HomeMy WebLinkAboutNCC242039_FRO Submitted_20240708 FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
EXPRESS PERMITTING OPTION
No person may initiate any land-disturbing activity on one or more acres as covered by the Act before this form
and an acceptable erosion and sedimentation control plan have been completed and approved by the Land
Quality Section, N.C. Department of Environmental Quality. Submit the completed form to the appropriate
Regional Office, (Please type or print and, if the question is not applicable or the e-mail address or phone
number is unavailable, place N/A in the blank.)
Part A.
1. Project Name Beaman Borrow Pit
2. Location of land-disturbing activity: County Greene City or Township Snow Hill
Highway/StreetBEAMAN OLD CREEK RDLatitude(decimal degrees)77.672647 Longitude(decimaidegrees) 35.466572
3. Approximate date land-disturbing activity will commence: 08-05-2024
4. Purpose of development(residential, commercial, industrial, institutional, etc.): Borrow Pit
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas):
6. Amount of fee enclosed . The Express Permitting application fee is a dual charge.
The normal fee of$100.00 per acre (rounded up to the next acre) is assessed without a ceiling amount.
In addition,the Express Permitting supplement is$250 per acre up to eight acres,after which the Express
Permitting supplemental fee is a fixed$2,000.00 (Example:8.10-acre application fee is$2,900). Checks
should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes ❑ Enclosed U No ^'
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Justin Barbour E-mail Address justin( barbourbrothers.com
Phone: Office# 919 242 1267 Mobile# 919 921 1313
9. Landowner(s)of Record (attach accompanied page to list additional owners):
John Milton Beaman n/a 252 916 0420
Name Phone: Office# Mobile#
871 HWY 91 871 HWY 91
Current Mailing Address Current Street Address
Snow Hill NC 28580 Snow Hill NC 28580
City State Zip City State Zip
10. Deed Book No. 0602 Page No. 0043 Provide a copy of the most current deed.
Part B.
1. Company(ies)who are financially responsible for the land-disturbing activity(Provide a comprehensive list
of all responsible parties on accompanied page.) if the company is a sole proprietorship or if the landowner(s)is
an individual(s), the name(s) of the owner(s)may be listed as the financially responsible party(res).
Barbour Brothers Construction Inc justin@barbourbrothers.com
Company Name E-mail Address
PO Box 95 2496 NC HWY 581 N
Current Mailing Address Current Street Address
Pikeville NC 27863 Pikeville NC 27863
City State Zip City State Zip
Phone: Office# 919 242 1267 Mobile# 919 921 1313
Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form
the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation
control plan and to conduct the anticipated land disturbing activity.
2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Name of Individual to Contact(if Registered Agent is a company)
(b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina agent who is registered on the NC Secretary of State business registry:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone. Office# Mobile#
Name of Individual to Contact(if Registered Agent is a company)
(c) If the Financially Responsible Party is engaging in business under an assumed name, give name under
which the company is Doing Business As. If the Financially Responsible Party is an individual, General
Partnership, or other company not registered and doing business under an assumed name, attach a copy
of the Certificate of Assumed Name.
Company DBA Name
(d) If order to facilitate Express Permitting, it is necessary to be able to contact the engineer or other
consultant who can assist in providing any necessary information regarding the plan and its preparation:
Engineering firm or other consultant E-mail Address
Individual contact person (type or print) Phone: Office# Mobile#
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(s)
or his attorney-in-fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Party). I agree to provide
corrected information should there be any change in the information provided herein.
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Type or print name Title or Authority
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Si t e Date
1,Sinsiet 003-0id Aoa , a Notary Public of the County of ' rl 63.
State of North Carolina, hereby certify thatat 1aa(J ,cr appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him/her.
Witness my hand and notarial seal, this day of( )Uff., , 20 62q
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Notary
My commission expires OI;3'.2S/
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Continued from Items 9 & 10 in Part A of the Financial Responsibility/Ownership Form for multiple
owners. Attach copies of this page as needed to list all landowners.
Landowner 2 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 3 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 4 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 5 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Continued from Item 1 in Part B of the Financial Responsibility/Ownership Form for multiple parties.
