NCC230669_FRO Submitted_20230331

FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
EXPRESS PERMITTING OPTION
No person may initiate any land-disturbing activity on one or more acres as covered by the Act before this form
and an acceptable erosion and sedimentation control plan have been completed and approved by the Land
Quality Section, N.C. Department of Environmental Quality. Submit the completed form to the appropriate
Regional Office. (Please type or print and, if the question is not applicable or the e-mail address or phone
number is unavailable, place N/A in the blank.)
Part A.
1. Project Name Havelock 230 kV Substation
2. Location of land-disturbing activity: County Craven City or Township Township 6
Highway/Street US HWY 70 Latltude(decimaldegrees) -76.9434 Long ltude(decimaldegrees)
34.9135
3. Approximate date land-disturbing activity will commence: March, 1 2022
4. Purpose of development(residential, commercial, industrial, institutional, etc.): Industrial - Utility
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 1 '53
6. Amount of fee enclosed $700'00 . The Express Permitting application fee is a dual charge.
The normal fee of$100.00 per acre (rounded up to the next acre) is assessed without a ceiling amount.
In addition,the Express Permitting supplement is$250 per acre up to eight acres,after which the Express
Permitting supplemental fee is a fixed$2,000.00 (Example:8.10-acre application fee is$2,900). Checks
should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes D Enclosed ❑x No D
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
E-mail Address Name Josh Josh Witherspoon [e-mail]
Phone: Office# 919-546-2177 Mobile# [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Duke Energy Progress, LLC 919-546-3459 N/A
Name *Formerly known as Carolina Power&Light Company Phone: Office# Mobile#
411 Fayetteville Street 411 Fayetteville Street
Current Mailing Address Current Street Address
Raleigh NC 27601 Raleigh NC 27601
City State Zip City State Zip
10. Deed Book No.0756 Page No. 0329 Provide a copy of the most current deed.

Part B.
1. Company(ies)who are financially responsible for the land-disturbing activity(Provide a comprehensive list
of all responsible parties on accompanied page.) If the company is a sole proprietorship or if the landowner(s)is
an individual(s), the name(s) of the owner(s)may be listed as the financially responsible party(ies).
Duke Energy Progress, LLC. [e-mail]
Company Name*Formerly known as Carolina Power&Light Company E-mail Address
410 S. Wilmington Street, NCRH 3 410 S Wilmington Street, NCRH 3
Current Mailing Address Current Street Address
Raleigh NC 27615-6417 Raleigh NC 27601-1849
City State Zip City State Zip
Phone: Office# 919-546-2177 Mobile# [phone]
Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form
the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation
control plan and to conduct the anticipated land disturbing activity.
2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
CT Corporation System [e-mail]
Name of Registered Agent E-mail Address
160 Mine Lake Court, Ste 200 N/A
Current Mailing Address Current Street Address
Raleigh NC 27615-6417 N/A
City State Zip City State Zip
Phone: Office#919-844-8360 Mobile# N/A
Karen Rozar
Name of Individual to Contact (if Registered Agent is a company)
(b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina agent who is registered on the NC Secretary of State business registry:
N/A N/A
Name of Registered Agent E-mail Address
N/A N/A
Current Mailing Address Current Street Address
N/A N/A
City State Zip City State Zip
Phone: Office# N/A Mobile# N/A
N/A
Name of Individual to Contact (if Registered Agent is a company)
(c) If the Financially Responsible Party is engaging in business under an assumed name, give name under
which the company is Doing Business As. If the Financially Responsible Party is an individual, General

Partnership, or other company not registered and doing business under an assumed name, attach a copy
of the Certificate of Assumed Name.
N/A
Company DBA Name
(d) If order to facilitate Express Permitting, it is necessary to be able to contact the engineer or other
consultant who can assist in providing any necessary information regarding the plan and its preparation:
HDR Engineering, Inc of the Carolinas [e-mail]
Engineering firm or other consultant E-mail Address
Michael Braun 919-900-1674 832-452-3034
Individual contact person (type or print) Phone: Office# Mobile#
The above information is true and correct to the best of my knowledge and belief and was provided
by me under oath. (This form must be signed by the Financially Responsible Person if an individual(s)
or his attorney-in-fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Party). I agree to provide
corrected information should there be any change in the information provided herein.
Josh Witherspoon Senior Transmission Permitting Manager
Type or print name Title or Authority
4.1 c/ _(:). 2_
Sirature Date
Ralti-%c-L' d WN . , a Notary Public of the County of J\
State of North Carolina, hereby certify that SOS k \1,-405 VL- appeared personally
before me this day and being duly sworn acknowledged that the abov form was executed by him/her.
Witness my hand and notarial seal, this Alay of�Q,1Q 40Q,r , 20
(3mat q64.13(")
Notary
.%GO, W. 84.
r •N5 eal p�btic '�'+; My commission expires ( • 2.2 (10 93 J "otacYCounty
Wake X fires
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Continued from Items 9 & 10 in Part A of the Financial Responsibility/Ownership Form for multiple
owners. Attach copies of this page as needed to list all landowners.
Landowner 2 of Record:
Weyerhaeuser NR Company
Name Phone: Office# Mobile#
100 Professional Center Dr. 100 Professional Center Dr.
Current Mailing Address Current Street Address
Brunswick GA 31525 Brunswick GA 31525
City State Zip City State Zip
Deed Book No.3335 Page No. 0707 Provide a copy of the most current deed.
Landowner 3 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 4 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 5 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.

