NCC240625_FRO Submitted_20240301

coU Pitt County
4� Planning Department
. Development Services Building
1717 W. 5th Street
Greenville, North Carolina 27834-1696 James F Rhodes,AICP
Telephone: [phone]
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 Dakota Creek Subdivision - Sec. 2 - Single Family Homes Construction
2. Location of land-disturbing activity: County Pitt County
City or Township Swift Creek Twsp. , and Highway/Street NCSR 1725 (County Home Rd.)
3. Approximate date land-disturbing activity will be commenced: February 2024
4. Purpose of development(residential, commercial, industrial, etc.): residential
5. Approximate acreage of land to be disturbed or uncovered: 9 acres
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 Tracey Davis Telephone [phone]
8. Landowner(s) of Record (Use blank page to list additional owners):
D.R. Horton, Inc.
Name(s) Name(s)
2000 Aerial Center Parkway, Suite 110
Current mailing address Street address
Morrisville NC 27560
City State Zip City State Zip
9. Recorded in Deed Book No. 4474 Page No. 745
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):
D.R. Horton, Inc. - Raleigh Durham Div.
Name of person(s)or Finn(s) Name(s)
2000 Aerial Center Parkway, Suite 110
Current mailing address Street Address
Morrisville NC 27560
City SatS}atc Zip City State Zip
336-312-6567 I i`1- 14.,03
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 fmancially 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 n p
Ty r print name Title or AuthoNty O
*gna re Date
I, , a Notary Public of the County of i1Y1j 11 State
of North Carolina, hereby certify that j `'I fr) V`\S
appeared personally before me this day and being duly sworn acknowledged that the above form
was executed by him.
Witness my hand and notarial seal this It. day oCP�(`,�r 1 . 20
Janis Perez Notary
NOTARY PUBLIC My commission expires 'll DQG
Johnston County V
North Carolina
My Commission Expires August 4,2026