NCC233792_FRO Submitted_20231222

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name an 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 busin ss under an assumed name, attach
a copy of the Certificate of Assumed Name. If the Financially Responsible Party is Corporation, give name and street
address of the Registered Agent:
Andrew M. Brandt [e-mail]
Name of Registered Agent E-mail Address
16140 Northcross Dr Suite B 16140 Northcross Dr Suite B
Current Mailing Address Current Street Address
Huntersville, NC 28078 Huntersville, NC I 28078
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 rovided by me under oath (This form
must be signed by the Financially Responsible Person if an individual or his attomey-in-fac, or if not an individual, by an officer,
director, partner, or registered agent with the authority to execute instruments for the Finan ially Responsible Person). I agree to
provide corrected information should there by any change in the information provided herein.
Steve Bailey President
Type or pri t name Title or Authority
iS gn ture Date
I, 1.3()a nna MC-Cot r 1 t1" ,a Notary Public of the County of 1 P'e de
State of North Carolina, hereby certify that +v en 'BA, I-e ppeared personally before me this day
and being duly sworn acknowledged that the above form was executed him.
Witness my hand and notarial seal,this -2-1 day of DPC e rnb •r , 20 2-3
Or1.. , CC
„, ,,m\IA Mr, No ary
Seal \P,:------- 0 "
m„•.�� F�-• = My commission expires I 1 2 i
Norm
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FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
EROSION & SEDIMENTATION CONTROL
IR E D E L L No person may initiate any land-disturbing activity on one or more acres, 1/2 acre or more inside a
c OUN TV NC watershed, as covered by the Sedimentation Pollution Control Act and the Iredell County Land
Development Code, before an acceptable erosion and sedimentation control plan has been submitted
and approved by the Iredell County Planning& Development, Erosion Control Section.
(Please type or print)
Part A.
1. Project Name Norman Creek Subdivision
2. Location of land-disturbing activity: County Iredell City or Township Troutman
Highway/Street S. Main St _Latitude 35.684858 Longitude -80.862908
3. Approximate date land-disturbing activity will commence: Spring 2024
4. Purpose of development(residential,commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 1 52.86 AC
6. Amount of fee enclosed: $ $9,275 . An application fee of$175.00 per acre(rounded up to the next acre)is
assessed without a ceiling amount (Example: a 8.10-acre application fee is $1575). For projects > than 0.5 acres but no
greater than 0.99 acres in a water supply watershed,a flat fee of$100.00 is assessed.
7. Has an erosion and sediment control plan been filed? Yes No Enclosed
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Bryan Baire E-mail Address [e-mail]
Telephone Cell# 803-370-7334 Fax#
9. Landowner(s)of Record (attach accompanied page to list additional owners):
BBC Norman Creek, LLC 704-892-7790
Name Telephone Fax Number
7224 Jameson Way 7224 Jameson Way
Current Mailing Address Current Street Address
City State Zip City State Zip
10. Deed Book No. See below Page No. See below Provide a copy of the most current deed.
Parcel 4740586774.000: Deed Book No.2888 Page No. 951
Part B. Parcel 4740490827.000: Deed Book No.2913 Page No. 338
1. Person(s)or firm(s)who are financially responsible for the land-disturbing activity(Provide a comprehensive list of all
responsible parties on an attached sheet):
BBC Norman Creek, LLC [e-mail]
Name E-mail Address
7224 Jameson Way 7224 Jameson Way
Current Mailing Address Current Street Address
Stanley NC 28164 7224 Jameson Way
City State Zip City State Zip
Telephone [phone] Fax Number
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