NCC221803_FRO Submitted_20220511

�.Town of Huntersville
i*mt6ie Soil Erosion & Sedimentation Control Ordinance
NORTH CAROLINA Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity as defined in the Town of Huntersville Soil
Erosion and Sedimentation Control Ordinance prior to completing and filing this form with the Town
of Huntersville. The financially responsible party will be on record as the party to receive any
Notices of Violation or related documents related to non-compliance issues with the above
Ordinance, By filing this form, the parties are not relieved from any other permits that may be
required for the Project. If the financially responsible party is out of State, a North Carolina agent
must be assigned.
Please Type or Print
PART A
1. Project where land -disturbing activity is to be undertaken: Lot 3
2. Address of land -disturbing activity:
10119 Laurier Lane, Huntersville NC 28078
3. Approximate date land -disturbing activity will commence;
0
Month Day Year
Purpose of development (Residential, Commercial, Industrial, etc.): Residential
5, Approximate acreage of land to be disturbed or uncovered: ' 3 7
6. Total site acreage: 0,390
7. Landowners of record (use blank pages to list additional owners as necessary)
Owner #1 Name: Monterey Bay Charlotte
Address; 18637 Northline Drive, Suite i, Cornelius NC 28031
Telephone:
Email Address:
Owner #2 Name:
Address:
Telephone:
Email Address:
Fax:
Fax;
8. Indicate Book and Page where the deed or instrument is filed (use blank pages to list
additional deeds or instruments as necessary)
Book 34066 Page 413-416 Book Page
Book Page Book Page

Financial Responsibility/Ownership Form - Continued
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Persons or Firm: Monterey Bay Charlotte LLC
Address; 18637 Nothline Drive, Suite i, Cornelius NC 28031
Telephone; 704-439-3810
Email Address: [e-mail]
Fax: [phone]
2, North Carolina agent for the person or firm who is financially responsible:
Person or Firm: same as above
Address:
Telephone;
Email Address:
Fax:
3. The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath. (This form must be signed by the financially responsible
person is an individual or by an officer, director, partner, attorney -in -fact, or other person
with authority to execute instruments for the financially responsible company or entity, if not
an individual)
Rick Constable
Printed Name
Signature
1 Kellie M Brewer
President
Title
z- zi -Zo Zz
Date
Public of the County of Mecklenburg , State of North Carolina
certify that Rick Constable
a Notary
,hereby
personally appeared
before me on this day and under oath acknowledged that this form was executed by him/her.
Witness my hand and notarial seal, this °� day of r'c��20 Z7---
Notary Signature; _ P �,� r r �1�___
My Commission Expires; 08-05-2023
Town of Huntersville
PO Box 664
105 Gilead Rd,, Ste 300
Huntersville, NC 28070
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4. Purpose of development (Residential, Commercial, Industrial, etc.):
5. Approximate acreage of land to be disturbed or uncovered:
6. Total site acreage: 0.380
Town of Huntersville
* }To"n, of.
11e e Soil Erosion & Sedimentation Control Ordinance
NORTH CAROLINA Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity as defined in the Town of Huntersville Soil
Erosion and Sedimentation Control Ordinance prior to completing and filing this form with the Town
of Huntersville. The financially responsible party will be on record as the party to receive any
Notices of Violation or related documents related to non-compliance issues with the above
Ordinance. By filing this form, the parties are not relieved from any other permits that may be
required for the Project. If the financially responsible party is out of State, a North Carolina agent
must be assigned.
Please Type or Print
PART A
1. Project where land -disturbing activity is to be undertaken: Lot 5
2. Address of land -disturbing activity:
10203 Laurier Lane, Huntersville NC 28078
3. Approximate date land -disturbing activity will commence:
Month Day
Residentia
7. Landowners of record (use blank pages to list additional owners as necessary)
Owner #1 Name: Monterey Bay Charlotte
Address: 18637 Northline Drive, Suite i, Cornelius NC 28031
Telephone:
Email Address:
Owner #2 Name:
Address:
Telephone:
Email Address:
Fax:
Fax:
Year
8. Indicate Book and Page where the deed or instrument is filed (use blank pages to list
additional deeds or instruments as necessary)
Book 34630 page 894-897 Book
Book Page
:..
Page
Page

