NCC230191_FRO Submitted_20230131

cPitt County
Planning Department
Development Services Building
�o a4 1717 W. 5th Street
Caszo�~ Greenville, North Carolina 27834-1696
Telephone: [phone] James F. Rhodes, AICP
Fax: [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. Project Name
2
3
Project Gen4
Location of land -disturbing activity: County Pitt
City or Township Ayden , and Highway/Street Pepsi Way
Approximate date land -disturbing activity will be commenced: March 2023
4. Purpose of development (residential, commercial, industrial, etc.): Industrial
5. Approximate acreage of land to be disturbed or uncovered: 18.1
6. Has an erosion and sedimentation control plan been filed? Yes X No
7. Person to contact should sedimentation control issues arise during land -disturbing -activity:
Name Matthew Kiker Telephone [phone]
8. Landowner(s) of Record (Use blank page to list additional owners)
Minges Bottling Group, Inc.
Name(s
128 epsi Way
Name(s)
Current mailing address
Street address
Ayden, NC 28513
City State Zip
City State Zip
9. Recorded in Deed Book No. 1344
Page No. 202
Part B.
1. Person(s) or firm(s) who are financially responsible for this land -disturbing activity (Use
the blank page to list additional persons or firms):
Frampton Construction
Name of person(s) or Firm(s)
Name(s)
4500 Cameron Valley Pkwy, Suite 220
Current mai I ing address
Street Address
Charlotte, IC 28211
City State Zip
City State Zip
973.985.2954
Telephone
Telephone

2. (a) If the Financially Responsible Party is a Corporation, give name and street address of
the Registered Agent.
Name(s)
Current mailing address Street Address
City State Zip City State Zip
Telephone Telephone
(b) If the Financially Responsible Party is a Partnership give the name and street address
of each General Partner (Use blank page to list additional partners):
Name(s) Name(s)
Current mailing address Current mailing address
City State Zip City State Zip
Telephone Telephone
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 or his/her attorney -in -fact or if not an individual by an officer, director, partner, or
registered agent with authority to execute instruments for the financially responsible person). I
agree to provide corrected information should there be any change in the information provided
herein.
Timothy Soder Project Manager
Type or print nam Title or Authority
Jilnot�r -gorCer 10/6/2022
Signature Date
I, i r `C.�l SSG iyr)DL-)(- , a Notary Public of the County ofState
of , hereby certify that Tryl kg 508-fir
50v-0n appeared personally before me this day and being duly sworn acknowledged that the above form
Caro I, rA was executed by him.
Witness my hand and notarial sealthisCc day of OLJ-R�>ef- . 2022.
Notary
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