NCC231840_FRO Submitted_20230614

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: _ Aberdeen [I
2. Address of land—disturbing activity: 3007 RIDGE RD CHARLOTTE NC 28269
3. Approximate date land-disturbing activity will commence:
Month Da Year
4. Purpose of Development(Residential, Commercial, Industrial, etc.): Residential
5. Approximate acreage of land to be disturbed or uncovered:17.75 Acres
6. List total site acreage: 26.3 Acres
7. Landowners of Record(Use blank page to list additional owners):
Name: Constance J R/T Oehler
Address: 12232 Jimmy Oehler Rd
Charlotte,North Carolina 28269
Telephone: Fax:
(Area Code) (Area Code)
Email Address:
Signature:
Name:Charles Ronald Oehler Brenda Goss Oehler
Address:3025 Ridge Rd Charlotte, North Carolina 28269
[e-mail]
Telephone: [phone] Fax:
(Area Code) (Area Code)
Email Address:
Signatur
8. Indicate Book and Page where deed or instrument is filed(Use blank page to list additional deeds or
instruments) Book 28357 4Page2 l Book 26127 Page 657
Book 3385 Page 405 Book 9255 Page 264
Pate I
7

City of Charlotte & Mecklenburg County
Soil Erosion and Sedimentation
'Control Ordinance
Fin all ial Responsibility/Ownership Form
No person shall initiate any iatd=disturbing activity covered by Chapter 17, Article 2 of the Charlotte City Coda or
Section 6 of the Mecklenburg County Sedimentation and Erosion Control Ordinance prior to completing and Ming ng 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 fear any non=compliance of the City of Charlotte Soil Erosion and
Sedimentation Ordinance,Ifthe financially responsible party is out of State,a North Carolina agent must be assigned.
Please Typo or Print
PART A
I, Project where land.disturbing activity is to be undertaken; Aberdeen 11
2. Address of land=isturbing activity: 3007 RIDGE RD CHARLOTTE NC 28269
5, Approximate date land=disturbing activity will commence: -_
Month You
d, Purpose of Development(Residential,Commercial,industrial,etc): Re$identiia
5, Approximate acreage of land to be disturbed or uncovered;17'75 ACI'ea
6. List total site acreage, 26,3 Acres
7, Landowners of Record(Use blank page to list additional owners);
Name; cpnatanca)Jtr Oehler
Address: 12232 Jimmy Oehler Rd
C'harlotta, North Carolina 28269
l'elephone:' V—&g_3 82.3 Faxs
(Arta Co ) , (Area Code)
Email Addraefs' er 5 a+ I c: M
Signature ! _ e - -
Name;Charles aid Oehler
Address;5026 Ridge Rd Charlotte,North Carolina 20269
M�wY�-T, �
Telephones Pax:
(Arran n a) (Ana Code)
Small Address:
Signature:_.- -__ —r. _
I.i. indicate Book and Page where deed or Instrument Is tried(Use blank page to list additional deeds or
Instruments) Book 25'157 Page 424 Book 211127 Page 667
Book 226/ iug. 405 Book 255 Page 264
hepv I

Continue - Financial Responsibility/Ownership Form
PART B
1. Person(s)or firm(s) financially responsible for this land-disturbing activity:
Person or Firm: M/I Homes
Address: 5350 77 Center Drive Suite 100
Charlotte, North Carolia 28217
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) (Area Code)
Email Address:
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.)
Cody Simoneaux VP of Land Development
Prin d Nat e Title
iv1 .l
Sig at e Date
f %attarl'--
allotary Public of the County
of , State of , hereby
certifj,that ` otlei- k personally
appeared before me t is .nd under oath acknowledge that this f fm was executed by him/her.
Witness my hand and not, ial .al, this 02d2 day of, C. , 1002
1
Notary Signatt id, � Il tt
�` G I,,/ �lir �,�oJqC� i�itlyCommissio - ✓ I ' L -
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CHARLOTTE_ ''/,,tQUNV, `�°````
ENGINEERING&PROPERTY
MANAGEMENT
Land Development Division
600 East Fourth Street,Charlotte,North Carolina 28202-2844
Telephone: [phone] Fax:[phone]
http://landpermits.charmeck.org
Page 2

City of Charlotte
Financial Responsibility Form
Project: Aberdeen Ii
Project Location: 3007 Ridge Road, Charlotte, NC 28269
Additional Landowners:
Name: Deborah G Hough ANd o& S. Ficrue3
Address: 107 Ridge Road, harlotte,N �8269
Signature: L at.4. .
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