee Amount
Erosion Control Plan Review 20,016.00
Required with Application $
Land Disturbing Permit $60,048.00
Optional with Initial Application
Stormwater Management Plan Review
Orange County Planning Jurisdiction Only
Required with Application $N/A
Total $80,064
Approximate date land disturbance will begin:
Contact Information
Landowner(s) of Record (Use additional pages if necessary and attach to application):
Name: Meritage Homes of the Carolinas Inc Name:
Street Address: 8800 E Raintree Dr Street Address:
Ste 300
Current Mailing Address: Current Mailing Address:
City: Scottsdale City:
State: Arizona Zip: 85260 State: Zip:
Phone: [phone] Phone:
Email: [e-mail] Email:
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Contract Purchaser (if applicable) (Use additional pages if necessary and attach to application):
Corn pany/O iganization: Company/0 iganization:
Contact Person: Contact Person:
Street Address: Street Address:
Current M Ming Address: Current M Ming Address:
City: City:
State: Zip: State: Zip:
Phone: Phone:
Email: Email:
Person(s) or Firm(s) Financially Responsible for this Land Disturbing Activity:
Com pany/O iganization: M eritage Horn es Company/0 iganization:
Contact Person: Scott Roylance Contact Person:
Street Address: 3300 Param cunt Parkway Street Address:
Ste 120
Current M ailing Address: 3300 Param cunt Parkway Current M ailing Address:
Ste 120
City: M crrisville City:
State: NC 2 Zip: 7560 State: Zip:
Phone: [phone] Phone:
Email: [e-mail] Email:
Registered Agent (if any) for the Person(s) or Financially Responsible Party:
(NO 1E: a North Carolina agent is required if the applicant is not a resident of North Carolina)
Name: Name:
Street Address: Street Address:
Current M ailing Address: Current M ailing Address:
City: City:
State: Zip: State: Zip:
Phone: Phone:
Email: Email:
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Additional Project Information
Project Description (detail the scope of the project and nature of land disturbance):
M ass grading for m Llti-phase subdivision. Erosion Control measures to be installed in three phases.
1. Install all erosion control measures including basins, trap, ditches, silt fence, etc.
2. M filling across the site
3. Final phase of construction including roadway and vertical construction. First two phases to be
corn pleted consecutively, with the last phase of erosion control to be subm Red as each subdivision
phase is perm Red.
Plans Prepared by:
Name of Person/Firm: Sum mti Design and Engineering Services
Contact Person: William Wirt, P.E.
License Number: 052574
M ailing Address: 320 Executive Court
City: Hillsborough State: NC 2 Zip: 7278
Phone: [phone] w Email: illiam wirt@sum mlide.com
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Certification and Signatures
Signature and Witness: The above information is true and correct to the best of my knowledge and
belief and was provided by me while under oath.
Scott Roylance
Sig ure of Financially Responsible Party Type or Print Name Legibly
Division President 573//a0 - 3
Title or Authority Date
I, ,e1-1>A.w K btJEI C.AC tEER a Notary Public of the County of kVA/ 6
hereby certify that cc a r'-r' Ro`fLi4hJ c personally before me this day and
under oath acknowledged that this Application for Erosion Control Plan Approval, Stormwater
Management Plan Approval, and Land Disturbing Permit/ Statement of Ownership and Financial
Responsibility was executed by him or her.
V.
Witness my hand and notarial seal, this31 Day of JMl4 if , a0�
Signature of Notary Adam K Weilacher My Con4mission Expires
NOTARY PUBLIC
Wake County
North Carolina
SEAL My Commission Expires 4/3/2027
Property Owner Acknowledgement
I hereby acknowledge the above information and parties referenced herein have been granted
permission to conduct development activity on referenced property of which I own.
Signature of Property Owners Type or Print Name Legibly
Date
I, a Notary Public of the County of
hereby certify that personally before me this day and
under oath acknowledged that this Application for Erosion Control Plan Approval, Stormwater
Management Plan Approval, and Land Disturbing Permit/ Statement of Ownership and Financial
Responsibility was executed by him or her.
Witness my hand and notarial seal, this Day of
Signature of Notary My Commission Expires
SEAL
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