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Recorded: 07/02/2014 at 03:40: 17 PM
Fee Amt : $3, 123.00 Pape 1 of 7
Revenue Tax : $3,097.00
Workflow# 0000116858-0003
Craven, NC
Sherri B. Richard Register of Deeds
BK3289 PG371
DEED
Parcel: 6-216-011 and Portion of 6-218-035 (Portion of Craven 38)
Revenue Stamps: $ '' , 0 cii ...
❑ If checked, the property includes the primary residence of the party of the first part.
(N.C. Gen. Stat. § 105-317.2)
STATE OF NORTH CAROLINA
COUNTY OF CRAVEN
THIS DEED, made and entered into this the /f ay of May, 2014, by and
between WEYERHAEUSER COMPANY, a Washington corporation authorized to do business
in the state of North Carolina, party of the first part (the address of the party of the first part is:
1785 Weyerhaeuser Road, Vanceboro, NC 28586); and WEYERHAEUSER NR COMPANY, a
Washington corporation authorized to do business in the state of North Carolina, party of the
second part (the address of the party of the second part is: Post Office Box 12768, New Bern,
NC 28561).
WITNESSETH :
That the party of the first part in consideration of the sum of Ten and No/100
Dollars ($10.00) and other good and valuable considerations to said party paid by the party of the
second part, the receipt of which hereby is acknowledged, has bargained and sold and by these
presents does bargain, sell and convey unto the party of the second part, said party's successors
and assigns, subject to the matters hereinafter set forth, the following described property, to wit:
Prepared by Ward and Smith, P.A., 1001 College Court (28562), Post Office Box 867, New
Bern, NC 28563-0867
Please return to Ward and Smith, P.A., 1001 College Court (28562), Post Office Box 867, New
Bern, NC 28563-0867
Attention: C. H. Pope, Jr.
No opinion on title is rendered by Ward and Smith, P.A., without a separate written opinion on
title frog ris i$ntithpf. i41.401.4

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All those certain tracts or parcels of land lying and being situate in
Number Six Township, Craven County, North Carolina, and being
more particularly described as follows:
I . FIRST TRACT (6-218-035 (Portion)):
Being a portion of Weyerhaeuser Company's Craven 38
Tract and being a portion of the tract described as
"Parcel #3 Tract: S.E. Tilton" described on pages 7, 8 and 9
of Exhibit A of the Deed from International Paper
Company to Weyerhaeuser Company dated
January 4, 1984 and recorded in Book 1048, Page 1014 in
the office of the Register of Deeds of Craven County,
which description is incorporated herein by reference for
the description of the "Parcel #3 Tract: S.E. Tilton" tract.
The "Parcel #3 Tract: S.E. Tilton" tract also is described as
Tract I in the deed from International Paper Company
recorded in Book 1129, Page 429 in the office of the
Register of Deeds of Craven County. The portion of said
property hereby conveyed is that portion which lies
north of the centerline of the tracks of the Camp
Lejeune Railroad.
a. There is saved and excepted from the aforesaid
property a portion of the Weyerhaeuser Company's
Craven 38 tract and being the property depicted as
"Construction Debris Site — 4.56 Acres +1-" on a
map entitled "Survey for Weyerhaeuser
Company-Craven #38 Construction Debris Site",
said map being recorded in Plat Cabinet I, Slide 6H
in the office of the Register of Deeds of Craven
County, reference to said map being hereby made
for a more perfect description of this saved and
excepted tract.
b. There is saved and excepted from the aforesaid
property that portion of Weyerhaeuser Company's
2

