Loading...
HomeMy WebLinkAboutNCC233365_FRO Submitted_20231113 City of Charlotte Soil Erosion and Sedimentation Control Ordinance Financial Responsibility/Ownership Form No person shall initiate any land-disturbing actin its on one or more acres as cosrrcd by Chapter 17 of the Charlotte City Code of Ordinances before this form and an acceptable erosion and sedimentation control plan have been completed and approved by the City of Charlotte.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 City of Charlotte Soil Erosion and Sedimentation Ordinance. if the financially responsible party is out of State,a North Carolina agent must be assigned. All rekvant items on this form must be filled out accurately and completely PART A Please Type or Print I. Project name: Hager Dr Townhomes 2. Address of land—disturbing activity: 0 Hager Dr 3. Approximate date land-disturbing activity will commence: October 25 2023 Month Day Year 4. Purpose of Development(Residential,Commercial,Industrial,etc.): Residential 5. Total acreage of land to be disturbed or uncovered: 1.70 6. List total site acreage: 3.051 7. Landowners of Record(attach accompanied page to list additional owners). If the landowner of record is not the person(s)or firm(s)financially responsible as listed in Part B, item 1,a separate letter of consent signed by the landowner of record or their authorized agent is required: Name: Golden Boy Properties, LLC Address: 800 Lochridge Rd Charlotte, NC 28209 Telephone: 704-654-9268 Fax: (Area Code) (Area Code) Email Address: kurt@kurtodomcc.com Name: Address: Telephone: Fax: (Area Code) (Area Code) Email Address: 8. Indicate Book and Page where deed or instrument is filed(Use blank page to list additional deeds or instruments) Book 32975 Page 844 Book Page Book Page Book Page Paiget Continue - Financial RevossibilityfOwnership Form PART In 1 . res +ntts)of f» ,)financially responsible for Otit tan -iikitattimg*tri*, ►•h ee or**soap..m v,r#'A• rierionwo flt poor)hen an nor-f,J•+narr aadOrnr,a Nattik Caroline h 4rr/r.4I101,,r Iw ;5viowo Vomit car Addreil :__7210.ConoordIc - Monroe. NC 2811 Q �-.- '1 e1cphone:-J044544Z�! Ftt, (AreaCriae) (Ana coito Email Addreasligolkurladotnottent 2, ifthe Financially Rcconaible Party is not a reside*of Notts sine Dame and sum* Maw of the designated North Carolina agent: Person or lints; Address: Telephone: Fax: (Ares Code) (Area Colo 1':mail Address: 3. The above information is true and owed to the best of my knovrkdge and bchct and was provided hey rule while under oath. (This form must he signed by the ftnancialb reworrsibk per ion If an truly ill or by an officer.director, partner. anorney--in-fact.or other pinion with authority to executor instrument" Cur the financially responsible company or entity,if ont an individual.) Kurt Odom Printed Name Title Siviature Doe I, are..J.. S C ra1.0 - s a Notary Public uf the L'Iiwuj of M r, znb..' Store of • herrhv rertib'than r . .f t) penunully appeared befiirie one this day and wider oath a heolcialge that this furs was executed b 4 htnv her7 el Witness m►'hand and malarial sad this dui of "V . 20 11 Notary Signatnar: . My Commission expires: M iy 2 3, 2 c t (a))7 - -- • Brandon SCravitxd POTARN P MUC Macklantvrj Co m* Wxrl+Careens iM C41010111111101 Espwss 23,2027 charlottenc.gov Slum Water Srrr ue- Land Do riovement bt Q nest Fourth Su*n,Clear arc•NAIrd4 Carves 2xCu?-2*44 l akOoaee:700364692 lug. ki art aleac.auviciev _ R .09/Zt121 km.