NCC241864_FRO Submitted_20240618

DURHAM JCN
COUNTY Durham City/County (Office Use Only)
Sedimentation and Erosion Control
BE
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
0
WITH LANDOWNER CONSENT FORM
\laal
No person may initiate any land-disturbing activity covered by the Durham City-County Unified Development Ordinance before a
Land Disturbing Permit is issued by the Sedimentation and Erosion Control Office. Issuance of a Land Disturbing Permit does not
relieve the permittee of the obligation to obtain any other licenses, permits and approvals as may be required by Federal, State,
County or Municipal governments. This office must be notified in writing of any change to the information on this form.
PLEASE TYPE OR PRINT
1. Project name: Arvin Subdivision,Phases 1-10 Extension: Yes Or No
2. Road location of land-disturbing activity: Cheek Road and Arvin Road
Tax Map-Block-Parcel: See Attached PIN: See Attached
3. Square footage of land to be disturbed or uncovered: 5,870,040 SF(134.0 acres)
4. List below the landowner of record. Each landowner must complete Item 8.
(If there are multiple owners,please list on a separate page):
Meritage Homes of the Carolinas,Inc.,an Arizona Corporation
Name
3300 Paramount Parkway,Suite 120
Address
Morrisville NC 27560
City State Zip
[phone] scott.roylance(/meritagehomes.com
Telephone Fax Email
5. List the person or entity financially responsible for this land-disturbing activity: The financially responsible party shall be
(1)the developer or other person who has or holds themselves as having financial or operational control over the land-disturbing
activity and/or(2)the land owner or person in possession or control of the land when they have directly or indirectly allowed
the land-disturbing activity or have benefited from it and(3)the named party on the Land Disturbing Permit.
Meritage Homes of the Carolinas,Inc.,an Arizona Corporation
Name
3300 Paramount Parkway,Suite 120
Street Address
Morrisville NC 27560
City State Zip
[phone] scott.ro_ylance(a/meritagehomes.com
Telephone Fax Email
s the Financially Responsible Party,I consent to receiving notifications regarding this project via electronic
(Initials) communication at scott.roylance@,meritagehomes.com
(Email Address)
I agree to provide any updated email addresses as necessary to ensure consistent communication is maintained between myself
and Durham County Sedimentation and Erosion Control.
Electronic notifications may include Plans Review Comments,Approvals,Disapprovals,and/or enforcement actions including
Notices of Violation, Stop-Work Orders,and/or Civil Penalties.
201 E.Main St,5'Floor,Durham,N.C.27701 •[phone]•Fax[phone]
www.co.durham.nc.us/ceng

6. For business applicants,list below the North Carolina registered agent for the financially responsible entity:
Corporation Service Company ,
Name
2626 Glenwood Avenue, Suite 500
Street Address
Raleigh NC 27608
City State Zip
1-800-927-9801 [e-mail]
Telephone Fax Email
7. The above information is true and correct to the best of my knowledge and belief and was provided by me while under oath. I
understand that the person or entity listed on Line 5 above will be: (1)the owner of the Land Disturbing Permit when issued;
(2)responsible for ensuring compliance with the Act and Ordinance; and,(3)will be the only person or entity with standing to
appeal any action taken or decision made by the Sedimentation and Erosion Control Office.
5/1 G/24 Scott Roylance
Date Type or Print Name
[phone] 'vision President
Telephone Fax Title or i u*hnrity
scott.roylanceAmerita ehomes.com �'T
Email Signature
Business pplicant(Pro e corporate resolution on signatory authority) , l
I, vr►4-cr �` n l
v.c ,a Notary Public of the County of r ‘t,c
State of Al C. ,hereby certify that �a 4 ice( Ione C
personally came before me this day and acknowledged that he is 0 NI 3 S i o r Pre 5'ct G n+
of ,tr►'4 c 0.c t S and acknowledged,on behalf of �Lr 14 c. ILONC
v ,the due execution of the foregoing instrument. VV
Witness my hand and official seal,this I(y day of !"w1 ,20 24-
%:,t4 u,,Rprpl'','.
�►1 Notary Public .�`0���.1.i ER. '• p'�,
My commission expires I U / l S ,20 2:if . commis:4 "
*******************************************************************************************************************2***n** *N *Tq Q� Z
qG 'QI-
Individual Applicant et]C
I, a Notary Public of the County of %�( I.:!?028
State of ,hereby certify that ,,„
personally appeared before me this date and under oath acknowledged that the above form was executed by them.
Witness my hand and official seal,this day of ,20
Notary Public
My commission expires 20
Provide a Notarized Item 8 for each landowner listed in Item 4.

8. Land Owner Consent. As a landowner,I provide my consent for land-disturbing activities to occur on the property listed in
Item 2 by the person or entity listed in Item 5.
Date Type or Print Name
Telephone Fax Title or Authority
Email Signature
Business Landowner(Provide corporate resolution on signatory authority)
I, , a Notary Public of the County of
State of ,hereby certify that
personally came before me this day and acknowledged that he is
of and acknowledged,on behalf of
,the due execution of the foregoing instrument.
Witness my hand and official seal,this day of ,20
Notary Public
My commission expires ,20
**.*************************************.**********.************.*********.**.************************.**..**..******************
Individual Landowner
I, ,a Notary Public of the County of
State of ,hereby certify that
personally appeared before me this date and under oath acknowledged that the above form was executed by them.
Witness my hand and official seal,this day of ,20
Notary Public
My commission expires 20
The Sedimentation and Pollution Control Act(Act)and the Durham City-County Unified Development Ordinance(Ordinance)
includes,but is not limited to,the following legal obligations of the financially responsible party:
• Maintain a set of approved sedimentation and erosion control plans,if required,on site.
• Display permit on site.
• Understand and implement any required plan,including the construction sequence and details.
• Inspect,maintain and repair sedimentation and erosion control measures,especially after rainfall events.
• Provided adequate ground cover or otherwise stabilize all areas that have not been actively graded within 21 calendar days.
• Plan and conduct all land-disturbing activity so as to prevent off-site sedimentation.
SE-03 Rev.07/06

ARVIN SUBDIVISION
DURHAM, NORTH CARLINA
FINANCIAL RESPONSIBILITY-OWNERSHIP FORM
SUPPLEMENTAL INFORMATION
The proposed Arvin Subdivision includes recombining five existing lots for the subdivision.
The following summarizes the property addresses and PINs for the Financial
Responsibility-Ownership Form application:
Property Address PIN Parcel ID
3136 Cheek Road 0852-12-02-4858 168164
801 Arvin Road 0852-03-11-1374 168125
800 Arvin Road 0852-03-00-8905 168124
1100 Goldendale Drive 0852-01-10-5133 168054
841 Avalon Road 0852-20-88-7604 167582