Attach copies of this page as needed to list all financially responsible parties.
Company 2 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 3 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 4 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 5 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
From:John Milton Beaman
871 HWY 91 Snow Hill NC 28580
June 10, 2024
Barbour Brothers Construction, Inc. (Justin Barbour)
PO Box 95, Pikeville NC 27863
RE: Beaman Borrow Pit
Greene County, NC
To Whom It May Concern,
This letter gives Barbour Brothers Construction, Inc(Justin Barbour) authority to pursue land approvals
for erosion and sediment control plans for the Beaman Borrow Pit, located at Beaman Old Creek Road,
Snow Hill NC 28580. I also give permission for Barbour Brothers Construction, Inc(Justin Barbour)to
perform excavation on this property.
Thank you for your consideration,
Landowner
John Milton Beaman
Financially Responsible Party cps TAn/I'I ,
oV/1212oz4 =`z O TA Rifs
stin Barbour, Vice President
AVBLIC'
Barbour Brothers Construction, Inc. o
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ROY COOPER �, + _- 1
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Governor ' W
ELIZABETH S.BISER `. 1
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Secretary Q
WILLIAM E.TOBY VINSON,JR NORTH CAROLINA
Interim Director Environmental Quality
05-23-2024
LETTER OF APPROVAL
Greene County Board of Education
ATTN: Frank Creech, Superintendent
301 Kingold Boulevard
Snow Hill, North Carolina 28580
RE: Project Name: Greene Central High School
Project ID: GREEN-2024-0101
Acres Approved: 20
County: Greene
City: Snow Hill
Address: NC Hwy 91
River Basin: Neuse
Stream Classification: C: Aquatic Life, Secondary Contact Recreation, Fresh water; SW: Swamp
Waters; NSW: Nutrient Sensitive Waters
Submitted By: Timmons Group
Plan Type: New Plan
Dear Mr. Creech,
This office has reviewed the subject erosion and sedimentation control plan. We hereby issue this
Letter of Approval. Any modifications required for approval are listed in the body of the email that
accompanied this attached letter. The enclosed Certificate of Approval must be posted at the job
site. This plan approval shall expire three (3) years following the date of approval, if no land-
disturbing activity has been undertaken, as is required by Title 15A NCAC 4B .0129.
As of April 1, 2019, all new construction activities not explicitly exempt are required to complete
and submit an electronic Notice of Intent (eNOI) form requesting a Certificate of Coverage (COC)
under the NCG010000 Construction General Permit. After the form is reviewed and found to be
complete,you will receive a link with payment instructions for the annual permit fee. After the fee
is processed,you will receive the COC. As the Financially Responsible Party shown on the FRO form
submitted for this project,you MUST obtain the COC prior to commencement of any land disturbing
activity. The eNOI form may be accessed at deq.nc.gov/NCG01.
Q North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
512 North Salisbury Street 1 1612 Mail Service Center I Raleigh,North Carolina 27699-1612
o�mrore.�me�iaai� /� 919.707.9200
Letter of Approval
Greene County Board of Education
05-23-2024
Page 2 of 2
Please direct questions about the eNOI form to the Stormwater Program staff in the Raleigh central
office. If the owner/operator of this project changes in the future, the new responsible party must
obtain a new COC.
Title 15A NCAC 4B .0118(a) and the NCG01 permit require that the following documentation be
kept on file at the job site:
1. The approved E&SC plan as well as any approved deviation.
2. The NCG01 permit and the COC, once it is received.
3. Records of inspections made during the previous 12 months.
Also, this letter gives the notice required by G.S. 113A-61.1(a) of our right of periodic inspection to
ensure compliance with the approved plan.
North Carolina's Sedimentation Pollution Control Act is performance-oriented,requiring protection
of existing natural resources and adjoining properties. If, following the commencement of this
project, the erosion and sedimentation control plan is inadequate to meet the requirements of the
Sedimentation Pollution Control Act of 1973 (North Carolina General Statute 113A-51 through 66),
this office may require revisions to the plan and implementation of the revisions to ensure
compliance with the Act.
