NCC221621_FRO Submitted_20220427

Gaston County
Gaston Natural Resources Department
1303 Cherryville Highway, Dallas, NC 28034 Telephone: [phone]
*;n;?\ 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 Nolan Farms Subdivision Lots: 115-128
3.
4.
5.
6.
Location of land -disturbing activity
City Gastonia Highway/Street Union Road
Approximate date land -disturbing activity will commence September 2021
Purpose of development (residential, commercial, industrial, etc.) Residential
Total acreage disturbed or uncovered (including off -site borrow and waste areas) 3.0 Acres
Amount of fee enclosed $900.00
7. Soil Erosion & Sedimentation Plan Filed? Yes X No
8. Landowner(s) of Record (Use blank page to list additional owners)
Presley Development LLC
Name
2701 E Camelback Road Suite 180
Mailing Address
Phoenix, AZ 85016
City State Zip
Telephone Number
Name
Mailing Address
City State Zip
Telephone Number
9. Indicate Deed Book and Page where deed(s) or instrument(s) are recorded
Deed Book 5158 Page 1206-1210
Deed Book _ Page _
10. Tax Map No. NIA Block N/A Lot No. N/A
Page 1

PART B:
1. Person(s) or firm(s) who are financially responsible for this land -disturbing activity
Meritage Homes of the Carolinas, Inc.
Name IName
13925 Ballantyne Corporate Place, Suite 300
Mailing Address Mailing Address
Charlotte, NC 28277
City State Zip City State Zip
704-944-8940
Telephone Number Telephone Number
2. If the Financially Responsible Party is not a resident of North Carolina, give name and street
address of a North Carolina agent.
Name
Mailing Address Street Address
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 Part is a Corporation give name and street address of the Registered Agent.
Meritage Homes of the Carolinas, Inc.
Name
13925 Ballantyne Corporate Place, Suite 300
Mailing Address Street Address
Charlotte, NC 28277 704-944-8940
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.
Type or Pr me Title or Authority
1 3[td[22
__ Signature (( `` Date
Q -Fe1C • , a Notary Public of the County of A State of North
Carolina, hereby certify that LL.. Sim. <0�tY appeared personally b fore me this day
and being duly sworn acknowledged that the above for sam ww executed by him.
Wil4ess jny hand a4ngtar}al seal, this lZ"L day of AG.rcl- , 2Jzs
.�` A. F _
SEAL `1 My
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Commission Expires
File: Financial Responsibility -Ownership Form.mw
Page 2