NCC221167_FRO Submitted_20220325

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 parry 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
PART A
1. Project name:
Atando Site
Please Type or Print
2. Address of land -disturbing activity: 1340 Newland Road, Charlotte, NC 28206
3. Approximate date land -disturbing activity will commence: April 1 2022
Month Day Year
4. Purpose of Development (Residential, Commercial, Industrial, etc.):. Residential
5. Total acreage of land to be disturbed or uncovered: 6.15 ac
6. List total site acreage: 5.54 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: Double Oaks Development LLC
Address: 4601 Charlotte Park Drive, Suite 350
Charlotte, NC 28217
Telephone: Fax:
(Area Code) (Area Code)
Email Address:
Name: Charlotte Mecklenburg Housing Partnership INC
Address: 4601 Charlotte Park Drive, Suite 350
Charlotte, NC 28217
Telephone: Fax:
(Area Code)
Email Address:
(Area Code)
8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or
instruments) Book 22805 Page 479 Book Page
Book 30537 page 957 Book Page
Page 1

Continue - Financial Responsibility/Ownership Form
PART B
1. Person(s) or firm(s) financially responsible for this land -disturbing activity ote: If the financially responsible
person(s) or firms) has an out-of-state address, a North Carolina agent must be designated in item 2 below):
Person or Firm: Atando Avenue Partners, LLC
Address: 601 S Cedar Street, Suite 200
Charlotte, NC 28202
Telephone: [phone] Fax:
(Area Code) (Area Code)
Email Address: [e-mail]
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 1" irm:
Address:
Telephone:
(Area Code)
Email Address:
Fax:
(Area Code)
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
anc'al responsible company or entity, if not an individual.)
Printed Title
R� Y
Si ture Da e
I, t G l-rh E �n� 1.1 J vk'y-n—y a Notary Public of the County
of State of hereby
certify that �W L. ( ram„&-CZSLl ' ,sQ�r �� o n , _ Dersonally
appeared before me this day and under oath acknowledge that this form was executed by him/her.
Witness my hand and notarial seal, this [ (aj! day of a-C.c-c-yia a _ 20 2A
Notary Signature:
My Commission expires:
Notary Public, North Carolina
Gaston County
My Commission Expires
May 13, 2024
charlottenc.gov
Storm Water Services — Land Development
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone: [phone]
httla://charlottene.gov/developmentcenter
Rev. 09/2021
Page 2

0
MEMO
DATE: December 16, 2021
DREAM KEY
PARTNERS
TO: City of Charlotte
CC: David Belk, Beauxwright
Cooper Morrison, Beauxwright
Dan Cimaglia, DreamKey Partners
FROM: AS
RE: Parcels #07707902 and 07707903
Subdivision ADDlication and Soil Erosion and Sedimentation Consent
This memo acknowledges the consent of Double Oaks Development, LLC, a subsidiary of DreamKey
Partners, Inc. (formerly Charlotte -Mecklenburg Housing Partnership, Inc.) and DreamKey Partners, Inc in
reference to parcels #07707902 and 07707903, where Double Oaks Development, LLC and DreamKey
Partners, Inc. are the owner of record, respectfully.
As the owner of record for parcels #07707902 and 07707903, consent is acknowledged for submission
of financial responsibility for Atando Avenue Partners, LLC per question 7 of the City of Charlotte Soil
Erosion and Sedimentation Control Ordinance, Financial Responsibility/Ownership Form.
Additionally, as the respective owners of record of parcels #07707902 and 07707903, this consent
supports the subdivision application submission for the aforementioned parcels by Atando Avenue
Partners, LLC.
On behalf of DreamKey Partners, Inc. and Double Oaks Development, LLC.
Ashton Slate
4601 Charlotte Park Drive, Suite 350 Phone: [phone]
Charlotte, NC 28217 Fax: [phone]