NCC243458_FRO Submitted_20241107

Mecklenburg County Soil Erosion and
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
fmancially 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: Greenway Gartens
2. Address of land-disturbing activity: 20404, 20406, & 20408 Zion Avenue,
Cornelius, NC 28031 (PARCEL ID NOs: 00706207, 00706216, 00706217,
3. Approximate date land-disturbing activity will commence: June 15 2024
Month Day Year
4. Purpose of development(Residential,Commercial,Industrial, etc.): Residential
5. Approximate acreage of land to be disturbed or uncovered: 24.00 ac
6. Total site acreage: 25.79 ac
7. Landowners of record(use blank pages to list additional owners as necessary):
Owner#1 Name: NR CORNELIUS PROPERTY OWNER LP
Address: 2626 Glenwood Ave Ste 550, Raleigh, NC 27608
Telephone: [phone] Fax:
Email Address: [e-mail]
Owner#2 Name: WMHY LLC
Address: 4210 YANCEY RD CHARLOTTE NC 28217
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 53 Page 778 Book 36668 page 264
Book 69 Page 651 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)fmancially responsible for this land-disturbing activity:
Person or Finn: Northwood Ravin, LLC attn: Ben Yorker
Address: 929 Jay Street Suite 100 Charlotte, NC 28208
Telephone: [phone] Fax:
Email Address: [e-mail]
2. North Carolina agent for the person or firm who is financially responsible:
Person or Firm: Corporation Service Company
Address: 2626 Glenwood Ave Ste 550, Raleigh, NC 27608
Telephone: [phone] Fax:
Email Address: [e-mail]
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 fmancially responsible company or entity, if not
an individual.)
Ben Yorker Development Manager
Printed Name Title
� 1 .. -
Signature Date
I, (km) k'Cu i an , a Notary Public of the
County of NJ\ed(l.ktin , State of N Li . hereby
certify that CA ki V Y personally appeared
before me this day and under oath acknowledged that this form was executed by himAN „,II, �,
Witness my hand and notarial seal,this 2, L day of I11 �d0 F „
I� ,� @ • P;-Gomm rp
Notary Signature: G����`�CW ,,. y c�+.(
My Commission expires: 01 •1 ;} ' � N07 `,, -
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