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BK3289 PG373
Craven 38 Tract and that portion of the "Parcel #3
Tract: S.E. Tilton which lies south of the centerline
of the tracks of the Camp Lejeune Railroad.
c. There is saved and excepted from the aforesaid
property the property depicted as "Shooting Range
Site" and "Out" on Exhibit A attached hereto and
incorporated herein by reference, this saved and
excepted property being more particularly described
as Lots Nos. 1, 2, 3, 4 and 5 as shown and
delineated on a map entitled "Division of Jacob
German Estate", said map being recorded in Plat
Cabinet C, Slide 246 in the office of the Register of
Deeds of Craven County, reference to said map
being hereby made for a more perfect description of
this saved and excepted tract.
2. SECOND TRACT (6-216-011 ):
Being a portion of Weyerhaeuser Company's Craven 38
Tract and being described as follows:
Beginning at a railroad iron in the west edge of the A. &
N.C. Railroad right of way at a point about 20 feet south of
the point where Sandy Run crosses the west edge of said
right of way and running thence with said right of way
South 19° 10' East 13.76 chains to a railroad iron, a corner
of J. L. Roper Lumber Company Tract No. 35; thence with
said Tract No. 35 South 37° West 39.92 chains to a
concrete monument and iron stake, a corner of Croatan
National Forest and said Lumber Company; thence with the
line of Croatan National Forest, the Bryan Lands and others
South 3° 30' West 60.11 chains to an iron stake; South 4°
15' West 8.58 chains to an iron pipe; South 65° 30' West
34.45 chains to an iron pipe; South 13° 15' West 25. 10
chains to an iron pipe; South 34° 20' West 27.27 chains to
an iron pipe in Black Swamp Branch; thence up said Black
3

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Swamp Branch northwestwardly 6.50 chains to an iron
pipe; thence South 34° 20' West 31 .42 chains to an iron
stake; thence North 10° 10' West 16.80 chains to U. S. F. S.
Monument No. 467; thence North 30° 15' East 106.00
chains to an iron pipe; thence North 27° 35' West 54.82
chains to an iron stake; thence North 19° West 5.78 chains
to a railroad iron, a corner of the Bryan Land and Croatan
National Forest; thence North 68° 30' East 82.74 chains to
the beginning, containing 657 acres, more or less, and
being depicted as "Tract No. (illegible) 657 Ac" on a map
entitled "Map of North Carolina Pulp Company, J. L.
Roper Lbr. Co. Tracts 30 to 36 Inc." said map being
recorded in Map Book 1 , Page 220 in the office of the
Register of Deeds of Craven County, reference to said map
being hereby made for a more perfect description of said
property.
The Second Tract is the same property depicted as Parcel E
in the deed from John L. Roper Lumber Company to North
Carolina Pulp Company recorded in Book 370, Page 57 in
the office of the Register of Deeds of Craven County.
3. THIRD:
The tracts hereinabove described and conveyed as First
Tract and Second Tract are further described as being cross
hatched and depicted as "Tract" on Exhibit A attached
hereto and incorporated herein by reference.
4. FOURTH:
This conveyance is made subject to easements of record or
on the ground, restrictive covenants of record, the
ownership interest, if any, of the Camp Lejeune Railroad in
its right of way, the right of way of Lake Road (NCSR
1756) and ad valorem taxes for the current year, which
4

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BK3289PG375
taxes the party of the second part, by accepting this deed,
agrees to pay.
TO HAVE AND TO HOLD said property and all privileges and appurtenances
thereunto belonging to the party of the second part, said party's successors and assigns forever,
subject, however, to the matters set forth above.
And the party of the first part covenants that said party is seized of said property
in fee and has the right to convey same in fee simple; that the same is free from encumbrances
except any encumbrances, restrictions or reservations mentioned above and that said party will
warrant and defend the title to the same against the lawful claims of all persons whomsoever.
IN TESTIMONY WHEREOF, the party of the first part has caused this
instrument to be executed in such form as to be binding, this the day and year first above written.
'' `. s , ' '' WEYERHAEUSER COMPANY
. SEAL :-• z, :: By'l--- CA.,0-4 S
Vice President
SHING
r I I .!1 1 . I I .`
5

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9 PG376
STATE OF WASHINGTON
COUNTY OF KING
I certify that the following person personally appeared before me this day, acknowledging to me
that he/she signed the foregoing document for the purpose(s) stated therein, in the capacity
indicated therein: David L. Godwin, Vice President of WEYERHAEUSER COMPANY.
Date: May \Li , 2014 ei... 14.45\ tietttdt'
Signature of Notary Public
C (.1Et,50 ,) -- kAuC-IS
Notary's printed or typed name
My commission expires: Seer t-t ) Zr0 6
(Official?aCSp,,,���
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4044 0F'WAys�
Notary seal or stamp must appear within this box.
700604-00190
ND: 4814-03 55-8930, v. 1

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BK3 2 8 9 PG377
EXHIBIT A
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shooting Range�,Iite , r •I"" �• ,_ i
ProposedII
Transfer Aria ' `'� , 1 Railroad ``
North of RR Tracyf` �f 1
1�.; � � /t.2'QL'�Tl
,.,Aika . .- a r Ls.. et;• j! \.