NCC242144_FRO Submitted_20240717

DocuSign Envelope ID:327AD582-FB61-4409-81 C0-29A264A0761 F
fZ°° Gaston County
�, Gaston Natural Resources Department
O 1303 Cherryville Highway, Dallas, NC 28034 Telephone: [phone]
f�,;=*a"ii---- Soil Erosion & Sedimentation Control
ogniti
I: Financial Responsibility/Ownership
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No person may initiate any land-disturbing activity on one (1) or more acres of property in all portions of
Gaston County, except for that property within the city limits of the incorporated municipalities of Gaston
County who have not adopted the Gaston County Soil Erosion & Sedimentation Control Ordinance,
before this form and an acceptable Soil Erosion & Sedimentation Control Plan have been completed and
approved by the Gaston County Natural Resources Department's staff.
(Please type or print and, if question is not applicable, place N/A in blank)
PART A:
1. Project Name Redhawk Subdivision - Phase 2
2. Location of land-disturbing activity
City Cramerton Highway/Street S. New Hope Road & Lake Wylie Road.
3. Approximate date land-disturbing activity will commence_July 2024
4. Purpose of development (residential, commercial, industrial, etc.) Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas) 99.00 Acres
6. Amount of fee enclosed $ 29,700.00 (Fee Paid Prior)
7. Soil Erosion & Sedimentation Plan Filed? Yes X No
8. Landowner(s) of Record (Use blank page to list additional owners)
DRP MULTISTATE 1 LLC
Name Name
6701 Carmel Road, Suite 425
Mailing Address Mailing Address
Charlotte, NC 28226
City State Zip City State Zip
704.759.6000
Telephone Number Telephone Number
9. Indicate Deed Book and Page where deed(s) or instrument(s) are recorded
Deed Book_5403 Page 1271
Deed Book Page
10. Tax Map No. N/A Block N/A Lot No. N/A
Page 1

DocuSign Envelope ID:327AD582-FB61-4409-81C0-29A264A0761F
PART B:
1. Person(s)or firm(s)who are financially responsible for this land-disturbing activity
Lennar Carolinas, LLC Sam Stalls
Name Name
6701 Carmel Road, Suite 425 6701 Carmel Road, Suite 425
Mailing Address Mailing Address
Charlotte, NC 28226 Charlotte, NC 7.R776
City State Zip City State Zip
704.759.6000 7(14-7 SA-h(1(1(1
Telephone Number Telephone Number
2. If the Financially Responsible Party is not a resident of North Carolina, give name and street
address of a North Carolina agent.
Corporate Creations Network, Inc
Name
15720 Brixham Hill Avenue#300
Mailing Address Street Address
Charlotte,NC 28277 [phone]
City State Zip Telephone Number
3. 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 Part is a Corporation give name and street address of the Registered Agent.
Lennar Carolinas LLC (Attn: Kevin Roth)
Name
6701 Carmel Road, Suite 425
Mailing Address Street Address
Charlotte, NC 28226 803.367.2322
City State Zip Telephone Number
4. 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 authority to execute instruments for the financially responsible person). I
agree to provide corrected information should there be any change in the information provided
herein.
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isysisiLFEEMC4C3 Date
I, N 1CA4.0/ab/Z• -6,,,-+- ° --- , a N tart'public of the County of(ee j rtz(5 , State of North
Carolina, hereby certify that Ste,cM 0. S appeared personally before me this day
and being duly sworn acknowledged that he,�bove form was executed by him.
Witness hand and tarial seal, this,, ,Rr,,,,,�{�ay of Jc�Iv , 202/jt .
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Notary �^�t'/ QS'E,L� .�N�1� My Commission Expires
` Q 1. File: Financial Responsibility-Ownership Form.mw
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