HomeMy WebLinkAboutNCC231777_FRO Submitted_20230613 FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ORDINANCE
No person may initiate any land disturbing activity on one or more acres as covered by
the ordinance before this form and an acceptable erosion and sedimentation control plan have
been completed and approved by the Rowan County Environmental Management Department,
2727-D Old Concord Road, Salisbury, NC 28146. Telephone: (704) 216-8589 Fax: (704) 216-
8969. (Please type or print and, if question is not applicable,please place N/A in the blank).
Part A: '
Parcel ID# 321 079
1)Project Name Oxford Station
2)Location of land disturbing activity: Highway/Street Old Mocksville Road, Trexler Loop
3)Approximate date land disturbing activity will be commenced March 2023
4)Purpose of development(residential,commercial,industrial, etc.)
246-lot single family residential development
5)Approximate acreage of land to be disturbed or uncovered 65 acres
6)Person to contact should sediment control issues arise during land disturbing activity:
Tim Sheehy 704.944.8946
Name Telephone
7)Landowner(s)of Record(Use blank page to list additional owners.):
Belle Realty Development Co
Name(s) Name(s)
PO Box 102
Current Mailing Address Current Mailing Address
Salisbury NC 28145
City State Zip City State Zip
8)Recorded in Deed Book No. 1076 Page No. 934
Part B:
1)Person(s)or firm(s)who are financially responsible for this land disturbing activity
(Use blank page to list additional persons or firms):
Meritage Homes of the Carolinas, Inc. Tim Sheehy
Name of Person(s)or Firm(s) Name of Person(s) or Firm(s)
13925 Ballantyne Corporate Place, Suite 300 13925 Ballantyne Corporate Place, Suite 300
Current Mailing Address Current Mailing Address
Charlotte NC 28277 Charlotte NC 28277
City State Zip City State Zip
Telephone 704-944-8900 Telephone 704-944-8900
a)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 City State Zip
Telephone Telephone _
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 Corporation give name and street address of the
Registered Agent.
Name of Registered Agent
Mailing Address Street Address
ry a
I
City State Zip City State Zip
Telephone Telephone
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 correctional information should there
be any change in the information provided herein.
Tim Sheehy Vice President, Land Dev. & Entitlement
Type or print name Title or Authority
Signature Date
***********************************************
I,_\1 114-VN f. e.1�Qr— , a Notary Public of the County of Mg_
State of North Carolina,hereby certify that \ ►t..k appeared
personally before me this day and being duly sworn acknowledged that the above form
was executed by him/her. Witness my hand and seal of Notary,this Z' day of
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EROSION AND SEDIMENTATION CONTROL PLAN CHECKLIST
THE FOLLOWING ITEMS SHOULD BE INCORPORATED WITH RESPECT TO
SPECIFIC SITE CONDITIONS, IN AN EROSION AND SEDIMENTATION
CONTROL PLAN.
LOCATION INFORMATION
Project Location
Roads,Streets
North Arrow
Scale
Adjoining lakes,streams,or other major drainage ways.
GENERAL SITE FEATURES
North Arrow
Scale
Property Lines
Legend
Existing Contours
Proposed Contours
Limit and Acreage of Disturbed Area
Planned Existing Buildings Location and Elevations
Planned and Existing Roads Location and Elevations
Lot and/or Building Numbers
Land Use of Surrounding Areas
Rock Outcrops
Seeps or springs
Wetland Limits
Easements
Streams,Lakes,Ponds,Drainage Ways,Dams
Boundaries of the Total Tract
BORROW AND WASTE AREAS
If the same person conducts the land-disturbing activity and any related borrow or waste activity,the related borrow or waste activity
shall constitute part of the land-disturbing activity unless the borrow or waste activity is regulated under the Mining Act of 1971,or
is a landfill regulated by the Division of Solid Waste Management. If the land-disturbing activity and any related borrow or the
same person does not conduct waste activities,they shall be considered separate land-disturbing activities.
Stockpiled Topsoil or Subsoil Location
Street Prolles
VEGETATIVE STABILIZATION
Areas and acreage to be stabilized
Planned vegetation with Details of'Plants,Seed,Mulch,Fertilizer
Specifications of Permanent and Temporary Vegetation
Method of Soil Preparation
SITE DRAINAGE FEATURES
Existing and planned drainage patterns (include off-site areas that drain through project)
Size of areas to be disturbed(acreage)
Size and location of culverts and sewers
Soils information(type,special characteristics)
Design calculations and construction for culverts and storm sewers
Design calculations,cross sections and method of stabilization of existing and planned channels(include temporary
linings)
Design calculations and construction details of energy dissipaters below culverts and storm sewer outlets(for rip-rap aprons,include
stone sizes(diameters)and apron dimensions)
Soil information below culvert and storm sewer outlets
Design calculations and construction details to control groundwater.i.e.seeps,high water table,etc.
Name of receiving watercourse or name of municipal operator(only where storm water discharges are to occur)
EROSION CONTROL MEASURES
Legend
Location of temporary and permanent measures
Construction drawings and details for temporary and permanent measures
Design calculations and
construction details for sediment basins and other measures
Maintenance requirements during construction
Person responsible for maintenance during construction
Maintenance requirements and responsible person(s)for permanent measures
OTHER REQUIREMENTS
Narrative describing construction sequence(as needed)
Narrative describing the nature and purpose of the construction activity
Completed Financial Responsibility/Ownership Form(to be signed by person financially responsible for
Prof)
Bid specifications regarding erosion control
Construction sequence related to sedimentation and erosion control(include installation of critical measures prior to initiation of the
land-disturbing activity and removal of measures after areas they serve have been permanently stabilized)
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Rowan County Environmental Management
2727-D Old Concord Road o Salisbury.NC 28146
Notice of Revised Fee Schedule
Disturbed Acreage Fee: The Rowan County Board of Commissioners adopted a revised erosion
and sedimentation control fee schedule on July 7, 2008 that becomes effective August 1, 2008.
The disturbed acreage fee is fifty dollars [$50] per acre and partial acreages are rounded to the
next whole acre,e.g. 1.35 disturbed acres will require a permit fee of one hundred dollars[$100].
Plan Review Fee: As provided in Section 18-52(c)of the County's erosion and sedimentation
control ordinance,the County may elect to retain a consultant or professional services to review
an erosion control plan and provide a determination(s)or recommendations(s)as to whether the
plan.complies with the standards of the ordinance and applicable state and federal rules and
regulations. The applicant shall pay any expense for consulting or professional services in
excess of the disturbed acreage fee. Fees for the consultant services are provided below. The
county shall require the consultant(s) to disclose any potential conflicts of interest and to hold
confidential any proprietary information supplied by the applicant. All determination costs are
reimbursable to the County by the applicant prior to final approval and initiating ground
disturbing activity.