NCC193133_ESC Approval Submitted_20191211

City of Charlotte & Mecklenburg County
Soil Erosion and Sedimentation
Control Ordinance
Financial Responsibility/Ownership Form
No person shall initiate any land -disturbing activity covered by Chapter 17, Article 2 of the Charlotte City Code or
Section 6 of the Mecklenburg County Sedimentation and Erosion Control Ordinance prior to completing and filing this
form with the City of Charlotte Engineering and Property Management Department, Land Development Services Division
or Mecklenburg County Land Development Services. The financial responsibility parry 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.
Please Type or Print
PART A
1. Project where land -disturbing activity is to be undertaken: C-u f 0 L o-T-S A_ ( 1-
-i LL ,02Qt-Q7Q'J+t���v,, 0'-1'0g0i-0go'4 100i-r0014, 11<9t-11041
activity: �� �� 1-4
2. Address of land -disturbing ty: �i dry �►�� � y� ��� � _
3. Approximate date land -disturbing activity will commence: e C.VYA b F_' r
Month Day Year
4. Purpose of Development (Residential, Commercial, Industrial, etc.): R e 5 ; :_ h , C" f
Approximate acreage of land to be disturbed or uncovered:
6. List total site acreage: L
Landowners of Record (Use blank page to list additional owners):
Name: D V 4of +o C) . l r�
Address: L_A• () i ,�r [a 41 r [ (W .0 9 L [1 J C 6`1 �� J �G �'-� ,�J .2 _ 7
Telephone: J 0 A- Co 2 0. 13 2 _3 Fax:
SArea Code]
Email Address:
Signature:J.Z
Name:
Address:
Telephone:
Email Address:
Signature:
(Area Code)
0- D r,14 cr ffv
Fax:
(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 Page
Book Page
Book Page
Book Page
Page 1

Continue - Financial Responsibility/Ownership Form
PART B
Person(s) or firm(s) financially responsible for this land -disturbing activity:
Person c
Address
Telephone: 2(1 �4 - (a 0 - 7 3 7 j _Fax:
(Area Code) (Area Code)
Email Address: 1Y6t e r, c/ I G -�
2. North Carolina agent, for the person or firm who is financially responsible:
Person or Firm; C--T— C, f] 5- .; S -1r "..'
Ord=
Telephone: - '-�? f - 713 ' Fax:
(Area Code) (Area Code)
Email Address: i «���R
j
I 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.)
Printed Name Title
2 ,u
Signature Date
I. RaC.V'( S a Notary Public of the County
of 6 a C-J� VA State of D V +WL CG[-'6—t)1 t hereby
certify that F0 r _ personally
appeared before me this day and under oath acknowledge that this form was executed by himlher.
Witness my hand and nD(arial seal, this day of Dr.0 twi v" 20
Notary Signature:
My Commission expires: - 5 - D 0,�i d
RACHEL LAVES
NOTARY PUBLIC
NiECKLt=NBURG Cr7UAliY, NC
My Commission Expu:: ;-3-2020
CHARLOTTE.
ENGINEERING S PROPERLY
MANAGEMENT
Land Development Division
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone: [phone] Fax: [phone]
http://Iandpermits.charmeck.org
Page 2