Financial Responsibility/Ownership Form - Continued
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Persons or Firm: Monterey Bay Charlotte LLC
Address: 18637 Nothline Drive, Suite i, Cornelius NC 28031
Telephone: [phone] Fax: [phone]
Email Address: [e-mail]
2. North Carolina agent for the person or firm who is financially responsible:
Person or Firm: same as above
Address:
Telephone:
Email Address:
Fax:
3, The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath. (This form must be signed by the financially responsible
person is an individual or by an officer, director, partner, attorney -in -fact, or other person
with authority to execute instruments for the financially responsible company or entity, if not
an individual)
Rick Constable
Printed Name
Signature
Kellie M Brewer
President
Title
Date
a Notary
Public of the County of Mecklenburg , State of North Carolina , hereby
certify that Rick Constable personally appeared
before me on this day and under oath acknowledged that this form was executed by him/her.
Witness my hand and notarial seal, this JL day of FZ;]f)G'v," , 20 2-2—
Notary Signature: Wiij, L i'1,j tat , �,�_._
Ili
My Commission Expires: 08
023
Town of Huntersville
PO Box 664
105 Gilead Rd., Ste 300
Huntersville, NC 28070

x � To�, O�.
Town of Huntersville
c� e Soil Erosion & Sedimentation Control Ordinance
NORTH CAROLYNA Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity as defined in the Town of Huntersville Soil
Erosion and Sedimentation Control Ordinance prior to completing and filing this form with the Town
of Huntersville. The financially responsible party will be on record as the party to receive any
Notices of Violation or related documents related to non-compliance issues with the above
Ordinance. By filing this form, the parties are not relieved from any other permits that may be
required for the Project. If the financially responsible party is out of State, a North Carolina agent
must be assigned.
Please Type or Print
PART A
1. Project where land -disturbing activity is to be undertaken: Lot 15
2. Address of land -disturbing activity: 13012 Bien Court Huntersville NC 28078
3. Approximate date land -disturbing activity will commence:
Month Day Year
4. Purpose of development (Residential, Commercial, Industrial, etc.): Residential
5. Approximate acreage of land to be disturbed or uncovered: • 560
6. Total site acreage: 0.360
7. Landowners of record (use blank pages to list additional owners as necessary):
Owner #1 Name: Monterey Bay Charlotte
Address: 18637 Northline Drive, Suite i, Cornelius NC 28031
Telephone:
Email Address:
Owner #2 Name:
Address:
Telephone: _
Email Address:
Fax:
Fax:
8. Indicate Book and Page where the deed or instrument is filed (use blank pages to list
additional deeds or instruments as necessary)
Book 34201 Page 280-283 Book Page
Book Page Book Page

