NCC243561_FRO Submitted_20241120

0
IREDELL
COUNTY NC
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM EROSION
& SEDIMENTATION CONTROL
No person may initiate any land-disturbing activity on one or more acres, 1/2 acre or more inside a watershed, as covered by the
Sedimentation Pollution Control Act and the Iredell County Land Development Code, before this form and an acceptable erosion and
sedimentation control plan have been submitted and approved by the Iredell County Development Services, Planning Division
Erosion Control Section. (Please type or print.)
Part A.
1. Project Name Weathers Creek Subdivision(Ryan Homes),Lots 1—222
2. Location of land-disturbing activity: County Iredell City or Township Troutman
Highway/Street_Crownpiece St.,Browband St. and others Latitude 35.6660 Longitude -80.8451
3. Approximate date land-disturbing activity will commence: Sept. 2020
4. Purpose of development(residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 34.43 ac.
6. Amount of fee enclosed: $ $1,400.00 . An application fee of$175.00 per acre (rounded up to the next acre) is
assessed without a ceiling amount(Example: a 9-acre application fee is$1575). For projects>than .5 acre but< 1.0 acre in
a water supply watershed, a flat fee of$135.00 is assessed.
7. Has an erosion and sediment control plan been filed? Yes X No Enclosed X
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Dan Vigilis E-mail Address dvigilis(Oivrinc.com
Telephone [phone] Cell# [phone] Fax# N/A
9. Landowner(s)of Record (attach accompanied page to list additional owners):
Troutman Bowman,LLC [phone] N/A
Name Telephone Fax Number
13815 Cinnabar Place 13815 Cinnabar Place
Current Mailing Address Current Street Address
Huntersville,NC 28078 Huntersville,NC 28078
City State Zip City State Zip
10. Deed Book# 2663 Page# 926 and DB# Pg# . Provide a copy of the most current deed.
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):
NVR,Inc. (dba Ryan Homes) dvigilis(iinvrinc.com (Dan Vigilis)
Name E-mail Address
13924 Professional Center Dr., Suite 100 13924 Professional Center Dr., Suite 100
Current Mailing Address Current Street Address
Huntersville,NC 28078 Huntersville,NC 28078
City State Zip City State Zip
Telephone [phone] Fax Number N/A

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:
Corporation Service Company(Registered Agent) N/A
Name E-mail Address
2626 Glenwood Ave., Suite 550 2626 Glenwood Ave., Suite 550
Current Mailing Address Current Street Address
Raleigh,NC 27608 Raleigh,NC 27608
City State Zip City State Zip
Telephone [phone] Fax Number 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 name and street
address of the Registered Agent:
Corporation Service Company(Registered Agent) N/A
Name E-mail Address
2626 Glenwood Ave., Suite 550 2626 Glenwood Ave., Suite 550
Current Mailing Address Current Street Address
Raleigh,NC 27608 Raleigh,NC 27608
City State Zip City State Zip
Telephone [phone] Fax Number N/A
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 by any change in the information provided herein.
SeitssAr Lw Man/►
rs—
Type or pri name Title or Author'
7�17/13
Signet Date
I, Lej 11 i -.S 1 144 ,a Notary Public of the County of CCit eras
State of North Carolina, hereby certify that r appeared personally before me this day
and being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notarial seal,this l7 day of )c)ly 20
Notary
Seal 1� I-NeY
LEIGH STRICKLAND My commission expires f
NOTARY PUBLIC
Cabarnss County
North Carolina
My Commission Expires April 21,2024
S:12023122316-WEATHERS CREEK REV101D0CSUREDELL FRO FORM REVIO.DOCX