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Home My WebLink AboutNCC240592_FRO Submitted_20240312 a3 .043 Financial Responsibility/Ownership Form Sedimentation Pollution Control Ordinance 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 Rowan County Environmental Management Department. Part A RECEIVED Parcel ID Number 606H105, 606H106, DEC 2 9 2023 606H107, 606H108, 606109, 606110 1.Project Name* Lot 104 through 109 Sunset Pointe 2.Location of land-disturbing activity(Highway/Street)* Sunset Pointe Drive Latitude Longitude 335.673481 -80.359839 3.Approximate date land-disturbing activity will be commenced 1/20/2024 4.Purpose of development(residential,commercial,industrial,etc.) Single Family Residential 5.Approximate acreage of land to be disturbed or uncovered* 2.277 Acres 6. Person to contact should sediment control issues arise during land-disturbing Cell Phone Number* activity* 1704-507-3584 Amy Daniels `this information will be made available on the Rowan County Planning&Development website. Email Address amy@centerpointnc.com 7.Landowner of Record Landowner of Record Center Point Builders, LLC Name Name Current Mailing Address Current Mailing Address 103 S Central Ave Landis, NC 28088 8.Recorded in Deed Book Number Page Number 1381 489 Part B 1.Person or Firm who are financially responsible for this Person or Firm who are financially responsible for this land- land-disturbing activity disturbing activity Center Point Builders, LLC Name of Person(s)or Firm(s) Name of Person(s)or Firm(s) Current Mailing Address Current Mailing Address 103 S Central Ave Landis, NC 28088 Phone Number Phone Number 704-786-2709 a.If the Financially Responsible Party is not a resident of North Carolina,give name and street address of a North Carolina Agent. Name of Agent Name of Agent Current Mailing Address Current Mailing Address Phone Number Phone 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 the name and street address of the Registered Agent. Name of Registered Agent Center Point Builders, LLC Current Mailing Address Current Street Address 103 S Central Ave Landis, NC 28088 Telephone Number Telephone Number 704-786-2709 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 he 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 correctional information should there be any change in the information provided herein. Name Title or Authority Amy Daniels Managing Member Signature Date C12/19/2023 1,A,d,i44- E}17/�e-2,a Notary Public of the County of C S State of North Carolina, hereby certify tha 444e- -trf appeared personally before me this day and being dul sworn acknowledged that the above form was executed by him/her.Witness my hand and seal of Notary,this /`f clay of ,.,,{ 2 ,20 ze Notary My commission expires al," Seal MAKAYLA PARKER NOTARY PUBLIC Rowan County Checklist North Carolina Download a#4164ltlffl1 ®i nifi iin'Q9a Control Plan Checklist(PDF)