Financial Responsibility/Ownership Form - Continued
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Persons or Firm: Monterey Bay Charlotte LLC
Address: 18637 Nothline Drive, Suite i, Cornelius NC 28031
Telephone:
704-439-3810
Email Address: [e-mail]
Fax: [phone]
2. North Carolina agent for the person or firm who is financially responsible:
Person or Firm: same as above
Address:
Telephone: _
Email Address:
Fax:
3. The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath. (This form must be signed by the financially responsible
person is an individual or by an officer, director, partner, attorney -in -fact, or other person
with authority to execute instruments for the financially responsible company or entity, if not
an individual)
Rick Constable
Printed Name
nature
I Kellie M Brewer
Public of the County of Mecklenburg
certify that Rick Constable
President
Title
2- Z —zo zz
Date
, a Notary
State of North Carolina , hereby
personally appeared
before me on this day and under oath acknowledged that this form was executed by him/her.
Witness my hand and notarial seal, this °-L� day of Frt.ar- , 20 ZZ
Notary Signature: wlzrdTI'j t ?st l r �,�__. #,pn„JR,
My Commission Expires: 08
023
Town of Huntersville
PO Box 664
105 Gilead Rd., Ste 300
Huntersville, NC 28070
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Town of Huntersville
� w Town of •
.nfie e Soil Erosion & Sedimentation Control Ordinance
NORTH CAROLTNA Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity as defined in the Town of Huntersville Soil
Erosion and Sedimentation Control Ordinance prior to completing and filing this form with the Town
of Huntersville. The financially responsible party will be on record as the party to receive any
Notices of Violation or related documents related to non-compliance issues with the above
Ordinance. By filing this form, the parties are not relieved from any other permits that may be
required for the Project. If the financially responsible party is out of State, a North Carolina agent
must be assigned.
Please Type or Print
PART A
1. Project where land -disturbing activity is to be undertaken: Lot 13
2. Address of land -disturbing activity: 13024 Bien Court, Huntersville NC 28078
3. Approximate date land -disturbing activity will commence:
.19
Month Day Year
Purpose of development (Residential, Commercial, Industrial, etc.): Residential
5. Approximate acreage of land to be disturbed or uncovered:
6. Total site acreage: 0.360
7. Landowners of record (use blank pages to list additional owners as necessary)
Owner #1 Name: Monterey Bay Charlotte
Address: 18637 Northline Drive, Suite 1, Cornelius NC 28031
Telephone: ,_
Email Address:
Owner #2 Name:
•C�
Telephone: _
Email Address:
Fax:
Fax:
8. Indicate Book and Page where the deed or instrument is filed (use blank pages to list
additional deeds or instruments as necessary)
Book 34066 page 413-416 Book Page
Book Page Book Page

Financial Responsibility/Ownership Form - Continued
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Persons or Firm: Monterey Bay Charlotte L.L,C
Address: 18637 Nothline Drive, Suite i, Cornelius NC 28031
Telephone: [phone] Fax: [phone]
Email Address: [e-mail]
2. North Carolina agent for the person or firm who is financially responsible:
Person or Firm: same as above
Address:
Telephone: ____
Email Address:
Fax:
3. The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath. (This form must be signed by the financially responsible
person is an individual or by an officer, director, partner, attorney -in -fact, or other person
with authority to execute instruments for the financially responsible company or entity, if not
an individual)
Rick Constable
Printed Name
/�..
Signature
1 Kellie M Brewer
Public of the County of Mecklenburg
certify that Rick Constable
President
Title
X-2-1-7-oZz
Date
a Notary
State of North Carolina , hereby
personally appeared
before me on this day and under oath acknowledged that this form was executed by him/her.
Witness my hand and notarial seal, this °� day of G star __ ___, 20 2ti
�/ , ,, , _ �
Notary Signature:
My Commission Expires:
2023
Town of Huntersville
PO Box 664
105 Gilead Rd., Ste 300
Huntersville, NC 28070
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Town of Huntersville
Amrame Soil Erosion & Sedimentation Control Ordinance
NORTH CAROLINA Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity as defined in the Town of Huntersville Soil
Erosion and Sedimentation Control Ordinance prior to completing and filing this form with the Town
of Huntersville. The financially responsible party will be on record as the party to receive any
Notices of Violation or related documents related to non-compliance issues with the above
Ordinance. By filing this form, the parties are not relieved from any other permits that may be
required for the Project. If the financially responsible party is out of State, a North Carolina agent
must be assigned.
Please Type or Print
PART A
1. Project where land -disturbing activity is to be undertaken: Lot 8
2. Address of land -disturbing activity:
10223 Laurier Lane, Huntersville NC 28078
3. Approximate date land -disturbing activity will commence:
Month Day Year
4. Purpose of development (Residential, Commercial, Industrial, etc.): Residential
5. Approximate acreage of land to be disturbed or uncovered: ' WD
6. Total site acreage: 0.410
7. Landowners of record (use blank pages to list additional owners as necessary)
Owner #1 Name: Monterey Bay Charlotte
Address: 18637 Northline Drive, Suite i, Cornelius NC 28031
Telephone:
Email Address:
Owner #2 Name:
Address:
Telephone: _.
Email Address:
Fax:
Fax:
8, Indicate Book and Page where the deed or instrument is filed (use blank pages to list
additional deeds or instruments as necessary)
Book 34066 page 413-416 Book Page
Book Page Book Page

