NCC242609_FRO Submitted_20240826

Pitt County
s. cop��4. Planning Department
4 -' e p Develo ment Services Building
'� °
1717 W. 5th Street
�'�f►CA Greenville, 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 Earp Residence Pond
2. Location of land-disturbing activity: County Pitt
City or Township Winterville , and Highway/Street NCSR 1725 (Jack Jones Rd)
3. Approximate date land-disturbing activity will be commenced: July 2024
4. Purpose of development(residential, commercial, industrial, etc.): residential
5. Approximate acreage of land to be disturbed or uncovered: 4 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 Bryan C. Faqundus, P.E. Telephone [phone]
8. Landowner(s) of Record(Use blank page to list additional owners):
Jonathan P & Julia C Earp
Name(s) Name(s)
5627 County Home Road
Current mailing address Street address
Winterville NC 28590
City State Zip City State Zip
9. Recorded in Deed Book No. 4310 Page No. 405
Part B. 4262 241
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):
Jonathan P & Julia C Earp
Name of person(s)or Firm(s) Name(s)
5627 County Home Road
Current mailing address Street Address
Winterville NC 28590
City State Zip City State Zip
252-521-1746
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.
Julia C. Earp Owner
Type oI,p�Jn't na e) 1 /' Title o� tira
l_
•to ure Date
I, 1<e<< t \—• Gil 1 , a Notary Public of the County of p 1 b State
of North Carolina,hereby certify that U u I I G.
appeared personally before me this day and being duly sworn Mowledged that the above form
was executed by him.
Witness my hand and notarial seal thi —'day of it . 20
•••••��,�.�•••...G' ''.,� Notary
;•' .� "s My commission expires 25.1 ?-ea
1.I
NOTARY i.
:, PUBLIC
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