NCC232334_FRO Submitted_20230804

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FINANCIAL RESPONSIBILITY OWNERSHIP (FRO) FORM cttmfffiffle
Soil Erosion and Sedimentation Control Ordinance NORTH C A R O L I N A
Instructions: No person shall initiate any land-disturbing activity on one or more acres, as covered in the Town of
Huntersville Soil Erosion and Sedimentation Control Ordinance,before this form and an acceptable erosion and
sedimentation control plan have been completed and approved by the Town of Huntersville. The Financially
Responsible Party will be on record as the party to accept any Notices of Violation or related documents for any non-
compliance of the Town of Huntersville Soil Erosion and Sedimentation Control Ordinance. If the Financially
Responsible Party resides out of state, a North Carolina agent must be assigned. All items on this form must be
filled out accurately and completely.
PART A -PROJECT AND LANDOWNER INFORMATION
1. Project name Birkdale GC MXU -Solis Birkdale
2. Address of land-disturbing activity(number, street) 16580 Birkdale Commons Parkway
3. Approximate date land-disturbing activity will begin March 2023
4. Purpose of development(Commercial, Residential, Commercial, Residential
Industrial, etc.)
5. Total acreage of land to be disturbed or uncovered 5.86
6. Total site acreage 4.59
7. Landowner(s) of Record. The names listed below must match the Deed(s).Attach a list of additional owners, if
applicable.
Note: If the landowner of record is not the person(s)firm(s),or Company's Financially Responsible Party,
as listed in Part B, item 1, a separate Letter of Consent, signed and dated by the Landowner of
Record,or their Authorized Agent,is required.
LandownerRecord
Company Name Lake Norman Real Estate Contact Name Trent Gustafson
Ifapplicable Investors, LLC
Mailing Address 5960 Fairview Rd,Ste 327,Charlotte 28210
Physical Address 16580 Birkdale Commons Prkwy,Huntersville28078
I PO Box listed above
Phone [phone] Email [e-mail]
Landowner i
Company Name Lake Norman Real Estate Contact Name Trent Gustafson
Ifapplicable Investors, LLC
Mailing Address 5960 Fairview Rd,Ste 327, Charlotte 28210
Physical Address 16500 Birkdale Commons Prkwy,Huntersville28078
I PO Box listed above
Phone [phone] Email [e-mail]
8. Indicate the Deed Book and Page number the deed or instrument is filed. Attach a list of additional deeds if
applicable.
Deed Book Page Deed Book Page Deed Book Page
37334 653 0 37331 924
37334 642
37331 936
Rev. 8/2022 TOH Staff Reviewer Ownership/Agent: Verified at Pre-Con Meeting By: Page 1 of 3

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FINANCIAL RESPONSIBILITY OWNERSHIP (FRO) FORM j*;Mte of� e
Soil Erosion and Sedimentation Control Ordinance N o R T x C A R O L I N A
PART B -FRO AND NC REGISTERED AGENT
1. Person(s), firm(s) or Company who is/are financially responsible for this land-disturbing activity.
Financially Responsible Party
Company Name(ifapplicable) Terwilliger Pappas Contact Name Jeff Smith
Multifamily Partners,
LLC
Mailing Address 4777 Sharon Rd,Ste. 550, Charlotte, NC 28210
Physical Address
I PO Box listed above
Phone [phone] Email [e-mail]
2. If the Financially Responsible Party listed above does not reside in the state of North Carolina,they must
provide a designated North Carolina agent below. This agent must be registered with the NC Secretary of State.
North Carolina Agent for Financially Responsible Party
NC Registered Agent Name Contact Name
Mailing Address
Physical Address
I PO Box listed above
Phone Email
3. (Optional)Additional contact familiar with the site,who understands the plans, and may represent the company.
Site Contact's Name Sean Paone Email [e-mail]
Phone: Office 7043761555 Phone:Mobile [phone]
PART C - SIGNATURE WITNESSED BY A NOTARY PUBLIC
DO NOT SIGN THIS FORM UNTIL YOU ARE IN THE PRESENCE OF A NOTARY PUBLIC
The above information is true and correct to the best of my knowledge and belief and was provided by me under-oath.
(This form must be signed by the Financially Responsible Person, if an individual, or his attorney-in-fact. If the
Financially Responsible Owner is not an individual,this form must be signed by an officer,director,partner,or
registered agent with the authority to execute instruments for the Financially Responsible Party). I agree to provide
corrected information should there be any change in the information provided herein.
Printed Name T-r-4 Title or Authority Ex ec v4,,ie V 1(-e
Wet-Ink Signature r j Date a
I, L.01;_h e- a.►.,s.•, , a Notary Public of the County of i2A,- ,Lv,�
State of r,/o�tw �.v.i��., hereby certify that J�r� 5.,,:r� personally
appeared before me this day and being duly sworn acknowledged that the above form was executed by hhn1her.
Witness my han¢ ZaZ�t ,j��aj, this day of mac•^-w 20 Z2-
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,p U B L\L Notary Signature
Rev. 8/2022 burg `��,.�`�,` Page 2 of 3

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FINANCIAL RESPONSIBILITY OWNERSHIP (FRO) FORM �� oof� e
Soil Erosion and Sedimentation Control Ordinance NORTH C A R O L I N A
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Rev. 8/2022 Page 3 of 3