NCC241237_FRO Submitted_20240510

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.
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PART A
1. Project where land-disturbing activity is to be undertaken: 31 st Street Townhomes
2. Address of land—disturbing activity: 124 W. 31 st Street, Charlotte, NC 28206
3. Approximate date land-disturbing activity will commence: March 26 2024
Month Day Year
4. Purpose of Development (Residential, Commercial, Industrial, etc.): Multi-Family Attached Residential
5. Approximate acreage of land to be disturbed or uncovered: 2.55 AC
6. List total site acreage: 2.21 AC
7. Landowners of Record (Use blank page to list additional owners):
Name: Church Street Townhomes LLC
Address: 1235 East Blvd, Ste E, PMB 5012, Charlotte NC 28203
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 38663 Page 749 Book Page
Book Page Book Page
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Continue - Financial Responsibility/Ownership Form
PART B
1. Person(s) or firm(s) financially responsible for this land-disturbing activity:
Person or Firm: Red Cedar Commercial Development
Address: 4705 Entrance Dr . Suite D
Charlotte, NC 28273
Telephone: Fax:
(Area Code) (Area Code)
Email Address: lon@redcedarco . com
2. North Carolina agent, for the person or firm who is financially responsible:
Person or Firm: Jon Grabowski
Address: 4705 Entrance Dr. Suite D
Charlotte, NC 28273
Telephone: 3 0 3—6 0 0—7 2 4 8 Fax:
(Area Code) (Area Code)
Email Address: lon@redcedarco . com
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.)
Jon Grabowski Owner
Printed Name Title
;:::- .-.
Signature Date
I, YNa5e %\10 , a Notary Public of the County
of u.No,onn . State of MCC k"(\ COCO\Icc&. , hereby
cert5 that Von C--t Z C,JSv\i personally
appeared before me this day and under oath acknowledge that this form was executed by him/her.
Witness my hand and rota•ial seal, this 1O day of Nx-\\ , 20,).1
Notary Signature: k°P
^
My Commission expires: ��rl, ` d`
• MAGGIE MAYO
(CD) NOTARY PUBLIC
Union County
North Carolina
CHARLOTTE.. My Commission Expires April 03,2028
ENGINEERING&PROPERTY
MANAGEMENT
Land Development Division
600 East Fourth Street,Charlotte,North Carolina 28202-2844
Telephone:[phone] Fax: [phone]
http://landpermits.charmeck.org
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