NCC232116_FRO Submitted_20230714

p°.'2'4• Gaston County
Gaston Natural Resources Department
AI"�► 1303 Cherryville Highway, Dallas, NC 28034 Telephone: [phone]
,to*u Soil Erosion & Sedimentation Control
4 ; Financial Responsibility/Ownership
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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 Cramer Estates Phase 2 & 3
2. Location of land-disturbing activity
City Gastonia, NC Highway/Street Stroupe Rd
3. Approximate date land-disturbing activity will commence July 2023
4. Purpose of development(residential, commercial, industrial, etc.) Residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas) 22.04
6. Amount of fee enclosed $ 0
7. Soil Erosion & Sedimentation Plan Filed? Yes X No
8. Landowner(s) of Record (Use blank page to list additional owners)
BBC Cramer Estates LLC
Name Name
7224 Jameson Way
Mailing Address Mailing Address
Stanley NC 28164
City State Zip City State Zip
(803) 370- 7334
Telephone Number Telephone Number
9. Indicate Deed Book and Page where deed(s) or instrument(s) are recorded
Deed Book 5325 Page 1314
Deed Book Page
10. Tax Map No. 149235, 225609 Block Lot No.
Page 1

PART B:
1. Person(s)or firm(s)who are financially responsible for this land-disturbing activity
BBC Cramer Estates LLC
Name Name
7224 Jameson Way
Mailing Address Mailing Address 1
Stanley NC 28164
City State Zip City State Zip
[phone]
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.
Brian Mahoney
Name
7224 Jameson Way
Mailing Address Street Address
Stanley NC 28164 [phone]
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 provid rect d information should there be any change in the information provided
herein.
Bri Mahon Manager
Ty or rint Title or Authority
7/12/2023
' nature r`,�W Date I s
I, 1 'O Notary�Aubl" of,the C9unty of L\6 1 u I'n 1 , State of North
Carolina, hereby certify that \ fl f V`a' N l-V" appeared personally before me this day
and being duly sworn acknowledged that the above form was executed l�,y him.
Wtness my hand and otarial seal, this day of '�' 2 .
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File:Financial Responsibility-Ownership Form.mw
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