NCC240398_FRO Submitted_20240214

PLAN REVIEW/FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
CATAWBA COUNTY CODE OF ORDINANCES,CHAPTER 16 ARTICLE V
SOIL EROSION AND SEDIMENTATION CONTROL
No person may initiate any land-disturbing activity on one or more acres as covered by the Ordinance before this form and an
acceptable erosion and sedimentation control plan have been completed and approved by the Catawba County Utilities and
Engineering Department. (Please type or print,and if question is not applicable,place N/A in the blank)
PART A
1. Job Name Villas at Sherrills Ford Lots 58-74
2. PIN or 911 address See Attached
3. Purpose of development(residential, commercial, industrial, institutional, etc.) Residential
4. Approximate soil disturbance date March 2024
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas) 3.27(4)
6. Has an erosion and sedimentation control plan been filed? Yes fJ No-Attached El
7. If you have an Erosion Control billing account,would you like this to be billed?Yen No0
Account number N/A
PEOPLE
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity
Name Cody Cosentino E-mail address [e-mail]
Telephone[phone] Cell#980-875-8669 Fax#N/A
9. Landowner(s)of Record (attach accompanied page to list additional owners)
BBC VILLAS LLC
Name Telephone Fax Number
7224 Jameson Way 7224 Jameson Way
Current Mailing Address Current Street Address
Stanley NC 28164 Stanley NC 28164
City State Zip City State Zip
10. Deed Book No. 3845 Page No. 0406
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):
D.R. Horton, Inc. [e-mail]
Name E-mail Address (REQUIRED)
8025 Arrowridge Blvd 8025 Arrowridge Blvd
Current Mailing Address Current Street Address
Charlotte NC 28273 Charlotte NC 28273
City State Zip City State Zip
980-875-8669 N/A
Telephone Fax Number
page 1

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:
Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone Fax Number
2. (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:
CT Corporation System [e-mail]
Name of Registered Agent E-mail Address
160 Mine Lake Ct. Suite 200 160 Mine Lake Ct. Suite 200
Current Mailing Address Current Street Address
Raleigh NC 27615 Raleigh NC 27615
City State Zip City State Zip
919-944-4780 N/A
Telephone 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 be any change in the information provided
herein.
Cody Cosentino Division Stormwater Compliance Specialist II
Type or print name Title or Authority
1/25/2024
Signature Date
I, L0 v, 1', C Y -e.fiv` , a Notary Public of the County of / kf, l-CI
State o orth Carolina, hereby certify that cosy L, (,05�400 app ed personally
before me this day and being duly sworn acknowlede that the above form was executed by him.
,,,,,,aanl,,,,,
Witness my hand and tot �II,Vt ��',2.s day of Lioti,hAcnly , 2024
Sell O`I�c N `
' "Nota
.
E.
'.�0 .,'.•0, y�00; My commission expires 3/3/2Q1.?
3
page 2

Villas at Sherrills Ford
Lot Parcel Address
58 461709169974 3692 MERCER ST TERRELL,28682
59 461709169839 3688 MERCER ST TERRELL,28682
60 461709169804 3684 MERCER ST TERRELL,28682
61 461709168769 3680 MERCER STTERRELL,28682
62 461709168734 3676 MERCER STTERRELL,28682
63 461709167698 3672 MERCER STTERRELL,28682
64 461709167652 3668 MERCER ST TERRELL,28682
65 461709167565 3664 MERCER ST TERRELL,28682
66 461709167478 3660 MERCER ST TERRELL,28682
67 461709167492 3656 MERCER ST TERRELL,28682
68 461709169476 3655 MERCER ST TERRELL,28682
69 461709169552 3659 MERCER ST TERRELL,28682
70 461709169559 3663 MERCER ST TERRELL,28682
71 461709169685 3667 MERCER ST TERRELL,28682
72 461709260721 3671 MERCER ST TERRELL,28682
73 461709260756 3675 MERCER ST TERRELL,28682
74 461709260891 3679 MERCER ST TERRELL,28682