NCC241566_FRO Submitted_20240523

PLAN REVIEW/FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
CATAWBA COUNTY CODE OF ORDINANCES, CHAPTER 16 ARTICLE V
SOIL EROSION AND SEDIMENTATION CONTROL
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 Catawba County
Utilities and Engineering Department. (Please type or print, and if question is not applicable,please N/A in the blank)
PART A
1. Job Name (Huffman Ridge Lots 1-19,22-24,74-99
2. PIN or 911 Address 1371105188157
3. Purpose of development(residential, commercial, industrial, institutional,etc.)Residential
4. Approximate soil disturbance date 16/1/2024
5. Total acreage disturbed or uncovered(including off-site borrow and waste areas) 6�7s
6. Has an erosion and sedimentation control been filed? r- Yes i No Ix Attached
7. If you have an Erosion Control billing account, would you like this to be billed? Yes 15Z No
Account Number N/A
PEOPLE
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity
Name !Cody Cosentino E-mail address '[e-mail]
Telephone N/A Cell# 1(980)875-8669 Fax# N/A
9. Landowner(s) of Record(attach accompanied page to list additional owners)
Name 'Huffman Project Group, LLC Telephone IN/A Fax# 'N/A
Current Mailing Address 11410 4th Street Dr NW Suite 102
City 'Hickory State NC Zip 128601
Current Street Address 1410 4th Street Dr NW Suite 102
City 'Hickory State NC Zip 128601
10. Deed Book No. 13765 Page No. p492
PART B
1.Person(s) or firm(s)who are financially responsible for the land-disturbing activity(Provide a comprehensive list
of all responsible parties on attached sheet):
Name 'D.R.Horton,Inc. E-mail address '[e-mail]
Current Mailing Address 8025 Arrowridge Blvd.
City 'Charlotte State INC Zip 128273

Current Street Address 8025 Arrowridge Blvd.
City 'Charlotte State NC Zip 128273
Telephone [phone] Fax# IN/A
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
City State I Zip I
Current Street Address
City State I Zip I
Telephone I Fax# I
2. (b)If the financially responsible party is a Partnership or other person engaging in business under 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:
Name CT Corporation System E-mail address [[e-mail]
Current Mailing Address 160 Mine Lake Ct.Suite 200
City 'Raleigh State INC Zip 127615
Current Street Address 160 Mine Lake Ct.Suite 200
City Raleigh State NC Zip ,d27615
Telephone I(919)821-7139 Fax# N/A
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 fmancially responsible person). I agree to
provide corrected information should there be any change in the information provided herein.
COet, COSen.+rna O sion S+oruviu&-+er Corapt rice. Speria ti 4
T e.or Print Name Title of Authority
Signature Date
I, R0.G(4d M(tv eS ,a Notary Public of the County of eiac toil State of North
Carolina,hereby certify that Cot C()s 't-h O appeared personally before me this day and being duly
sworn acknowledge that the above form was executed by him.
Witness my hand and notary seal,this 1 day of Afri ( ,20&.14
Seas RACHEL MARTIN HAYES C.Icukilt_s p0.LttA - ��
Notary Public,North Carolina Notary Gaston County My Commission expires )Q. L c"1, a as 5
My Commission Expires
May 27,2025 Print Form