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HomeMy WebLinkAboutNCC243220_FRO Submitted_20241107 TA Gaston County 1117. Gaston Natural Resources Department Irk l,� 1303 Dallas-Cherryville Hwy. Dallas, N.C. 28034 Telephone: 704-922-4181 Soil Erosion & Sedimentation Control Financial Responsibility/Ownership 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 Stewart Crossing 2. Location of land-disturbing activity City Bessemer City Highway/Street Costner School Road(SR#1452) 3. Approximate date land-disturbing activity will commence 1l112025 4. Purpose of development (residential, commercial, industrial, etc.) Residential 5. Total acreage disturbed or uncovered (including off-site borrow and waste areas) 27 acres 6. Amount of fee enclosed $10,800 7. Soil Erosion & Sedimentation Plan Filed? Yes Ve No 8. Landowner(s) of Record (Use blank page to list additional owners) Lucas Stewart,John Stewart,Abby Beam Name Name 707 Toncin Avenue Mailing Address Mailing Address Bessemer City NC 28016 City State Zip City State Zip N/A Telephone Number Telephone Number 9. Indicate Deed Book and Page where deed(s) or instrument(s) are recorded Deed Book 5357 _ Page 2159 Deed Book Page 10. Tax Map No. 3526496905 _ Block Lot No. Page 1 PART B: 1. Person(s)or firm(s)who are financially responsible for this land-disturbing activity NOTE: if FRP is not the Landowner of Record Part A: 8., include with this form the landowner's signed and notarized written consent for the applicant to submit a draft erosion and sedimentation control plan and to conduct the anticipated land disturbing activity. Meritage Homes of the Carolinas,Inc. Tire Sheehy Name Contact Name for Inspection Reports 13925 Ballantyne Corporate Place,Suite 300 tim.sheehy@meritagehomes.com Mailing Address Email Address Charlotte NC 28277 704-944-8946 City State Zip Telephone Number • 704-944-8946 N/A Telephone Number Fax Number 2. If the Financially Responsible Party is not a resident of North Carolina, give name and street address of a North Carolina agent. Corporation Service Company Name 2626 Glenwood Ave - Suite 300 Mailing Address Email Address Raleiqh NC 27608 800-927-8900 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 Party is a Corporation give name and street address of the Registered Agent. Name Mailing Address Email Address 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. Tim Sheehy VP Land Development&Entitlement Type v�' t Name Title or Authori y Signature Date I, �QG , a Notary Public of the County of 4 LAc , State of North Carolin hereby certify that ���Ske.a_Y appeared personally before me this day an bei g dul sw rn acknowledged that the above form was executed by hm. nes my n nd notarial seal tttt day of �'w.,,i , 2D7 . zS o ry NCYTNL My Commission Expires j' File:Financial Responsibility-Ownership Form.mw a � 'sf PUBLIC C �t ,Zg: Page 2 ''''�• % yQURG CO‘)• `• uauu