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HomeMy WebLinkAboutNCC243064_FRO Submitted_20241011 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: Sugar Creek Townhomes 2. Address of land—disturbing activity: 240 W. Sugar Creek Road, Charlotte, NC 28213 3. Approximate date land-disturbing activity will commence: April 1, 2024 Month Day Year 4. Purpose of Development(Residential, Commercial, Industrial, etc.): Residential 5. Total acreage of land to be disturbed or uncovered: 3.95 6. List total site acreage: 4.631 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: Charles Wesley Cobb Address: 240 W. Sugar Creek Road, Charlotte, NC 28213 Telephone: N/A Fax: N/A (Area Code) (Area Code) Email Address: N/A Name: Richard Panny Cobb Address: 4303 Penny Way, Charlotte, NC 28213 Telephone: N/A Fax: N/A (Area Code) (Area Code) Email Address: N/A 8. Indicate Book and Page where deed or instrument is filed(Use blank page to list additional deeds or instruments) Book 37005 page 840 Book Page Book 11547 Page 604 Book Page Pagc 1 Continue - Financial Responsibility/Ownership Form PART B 1. Person(s) or firm(s) financially responsible for this land-disturbing activity(Note:If the financially responsible person(s) or firm(s)has an out-of-state address, a North Carolina agent must be designated in item 2 below): Person or Firm: Red Cedar Capital Partners, LLC Address: 2208 Retana Drive, Charlotte, NC 28270 Telephone: 313-600-7248 Fax: N/A (Area Code) (Area Code) Email Address: jon@redcedarco.com 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 Firm: 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 financially responsible company or entity, if not an individual.) �v 1 Sc, 1 e, )-,-,,- c4 De Printed Name Title Signature Date I. ' �C J1 e V\ ° . a Notary Public of the County of U'(\\On t , State of NI or- _(a C CO\iX V' , hereby certibi that ?(7tu.\ tn1( Q personally appeared before me this day and under oath acknowledge that this form was executed by him/her. Witness my hand and notarial seal, this a day of , 2019 Notary Signature: Tcterp 1� 1 • My Commission expires: �i r 1 1 O • I MAGGIE MAYO NOTARY PUBLIC (CO) Union County North Carolina My Commission Expires April 03,2028 charlottenc.gov Storm Water Services—Land Development 600 East Fourth Street,Charlotte,North Carolina 28202-2844 Telephone: 704/3 3 6-6 692 http:!/charlottcnc.gov/developmcntcenter Rev.09/2021 Page 2