STATE OF NORTH CAROLINA
COUNTY OF MECKLENBURG
Affidavit of Non-Substantial Improvements
Between 25% and 50% of Market Value
Parcel ID Number:
Property Address
Legal Description
I hereby acknowledge that I (we) am (are) the owner(s) of the herein referenced building located on the
herein referenced property.
The lowest floor of the herein referenced building is below the Community Flood Protection Elevation as
of _________________, 20____ and therefore is non-compliant with the minimum Specific Standards in
the City of Charlotte Floodplain Regulations.
I hereby acknowledge that in _________________, 20____ improvements were made to this building the
cost of which was determined to be between 25% and 50% of the market value of the building.
Let it be known that any additional repairs, reconstruction, rehabilitation, addition, or other improvement
to this building, conducted on one occasion, exceeding 25% of the market value of this building at the
time of the repairs, reconstruction, rehabilitation, addition, or other improvement, and occurring before
(10 YEARS AFTER INITIAL DATE ABOVE) will require that the lowest floor of the existing building
and any additions or improvements, be elevated to the Flood Protection Elevation.
Any subsequent cancellation or alteration of this affidavit must be approved by the City of Charlotte
Floodplain Administrator and would require his/her signature on the recorded affidavit.
Drawn by and return to:
Char-Meck Storm Water Services
Floodplain Administrator
700 North Tryon Street
Charlotte, NC 28202
7/2007
As witness the hand and seal of the owner of the subject property this
________day of ________________, 20___,
___________________________
OWNER NAME (please print)
________________________________
Owner Signature
___________________________
OWNER NAME (please print)
________________________________
Owner Signature
State of ___________________________
County of _________________________
Sworn and subscribed before me this _________ day of ________________, 20___,
____________________________________________________________________
Name (Print)
____________________________________________________________________
Signature of Notary
My commission expires _______________________________
Drawn by and return to:
Char-Meck Storm Water Services
Floodplain Administrator
700 North Tryon Street
Charlotte, NC 28202
7/2007