HomeMy WebLinkAboutNCC220858_FRO Submitted_20220223City 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:
WILKINSON CATALYST
2. Address of land —disturbing activity: 2401 WILKINSON BLVD , CHARLOTTE, NC 28208
3. Approximate date land -disturbing activity will commence: NOVEMBER 01 2021
Month Day Year
4. Purpose of Development (Residential, Commercial, Industrial, etc.): MULTIFAMILY
5. Approximate acreage of land to be disturbed or uncovered: 5.75 ACRES
6. List total site acreage: 7.03 ACRES
7. Landowners of Record (Use blank page to list additional owners):
Name: SEE NEXT PAGE FOR ALL LISTED OWNERS
Address:
Telephone: Fax:
(Area Code) (Area Code)
Email Address:
Signature:
Name:
Address:
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 09744 Page
Book 26596 Page
910
794
Book 29806 Page
Book Page
629
Page 1
Continue - Financial Responsibility/Ownership Form
PART B
1. Person(s) or firms) financially responsible for this land -disturbing activity:
Person or Firm: WILKINSON EXCHANGE QOZE
Address: 1600 CAMDEN ROAD, SUITE 200
CHARLOTTE, NC 28203
Telephone: (7 0 4) 8 7 7- 5 6 81
(Area Code)
Email Address: BEAU@CATALYSTCP . COM
LLC
Fax:
(Area Code)
2. North Carolina agent, for the person or firm who is financially responsible:
Person or Firm:
Address:
Telephone: Fax:
(Area Code) (Area Code)
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 instruments for the
financially responsible company or entity, if not an individual.) I Vr�
l'�b �r� %k . i4�y' rt��S l • 1ck, je_
Printed Name ') Title
Signature
I, yEyl�I
of E CIC Lt-7 w oV ?-G
FrNSitN
Date
. a Notary Public of the County
State of N a1LTVl CAMO LI hereby
certify that 4iLfrT e "J'rd personally
appeared before me this day and under oath acknowledge that this form was executed by him/her.
Witness my hand and notarial seal, this Z day of 20 QZ
Notary Signature:
My Commission expires:.
Ali Z
QHLR.OM
ENGINEERING & PROPERTY
MANAGEMENT
Land Development Division
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone: 704/336-6692 Fax: 704/336-6586
http://Iandpermits.charmeck.org
Page 2
7. Landowners of Record (Use blank page to list additional owners):
Name: SP-CHARLOTTE LLC
Address: 8632 WILKINSON BLVD
CHARLOTTE, NC 28208
Telephone: 704-391-2960
(Area Code)
Email Address:
45 Signature:
Name: EKASH HOLDI
Address: 2 910 PROVID�
LLC
VIEW LANE
CHARLOTTE, NC 28270
Fax:
(Area Code)
Baldev@mays-hotels.com
Baldev Thakor, Member
Telephone: Fax:
(Area Code) (Area Code)
Email Address:
Signature:
Name: GRIFFITH E C CO
Address: 1944 BRUNSWICK AVENUE
CHARLOTTE, NC 28207
Telephone: Fax:
(Area Code) (Area Code)
Email Address:
Signature:
7. Landowners of Record (Use blank page to list additional owners):
Name: Sp —CHARLOTTE LLC
Address: 8632 WILKINSON BLVD
CHARLOTTE, NC 28208
Telephone: Fax. -
(Area Code)
Email Address:
Signature:
Name: VEKASH HOLDINGS LLC
Address: 2910 PROVIDENCE VIEW LANE
CHARLOTTE, NC 28270
Telephone: o ,4 - % Z-,/- — O Fax:
(Area Code)
Email Address: S aw (e
Signature: `7 Z- — 2 7
Name: GRIFFITH E C CO
Address: 1944 BRUNSWICK AVENUE
CHARLOTTE, NC 28207
Telephone:
Fax:
(Area Code)
(Area Code)
Email Address: (Area Code) (Area Code)
Signature:
7. Landowners of Record (Use blank page to list additional owners):
Name: SP—CHARLOTTE LLC
Address: 8632 WILKINSON BLVD
CHARLOTTE, NC 28208
Telephone:
Email Add:
Signature:
Name:
Address:
(Area Code)
VEKASH HOLDINGS LLC
2910 PROVIDENCE VIEW LANE
CHARLOTTE, NC 28270
Telephone:_
Email Address:
Signature:
(Area Code)
Name: GRIFFITH E C CO
Fax:
Fax:
(Area Code)
(Area Code)
Address: 1944 BRUNSWICK AVENUE
CHARLOTTE, NC 28207
Telephone: "7 0 k 33 Z- —1 l ^1 3 Fax: -704 . 3 3 Z - -7l -7 G�
(Area Code) � (Area Code)
Email Address: bv,,o o V-5
Signature: ,C1,