Financial Responsibility/Ownership Form - Continued
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Persons or Firm: Monterey Bay Charlotte LLC
Address: 18637 Nothline Drive, Suite i, Cornelius NC 28031
Telephone: [phone]
Email Address: ronstable@arhomes,com
Fax: [phone]
2, North Carolina agent for the person or firm who is financially responsible:
Person or Firm: same as above
Address:
Telephone:
Email Address:
Fax:
3, The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath. (This form must be signed by the financially responsible
person is an individual or by an officer, director, partner, attorney -in -fact, or other person
with authority to execute instruments for the financially responsible company or entity, if not
an individual)
Rick Constable
Printed Name
Signature
i, Kellie M Brewer
Public of the County of Mecklenburg
certify that Rick Constable
President
Title
2- Z-/ —Zo Zz—
Date
, a Notary
State of North Carolina , hereby
personally appeared
before me on this day and under oath acknowledqed that this form was executed by him/her.
Witness my hand and notarial seal, this � day of IF-u_�_, 20 Z'1—
Notary Signature: TI'j (2"n./ r 1.e-� _ _.
My Commission Expires:
023
Town of Huntersville
PO Box 664
105 Gilead Rd., Ste 300
Huntersville, NC 28070
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X*mre
�no.
rTown of Huntersville
Soil Erosion & Sedimentation Control Ordinance
NORTH CAROLTNA Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity as defined in the Town of Huntersville Soil
Erosion and Sedimentation Control Ordinance prior to completing and filing this form with the Town
of Huntersville. The financially responsible party will be on record as the party to receive any
Notices of Violation or related documents related to non-compliance issues with the above
Ordinance. By filing this form, the parties are not relieved from any other permits that may be
required for the Project. If the financially responsible party is out of State, a North Carolina agent
must be assigned.
Please Type or Print
PART A
Project where land -disturbing activity is to be undertaken: Lot 9
2. Address of land -disturbing activity: 10229 LAURIER LN, Huntersville NC 28078
3, Approximate date land -disturbing activity will commence:
Month Day Year
4. Purpose of development (Residential, Commercial, Industrial, etc.): Residential
6. Approximate acreage of land to be disturbed or uncovered: HZ
6. Total site acreage: -42
7. Landowners of record (use blank pages to list additional owners as necessary)
Owner #1 Name: Monterey Bay Charlotte
Address1 18637 Northline Drive, Suite i, Conelius NC 28031
Telephone: [phone]
Email Address: [e-mail]
Owner #i2 Name:
Address:
Telephone: —
Email Address:
Fax:
Fax:
8. Indicate Book and Page where the deed or instrument is filed (use blank pages to list
additional deeds or instruments as necessary)
Book 32468 Page 941 Book Page
Book Page
Book Page

Financial Responsibility/Ownership Form - Continued
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Persons or Firm: Monterey Bay Charlotte LLC
Address: 18637 Nothline Drive, Suite i, Cornelius NC 28031
Telephone: [phone] Fax: [phone]
Email Address: ronstable@arhomes,com
2. North Carolina agent for the person or firm who is financially responsible:
Person or Firm: same as above
Address:
Telephone: Fax:
Email Address:
3. The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath. (This form must be signed by the financially responsible
person is an individual or by an officer, director, partner, attorney -in -fact, or other person
with authority to execute instruments for the financially responsible company or entity, if not
an individual)
Rick Constable
Printed Name
Signature
President
Title
2—zozz—
Date
1 Kellie M Brewer , a Notary
Public of the County of Mecklenburg , State of North Carolina , hereby
certify that Rick Constable personally appeared
before me on this day and under oath acknowledged that this form was executed by him/her.
5
Witness my hand and notarial seal, this day of emu_ ar _, 20 27--
Notary Signature:
My Commission Expires: 08-05-2023 MAR°/°a®s°o
Town of Huntersville
PO Box 664
105 Gilead Rd., Ste 300
Huntersville, NC 28070
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°°0°000auaouG�u�'`'

