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HomeMy WebLinkAboutNCC242841_FRO Submitted_20241004 City of Charlotte Soil Erosion and Sedimentation Control Ordinance Financial Responsibility/Ownership Form No person shall initiate any land-disturbing activity on one or more acres as covered by Chapter 17 of the Charlotte City Code of Ordinances before this form and an acceptable erosion and sedimentation control plan have been completed and approved by the City of Charlotte. 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 City of Charlotte Soil Erosion and Sedimentation Ordinance. If the financially responsible party is out of State, a North Carolina agent must be assigned. All relevant items on this form must be filled out accurately and completely Please Type or Print PART A 1. Project name: Plott Road Townhomes - Early Grading 2. Address of land—disturbing activity: 7732 & 7832 Plott Road, Charlotte, North Carolina 28215 3. Approximate date land-disturbing activity will commence: October 1, 2024 Month Day Year 4. Purpose of Development(Residential, Commercial, Industrial, etc.): Residential 5. Total acreage of land to be disturbed or uncovered: 2.05 Ac. 6. List total site acreage: 4.86 Ac. 7. Landowners of Record(attach accompanied page to list additional owners). if the landowner of record is not the person(s) or firm(s) financially responsible as listed in Part B, item 1, a separate letter of consent signed by the landowner of record or their authorized agent is required: Name: MST Enterprise, LLC Address: 13141 Ashley Meadow Drive, Charlotte, North Carolina 28213 Telephone: 704-807-1418 Fax: N/A (Area Code) (Area Code) Email Address: manhtang08@gmail.com Name: Address: Telephone: Fax: (Area Code) (Area Code) Email Address: 8. Indicate Book and Page where deed or instrument is filed(Use blank page to list additional deeds or instruments) Book 36821 Page 297 Book Page Book 36821 Page 266 Book Page Page I Continue - Financial Responsibility/Ownership Form PART B 1. Person(s) or firm(s) financially responsible for this land-disturbing activity(Note:!f the financially responsible person(s)or.firm(s)has an out-of state address, a North Carolina agent must he designated in item 2 below): Person or Finn: Red Cedar Capital Partners, LLC Address: 4705 Entrance Drive, Charlotte, North Carolina 28273 Telephone: 704-269-8858 Fax: N/A (Area Code) (Area Code) Email Address: ion@redcedarco.com -I' DgtPj e&xco.am 2. If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the designated North Carolina agent: Person or Finn: Ben Bazer Address: 4705 Entrance Drive, Charlotte, North Carolina 28273 Telephone: 704-269-8858 Fax: N/A (Area Code) (Area Code) Email Address: ben@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 Icially res lsible company or entity, if not an individual.) 'I iv rioted Name Title #aoafi sip Date I. Npoe, 6 , a Notary Public of the County of J Ufl , State of*N[7fr' COtr()%I Y)1/4. , hereby cent(that 1-Ian cox personally appeared befbre me this day and under oath acknowledge that this form was executed by him/her,Witness my hand and rrotp i l seal, this 1 day of \ 6U,31" . 20 atl ljr Notary Signature: ' r Ct 1 My Commission expires: LLP SQ�' 1 . 3 0 a? • ,,,rNwrwrMrNp .,... S. G m gElo ,YO CV..• S (CO) '� r10TARy :'s i G�•:,p`'�`�GA. `V itcharlottenc.gov � ?iO , •• •°j�03 �� '• Storm Water Services—Land Development ;, •.„ COU$,�•�`o`�a 600 East Fourth Street,Charlotte,North Carolina 28202-2844 4"111dIrMuu"4° Telephone: 704/336-6692 hun://charlottcnc.>;ov/dcvclopmen teen ter Rev 09/2021 Page 2