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Home My WebLink AboutNCC242246_FRO Submitted_20240729 Rowan County Financial Responsibility/Ownership Form Sedimentation Pollution Control Ordinance 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 Rowan County Environmental Management Department. Part A Parcel ID Number Lot 70: 201 A070 Lot 73: 201 A073 Lot 74: 201 A074 Lot 75: 201 A075 Lot 78: 201A078 Lot 79: 201 A079 Lot 92: 201 A092 Lot 93: 201 A093 Lot 99: 201 A099 Lot 102: 201A102 1. Project Name* Yorkshire(Lots 70,73-75, 78,79,92,93, 99, 102) 2. Location of land-disturbing activity(Highway/Street)* Lot 70: 1302 Coppergate Drive Lot 73: 1335 Coppergate Drive Lot 74: 1345 Coppergate Drive Lot 75: 1355 Coppergate Drive Lot 78: 1385 Coppergate Drive Lot 79: 1395 Coppergate Drive Lot 92: 1350 Coppergate Drive Lot 93: 1340 Coppergate Drive Lot 99: 1280 Coppergate Drive Lot 102: 1240 Coppergate Drive 3. Latitude Longitude Lot 70: 35.646319 Lot 70: -80.610525 Lot 73: 35.645713 Lot 73: -80.610204 Lot 74: 35.645449 Lot 74: -80.610109 Lot 75: 35.644490 Lot 75: -80.609487 Lot 78: 35.643095 Lot 78: -80.608939 Lot 79: 35.642686 Lot 79: -80.608972 Lot 92: 35.644708 Lot 92: -80.610677 Lot 93: 35.645493 Lot 93: -80.611192 Lot 99: 35.646321 Lot 99: -80.611643 Lot 102: 35.646766 Lot 102: -80.611901 4. Approximate date land-disturbing activity will be commenced 06/07/2024 5. Purpose of development(residential, commercial, industrial,etc.) *this information will be made available on the Rowan County Planning&Development website. helps//www_rowancount)i o /Formrcntcr/Fruit^fouull) 9(,X Prc'vic.v Yi S tiave PnlbasavcdPm<resslf)= Rowan County Residential Homebuilding 6. Approximate acreage of land to be disturbed or uncovered* 5.24 Acres 7. Person to contact should sediment control issues arise during land-disturbing Cell Phone Number* activities* Henry Kirchner 704-754-5460 Email Address Henry.Kirchner@CenturyCommunities.com 8. Landowner of Record Landowner of Record Century Communities Southeast, LLC Name Name Current Mailing Address Current Mailing Address 7401 Carmel Executive Park Drive Charlotte, NC 28226 9. Recorded in Deed Book Number Page Number 1017 755 1282 103&104 1. Person or Firm who are financially responsible for Person or Firm who are financially responsible for this this land-disturbing activity land-disturbing activity Century Communities Southeast, LLC Name of Person(s)or Firm(s) Name of Person(s)or Firm(s) Current Mailing Address Current Mailing Address 7401 Carmel Executive Park Drive Charlotte, NC 28226 *this information will be made available on the Rowan County Planning&Development website. hulls:/!n'v w.rowancountync.go Ohm nnCentcr/Print°Corm II)=9()&Picview Y1 S&:Sivc false&sivcdProgress'D Rowan County Phone Number Phone Number 704-754-5460 *this information will be made available on the Rowan County Planning&Development website. hHI'S ancount ne,goe/FuiniCenler/Print?(onull) 96&Prcvins--YliS :Salve l'alsc&sntiedF iogresslI) Rowan County a. If the Financially Responsible Party is not a resident of North Carolina, give name and street address of a North Carolina Agent. Name of Agent Name of Agent � l Current Mailing Address Current Mailing Address Phone Number Phone 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 the name and street address of the Registered Agent. Name of Agent Name of Agent National Registered Agents, Inc. Current Mailing Address Current Mailing Address 160 Mine Lake Ct.Ste.200 Raleigh, NC 27615 Phone Number Phone Number *this information will be made available on the Rowan County Planning&Development website. hllps:/"vvss1 .1'QvvancoulllvI1c.g(v,Toin1(entcill'iInff0l1111)'%&Pie Ievv--Y_S&:.avc l'alse&'S;i edl7rosretisll)- Rowan County 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 instrument s for the Financially Responsible Person). I agree to provide correctional information should there be any change in the information provided herein. Name Title or Authority Andrew Rouzer Division President Signature Date frtAlitezi) 6/12/2024 I, FAI(14,J1) �� 14 „,\ i _{'. a Notary Public of the County of t I ed4)1Qnhvre, � State of North Carolina, hereby certify that �l c�c�retr� l'�uR- appeared personally before me this day and being duly sworn acknowledged that the above form was executed by him/her. Witness my hand and seal of Notary,this IA day of .TOf 1 Notary My commission expires c' � ems, r1T`4 >-ir a - I5 aLI Date Seal Notar Y Public 1 Mecklenburg m County MY Comm. Exp. ��2 12-15-2024 sr "//i,,ti/CA110��\‘`s Checklist Download a copy of the Erosion and Sedimentation Control Plan Checklist(PDF) *this information will be made available on the Rowan County Planning&Development website, Mips:/nsna r(c.sanconnttncgow}biniCcntcr ni1'1i>>m11) 96&Pic.[esv -YE'6&5asc°1alsc&salcdPmgicssll)=