NCC221970_FRO Submitted_20220526

GUILFORD COUNTY
GRADING PERMIT APPLICATION
GRADING PERMIT APPLICATION
Please type or print answers: Return to: Earl E. Davis H Inspection
Planning and Development
Gibsonville, NC (NC HWY 61) Post Office Box 3427 Greensboro, NC 27402
[phone] or [phone] (fax)
NAME OF PROJECT: Rosemary Glen Townhomes DATE: 12/08/2021
LOCATION OF PROJECT: Gibsonville, NC (NC HWY 61)
ACREAGE TO BE DISTURBED: 12.8 ACRES OR ( SQ. FEET)
TOTAL ACREAGE IN TRACT: 15.140 ACRES
IS THIS PROPERTY IN A DESIGNATED WATERSHED? Jordan Lake Watershed
If so, the project must comply with Guilford County Regulations prior to a Grading Permit being issued.
WHAT TYPE OF UTILITIES WILL GO IN DURING CONSTRUCTION? (Water, Sewer, Power, Cablevision,
Telephone, etc.) Water, Storm Sewer, Sanitary Sewer
ENGINEER/ ARCHITECT/ SURVEYOR: Name: Advanced Civil Design
Address: 51 Kilmayne Drive, Suite 102
Telephone: [phone]
Fax: [phone]
E-Mail: [e-mail]
The Property Owner and additional Financially Responsible Party (if any) do hereby agree to comply with all applicable
Guilford County Regulations pertaining to development if a Grading Permit is issued. The Property Owner and additional
Financially Responsible Party furthermore, do hereby agree to be responsible for the timely installation and maintenance of
erosion control devices throughout the duration of this project. A copy of the Guilford County Development Ordinance is
available from the Guilford County Planning and Development Department.
OWNER OF PROPERTY:
Name: Forestar (USA) Real Estate Group, Inc.
Address: 8041 Arco Corporate Drive #110. Raleigh, NC 27617
Telephone: (Home)
(Office) [phone]
(Fax)
(E-Mail)
Print Name: p�(Z
Signature: 4W'4&v"� —
ADDITIONAL FINANCIALLY RESPONSIBLE PARTY:
Name:
Address:
Print Name:
Signature:
NORTH CAROLINA AGENT (if applicable)
Name:
Address:
Telephone: (Home)
(Office)
(Fax)
(E-Mail)
Telephone: (Home)
(Office)
(Fax)
(E-Mail)
No. E2 Grading Permit & Appl. Rev. December 2017 Page 2 of 6

GUILFORD COUNTY
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
DEPARTMENT OF PLANNING AND DEVELOPMENT
A Grading Permit must be obtained before initiating any land -disturbing activity over one (1) acre (43,560 square feet). A
Grading Permit Application, this Financial Form, a Grading/Erosion Control Plan, a surety, good for one (1) year, and a
permit fee should be submitted 30 dam rip or to the planned commencement of the land -disturbing activity.
The above information should be submitted to:
Please type or print answers to the following:
Date: 12/8/2021
Name of Project: Rosemary Glen Townhomes
Location of Project: Gibsonville, NC (NC HWY 61)
Acreage of Land to be Disturbed: 12.8
Earl E. Davis II - Inspections Division
Guilford County Planning and Development
Post Office Box 3427
Greensboro, N.C. 27402 [phone]
LATITUDE 0360 05' 00.19" (In Degrees) LONGITUDE -079' 33' 52.592" (In Degrees)
Purpose of Activity (street construction, commercial building, parking lot, etc.): Multifamily Subdivision
Landowner(s) of record:
Name: Forestar (USA) Real Estate Group, Inc
Address: 8041 Arco Corporate Drive #110
Raleigh, NC 27617
Telephone: (Home)
(Office) [phone]
(Fax)
(E-Mail)
Indicate County, Book, and Page where deed or instrument is filed.
Name:
Address:
Telephone: (Home)
(Office)
(Fax)
(E-Mail)
Guilford 6784 222
County Book Page
The information provided on this form is true and correct to the best of my knowledge and belief and was provided by
me while under oath. This form must be signed by the prop= owner if an individual. If owned by a company or
corporation, this form must be signed by an officer, director, partner, attorney -in -fact, or other person with authority to
execute instruments for the corporation. If the person financially responsible is not a resident of North Carolina, a North
Carolina agent must be designed. If someone other than the owner is financially responsible, their signature is required
below also.
DONNA M. GZnW DE1t
Print or Type Name of Individual
R 2 NP, I►JC
Title �t CJ} .ID of- Comppny
wner'S Signature
N. C. Agent's Signature (if applicable)
Additional Financially Responsible Party (if applicable)
No. E2 Grading Permit & Appl. Rev. December 2017 Page 3 of 6

