NCC222864_FRO Submitted_20220810

City of Charlotte Soil Erosion and
Sedimentation
Control Ordinance
Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity on one or more acres as covered by Chapter 17 of the Charlotte
City Code of Ordinances before this form and an acceptable erosion and sedimentation control plan have been completed
and approved by the City of Charlotte. The financially responsible party will be on record as the party to accept any Notices
of Violation or related documents for any non-compliance of the City of Charlotte Soil Erosion and Sedimentation
Ordinance. If the financially responsible party is out of State, a North Carolina agent must be assigned. All relevant
items on this form must be filled out accurately and completely
PART A
1. Project name:
Please Type or Print
KIDDIE ACADEMY OF CHARLOTTE- HIGHLANDS
2. Address of land —disturbing activity:
3808 JOHNSTON OEHLER RD CHARLOTTE
3. Approximate date land -disturbing activity will commence: August 01 2022
Month Day Year
4. Purpose of Development (Residential, Commercial, Industrial, etc.): Commercial
5. Total acreage of land to be disturbed or uncovered: 2.30 AC
6. List total site acreage: 2.19 AC
7. Landowners of Record (attach accompanied page to list additional owners). If the landowner of record is not
the person(s) or firm(s) financially responsible as listed in Part B, item 1, a separate letter of consent signed
by the Iandowner of record or their authorized agent is required:
Name: HIGHLAND RIDGE APARTMENTS LLC
Address: 1520 SOUTH BLVD. STE 215 CHARLOTTE NC 28203
Telephone: 75 77 4/l7o _Fax:
(Area Code) �,�.•
Email Address: CAK I�tJ CLlcl:✓�6G�r sQ ✓ 9d 4 l 11
Name: L.. G�J v `441-4
Address:
(Area Code)
Telephone: Fax:
(Area Code) (Area Code)
Email Address:
8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or
instruments) Book 68 Page 779 Book Page
Book Page Book Page
Page 1

Continue - Financial Responsibility/Ownership Form
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity(Note: If the financially responsible
person(s) orfirm(s) has an out-of-state address, a North Carolina agent must be designated in item 2 below):
Person or Firm: Jonathan L. Ramsey Educare Propertiesr LLC
Address: 3111 Ironwood Flat Dr High Point NC 27265
Telephone: [phone] Fax:
(Area Code) (Area Code)
Email Address: jon rmsey kiddieacademy.net
2. If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the
designated North Carolina agent:
Person or Firm:
Address: _
Telephone: Fax:
(Area Code)
Email Address:
(Area Code)
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 if 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.)
Jonathan Ramsey
Printed dame , i
CEO
Title
41- 8-2a2z
Date
a Notary Public of the County
Of ta,.: l Fi�( . State of NLOVG-�k Cam t/X a. hereby
cer4 fy that h�-�� L ' �a Me� _ _ personally
appeared before me this day and under oath acknowledge that this form was executed by him/her.
Witness my hand and notarial seal, this day of
Notary Signature:
My Commission expires: alp. It
• ��_� rrn
n
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charlottenc.gov
Storm Water Services — Land Development
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone: [phone]
http_:I/charlottenc.gov/deveIopmentcent
Rev. 09/2021 Page 2

Date: 04-08-2022
Re: Consent for Development
Highland Ridge Apartments LLC
1520 South Blvd. Ste 215 Charlotte NC 28203
PID #02930132
To: CLT Land Development,
This letter provides permission to Educare Properties LLC, to seek and obtain plan approval to perform
grading and/or sitework associated with THE KIDDIE ACADEMY OF CHARLOTTE -HIGHLANDS. By signing
below, the undersigned parties agree to the following:
Construct a Child Daycare and associated parking and storm water control devices located at 3808
Johnston Oehler Rd, Charlotte NC 28269 with a PID of 02930132. This work is part of the KIDDIE
ACADEMY OF CHARLOTTE -HIGHLANDS. The disturbed area on PID # 02930132 is approximately 100,200
SF (2.30 acres).
Signature of property owner or authorized representative
Printed n4ffie of property owner, com{*y, group,
J&W'�� 610c�
Mailing address of owner or party represented above
�,c�Ifs LL C.
or individual, and authorized representative
Nc, P7.Vx3