Town of Huntersville
Town of •
1�N,lte e Soil Erosion & Sedimentation Control Ordinance
NORTH CAROLINA Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity as defined in the Town of Huntersville Soil
Erosion and Sedimentation Control Ordinance prior to completing and filing this form with the Town
of Huntersville, The financially responsible party will be on record as the party to receive any
Notices of Violation or related documents related to non-compliance issues with the above
Ordinance. By filing this form, the parties are not relieved from any other permits that may be
required for the Project. If the financially responsible party is out of State, a North Carolina agent
must be assigned,
Please Type or Print
PART A
1. Project where land -disturbing activity is to be undertaken:
2. Address of land -disturbing activity:
Lot 10
10235 LAURIER LN, Huntersville NC 28078
3. Approximate date land -disturbing activity will commence:
Month Day Year
4, Purpose of development (Residential, Commercial, Industrial, etc,): Residential
5, Approximate acreage of land to be disturbed or uncovered. '
6, Total site acreage: ,41
7. Landowners of record (use blank pages to list additional owners as necessary)
Owner #1 Name: Monterey Bay Charlotte
Address: 18637 Northline Drive, Suite i, Conelius NC 28031
Telephone: [phone] Fax:
Email Address: [e-mail]
Owner #2 Name:
Address:
Telephone:
Email Address:
Fax:
8. Indicate Book and Page where the deed or instrument is filed (use blank pages to list
additional deeds or instruments as necessary)
Book 32468 page 941 Book Page
Book Page Book Page

Financial Responsibility/Ownership Form - Continued
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Persons or Firm: Monterey Bay Charlotte L.L.0
Address: 18637 Nothline Drive, Suite i, Cornelius NC 28031
Telephone: [phone] Fax: [phone]
Email Address: ronstable@arhomes,com
2. North Carolina agent for the person or firm who is financially responsible:
Person or Firm: same as above
Address:
Telephone: ____
Email Address:
Fax:
3. The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath. (This form must be signed by the financially responsible
person is an individual or by an officer, director, partner, attorney -in -fact, or other person
with authority to execute instruments for the financially responsible company or entity, if not
an individual)
Rick Constable
Printed Name
nature
1 Kellie M Brewer
Public of the County of Mecklenburg
certify that Rick Constable
President
Title
y- Z/ -2o zz-
Date
a Notary
State of North Carolina , hereby
personally appeared
before me on this day and under oath acknowledged that this form was executed by him/her.
Witness my hand and notarial seal, this °� day of G'( ar4 20
Notary Signature:
My Commission Expires: 08
023
Town of Huntersville
PO Box 664
105 Gilead Rd., Ste 300
Huntersville, NC 28070
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Town of Huntersville
4. Purpose of development (Residential, Commercial, Industrial, etc.);
5. Approximate acreage of land to be disturbed or uncovered: , qy
6. Total site acreage; .42
al��x Town of 0
.te a Soil Erosion & Sedimentation Control Ordinance
NORTH CAROONA Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity as defined in the Town of Huntersville Soil
Erosion and Sedimentation Control Ordinance prior to completing and filing this form with the Town
of Huntersville. The financially responsible party will be on record as the party to receive any
Notices of Violation or related documents related to non-compliance issues with the above
Ordinance. By filing this form, the parties are not relieved from any other permits that may be
required for the Project. If the financially responsible party is out of State, a North Carolina agent
must be assigned.
Please Type or Print
PART A
1. Project where land -disturbing activity is to be undertaken:
Lot 11
2. Address of land -disturbing activity: 10241 LAURIER LN, Huntersville NC 28078
3. Approximate date land -disturbing activity will commence;
Month Day Year
Residential
7. Landowners of record (use blank pages to list additional owners as necessary)
Owner #1 Name: Monterey Bay Charlotte
Address: 18637 Northline Drive, Suite i, Conelius NC 28031
Telephone;
704-439-3810
Email Address: [e-mail]
Owner #2 Name:
Address:
Telephone;
Email Address:
Fax:
Fax:
8, Indicate Book and Page where the deed or instrument is filed (use blank pages to list
additional deeds or instruments as necessary)
Book 32468 Page 941 Book Page
Book Page
Book Page