Acceptance and approval of this plan is conditioned upon your compliance with Federal and State
water quality laws, regulations, and rules. In addition, local city or county ordinances or rules may
also apply to this land-disturbing activity. This approval does not supersede any other permit or
approval.
Please note that this approval is based in part on the accuracy of the information provided in the
Financial Responsibility Form and on the plan, which you provided. You are requested to file an
amended form if there is any change in the information included on the form.
Your cooperation is appreciated.
Sincerely,
Land Quality Section
Page 1 of 3
Book page O q
0602 0043
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GREENE COUNTY NC 06/09/2006 k BookNO p o . Page #3
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WARRANTY DEED
NO TITLE EXAMINATION PERFORMED BY DRAFTING ATTORNEY
Prepared by: Richard J. Archie
WHITE & ALLEN, P.A.
NORTH CAROLINA
GREENE COUNTY
C0
THIS DEED, made this day of June, 2006, by
JESSE MARION BEAMAN, Unmarried and JOSEPH STEVEN GIORDANO,
Unmarried, Grantors; to JOHN MILTON BEAMAN, Grantee;
WITNESSET H:
That Grantors, for a valuable consideration paid by
Grantee, the receipt of which is hereby acknowledged, have sold,
and by these presents, do grant, bargain, sell and convey unto
Grantee, his heirs and assigns, in fee simple, that parcel of
land lying and being in Snow Hill Township, Greene County, North
Carolina, and more particularly described as follows.
BEING all of that tract or parcel of land containing
1.53 acres, including right of way, by computer, as shown on
that map entitled "RECOMBINATION MAP FOR RECORD FOR JOHN MILTON
BEAMAN" dated 04/24/06 and prepared by Barrow & Barrow, P.A. ,
which map is duly of record in Map Book 28, at Page 38 in the
office of the Greene County Registry and is incorporated herein
by reference for a more accurate description.
Book:602 Page:43 Seq: 1
Page 2 of 3
Book Page
0602 0044.
TO HAVE AND TO HOLD the aforesaid parcel of land and
all privileges and appurtenances thereto belonging to the
Grantee in fee simple.
And the Grantors covenant with the Grantee that
Grantors are seized of said premises in fee, have the right to
convey the same in fee simple, that title is marketable and free
and clear of all encumbrances, and that Grantor will warrant and
defend the title against the claims of all persons whomsoever,
subject to valid and enforceable utility easements,
rights-of-way and restrictions of record, if any, and a pro rata
share of the current year's ad valorem property taxes and such
additional exceptions as may be hereinafter stated. Title to
the property hereinabove described is subject to the following
restrictions:
None.
The designation Grantors and Grantee as used herein
shall include said parties, their heirs, successors and assigns,
and shall include singular, plural, masculine, feminine or
neuter as required by context.
IN WITNESS WHEREOF, the Grantors have hereunto set
their hands and seals the day and year first above written.
ESSE MARION BEAMAN
J� E• STEVEN GIORDANO
I
2
Book:602 Page:43 Seq:2
Page 3 of 3
Book Page
0602 0045
STATE OF'A•1rl le.,-,O
COUNTY OF 4.1-14,
Personally appeared before me this day JESSE MARION
BEAMAN, Unmarried, being personally known to me or identified by
satisfactory evidence and acknowledged to me his due voluntary
execution of the foregoing instrument for the terms and purposes
therein set forth.
Witness my hand and notarial seal, this day of
June, 2006.
Signatu� � -'—
Printed Name: �-eqa V A: r,,.,p,,/„
Notary Public
uuu,rU4.
tl.. Y ;
My commission expires: 1. 67
Ls O d •
STATE OF
�..
COUNTY OF Qj
Personally appeared before me this day JOSEPH STEVEN
GIORDANO, Unmarried, being personally known to me or identified
by satisfactory evidence and acknowledged to me his due
voluntary execution of the foregoing instrument for the terms
and purposes therein set forth.
Witness my hand and notarial seal, this 2 day of
June, 2006.
•
Printed Name: Y•.Q111 1,1,1/Aht4 „,
Notary Public
J<� ai ► -r
My commission expires: ' Oer
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091024-00002 �� ` e
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Book:602 Page:43 Seq:3