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HomeMy WebLinkAboutNCC230698_FRO Submitted_202303164 qk Mecklenburg County Soil Erosion and 14 Sedimentation Control Ordinance Financial Responsibility/Ownership Form Na person shall initiate any land -disturbing activity covered by Section 6 0#' the Mecklenburg County., Mint Hill or Davidson - Sedimentation and Erasion �on�rol ordinances prior to competing and filing, this form with Mecklenburg Jaunty Land Use and Environmental Services. The financially responsible party will be on record as the party to accept any Notices of Violation or rebated documents for and non-compliance with the above Ordinances. If the financially responsible party is out of State,, a North Carolina agent must be assigned. PART A Please Type or Print 1. Project where land -disturbing activity i s to be undertaken: 417-427 Lynderhill Rd., Matthews, NC 28105 2. Address of land -disturbing activity: 417-427 Lynderhill Fed., Matthews, NC 28105 3. Approximate date land -disturbing activity will commence: February 27 30 2023 Month Day Year 4. Purpose of develo�men� (Resic�entia�, ��mmerciai, Industrial, etc.}: Residential S. Approximate acreage of hand to be disturbed or uncovered: 1 •34 Acres 6, Totals*ite acreage: �•85 Acres 7, LandoiNmers of record fuse blank pages to list additional owners as necessary): owner 41 Name: Hobert Zaharia Address: Telephone: Fax: Email Address: owner #2 Name: lanCu Dan Fagadar Address. - Telephone: Fax: Email Address: S. Indicate Book and Page where the deed or instrument is filed (use flank pages to fist additional deeds or instruments as necessary: Book 35839 page 308 Book 35788 Page 597 Form Revised 1 - 01 Book 35839 page Book (continue on back or separate pages as necessary) Pale 234 Continue i Financial Responsibility/ownership Form PART B 1. Person(s) or firms) financially responsible for this land -disturbing activity: Person or Firm: Mr. Brandon Pressley Address.- 4001 Old Camden Rd, Monroe NC 28110 Telephone: 704/968-4618 Fax : Email Address.-- eliteconstruction. homes 9 g mail. co m Z. North Carolina agent for the person or firm who is financially responsible: Person or Firm: Address: Telephone: Fay: Elmail Address: 3. The above information is true and correct to the best of any knowledge and b fie__ and was provided by me while under oath. (This farm 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 financiafly responsible eQmpany or entity, if` not an individual.) ci VX C. 0V1 Printed Nam In t ur County of /qrc r e 0 r_krt'-r-jT _k -71 1F Ir Jr S I e State of 0 Tine �/djpjp-k 4 , /r,10 Date. a Notary Public of the hereby 91 snnally appeared �111.3 may cuiu unuci ua.m acxnowiecigea gnat wxs dorm was executed by hirn/her, i Lne ss my nand and��tarial seal, this � day of J � .-1 , 20 .0 O.M.1.0 1 Notary Signature: My Cetiexpires. r�L� • .4 5 ' + Y F. o.ri�m w+M•.�ni - ti -•�4'ti: +orr�lh�rt�h+�i'ru ' �'. .�y 1Y- • S,' :C O ­-;�-SRENDAN-.- N. Mecklenburg Cout Land Use and Environmental Serv. 2145 Suttle Ave.k Charlotte; NC 28208-5237 . NOTARY. PUBLIG..:-:,:.Meck1en oun forth Ph 1. �' :.•}�'{�.4�; -'�^T4.. �.ii� �I.ir�.?�kk• L..;,�:!i Y .i.'. , . +• ,: �t r ,.h , a r• ' � .ti F '%r''r y' 7'��'MS J:i:�1�.