Loading...
HomeMy WebLinkAboutNCC241884_FRO Submitted_20240620 sou arpo ° Mecklenburg County Soil Erosion and M4i1 Sedimentation Control Ordinance Financial Responsibility/Ownership Form No person shall initiate any land-disturbing activity covered by Section 6 of the Mecklenburg County, Mint Hill or Davidson Sedimentation and Erosion Control Ordinances prior to completing and filing this form with Mecklenburg County Land Use and Environmental Services. The financially responsible party will be on record as the party to accept any Notices of Violation or related documents for any non-compliance with the above Ordinances. 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:Stephens Farm RTAP-2 2. Address of land-disturbing activity: Stephens Rd (Parcels 013 091 04) 3. Approximate date land-disturbing activity will commence: July 1 2024 Month Day Year 4. Purpose of development(Residential, Commercial, Industrial, etc.): Residential 5. Approximate acreage of land to be disturbed or uncovered: 13.03 45.42 6. Total site acreage: 7. Landowners of record (use blank pages to list additional owners as necessary): Owner#1 Name: PDG-Stephens Farms, LLC Address: 6719-C Fairview Rd, Charlotte, NC 28078 Telephone: 704-365-1208 Fax: Email Address: dfaulkner@pacedevelop.com Owner#2 Name: Address: Telephone: Fax: Email Address: 8. Indicate Book and Page where the deed or instrument is filed(use blank pages to list additional deeds or instruments as necessary): Book 38299 Page 752 Book Page Book Page Book Page (continue on back or separate pages as necessary) Form Revised 12-2016 Continue - Financial Responsibility/Ownership Form PART B 1. Person(s) or firm(s) financially responsible for this land-disturbing activity: Person or Firm: Classica Homes, LLC Address: 2215 Arysley Town Blvd. Suite G Charlotte, NC 28273 Telephone: 704-940-0273 Fax: Email Address: LBurton@ClassicaHomes.com 2. North Carolina agent for the person or firm who is financially responsible: Person or Firm: Larry Burton Address: 2215 Arysley Town Blvd. Suite G Charlotte, NC 28273 Telephone: 704-940-0273 Fax: Email Address: LBurton@ClassicaHomes.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.) Brian Hall Vice President Printed Name Lik Title 6/18/24 Signature Date I, C N1 VD-( \rn I,LtOn , a Notary Public of the County of T r (' ( j , State of NOY 01 CEL b t 1 fC( , hereby certify that 'Y(J h \ personally appeared before me this day and under oath acknowledged that this form was executed by him/her. Witness my hand and notarial seal, this 1 B tin day of j U n-( , 20 2�— . Notary Signature: CtILLLL ur-26.1,u___ My Commission expires: l(T J4/ i \00IIIIIIIII/I0, M ,s Mecklenburg County Land Use and Environmental Services Agency Notary Public Z`s 2145 Suttle Ave. Iredell - Charlotte,NC 28208-5237 County = Phone(980)314-3234 CAR/���''9Th'I \O\-���`�.