NCC242162_FRO Submitted_20240729

FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
EROSION & SEDIMENTATION CONTROL
IREDELL No person may initiate any land-disturbing activity on one or more acres, 1/2 acre or more inside a
COUNTY NC watershed, as covered by the Sedimentation Pollution Control Act and the Iredell County Land
-- Development Code, before an acceptable erosion and sedimentation control plan has been submitted
and approved by the Iredell County Planning &Development, Erosion Control Section.
(Please type or print)
Part A.
1. Project Name Sanders Ridge (Lots 41-81)
2. Location of land-disturbing activity: County Iredell City or Township Troutman
Highway/Street 242 Sugar Hill Road Latitude 35.672527 Longitude-80.823135
3. Approximate date land-disturbing activity will commence: 03/2024
4. Purpose of development(residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 1 1 .17
6. Amount of fee enclosed: $2,100 . An application fee of$175.00 per acre(rounded up to the next acre)is
assessed without a ceiling amount (Example: a 8.10-acre application fee is $1575). For projects > than 0.5 acres but no
greater than 0.99 acres in a water supply watershed, a flat fee of$100.00 is assessed.n
7. Has an erosion and sediment control plan been filed? Yes I 1 No _ Enclosed 111
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Alex Alette E-mail Address [e-mail]
Telephone [phone] Cell# Fax#
9. Landowner(s)of Record (attach accompanied page to list additional owners):
M/I Homes of Charlotte, LLC 704-597-4527
Name Telephone Fax Number
5350 77 Center Drive, Suite 100
Current Mailing Address Current Street Address
Charlotte NC 28217
City State Zip City State Zip
10. Deed Book No. 1893 Page No.2058 Provide a copy of the most current deed.
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 an attached sheet):
Mul Homes of Charlotte, LLC
Name E-mail Address
5350 77 Center Drive, Suite 100
Current Mailing Address Current Street Address
Charlotte NC 28217
City State Zip City State Zip
Telephone [phone] Fax Number
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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:
Corporation Service Company
Name E-mail Address
2626 Glenwood Ave., Suite 550 2626 Glenwood Ave., Suite 550
Current Mailing Address Current Street Address
Raleigh NC 27608 Raleigh NC 27608
City State Zip City State Zip
800-927-9800
Telephone Fax Number
(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 name and street
address of the Registered Agent:
Mul Homes of Charlotte, LLC
Name of Registered Agent E-mail Address
5350 77 Center Drive, Suite 100
Current Mailing Address Current Street Address
Charlotte NC 28217
City State Zip City State Zip
Telephone [phone] Fax Number
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 Financially Responsible Person). I agree to
provide corrected information should there by any change in the information provided herein.
Alex Alette LA4-0 /vvii•VAGG42—
Type or print name Title or Authority
Signature Date
I" V a 1AAS ahi a-1'e , a Notary Public of the County of WCki'E'-41\ L3C3'
State of North Carolina, hereby certify that P )( - t' i appeared personally before me this day
and being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notarial seal,this 1-4day of Ma-w-c-t/-A , 20 -24)
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My commission expires 3. 3 ( • '1-0149
. Notary Public 2�
Cabarrus m=_
County
My Comm. Exp.
2 03-31-2026
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