NCC241071_FRO Submitted_20240409

CITY OF MONROE STANDARD SPECIFICATIONS AND DETAIL MANUAL
07.06 EROSION CONTROL FORMS AND CHECKLISTS
07.06.01 EROSION CONTROL FINANCIAL RESPONSIBILITY FORM
No person may initiate any land-disturbing activity as defined in Chapter 158 of the Monroe City Code prior to
completion of this form,and an applicable and acceptable erosion and sedimentation control plan has been approved by
the City of Monroe Engineering Department. (Please type or print)
Part I
l. Name of Project Braemar Village(Lots 1-18 and 65-88)
2. Address where land disturbing activity will take place 1788 Braemar Village Dr EROSI
3. Approximate date disturbing activity will commence 3 / 18 /2024
4. Purpose of development(residential,commercial,industrial,etc.) Residential
5. Total acreage of land to be disturbed or uncovered 2.290
6. Amount of fee enclosed(fee will be the amount of current policies per acre multiplied by the total number
of acres or any part of an acre from number 5. i.e. 7.28 acres equals 8 acres.) $900
7. Agent to contact should sediment control issues arise during land disturbing activity
Name Deveraux Hamilton Phone [phone]
8. Landowner(s)of Record(use blank page to list additional owners)
Name Meritage Homes of the Carolinas,Inc. Name
Mailing Address 13925 Ballantyne Corporate Place Mailing Address
Suite 300;Charlotte,NC 28277
Street Address 18655 North Claret Drive,Suite 400 Street Address
Scottsdale,Arizona 85255
Phone [phone] Phone
Fax Fax
9. Indicate Book and Page where deed of the property where land disturbing activity will take place is recorded
(use blank page to list additional owners)
08833
Book Book
0041-0044
Page_ Page
See Attached
10. Tax Map Parcel Number where land disturbing activity will take place -- --
07-18 Permits, Checklists, and Forms
Division 07

CITY OF MONROE STANDARD SPECIFICATIONS AND DETAIL MANUAL
Part II
]. Person(s)or firm(s)who are financially responsible for this land disturbing activity(use blank page to list
additional owners)
Name Meritage Homes of the Carolinas,Inc. Name
13925 Ballantyne Corporate Place
Mailing Address Mailing Address
Suite 300;Charlotte,NC 28277
Street Address 18655 North Claret Drive,Suite 400 Street Address
Scottsdale,AZ 85255
[phone] &[phone]
Phone_ Phone
Fax Fax
2. A)If the Financially Responsible Party is not a resident of North Carolina,give name and address of a North
Carolina Agent
Name of Registered Agent
Mailing Address
Street address City State Zip
Phone Email Fax
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 Corporation Service Company
Mailing Address 2626 Glenwood Avenue,Suite 550 Raleigh NC 27608
Street address City State Zip
Phone [phone] Email Fax -
3. The above information is true and correct to the best of my knowledge and belief and was provided by me
under oath. I agree to provide corrected information should there be any change in the information provided
herein.(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)
Devera Hamilton Vice President Construction
Type or Print Name / Title
Signature w•-- Date 3 / O / 211'
� ___ ,a Notary Public of the County of k� IL(� \ ,State of North Carolina.
hereby certify that--_�)CY Alke,'y 4.1404 l'OP...► appeared personally before me this day and being dily sworn acknowledged
that the above fonn was executed by him.
tL�
00Aritittly,kand and notarial seal,this day of
O
05411AR). p (N an
My commission expires 7. •2..'ZS
s
'``+c4 '°UBLIG c 07-19 Permits, Checklists,and Forms
ee4, „tick. Division 07
nlluiiiii�una

Braemar Village Meritage 1st Closing
Acreage
Lot U Parcel Number Acreage
1 9264061 0.06
2 9264062 0.06
3 9264063 0.06
4 9264064 0.06
5 9264065 0.06
6 9264066 0.06
7 9264067 0.05
8 9264068 0.05
9 9264069 0.05
10 9264070 0.05
11 9264071 0.05
12 9264072 0.05
13 9264073 0.06
14 9264074 0.06
15 9264075 0.06
16 9264076 0.06
17 9264077 0.06
18 9264078 0.06
65 9264085 0.05
66 9264086 0.05
67 9264087 0.05
68 9264088 0.05
69 9264089 0.05
70 9264090 0.05
71 9264091 0.06
72 9264092 0.06
73 9264093 0.06
74 9264094 0.06
75 9264095 0.06
76 9264096 0.06
77 9264097 0.06
78 9264098 0.06
79 9264099 0.06
80 9264100 0.06
81 9264101 0.06
82 9264102 0.06
83 9264103 0.06
84 9264104 0.06
85 9264105 0.06
86 9264106 0.06
87 9264107 0.06
88 9264108 0.06
Total 2.290 Acres