NCC240753_FRO Submitted_20240315

FINANCIAL RESPONSIBILITY OWNERSHIP (FRO) FORM c�N�iWown of•
Soil Erosion and Sedimentation Control Ordinance NORTH CAROLINA
Instructions: No person shall initiate any land-disturbing activity on one or more acres, as covered in the Town of
Huntersville Soil Erosion and Sedimentation Control Ordinance, before this form and an acceptable erosion and
sedimentation control plan have been completed and approved by the Town of Huntersville. The Financially
Responsible Party will be on record as the party to accept any Notices of Violation or related documents for any non-
compliance of the Town of Huntersville Soil Erosion and Sedimentation Control Ordinance. If the Financially
Responsible Party resides out of state,a North Carolina agent must be assigned. All items on this form must be
filled out accurately and completely.
PART A — PROJECT AND LANDOWNER INFORMATION
1. Project name 13601 Reese Blvd East
2. Address of land-disturbing activity (number, street) 13601 Reese Blvd East
3. Approximate date land-disturbing activity will begin March 2024
4. Purpose of development (Commercial, Residential,
Industrial, etc.) Industrial
5. Total acreage of land to be disturbed or uncovered 9.70
6. Total site acreage 10.93
7. Landowner(s) of Record. The names listed below must match the Deed(s).Attach a list of additional owners, if
applicable.
Note: If the landowner of record is not the person(s)firm(s),or Company's Financially Responsible Party,
as listed in Part B, item 1, a separate Letter of Consent, signed and dated by the Landowner of
Record,or their Authorized Agent, is ret wired.
Landowner 1 of Record
Company Name Opus Development Company, L.L.C. Contact Name Michael P. Yungerman
(if applicable)
Mailing Address 9700 W Higgins Road, Ste 900
City Rosemont State IL Zip 60018
Phone [phone] Email [e-mail]
Landowner 2 of Record
Company Name Contact Name
(if applicable) _
Mailing Address
City State Zip
Phone Email
8. Indicate the Deed Book and Page number where the deed or instrument is filed. Attach a list of additional deeds
if applicable.
Deed Book Page Deed Book Page 11 Deed Book Page
38544 179
Rev. 8/2022 TOH Staff Reviewer Ownership/Agent: Verified at Pre-Con Meeting By: Page I of 2

1 kalt Town of•
FINANCIAL RESPONSIBILITY OWNERSHIP (FRO) FORM c�
Soil Erosion and Sedimentation Control Ordinance NORTH C A R O L I N A
PART B — FRO AND NC REGISTERED AGENT
I. Person(s), firm(s)or Company who is/are financially responsible for this land-disturbing activity.
Financially Responsible Party
Company Name(if applicable) Opus Development Company,L L C Contact Name Michael P. Yungerman
Mailing Address 9700 W Higgins Road, Ste 900
City Rosemont State IL Zip 60018
Phone [phone] Email [e-mail]
2. If the Financially Responsible Party listed above does not reside in the state of North Carolina,they must
provide a designated North Carolina agent below. This agent must be registered with/on the NC Secretary of
State business resist .
North Carolina Agent for Financially Responsible Party
NC Registered Agent Name Corporation Service Company Contact Name
Mailing Address 2626 Glenwood Avenue, Suite 550, Raleigh, NC
City State Zip
Phone Email
3. (Optional) Additional contact familiar with the site, who understands the plans, and may represent the company.
Site Contact's Name David Starkel Email [e-mail]
Phone: Office 980-227-2349 Phone: Mobile
PART C — SIGNATURE WITNESSED BY A NOTARY PUBLIC
no NOT SIGN THIS FORM UNTIL YoU ARE IN THE PRESENCE OF A NOTARY PUBLIC
The above information is true and correct to the best of my knowledge and belief and was provided by me under oath.
(This form must be signed by the Financially Responsible Person, if an individual, or his attorney-in-fact. If the
Financially Responsible Owner is not an individual, this form must be signed by an officer, director,partner,or
registered agent with the authority to execute instruments for the Financially Responsible Party). I agree to provide
corrected information should there be any change in the information provided herein.
Printed Name M;aloe 1 "P. yt V Y&� jL Title or AuthorityxeCa.LtiVt. -Pm ieltut eittrztt ilitwutSbe
Wet-Ink Signature / p i Date
3 /I 1/ ZOZ
1, eV A- .1-6141k5 , a Notary Public of the County of Cpp K
State of . _t `j vs0'4 , hereby certify that trA+ c t e[? yuvvexpActik personally
appeared before me this day and being duly sworn acknowledged that the above form was executed by him/her.
Witness my hand and notarial seal, this ) 1 day of Mare.h , 20 24 .
OFFICIAL 1 A
EVA J. JOHNS Notary Signature
NOTARY PUBLIC, STATE OF ILLINOIS
My Commission Expires 09/15/2026
My Commission Expires • (5. 12A2-10
Rev. 8/2022 Page 2 of 2