HomeMy WebLinkAboutNCC223271_FRO Submitted_20220916City 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
Please Type or Print
PART A
1. Project name: Creekridge Affordable
2. Address of land —disturbing activity: 7800 Creekridge Road, Charlotte, NC 28212
3. Approximate date land -disturbing activity will commence: August 01 2022
Month Day Year
4. Purpose of Development (Residential, Commercial, Industrial, etc.): Multi -Family Residential
5. Total acreage of land to be disturbed or uncovered: 7•27 acres
6. List total site acreage: 8.85 acres
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 landowner of record or their authorized agent is required:
Name: L'Audace Equity VI LLC
Address: 301 W 57th St Apt 36C
New York, NY 10019
Telephone: (202) 470 - 4909
Email Address
Name:
Address:
Telephone:_
Email Address:
(Area Code)
Tsween(@)dominiuminc.com
(Area Code)
ax:
(Area Code)
(Area Code)
8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or
instruments) Book 35676 page 165 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 theftnancially responsible
person(s) orfrm(s) has an out-of-state address, a North Carolina agent must be designated in item 2 below):
Person or Firm: Charlotte Leased Housing Associates II, LLLP
Address: 1 Thomas Circle NW Suite 700
Washington, DC
Telephone: (202) 470 - 4909 Fax:
(Area Code) (Area Code)
Email Address:Tsween@dominiuminc.com
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: AHI Creekridge GP, LLC
Address: 1115 E Morehead Street, Suite 200
Charlotte, North Carolina 28204
Telephone: (704) 575-1268 Fax:
(Area Code) (Area Code)
Email Address: bhartnett@AHldevelo rnent.com
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.)
Bryan Hartnett
Printed Name
Signature
Partner
Title
Date
f a Notary Public of the County
of -Gr{ $u, State of hereby
certify that 't r IT _ _personally
appeared be/bre me this day and under oath acknowledge that this form was executed by him/her.
Witness my hand and notarial seal, this ,day of 20 Z
Notary Signature. -
My Commission expires:
TKharNa SphabmixayOTARY PUBLIC
enburg County, NCsion Expires July 27, 2025
My
charloitenc.gov
Storm Water Services — Land Development
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone:704/336-6692
litto://charloLtenc.gov/developmenteenter
Pap 2
Rev.09/2021
Date: 07/08/2022
RE: CREEKRIDGE AFFORABLE
To whom in may concern:
This letter provides permission to
CHARLOTTE LEASED HOUSING ASSOCIATES II, LLLP
to seek and obtain plan approval to perform grading and/or sitework associated with the above
referenced project. By signing below, the undersigned parties agree to the following:
-CREEKRIDGE AFFORABLE IS AN AFFORDABLE MULTI -FAMILY PROJECT LOCATED IN SOUTHEAST CHARLOTTE, NC.-
MECKLENBURG COUTNY PARCEL ID: 19107108-ADDRESS: 7800 CREEKRIDGE ROAD CHARLOTTE, NC 28212-
SITE ACREAGE: 8.85 ACRES -DISTURBED ACREAGE: 7.34 ACRES -THIS PROJECT INCLUDES THE DESIGN OF 5
APARTMENT BUILDINGS, 1 CLUBHOUSE AND ASSOCIATED INFRASTRUCTURE. TWO (2) UNDERGROUND SANDFILTER
BMPS AND ASSOCIATED STORM DRAINAGE WILL BE INSTALLED. A PRIVATE WATER SYSTEM AND A PRIVATE SANITARY
SEWER SYSTEM WILL BE INSTALLED ONSITE, AND A PUBLIC WATERMAIN EXTENTION AND PUBLIC SEWER EXTENTION
WILL BE INSTALLED OFFSITE IN ORDER TO ACCOMODATE APPROPRIATE CONNECTIONS TO THE SITE.
Signature of property owner or authorized representative
L'AUDACE EQUITY VI LLC
Printed name of property owner, company, group corporation or individual, and authorized representative
2201 South Blvd, Suite 220 Charlotte, NC 28203
Mailing address of owner or party represented above