NCC216073_FRO Submitted_20211103

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Mecklenburg County Soil Erosion and
a Sedimentation Control Ordinance
Financial Responsibility/Ownership Form
G A °
No person shall initiate any land -disturbing activity covered by Section 6 of the Mecklenburg
County, Mint Hill or Davidson Sedimentation and Erosion Control Ordinances prior to
completing and filing this form with Mecklenburg County Land Use and Environmental
Services, The financially responsible party will be on record as the party to accept any Notices
of Violation or related documents for any non-compliance with the above Ordinances. 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: Three projects on Nannie Putts Rd, Cornelius
MB56 Pg968, MB67 Pg41, MB 68, Pg 350
2. Address of land -disturbing activity;
21060, 21064, 21068, 21070, 21074, 21075 Na nnie Potts Rd
11
4
Approximate date land -disturbing activity will continence: March
Month
Purpose of development (Residential, Commercial, Industrial, etc.): residential
S. Approximate acreage of land to be disturbed or uncovered. 1.69
6. Total site acreage: 2.51
1 2021
Day Year
7. Landowners of record (use blank pages to list additional owners as necessary):
Owner #1 Name: SouthC raft Builders, Inc
Address:
2116 Crown Centre Dr, Suite 200 Charlotte NC 28227
Telephone:
704-443-7374
Email Address: [e-mail]
Owner #2 Name:
Address:
Telephone:
Email Address:
Fax:
Fax:
8. Indicate Book and Page where the deed or instrument is filed (use blank pages to list
additional deeds or instruments as necessary):
Book 35289 Page 165 Book Page
Book 35289 page 452 Book Page
(continue on back or separate pages as necessary)
Iona evissed 12-2016

Continue - Financial Responsibility/Ownership Farm
PART E
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Person or Firm: SouthCraft Builders, Inc
Address: 2116 Crown Centre Dr, Suite 2O0 Charlotte NC 28227
Telephone: [phone] Fax:
Email Address: [e-mail]
2, North Carolina agent for the person or firm who is financially responsible:
Person or Firm:
Address:
Telephone: Fax:
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 instnunents for the financially responsible company or entity, if not
an individual.)
Judso tringfellow President
printed Nam Title
1 Q11912Q21
na%i, P Date
j; NicoKi Dardani , a Notary Public of the
County of Mecklenbur , State of North Carolina , hereby
certify that Judson Stringfellow personally appeared
before me this day and under oath acknowledged that this form was executed by him/her.
Witness my hand and notarial seal, this 19th day of October , 24 21
Notary Signature:
My Commission expires:
Mecklenburg County Land Use and Environmental
2145 Suttle Ave.
Charlotte, NC 28208-5237
Phone [phone]
N ICOLE DARDAN I
NOTARY PUBLIC
ces A en'Mecklenburg -County
Noah Carolina i
Ilv Commission Ex0res -71 tt