NCC216564_FRO Submitted_20211201

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: PROSE UNIVERSITI��
2. Address of land —disturbing activity: 18435 N TRYON ST,-CHARLOTTE NC 282621
3. Approximate date land -disturbing activity will commence: ;NOVERMBER 1 2021
Month - - - - - - - pay_ ,Fear
4. Purpose of Development (Residential, Commercial, Industrial, etc.):NULT1-FAMILY RESIDENTIAL!
------------------------
Approximate acreage of land to be disturbed or uncovered:­,14.00 AC_ _ _ _ -
-------------------------
6. List total site acreage: �iAC
7. Landowners of Record (Use blank page to list additional owners):
Name: 'NEW MORNING PARTNERS LLG
-------------------------------
Addressi1111 METROPOLITAN AVENUE, STE 700, CHARLOTTE, NC -
Tel ephone:704.206,8300 _
_Fax: 704._335-8654
(Area Code)
(Area Code)
Email Address: MS ITH OLLETTREe"OM
Signature:
Name: MICH EL D. SMITH
Address: SAME AS ABOVE
Telephone:
Fax:
(Area Code)
(Area Code)
Email Address:
Signature:
8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or
instruments) Book_;35444 -35 I Book Page
Book Page ­ Book Page
Page I

Continue - Financial Responsibility/Ownership Form
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity:
Person or Firm: Alliance Realty Partners, LLC
Address: 200 Providence Road, Suite 250
Charlotte, NC 28207
Telephone: [phone]
(Area Code)
Email Address: [e-mail]
ax:
(Area Code)
2. North Carolina agent, for the person or firm who is financially responsible:
Person or Firm:
Address:
Telephone: Fax:
(Area Code)
Email Address:
(Area Code)
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.)
(-"—W ? (ate wu_ WasleAl-
Printed nz
Title
-71z1
Signa Da e
I,.__Y4tST1M L. a Notary Public of the County
Of W- N By t 1ZG State of N P LI H- C MZD W hl P1_1 hereby
certify that C trr I+s v _ P041 personally
appeared before me this day and under oath acknowledge that this farm was executed by him✓her.
Witness my hand and r tarial seal,
Notary Signature:
My Commission expire: Z
t MSTIN L. VINESETT
Notary Public, North Carolina
Mecklenburg County
My Co i 'on Expires
day of 0 L 20 21
Q>(< UOTTE'..
ENGINEERING & PROPERTY
MANAGEMENT
Land Development Division
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone: [phone] Fax; 704/336-6586
http://Iandpermits.char-rneck.org
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