Financial Responsibility/Ownership Form - Continued
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Persons or Firm: Monterey Bay Charlotte L,LC
Address: 18637 Nothline Drive, Suite i, Cornelius NC 28031
Telephone: [phone] Fax: [phone]
Email Address: [e-mail]
2. North Carolina agent for the person or firm who is financially responsible:
Person or Firm: same as above
Address:
Telephone:
Email Address:
Fax:
3. The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath. (This form must be signed by the financially responsible
person is an individual or by an officer, director, partner, attorney -in -fact, or other person
with authority to execute instruments for the financially responsible company or entity, if not
an individual)
Rick Constable
President
Printed Name Title
nature
1 Kellie M Brewer
z--?—/ 20zz-
Date
Public of the County of Mecklenburg , State of North Carolina
certify that Rick Constable
a Notary
hereby
personally appeared
before me on this day and under oath acknowledged that this form was executed by him/her.
s
Witness my hand and notarial seal, this �� day of f1kor�20 zz
Notary Signature: 0-inr , 1X-1_,_
My Commission Expires: 08-
023
Town of Huntersville
PO Box 664
105 Gilead Rd., Ste 300
Huntersville, NC 28070
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Town of Huntersville
4j-
'fffiae
aSoil Erosion & Sedimentation Control Ordinance
NORTH CAROLINA Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity as defined in the Town of Huntersville Soil
Erosion and Sedimentation Control Ordinance prior to completing and filing this form with the Town
of Huntersville, The financially responsible party will be on record as the party to receive any
Notices of Violation or related documents related to non-compliance issues with the above
Ordinance. By filing this form, the parties are not relieved from any other permits that may be
required for the Project. If the financially responsible party is out of State, a North Carolina agent
must be assigned.
Please Type or Print
PART A
1. Project where land -disturbing activity is to be undertaken:
Lot 18
2. Address of land -disturbing activity: 10108 Laurier Lane, Huntersville NC 28078
3. Approximate date land -disturbing activity will commence:
Month Day Year
4. Purpose of development (Residential, Commercial, Industrial, etc.): Residential
5, Approximate acreage of land to be disturbed or uncovered: 0C
6, Total site acreage: ,38
7.
Landowners of record (use blank pages to list additional owners as necessary)
Owner #1 Name: Monterey Bay Charlotte
Address: 18637 Northline Drive, Suite i, Conelius NC 28031
Telephone: [phone] Fax:
Email Address: [e-mail]
Owner #2 Name:
Address:
Telephone:
Email Address:
Fax:
8, Indicate Book and Page where the deed or instrument is filed (use blank pages to list
additional deeds or instruments as necessary)
Book 32468 page 941 Book Page
Book Page Book Page

Financial Responsibility/Ownership Form - Continued
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Persons or Firm: Monterey Bay Charlotte LLC
Address: 18637 Nothline Drive, Suite i, Cornelius NC 28031
Telephone: [phone]
Email Address: ronstable@arhomes,com
Fax: [phone]
2. North Carolina agent for the person or firm who is financially responsible:
Person or Firm: same as above
Address:
Telephone:
Email Address:
Fax:
3, The above information is true and correct to the best of my knowledge and belief and was
provided by me while under oath. (This form must be signed by the financially responsible
person is an individual or by an officer, director, partner, attorney -in -fact, or other person
with authority to execute instruments for the financially responsible company or entity, if not
an individual)
Rick Constable
Printed Name
Signature
Kellie M Brewer
Public of the County of Mecklenburg
certify that Rick Constable
President
Title
2-z/-ZozZ
Date
, a Notary
State of North Carolina , hereby
personally appeared
before me on this day and under oath acknowledged that this form was executed by him/her.
Witness my hand and notarial seal, this day of F; Grt ,,rS4 20 Z�
Notary Signature:
My Commission Expires
08-05-2023
Town of Huntersville
PO Box 664
105 Gilead Rd., Ste 300
Huntersville, NC 28070
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