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HomeMy WebLinkAboutNCC216396_FRO Submitted (3)_20211118Gaston County ' Gaston Natural Resources Department 0 1303 Cherryville Highway, Dallas, NC 28034 Telephone: 704-922-4181 Soil Erosion & Sedimentation Control to ,� 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 0- 1 Project Name Nolan Farms Subdivision Lots: 49-52, 97-106 2. Location of land -disturbing activity City Gastonia Highway/Street Union Road 3. Approximate date land -disturbing activity will commence September 2020 4. Purpose of development (residential, commercial, industrial, etc.) Residential 5. Total acreage disturbed or uncovered (including off -site borrow and waste areas) 2.5 Acres 6. Amount of fee enclosed $900.00 7. Soil Erosion & Sedimentation Plan Filed? Yes X No 8. Landowner(s) of Record (Use blank page to list additional owners) Presley Development LLC Name 2701 E Camelback Road Suite 180 Mailing Address Phoenix, AZ 85016 City State Zip Telephone Number Name Mailing Address City State Zip Telephone Number 9. Indicate Deed Book and Page where deed(s) or instrument(s) are recorded Deed Book 5158 Page 1206-1210 Deed Book _ Page _ _ 10. Tax Map No. N/A _ _ _ _ Block N/A Lot No. N/A 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 Ballantyne Corporate Place, Suite 300 Mailing Address Charlotte, NC 28277 City State Zip 704-944-8940 Telephone Number Name Mailing Address City State Zip Telephone Number 2. If the Financially Responsible Party is not a resident of North Carolina, give name and street address of a North Carolina anent. Name Mailing Address Street Address 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. Meritage Homes of the Carolinas, Inc. (Attn: Tim Sheehy) Name 13925 Ballantyne Corporate Place, Suite 300 Mailing Address Street Address Charlotte, NC 28277 704-944-8940 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. Type o %- lame Title or Authority - 6. 23. l 1Signature Date 11 I, NtA,K�►� �.�@.Rr , a Nota Public of the County of M*LC14-U-&L,.wt) , State of North Carolina, hereby certify that % 1+_ S tee appeared personally before me this day Y ein dWdnotarial wledged that themove for was executed by him. ess y seal, this day of1� SEAL My Commission Expires IOTA;?), File: Financial Responsibility -Ownership Form.mw "(JBLIC G' Page 2