NCC216886_FRO Submitted_20211217

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: Toomey Multi -Family
2. Address of land -disturbing activity: 704, 728 W Tremont Avenue, Charlotte, NC 28203
2325, 2301 Toomey Avenue, Charlotte, NC 28203
3. Approximate date land -disturbing activity will commence: November 1 2021
Month Day Year
4. Purpose of Development (Residential, Commercial, Industrial, etc.): Multifamily Residential
5. Approximate acreage of land to be disturbed or uncovered: 10.50 AC
6. List total site acreage: 9.0 AC (Total of all parcels)
7. Landowners of Record (Use blank page to list additional owners):
Name: Summit Avenue Tremont
Address: 1440 S Tryon St, Unit 104, Charlotte, NC 28203
Telephone:
(Area Code)
Email Address:
Signature:
Fax:
(Area Code)
Name: Shito Neaussie
Address: 6018 Red Carriage Lane, Charlotte, NC 28212
Telephone: Fax:
(Area Code) (Area Code)
Email Address:
Signature:
8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or
instruments) Book 29640 Page
Book 33379 page
645 Book Page
174 Book Page
Page I

Continue - Financial Responsibility/Ownership Form
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Person or Firm:
Abacus Capital
Address: 1200 E Morehead St, Suite 280
Telephone: [phone] Fax:
(Area Code)
Email Address: wmcadams@abacus cap italusa. com
(Area Code)
2. North Carolina agent, for the person or firm who is financially responsible:
Person or Firm: Corporation Service Company
Address:2626 Glenwood Ave, Suite 550
Raleicrh, NC 27608
Telephone
704.995.0290
Fax:
(Area Code) (Area Code)
Email Address: [e-mail]
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.)
Jt'j
Printed Name Title
111-11-2,
Date
a Notary Public of the County
of A, State of (1j c e hereby
se
certify that L,\
appeared before me this day and under
Witness my hand and tarial seal this
s
Notary Signature:
acknowledge that this form was executed by him/her.
My Commission expires: )V\OS � 0 2>L@
personally
day of 20 2-1
Amber L Simpson
NOTARY PUBLIC
Mecklenburg County, NC
GHARIA't"I'E..
ENGINEERING & PROPERTY
MANAGEMENT
Land Development Division
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone: [phone] Fax: [phone]
hftp://Iandpen-nits.charmeek.org
Page 2

7. Landowners of Record (Use blank page to list additional owners):
Name: 2315 Toomev Avenue LLC
Address:1121 Queens Road West, Charlotte, NC 28207
Telephone:
(Area Code)
Fax:
Email Address:
Signature:
Name: 2213/2218 Toomey Avenue Owner LLC
Address: 4445 Chevy Chase, MD 28015
Telephone:
(Area Code)
Email Address:
Fax:
(Area Code)
(Area Code)
Signature:
8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or
instruments) Book 2 3 8 6 0 Page 7 0 9 Book Page
Book 35315 Page 6 2 7 Book Page