NCC220632_FRO Submitted_20220204

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: Stoneygreen Subdivision
2. Address of land —disturbing activity: 8215 & 8301 Hood Road
Charlotte, NC 28215
3. Approximate date land -disturbing activity will commence:
Month Day Year
4. Purpose of Development (Residential, Commercial, Industrial, etc.): Residential
5. Approximate acreage of land to be disturbed or uncovered: 27.35 +1- acres
6. List total site acreage: 42.908 +/- acres
7. Landowners of Record (Use blank page to list additional owners):
Name: JDSI, LLC
Address: 2116 Crown Centre Drive Suite 200
Charlotte, NC 28227
Telephone: [phone] Fax:
(Area Code) (Area Code)
Email [e-mail]
Name:
Address:
Telephone: Fax:
(Area Code)
Email Address:
Signature:
(Area Code)
8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or
instruments) Book 3475 Page 917 Book Page
Book Page Book Page
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Continue - Financial Responsibility/Ownership Form
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Person or Finn: SouthCraft Development, LLC
Address: 2116 Crown Centre Drive Suite 200
Charlotte, NC 28227
Telephone: [phone] Fax:
(.Area Code.) (Area Code)
Email Address: [e-mail]
2. North Carolina agent, for the person or firm who is financially responsible:
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.)
S
Name
Manager Member, SouthCraft Development, LLC
Title
03/26/2021
Date
11 1 Nicole Dardani , a Notary Public of the County
Of Mecklenburg State of North Carolina hereby
certify that Judson Stringfellow 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 26th day of March 20 21
Notary Signature:
My Commission expires:
cHnniMTE.
ENGINEERING & PROPERTY
MANAGEMENT
NICOLE DARDANI
NOTARY PUBLIC
Mecklenburg County
North Carolina
MY Commission Expires _2.1Af 1 2.c2-?.
Land Development Division
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone: [phone] Fax: [phone]
http://landpern-Lits.charmeek.org
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