PLEASE READ THE FOLLOWING INFORMATION:
If a Grading Permit is issued it is valid for up to one (1) year from the date it is issued. If circumstances warrant it, it may
be extended for six (6) months after the one (1) year period. Upon written notice the Grading Permit may be revoked for
failure to install devices as shown on the plan in a prompt fashion, or for failure to maintain the devices once they have
been installed. If a Grading Permit is revoked, all other development permits and approvals are withheld until the property
is once again in compliance with Guilford County regulations. Also, upon written notice a Civil Penalty (fine) can be
instigated against the property owner and/or additional Financially Responsible Party (if any) for violations of Guilford
County's Soil Erosion and Sedimentation Control Ordinance. This penalty is up to $5000.00 per day and is assessed daily
for every day the property is in violation. (Interfering with or hampering an inspection can result in a civil penalty without
written notice).
STATE OF Mwt3l1 �i�('Q l� �� , (O N
COUNTY OF \.Nt:�Qd �e'MKV
I, a Notary Public of said County and State, do hereby certify that
(jC3C&bk:jCV' personally appeared before me this day and under oath acknowledged reading the
information above and acknowledged that the above form was executed by him or her.
Witness my hand and official seal, this the I l day of � � , 202k.
My Commission Expires:
101 1-1I%WD_o
G`P G.
H,q y ,�.,' u ti
OTA4'%�., ptaryPublic
M Comm. Exp. - s
r
01. 1 I��;
C -. VBLXG
Ci
STATE OF (ADDITIONAL FINANCIALLY RESPONSIBLE PARTY SIGNATURE)
COUNTY OF
I, a Notary Public of said County and State, do hereby certify that
personally appeared before me this day and under oath acknowledged reading the information above and
acknowledged that the above form was executed by him or her.
Witness my hand and official seal, this the day of
My Commission Expires:
Notary Public
(SEAL)
20
No. E2 Grading Permit & Appl. Rev. December 2017 Page 4 of 6

Forestar Group Inc.
2221 E. Lamar Blvd, Suite 790
Arlington, TX 76006
GUILFORD COUNTY
301 WEST MARKET ST
GREENSBORO NC 27402
GUILFORD COUNTY Check Number 0029192
103920 Date 12/20/21
Invoice Date Payment Remark Gross Deductions Net
CKR 120821 33000 120821 2,700.00 2,700.00
------------------------------
2,700.00 2,700.00
- ----- ---------- -
,j40� FORESTAR
817-769-1860 2221 E. L—Rr Blvd., Suite 790, Arlingt,,. T%76005
2221 E. Lamar Blvd, Suite 790
Arlington, TX 76006
Date 12/20/21
Void after 4 months from date of issue
103920
Check Number 29192
56-382
412
Pay TWO THOUSAND SEVENHUNDRED AND 00/100**********************************************
Amount
To the $*****2,700.00
Order Of- GUILFORD COUNTY
301 WEST MARKET ST ry
GREENSBORO NC 27402 /
Wells Fargo Bank, N.A.
0000 29 L9 20 1:04 1 20 313 241: 966 54 5 189 5110

GUILFORD COUNTY PLANNING AND DEVELOPMENT
Fee Schedule Incorporated & Uncorporated Grading Permit
AMOUNT DISTURBED BASEFEE
One (1) acre (43,560 5F) $450.00
but less than three(3) acres
Three (3) acres or more $450.00 plus$225.00 per acre for each additional acre -
EXAMPLES:
GRADED AREA
FEF.
3.0 acres up to 3.9 acres
$675.00
4.0 acres up to 4.9 acres
$900.00
5.0 acres up to 5.9 acres
$1,125.00
6.0 acres up to 6.9 acres
$1.350.00
7.0 acres up to 7.9 acres
$1,575.00
8.0 acres up to 8.9 acres
$1,800.00
9.0 acres up to 9.9 acres
52,025.00
10.0 acres up to 10.9 acres
52,250.00
11.0 acres up to 11.9 acres
52,475.00
12.0 acres up to 12.9 acres
52,700.00
13.0 acres up to 13.9 acres
$2,925.00
14.0 acres up to 14.9 acres
53,150.00
15.0 acres up to 15.9 acres
$3,375.00
16.0 acres up to 16.9 acres
53,600.00
17.0 acres up to 17.9 acres
$3,823.00
18.0 acres up to 18.9 acres
- $4,050.00
19.0 acres up to 19.9 acres
$4,275.00
20.0 acres up to 20.9 acres
54,500.00
21.0 acres up to 21.9 acres
54,725.00
22.0 acres up to 22.9 acres
54,950.00
23.0 aces up to 23.9 aces
$5,175.00
24.0 acres up to 24.9 acres
$5,400.00
25.0 acres up to 25.9 acres
55,625.00
26.0 acres up to 26.9 acres
$5,850.00
27.0 acres up to 27.9 acres
$6,075.00
28.0 acres up to 28.9 acres
$6,300.00
29.0 acres up to 29.9 acres
S6,525.00
30.0 acres up to 30.9 acres
$6.750.00
31.0 acres up to 31.9 acres
$6,975.00
32.0 acres up to 32.9 acres
57,200.00
33.0 acres up to 33.9 acres
$7,425.00
34.0 acres up to 34.9 acres
$7,650.00
35.0 acres up to 35.9 acres
$7,875.00
36.0 acres up to 36.9 acres
$8,100.00
37.0 acres up to 37.9 acres
$8,325.00
"Guilford County has a maximum
fee of $8325 @ 38 acres or more
Input your calculated distudsed area here,
12.9 and your total fee will appear in the vellnw
Input N of Acres Disturbed
TotalTotal Fee S 2,700.60 hislilirhted section.
•Guilford County has a maximum feeofS83250a 38 acres or more