0 KIMMERLY GLEN LN Permit Number: LDOP-2018-00044
Guildford Tvwnhvmea � 1■,w w
Expiration Date: 9-Feb-21
Printed On: 2l9f18 � ��"�:'�R��- ; _ p
City of Charlotte -Engineering and Land Development Permit Status: In Progress
600 East Fourth Street Status Date- 9-Feb-2018
Chadntta North rarnlina 7R7(17_?asn
Grading PermiHNAMA
Comuanvllndlvidual Name Address Phone
Owner
JDSILLC 17537JETTON R❑
CORNELI ll S.NC28031
Applicant - Key Contact
James Walters
Financially Responsible Party
JOSI LLG [ Judson Stringfellow)
17537 JETTON R❑
CORNELIUS.NC 28031
Contact
JQSI LLC { Judson Stringfellow]
17537 JETTON R❑
CORNELILSS,NC 28031
Parcel Nb► Tract Block Lot
09928202 2 02
AMIleation Infonnap3gM
Acreage 6.00
Disturbed Acreage 4.68
Fees
Description Amount
Total Fees Due: Total Fees Paid:
This permit conveya approval from the permitting entitly to conduct la nd-d Isturbing activity by the Owner or his agent as shown on
the approved plan in accordance with the Sedimentation and Erosion Control Ordinances, Tree Preservation Ordinances and related
policies. This permit is valid until the project Is complete or 3 years from the issuance of the permit, whichever comes first If
erosion control measures required by the plan prove to be inadequate to control sediment as required by the Ordinance, the
applicant will be required to submit a revised plan and take corrective measures. By issuance of this permit an innpector has the
Signature-. date:
Applicant
Signature-. Date:
Inspector
File Copy Site Copy Applicant Copy Inspector Copy

CAHMMOTTL
ENGINEERING & PROPERTY
MANAGEMENT
David Weekly, PE Land Devetopment
Division Manager
February 09, 2018
LETTER OF APPROVAL
Attn: Jdsi Lie ,
JDSI LLC
17537 JETTON RD
RE: Project Name: Guildford Townhomes
Permit ID: LDGP-2018-00044
Denuded Acreage: 4.68
Submitted By: JDS1 LLC
Date Received: 10/09/2017
Plan Type: NEW
Dear Jdsi Lie,
This office has reviewed the subject erosion and sedimentation control plan. We find the plan to be acceptable
and hereby issue this Letter of Approval. This plan approval shall expire three (3) years following the date of
approval, if no preconstruction meeting and land -disturbing activity has been undertaken, as is required by Title
15A NCAC 4B .0129 and Section 17-35(b) of the City of Charlotte Code of Ordinances. Acceptance and
approval of this plan is also conditioned upon your compliance with Federal, State, and local water quality
laws, regulations, and rules.
Upon receiving this approval. it is the responsibility of the Financially Responsible Party, their agent, or the
owner to request a pre -construction meeting by completing the Pre -Construction Meeting Request Form found
at<http://develoument.charmeek.oriz!>. Please provide at least 48 hours advance notice for the
pre -construction meeting so that City Staff may coordinate and schedule the appropriate personnel. No land
disturbance of any kind, including any demolition, is allowed prior to the pre -construction meeting.
Please be aware that your project will be covered by the enclosed NPDES General Stormwater Permit
NCGO10000 (Construction Activities). You are responsible for becoming familiar with all of the requirements
fox compliance with the enclosed general permit.
Also, be advised that Title 15A NCAC 4B .0118(a) and Section 17-35(a)(8) of the City of Charlotte Code of
Ordinances requires that a copy of the approved erosion control plan be on file at the job site. You should
consider this letter to give the Notice required by G.S. I I3A-b1.1(a) of out right of periodic inspection to
insure compliance with the approved plan.

The City of Charlotte's Sedimentation Pollution Control Program is performance -oriented, requiring protection
of existing natural resources and adjoining properties. If, following the commencement of this project, it is
determined that the erosion and sedimentation control plan is inadequate to meet the requirements of the City of
Charlotte Code of Ordinances and the Sedimentation Pollution Control Act of 1973 (G.S. 1 13A-51 through
66). this office may require revisions to the plan and implementation of the revisions to insure compliance with
the Act and Local Code.
Acceptance and approval of this plan is conditioned upon your compliance with Federal, State, and County
water quality laws, regulations, and rules. This approval does not supersede any other permit or approval.
Approval of this plan is based in part on the accuracy of the information provided in the Financial Responsibility
Form, which you provided. You are requested to file an amended form if there is any change in the information
included on the form.
Your cooperation is appreciated.
Sincerely.
James Wilson, CPESC
Charlotte Land Development Division
City of Charlotte Engineering and Property Management
600 E Fourth St
Charlotte, NC 28202
Approval ForGradingUr_new