NCC242432_FRO Submitted_20240814

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FINANCIAL RESPONSIBILITY OWNERSHIP (FRO) FORMnteSoil Erosion and Sedimentation Control Ordinance NORTH C A R O L I N A
Instructions: No person shall initiate any land-disturbing activity on one or more acres, as covered in the Town of
Huntersville Soil Erosion and Sedimentation Control Ordinance, before this form and an acceptable erosion and
sedimentation control plan have been completed and approved by the Town of Huntersville. The Financially
Responsible Party will be on record as the party to accept any Notices of Violation or related documents for any non-
compliance of the Town of Huntersville Soil Erosion and Sedimentation Control Ordinance. If the Financially
Responsible Party resides out of state,a North Carolina agent must be assigned. All items on this form must be
filled out accurately and completely.
PART A - PROJECT AND LANDOWNER INFORMATION
1. Project name Walden Phases 8 Map 1
2. Address of land-disturbing activity (number, street) See attached list of addresses
3. Approximate date land-disturbing activity will begin 8/31/24
4. Purpose of development (Commercial, Residential, Residential
Industrial, etc.)
5. Total acreage of land to be disturbed or uncovered 6.95
6. Total site acreage 66.07
7. Landowner(s) of Record. The names listed below must match the Deed(s).Attach a list of additional owners, if
applicable.
Note: If the landowner of record is not the person(s) firm(s),or Company's Financially Responsible Party,
as listed in Part B, item 1, a separate Letter of Consent, signed and dated by the Landowner of
Record,or their Authorized Agent, is required.
Landowner 1 of Record
Company Name 1 Taylor Morrison of Carolinas Inc Contact Name Thomas Johnson
If applicable _
Mailing Address 11405 N Community House Rd, Suite 150
Physical Address "(Continued) Charlotte, NC 28277
If PO Box listed above
Phone [phone] Email [e-mail]
Landowner 2 of Record
Company Name TF Walden Lp Contact Name Craig Campbell
If applicable
Mailing Address 6310 Capital Dr Ste 130 Lakewood Ranch, FL
Physical Address "(Continued) 34202
If PO Box listed above
Phone [phone] I Email [e-mail]
8. Indicate the Deed Book and Page number the deed or instrument is filed. Attach a list of additional deeds if
applicable.
Deed Book Page Deed Book Page Deed Book Page
72 789
Rev. 8/2022 TOH Staff Reviewer Ownership/Agent:_ Verified at Pre-Con Meeting By: Page 1 of 3

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FINANCIAL RESPONSIBILITY OWNERSHIP (FRO) FORM i_T. „,Town of•.
Soil Erosion and Sedimentation Control Ordinance NORTH C A R O L I N A
PART B — FRO AND NC REGISTERED AGENT
1. Person(s), firm(s)or Company who is/are financially responsible for this land-disturbing activity.
Financially Responsible Party
Company Name(if applicable) Taylor Morrison of ' Contact Name Thomas Johnson
Carolinas Inc
Mailing Address 11405 N Community House Rd Ste 150
Physical Address A(Continued) Charlotte, NC 28277
If PO Box listed above
Phone [phone] - 'Email , [e-mail]
2. If the Financially Responsible Party listed above does not reside in the state of North Carolina, they must
provide a designated North Carolina agent below. This agent must be registered with the NC Secretary of State.
North Carolina Agent for Financially Responsible Party
NC Registered Agent Name Contact Name
Mailing Address
Physical Address
If PO Box listed above
Phone Email
3. (Optional) Additional contact familiar with the site, who understands the plans, and may represent the company.
Site Contact's Name Ryan Griffith Email [e-mail]
Phone: Office Phone: Mobile [phone]
PART C — SIGNATURE WITNESSED BY A NOTARY PUBLIC
DO NOT SIGN THIS FORM UNTIL YOU ARE IN THE PRESENCE OF A NOTARY PUBLIC
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. If the
Financially Responsible Owner is not an individual, this form must be signed by an officer, director, partner, or
registered agent with the authority to execute instruments for the Financially Responsible Party). I agree to provide
corrected information should therebe any change in the information provided herein.
e Printed Nam A3 v�l hls Title or Authority )P 1--10 )O
Wet-Ink Signature -6 Date 73 2=1
I, `_ 3 D AI ILI I Ll , a Notary Public of the County of kpe.1",(.e4,61.,,r"� ,
State of N 1 C1-irz) (2 rtA._ , hereby certify that //1--jjit€4.5 tIb LS-0i1/4-1 personally
appeared before me this day and being duly sworn acknowledged that the above form was executed by him/her.
Witness m # Ni j�ika seal, this (Q`fi day of �+ . 20,2y
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n 'O1/81..G iI}: Notary Signatur
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Rev. 8/2022 ���tttllltl�� Page 2 of 3

FINANCIAL RESPONSIBILITY OWNERSHIP (FRO) FORM ' ter of• e
Soil Erosion and Sedimentation Control Ordinance NORTH C A R O L I N A
My Commission Expires 3- 101 Y/o2 7
Rev. 8/2022 Page 3 of 3