NCC230905_FRO Submitted (2)_20230405

FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land-disturbing activity on one or more acres as covered by the Act before this
form and an acceptable erosion and sedimentation control plan have been completed and approved by
the Land Quality Section, N.C. Department of Environmental Quality. Submit the completed form to the
appropriate Regional Office. (Please type or print and, if the question is not applicable or the e-mail and/
or fax information unavailable, place N/A in the blank.)
Part A.1. Project Name Tramore Subdivision
2. Location of land-disturbing activity: County CabarruS City or Township Harrisburg
Hickory Ridge Rd&Grady Harris Rd 35.2833 N 80.6258 W
Highway/Street Latitude Longitude_
3 Approximate date land-disturbing activity will commence 9/1/2022
4 Purpose of development(residential, commercial, industrial, institutional, etc.):Residential
5 Total acreage disturbed or uncovered (including off-site borrow and waste areas). 24.60
6 Amount of fee enclosed: $ 1 ,599 . The application fee of$65.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is$585)
7 Has an erosion and sediment control plan been filed? Yes No Enclosed X
8 Person to contact should erosion and sediment control issues arise during land-disturbing activity
Name Alan Kerley E-mail Address [e-mail]
Telephone [phone] Cell# Fax#
9 Landowner(s) of Record (attach accompanied page to list additional owners):
John Thomas Howie
Name Telephone Fax Number
9556 Hickory Ridge Rd
Current Mailing Address Current Street Address
Harrisburg, NC 28075
City State Zip City State Zip
10. Deed Book No. 7881 Page No 0206 Provide a copy of the most current deed.
Part B.
1. Company(ies) or firm(s) who are financially responsible for the land-disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet.) If the company or firm is a sole proprietorship,
the name of the owner or manager may be listed as the financially responsible party.
Taylor Morrison of Carolinas, Inc. [e-mail]
Name �'pips-- �/ G,n^^^w� } m N S< ��,mail Address
1401-0-W , S ,;
Current Mailing Address Current Street Address
Charlotte, NC 2628- a 8 Z 77
City State Zip City State Zip
Telephone [phone] _ Fax Number

Landowner(s)of Record (attach accompanied page to list additional owners):
John Thomas Howie
Name Phone: Office# Mobile#
9556 Hickory Ridge Rd
Current Mailing Address Current Street Address
Harrisburg, NC 28075
City State Zip City State Zip
Deed Book No. 3345 Page No. 0076 Provide a copy of the most current deed.
Landow.vner(s)of Record (attach accompanied page to list additional owners):
Cynthia Christine Howie
Name Phone: Office# Mobile#
17 Tafel Ct
Current Mailing Address Current Street Address
Fort Myers, FL 33912
City State Zip City State Zip
Deed Book No. 9520 Page No. 0207 Provide a copy of the most current deed.

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
(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:
Registered Agent Solutions, Inc.
Name of Registered Agent E-mail Address
176 Mine Lake Court
Current Mailing Address Current Street Address
Raleigh NC 27615
City State Zip City State Zip
Telephone[phone] 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.
Alan Kerley Vice President of Land Acquisition
Type or print name Title or Authority
/ 3j/y22
Signature Date
I, 1.1\1 if.ave.s i2Pk 1 a Notary Public of the County of McCAC\-(1446 Uf'`)
State of North Carolina, hereby certify that A\c v KQc\ y. 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 1 day of MO1'r , 20 22
< 117:44 4/2'171/1
Notary
Seal c�z
.r AVi3l�C� My commission expires / / 7
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