NCC220548_FRO Submitted_20220127

cod, Pitt County
Planning Department
Development Services Building
�o 1717 W. 5th Street
rc Greenville, No o e Caroliiona 2-3507834-1696 James F. Rhodes, AICP
TeleFax: [phone] Director
Financial Responsibility / Ownership Form
Soil Erosion and Sedimentation Control Ordinance
No person may initiate any land -disturbing activity on one or more contiguous acres as
covered by the Act before this form and an acceptable erosion and sedimentation control plan
have been completed and approved by the Pitt County Planning Department. (Please type or
print and, if question is not applicable, place N/A in the blank.)
Part A.
1.
3.
4.
5.
6.
7.
91
Part B.
Project Name East Ridge, Section 2, Phases 1, 2, & 3
Location of land -disturbing activity: County Pitt
City or Township Ayden , and Highway/Street Ayden Golf Club Road
Approximate date land -disturbing activity will be commenced: March 2021
Purpose of development (residential, commercial, industrial, etc.): Residential
Approximate acreage of land to be disturbed or uncoNered: 24.7
Has an erosion and sedimentation control plan been filed? Yes X No
Person to contact should sedimentation control issues arise during land -disturbing activity:
Name Leo Allen Venters Telephone [phone]
Landowner(s) of Record (Use blank page to list additional owners):
A.T. Venters Properties, LLC
Name(s) Name(s)
4202 Westhaven Avenue
Current mailing address Street address
Ayden NC 28513
City State Zip City State Zip
Recorded in Deed Book No. 2132, 4031, �,,gpage No. 195, 458,
Person(s) or f rm(s) who are financially responsible for this land -disturbing activity (Use
the blank page to list additional persons or firms):
East Ridge Development Corp. ieoventers@maii corn
Name of person(s) or Firm(s) Name(s)
1700 Tottenham Court
Current mailing address Street Address
Winterville NC 28590
City State Zip City State Zip
252-327-8100
Telephone Telephone

?. (a) If the Financials\ Responsible Party is a Corporation. gi\e name and street address of
the ReListered Aocilt.
Nantc(�)
Current mailing, aJJretiti tiu•cet AJJres"
Cil} State /it, Cit% titate /il'
I clel,hone I clephone
(b) If the Financially Responsible Part\ is a Partnership uli c the nannc and street address
ofeach General Partner (Use blank passe to list additional partlers):
�;uneltil \,unel�l
( urrcnt ntailins aJJr
Current m.t ilin_ aJJrctiti
t'it\ State /in ( it\ "'tatc /it,
I clephunc I elehhonc
The abo\e information IS tl-Lie and correct to the best of Ill\ kilo\\ledge and belief alld \\as
provided b\ nle Lllldel- oath. (T IliS turns must he siguned by the financially responsihle person if
an individual or his/her attorile\-Ill-Tact or il,not an indi\iilual h\ an officer, director, partner. or
registered a�sent \\ ith authority to execute instruments for the I-inanciall\ responsible person). 1
auree to pro\ ide corrected information shoLIILI there be III\ cham e in the information provided
herein.
Leo Allen Venters
I\ hr ��r I,rinl DU c
Sigi tore
Manager
I itle „r.\uthorit\
20Z0
Date
I.A/R7WAAr/EL J„f�6L a Notar\ Public ofthe Count\ 01' _ P/rr State
ol'North Carolina. llel'Cb\' certik tllal Leo Allen Venters '
appealed persoilall\ before Isle this da\ and being CILII\ s\\orn ackno\\ledged that the allmc flli'lll
\\as executed b\ him.
W IlileSS Ill\ hAl1Cl ai1Cl notarial Seal 1hIS (Fj da\ of OG(D f3j/c5—rZ__ , ?Q20,
IEL
\l\ Commission expires D f3/_Z ZpZye
OSARy
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