NCC231021_FRO Submitted_20230417

�OU1VZr
Gaston County
Gaston Natural Resources Department
d , 1303 Cherryville Highway, Dallas, NC 28034 Telephone: [phone]
Dl�t4
$.Kaaa�$ Soil Erosion & Sedimentation Control
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 A:
1. Project Name Redhawk Subdivision- Phase 1
2. Location of land-disturbing activity
City Cramerton Highway/Street Armstrong Ford Road &N. Lake Wylie Road.
3. Approximate date land-disturbing activity will commence October 2022
4. Purpose of development(residential, commercial, industrial, etc.) Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas) 91.00 Acres
6. Amount of fee enclosed $27,300.00
7. Soil Erosion & Sedimentation Plan Filed? Yes X No
8. Landowner(s) of Record (Use blank page to list additional owners)
MT LAND, LLC
Name Name
141 Providence Road
Mailing Address Mailing Address
Charlotte, NC 28207
City State Zip City State Zip
704.200.4237
Telephone Number Telephone Number
9. Indicate Deed Book and Page where deed(s) or instrument(s) are recorded
Deed Book 5174 Page 746
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
Lennar Carolinas, LLC
Name Name
6701 Carmel Road, Suite 425
Mailing Address Mailing Address
Charlotte, NC 28226
City State Zip City State Zip
704.759.6000
Telephone Number Telephone Number
2. If the Financially Responsible Party is not a resident of North Carolina, give name and street
address of a North Carolina agent.
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.
Lennar Carolinas, LLC (Attn: Mark Henninger)
Name
6701 Carmel Road, Suite 425
Mailing Address Street Address
Charlotte, NC 28226 704.759.6000
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. r�'"
M Gi✓IC 2 r �'1..y�a -�Q ��✓�s;o�• �/�s,'��,,
Type or Pri N Title or Authority
Signature Date
I, � �2.e� J 0�2.5 , a Nota Public of the County of U n 1 D/U , State of North
Carolina, hereby certify that Ct� 2 appeared personally before me this day
and being duly sworn acknowledged that the above for as executed by him.
Witness my hand and notarial seal, this -7 day of 122
Notary SEAL My Commission Expires
File:Financial Responsibility-Ownership Form.mw
KATHLEEN G. JONES
NOTARY PUBLIC
Union County Page 2
North Carolina
My
Commission Expires May 4,2W

LandownerAdtho'diatib
i, Charles Myers, an authorized representative of MT Land LLC,, hereby authorize the Gaston County
Department of Natural Resources to issue permits to Lennar Carolinas, LLC,who is the developer of the
Redhawk Subdivision.project.It is undergfoad that:upon:obtamrng.att ttto.requfred permits,the property
vA be said to termar Carolinas,,U-C and J w4l retain no intefest'in s6id propefty.
Landowner of Record:
Type or print name Title.or Aut ority
1 - 13 - zz
Signature Date