NCC216595_FRO Submitted_20211129

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 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.
Please Type or Print
PART A
1. Project where land -disturbing activity is to be undertaken: SEFL Charlotte
2. Address of land -disturbing activity: 4524 Reagan Drive, 1420 Metals Drive, 1200 Amble Drive, 1220
Amble Drive 1030 Amble Drive
3. Approximate date land -disturbing activity will commence: August 1 2021
Month Day Year
4. Purpose of Development (Residential, Commercial, Industrial, etc.): Commercial
5. Approximate acreage of land to be disturbed or uncovered: 61.5 Acres
6. List total site acreage: 80.2 Acres
7. Landowners of Record (Use blank page to list additional owners):
8.
Name: BKT Enterprises LP
Address: PO Box 1691 Columbia SC 29202
Telephone: [phone] Fax: N/A
(Area Code) (Area Code)
Email Add
Signature:
Name: Southeastern Freight Lines Inc.
Address: PO Box 1691 Columbia SC 29202
Telephone: $03-939-3203 Fax: N A
(Area Code) (Area Code)
Email Address: Ryan.Smigieel::i� SEFL. com
Signature: 2'
Indicate Book and Page where deed or instrument is fled (Use blank page to list additional deeds or
instruments) Book
11843
Page
159
Book 34678
Page 89
Book
2563
Page
197
Book 34750
Page 27
Book
4704
Page
185
Book 27408
Page 801
Book
09000
Page
367
Book
Page

Continue - Financial Responsibility/Ownership Form
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Person or Firm: Southeastern Freight Lines Inc.BKT Enterprises LP Attn: R an Smi iel
Address: 4524 Rea an Drive Charlotte NC 28206
Telephone: [phone] Fax: NIA
(Area Code) (Area Code)
Email Address: R yan.Smi ielQ SEFL.com
2. North Carolina agent, for the person or firm who is financially responsible:
Person or Firm: Southeastern Freight Lines Inc.BKT Enterprises LP Attn: Ran Smi iel
Address: 4524 Reagan Drive Charlotte NC 28206
Telephone:[phone] Fax: NIA
(Area Code) (Area Code)
Email Address: Ryan.Smi iel -.SEFL.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.)
Ryan Smigiel V.P. of Real Estate; -Authorized Agent
Printed Name Title
Signature
/lz3.zoZ!
Date
11 � D l Z�, 6 W a Notary Public of the County
of 4��z zf D , State of u-r 1 .4 r hereby
certify that �' n1 . :�K1 1 L— - personally
appeared before me this day and under oath acknowledge that this form was executed by him/her.
Witness my hand and nqur al, thi?-�� day of 440 9022.5 LM 20 1
Notary Signature:
My CommissiR{lgpire5:
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C,
NOTA
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MANAGEMENT
Land Development Division
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone: [phone] Fax: [phone]
http-//Iandpermits.charmeck.org
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