NCC241600_FRO Submitted_20240528

Pitt County
Q�fi cot,44, Planning Department
Development Services Building
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1717 W. 5th Street
\ErGreenville, North Carolina 27834-1696 James F.Rhodes,AICP
Telephone: [phone] Director
Fax: [phone]
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 Whitaker Glenn Phase II
2. Location of land-disturbing activity: County Pitt
City or Township Greenville , and Highway/Street Poi 1 arrl Rd
3. Approximate date land-disturbing activity will be commenced: ,Ti 11 y 7074
4. Purpose of development(residential, commercial, industrial, etc.): Residential
5. Approximate acreage of land to be disturbed or uncotiered: 12 Ac
6. Has an erosion and sedimentation control plan been filed? Yes_ No X
7. Person to contact should sedimentation control issues arise during land-disturbing-activity:
Name Dewitt Newkirk Telephone [phone]
8. Landowner(s) of Record(Use blank page to list additional owners):
Unshakable Builders_, Inc
Name(s) Name(s)
1750 N. Greene St .
Current mailing address Street address
Greenville, NC 27858
City State Zip City State Zip
9. Recorded in Deed Book No. 4 4 9 2 Page No. 766
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):
TTnGlhakahl P Rni 1 r9Pr , Tnr,
Name of person(s)or Firm(s) Name(s)
1750 N. Greene St.
Current mailing address Street Address
Greenville, NC 27834
City State Zip City State Zip
252-341-8755
Telephone Telephone

2. (a) If the Financially Responsible Party is a Corporation, give name and street address of
the Registered Agent.
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Name(s)
17 So IJ. Gvctn.- Sf.
Current mailing address Street Address
&ecrwi (lc &IL 2-LSJ
City State Zip City State Zip
2$2 3 c,! i &Mo t
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.
Dewitt Newkirk President
Ty e Title pr Authority
/ ZG/Zc' �-/
Date
I, We-h-a, 6. , a Notary Public of the County of P. ft State
of North Carolina, hereby certify that De 1.4 it 'Jew k•r k.
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 Z b day of r'ar ch . 20 7•
NETRA E. BOYKIN tars
Notary Public, North Carolina My commission expires /1 - 211.204.5
Pitt County
My Commission Expires
November 24, 2025