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HomeMy WebLinkAboutNCC190558_FRO Form for ESC Plan_20190610City 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: Lanier Project 2. Address of land —disturbing activity Decker Driver Charlotte, NC 28214 3. Approximate date land -disturbing activity will commence: May 15 2019 Month bay Year 4. Purpose of Development (Residential, Commercial, Industrial, etc.): Industrial 5. Approximate acreage of land to be disturbed or uncovered: 17.68 ac List total site acreage: 32.53 ac 7. Landowners of Record (Use blank page to list additional owners): Name: Robert Eric Lanier Address: PO Box 1028 Pineville NC 28134 Telephone: 704 - 363 - 8882 Fax: (Area Code) (Area Code) (Area Email Address: Signature: Fax: (Area Code) 8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or instruments) Book 15548 Page Book Page 491 Book Page Book Page Page 1 Continue - Financial Responsibility/Ownership Form PART B 1. Person(s) or firm(s) financially responsible for this land -disturbing activity: Person or Finn: McCraney Property Compan Address: 2257 Vista Pkwy #15 West Palm Beach, FL 33411 Telephone: 561 - 478 - 4300 Fax: (Area Code) (Area Code) Email Address: dwilliamsCcD-mccraneyproperty.com 2. North Carolina agent, for the person or finn who is financially responsible: Person or Finn Address: Dave Williams Telephone: 704 - 965 - 9268 Fax: (Area Code) (Area Code) Email Address: dwilliams@mccraneyproperty.com 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 nancially responsible company or entity, if not an individual.) Steven E. Craney [ E D Printed Name ' t r� Title Signature 1.�,t®t7 3-l0i Date ��'' a Notary Public of the County Of �_ h 1 State of _ Fie (ct 04 , hereby certify that ��r2.n �, M as pv-w, a� tic-( VC 6A4, py0A,-IyA� i 64v,h [personally .f' - _ � rr s ��►na firs., ` �ft� S._sa�.-, appeared before me this day and tinder oath acknowledge that this form was executed by hirrl/her. Witness my hand and nola)ial seal, this _ R Z- day of &_ ( 20 Notary Signature:�-' My Commission expires: E ublic State of Florida Solomonmission GG 114645 6/13/2021 � (BARW[; r 1 ramE- ENGINEEMNG & PROPERTY MANAGEMENT Land Development Division 600 East Fourth Sheet, Charlotte, North Carolina 28202-2844 Telephone: 704/336-6692 Fax: 704/336-6596 littp://Iaiidperiiiits.chat-ineck.org Page