NCC240803_FRO Submitted_20240321

PLAN REVIEW/FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
CATAWBA COUNTY CODE OF ORDINANCES, CHAPTER 16 ARTICLE V
SOIL EROSION AND SEDIMENTATION CONTROL
No person may initiate any land-disturbing activity on one or more acres as covered by the Ordinance before this form
and an acceptable erosion and sedimentation control plan have been completed and approved by the Catawba County
Utilities and Engineering Depai ltuent. (Please type or print, and if question is not applicable,please N/A in the blank)
PART A
1. Job Name ICLT10-DATA CENTER
2. PIN or 911 Address 1363711569552,363707678981,363707699340,363819608696,363708992517
3. Purpose of development(residential, commercial, industrial, institutional,etc.) INDUSTRIAL
4. Approximate soil disturbance date IJULY 2024
5. Total acreage disturbed or uncovered(including off-site borrow and waste areas) 1177 acres
6. Has an erosion and sedimentation control been filed? 17 Yes 1 No tx Attached
7. If you have an Erosion Control billing account, would you like this to be billed? I— Yes r No
Account Number
PEOPLE
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity
Name TREY WINGATE E-mail address [e-mail]
Telephone I706-818-6171 Cell # fr06-825-5868 Fax # N/A
9. Landowner(s) of Record(attach accompanied page to list additional owners)
Name !MICROSOFT CORPORATION Telephone Fax #
Current Mailing Address ONE MICROSOFT WAY
City REDMOND State IWA Zip 98052
Current Street Address ONE MICROSOFT WAY
City REDMOND State WA Zip 98052
10. Deed Book No. 3437 Page No. 11303 3785/1031 , 3709/0243, 3790/0243,
PART B
1. Person(s) or firm(s) who are financially responsible for the land-disturbing activity(Provide a comprehensive list
of all responsible parties on attached sheet):
Name MICROSOFT CORPORATION E-mail address
Current Mailing Address ONE MICROSOFT WAY
City REDMOND State IWA Zip 98052

Current Street Address IONE MICROSOFT WAY
City IREDMOND State IWA ; Zip 198052
Telephone I Fax# I
2. (a) If the financially responsible party is not a resident of North Carolina, give name and street address of the
designated North Carolina Agent:
Name ICT corporation system • E-mail address INA
Current Mailing Address 1150 Fayetteville St,Box 1011
City (Raleigh , State (NC Zip 127601
Current Street Address
City 'Raleigh
State INC Zip 127601
Telephone I Fax# I
2. (b) If the financially responsible party is a Partnership or other person engaging in business under assumed name,
attach a copy of the Certificate of Assumed Name. If the financially responsible party is a Corporation, give name
and street address of the Registered Agent:
Name I E-mail address I
Current Mailing Address I
City I State Zip I
Current Street Address
City State Zip
Telephone I Fax# I
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 attorney - in-fact, or if not an individual, by an officer,
director, partner or registe • : with th au )rity to execute instruments for the financially responsible person). I agree to
provide corry ted ation shy+ + there e a; change in the information provided herein.
A kcci-x cairity
Type o f - Sterie. Title of Attrth f�
Signatur ( Date II
I, , a Notary Public of the County of State of North
Carolina, hereby certify that appeared personally before me this day and being duly
sworn acknowledge that the above form was executed by him.
Witness my hand and notary seal,this day of ,20_.
Seal
Notary
My Commission expires
Print Form I

STATE OF WASHINGTON
COUNTY OF KING
This record was acknowledged before me on April 10, 2023 by Benjamin O, Orndorff as an
Assistant Secretary of Microsoft Corporation.
t>,e_e„ea d'V� aJ -NOTARY PUBLIC
My Commission expires: k l/ 20 247"--
KAREN R OB
NOTARY PUBUC#2200252RYON
STATE OF WASHINGTON
COMMISSION EXPIRES
,,NOVEMBER 18, 2025