NCC231453_FRO Submitted_20230524

Pitt County
(8(c.cOU4� Planning Department
sn ,: ` Develo Development Services Building
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to s o am �� 1717 W. 5th Street
%cas�o~~ 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 Project Gen4
2. Location of land-disturbing activity: County Pitt
City or Township Ayden , and Highway/Street Pepsi Way
3. 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: 3.8
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} Name(s)
128 Pepsi Way
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 mailing address Street Address
Charlotte, NC 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
T=or print natal: Title or Authority
Jimot4' `6oder 10/6/2022
Signature Date
I, 1 r ,& L SSa 6n0eX , a Notary Public of the County of laxene&Ver State
of , hereby certify that ITmcrl-An\-1 Sod-e,r
Sou-Oh appeared personally before me this day and being duly sworn acknowledged that the above form
Carol;nek was executed by him.
Witness my hand and notarial`seal this (0 day of �+u 12-er . 2022.
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Notary
M„w�,N, My commission expires 412E 120Z 3
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i I�i. ,1 .NOTARY PUBLIC,STATE OF SOUTH CAROLINA
5\44�(�• Commission Expires 412612023
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