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HomeMy WebLinkAboutNCC221416_FRO Submitted_20220411City of Charlotte & Mecklenburg County Soil Erosion and Sedimentation Control Ordinance Financial Responsibility/Ownership Form No person shall initiate any land -disturbing activity covered by Chapter 17, Article 2 of the Charlotte City Code or Section 6 of the Mecklenburg County Sedimentation and Erosion Control Ordinance prior to completing and filing this form with the City of Charlotte Engineering and Property Management Department, Land Development Services Division or Mecklenburg County Land Development Services. The financial responsibility 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. Please Type or Print PART A 1. Project where land -disturbing activity is to be undertaken: Toomey Multi -Family 2. Address of land -disturbing activity: 704, 728 W Tremont Avenue, Charlotte, NC 28203 2325, 2301 Toomey Avenue, Charlotte, NC 28203 3. Approximate date land -disturbing activity will commence: November 1 2021 Month Day Year 4. Purpose of Development (Residential, Commercial, Industrial, etc.): Multifamily Residential 5. Approximate acreage of land to be disturbed or uncovered: 10.50 AC 6. List total site acreage: 9.0 AC (Total of all parcels) 7. Landowners of Record (Use blank page to list additional owners): Name: Summit Avenue Tremont Address: 1440 S Tryon St, Unit 104, Charlotte, NC 28203 Telephone: (Area Code) Email Address: Signature: Fax: (Area Code) Name: Shito Neaussie Address: 6018 Red Carriage Lane, Charlotte, NC 28212 Telephone: Fax: (Area Code) (Area Code) Email Address: Signature: 8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or instruments) Book 29640 Page Book 33379 page 645 Book Page 174 Book Page Page I Continue - Financial Responsibility/Ownership Form PART B 1. Person(s) or firm(s) financially responsible for this land -disturbing activity: Person or Firm: Abacus Capital Address: 1200 E Morehead St, Suite 280 Telephone: 7 0 4. 9 9 5. 0 2 9 0 Fax: (Area Code) Email Address: wmcadams@abacus cap italusa. com (Area Code) 2. North Carolina agent, for the person or firm who is financially responsible: Person or Firm: Corporation Service Company Address:2626 Glenwood Ave, Suite 550 Raleicrh, NC 27608 Telephone 704.995.0290 Fax: (Area Code) (Area Code) Email Address: wmcadams@abacuscapitalusa.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.) Jt'j Printed Name Title 111-11-2, Date a Notary Public of the County of A, State of (1j c e hereby se certify that L,\ appeared before me this day and under Witness my hand and tarial seal this s Notary Signature: acknowledge that this form was executed by him/her. My Commission expires: )V\OS � 0 2>L@ personally day of 20 2-1 Amber L Simpson NOTARY PUBLIC Mecklenburg County, NC GHARIA't"I'E.. ENGINEERING & PROPERTY MANAGEMENT Land Development Division 600 East Fourth Street, Charlotte, North Carolina 28202-2844 Telephone: 704/336-6692 Fax: 704/336-6586 hftp://Iandpen-nits.charmeek.org Page 2 7. Landowners of Record (Use blank page to list additional owners): Name: 2315 Toomev Avenue LLC Address:1121 Queens Road West, Charlotte, NC 28207 Telephone: (Area Code) Fax: Email Address: Signature: Name: 2213/2218 Toomey Avenue Owner LLC Address: 4445 Chevy Chase, MD 28015 Telephone: (Area Code) Email Address: Fax: (Area Code) (Area Code) Signature: 8. Indicate Book and Page where deed or instrument is filed (Use blank page to list additional deeds or instruments) Book 2 3 8 6 0 Page 7 0 9 Book Page Book 35315 Page 6 2 7 Book Page