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Home My WebLink AboutNCC222450_FRO Submitted_20220711PLAN 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, please N/A in the blank) PART A 1. Job Name Cline Village Lots 42-47, 55-62, 506-508 2. PIN or 911 Address ISee attached sheet. 3. Purpose of development (residential, commercial, industrial, institutional,etc.) Residential 4. Approximate soil disturbance date 7/2022 5. Total acreage disturbed or uncovered (including off -site borrow and waste areas) 2.88 __- 6. Has an erosion and sedimentation control been filed? F- yes F No F Attached 7. If you have an Erosion Control billing account, would you like this to be billed? f- yes No Account Number PEOPLE 8. Person to contact should erosion and sediment control issues arise during land -disturbing activity Name George Bartley Carroll E-mail address bcarroll@drhorton.com Telephone 1704-620-7373 Cell # same Fax # 9. Landowner(s) of Record (attach accompanied page to list additional owners) Name .R. Horton, Inc. Telephone Fax # Current Mailing Address F8001 Arrowridge Blvd City Fharlotte State NC Zip 28273 Current Street Address 8001 Arrowridge Blvd City 1Charlotte State 10. Deed Book No. 3752; 3753 Page No. F1970,1380 PART B NC Zip [28273 1. Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a comprehensive list of all responsible parties on attached sheet): Name D.R. Horton, Inc./George Bartley Carroll E-mail address bcarroll@drhorton.com Current Mailing Address 8025 Arrowridge Blvd City Fharlotte State NC Zip F28273 Current Street Address �025 Arrowridge Blvd Charlotte State [N C 28273 City 1C zip F Telephone1704-620-7373 Fax # F 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 F_ Current Mailing Address City I State F zip Current Street Address F City I State F zip Telephone Fax # F 2. (b) If the financially responsible party is a Partnership or other -person engaging in business under 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: Name FT Corporation System E-mail address linfo@ctadvantage.com Current Mailing Address 1160 Mire Lake Ct suite 200 City lRaleigh State zip 27615 INC Current Street Address 1160 Mire Lake Ct suite 200 C — Raleigh City F TState NC Zip 127615 Telephone �19-821-7139 Fax # 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. 'N 'f 14-' 6-e!j,e_ ltbo&F3, TYP7 Print e Title of Authol-ity Sighatufe Date' a Notary Public of the County of 4,K 61 State of North Carolina, hereby certify that the_&tg%_j&&,J(-kt _ appeared personally fore me this day and being duly above . Was te sworn acknowledge that 'd by him. Witness my hand and notary seal, this day of JGV_, 2022 Seal — - — LOGAN F. CREECH Pu Notary Public. North Carolina Meckienburg County =0- N�ota y Commission ex Commission om Mi s r 'Pire z My Commission Expires 'o Match 312027 0 L Print Form Parcel Identification Numbers for Cline Village lots 42-47, 54-62, 506-508 Lot Number 42 Parcel ID Number 374311658127 Deed Book Number I Deed Book Page 2159 638 43 374311657384 2159 638 44 374311658367 2159 638 45 374311659347 2159 638 46 374311657100 2159 638 47 374311656052 2159 638 55 374315632768 2159 638 56 374315631799 I 2159 638 57 374315631835 2159 638 58 374315630990 2159 638 59 374315630965 2159 638 60 374315640013 2159 638 61 374315549099 2159 638 - ---------------------- 62 374315549164 2159 638 506----F 374315646598 2933 1145 507 374315646598 508 374315646598 ................................. 2933 114452 2933 + 1145