NCC241987_FRO Submitted_20240701

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
Braemar Village (Lots 19-29 & 57-64)
1. Name of Project
2. Address where land disturbing activity will take place 1788 Braemar Village Dr EROSI
3. Approximate date disturbing activity will commence 06 / 03 /2024
4. Purpose of development(residential,commercial, industrial,etc.) Residential
5. Total acreage of land to be disturbed or uncovered 1.2
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 Address13925 Ballantyne Corporate Place Mailing Address
Suite 300;Charlotte,NC 28277
Street Address 18655 North Claret Drive,Suite 400 Street Address
Scottsdale,AZ 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)
Book . 0 Z Book
Page 0 05 Li_ °D 5 g'" Page
10. Tax Map Parcel Number where land disturbing activity will take place See Attached __
07-18 Permits, Checklists, and Forms
Division 07

CITY OF MONROE STANDARD SPECIFICATIONS AND DETAIL MANUAL
Part II
l. 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
Mailing Address
13925 Ballantyne Corporate Place Mailing Address
Suite 300;Charlotte,NC 28277
Street Address18655 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 500 Raleigh NC 27608
Street address City State Zip
800-927-8900
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)
Type or Print Name Title amilton Title Vice President Construction
S
Signature `�, / )a / s y Date
1.a 146;I` '',.!osdet_r ,a Notary Public of the County of AQ.tki"+✓% .State of North Carolina,
hereby certify that..3)6/.30-4, ti►f.ra .i appeared personally before me this day and being dily sworn acknowledged
that the above limn was executed by him. /
Witness my hand and notarial seal.this l, day of M A. izi iT'
SE . ,`mA111t1�1IQ11 Ne �" 1
f (N a 9
pTAR y
`` My commis. on expires 2 .Z,IS _
07-19 Permits, Checklists. and Forms
�. PUBLIC' 2r Division 07
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Braemar Village: Meritage 2nd Closing
Acreage
Lot# Parcel# Acreage
19 09264079 0.06
20 09264080 0.06
21 09264081 0.06
22 09264082 0.06
23 09264083 0.06
24 09264084 0.06
25 9264114 0.06
26 9264115 0.06
27 9264116 0.06
28 9264117 0.06
29 9264118 0.06
57 9264146 0.07
58 9264147 0.07
59 9264148 0.07
60 9264149 0.07
61 9264150 0.07
62 9264151 0.07
63 9264152 0.07
64 9264153 0.07
Total 1.2 Acres