NCC243079_FRO Submitted_20241004

MCT GENERAL CONTRACTORS,INC.
P. O. BOX 337
MONROE,NC 28111-0337
PHONE: [phone]
FAX: [phone]
LETTER OF TRANSMITTAL
DATE: 9.9.2024
To: Tonya Griffin
City Of Monroe
Engineering Associate—Plan Review
Erosion Control/Engineering Department
300 W Crowell St.
Monroe,NC 28112
RE: Tabernacle Christian School—Proposed Classroom Building (PREN202403332)
Erosion Control FRO
WE ARE SENDING YOU:
X Attached ❑ Under Separate Cover via _ the following items:
❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Product Data X Administrative Documents
❑ Copy of Letter ❑ Change Order ❑
THESE ITEMS ARE TRANSMITTED As Checked Below:
❑ For Approval ❑ Approved As Submitted ❑ Resubmit Copies For Approval
X For Your Use o Approved As Noted o Submit Copies For Distribution
❑ As Requested ❑ Returned For Corrections ❑ Return Corrected Copies
❑ For Review And Comment ❑ Quotation Requested ❑
❑ FOR BIDS DUE ❑ PRINTS TO BE RETURNED TO US
COPIES DATE NO. DESCRIPTION
1 TABERNACLE CIIRISTIAN SIGNED FRO
REMARKS:
COPY TO: File SIGNED: Doug Helms.Project Manager

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
1. Name of Project Tabernacle Christian School - Proposed Classroom Building
2. Address where land disturbing activity will take place 2900 Walkup Avenue
Monroe, NC 28110
3. Approximate date disturbing activity will commence 08 / 05 / 2024
4. Purpose of development(residential,commercial,industrial,etc.) New Education Building
5. Total acreage of land to be disturbed or uncovered 1.17 Acres
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.) $700.00
7. Agent to contact should sediment control issues arise during land disturbing activity
Name Tony Mangum Phone [phone]
8. Landowner(s)of Record(use blank page to list additional owners)
Name Bible Baptist Tabernacle Name
Mailing Address 2900 Walkup Avenue Mailing Address
Monroe, NC 28110
Street Address 2900 Walkup Avenue Street Address
Monroe, NC 28110
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 997 Book
Page 399 Page
10. Tax Map Parcel Number where land disturbing activity will take place 09 -- 115 -- 002
07-18 Permits, Checklists, and Forms
Division 07

CITY OF MONROE STANDARD SPECIFICATIONS AND DETAIL MANUAL
Part II
1. Person(s)or firm(s)who are financially responsible for this land disturbing activity(use blank page to list
additional owners)
Name Bible Baptist Tabernacle Name
Attn: Bobby Leonard
Mailing Address 2900 Walkup Avenue Mailing Address
Monroe, NC 28110
Street Address 2900 Walkup Avenue Street Address
Monroe, NC 28110
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
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 Email Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone# 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)
Bobby Leonard Pastor
Type or Print Na e Title
Signature/!ee. f;'le,i,l,,/ Date (. /47%/ '/`_
1, ��/�Y' . aeo,a Notary Public of the County of �C/ r�,On ,State of North Carolina,
hereby certify that ?- �1 � ,.�' appeared personally before me this day and being duly sworn acknowledged
\ttt that the above form was executed b jc m. zz
Witness my hand and notarial seal,this c3ceday of ,, k_ifirk vQ )�0 O�
SEAL _bA %NG 6.1, -V V�-,"-) /a • Si-e
C ' L
O (Notary)
4 NOTARY t My commission expires e," ' �/1. )(0 Qua
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ti4 ?' 07-19 Permits, Checklists, and Forms
oN COUNT Division 07