HomeMy WebLinkAboutNCC242757_FRO Submitted_20240905 FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
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 Woodland Pointe Lot 18
2. Location of land-disturbing activity: County Pitt City or Township Greenville
Highway/Street 1942 Tull Rd Latitude(declmal degrees)35.5340 Long itude(decimal degrees)-77.3300
3. Approximate date land-disturbing activity will commence:9/23/24
4. Purpose of development(residential, commercial, industrial, institutional, etc.): residential
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 1 '1
6. Amount of fee enclosed: $ 120 . The application fee of$100.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: 8.10-acre application fee is$900).
Checks should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes 0 Enclosed ❑ No ❑
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Eduardo Garcia E-mail Address 177060@gmail.com
Phone: Office# 252-331-9593 Mobile#
9. Landowner(s)of Record (attach accompanied page to list additional owners):
Eduardo Garcia 252-331-9593
Name Phone: Office# Mobile#
PO Box 361 1300 Thomas Langston Rd Apt 3
Current Mailing Address Current Street Address
Winterville NC 28590 Winterville NC 28590
City State Zip City State Zip
10. Deed Book No.4495 Page No.800 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(ies).
GRE Construction, LLC 177060@gmail.com
Company Name E-mail Address
PO Box 361
Current Mailing Address Current Street Address
Winterville NC 28590
City State Zip City State Zip
Phone: Office# 252-331-9593 Mobile#
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:
Eduardo Garcia 177060@gmail.com
Name of Registered Agent E-mail Address
PO Box 361 1300 Thomas Langston Rd Apt 3
Current Mailing Address Current Street Address
Winterville, NC 28590 Winterville, NC 28590
City State Zip City State Zip
Phone: Office# 252-331-9593 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.
N/A
Company DBA Name
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.
Type or print name Title or Authority
W3/2-4
Signature Date
I,15m ` 47 rti , a Notary Public of the County of l t
aA Flo 6 v)
State of North Carolina, hereby certify that �� e4 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, thisc-5 day.1/'
Pri)
0 A E RIG/791�•• N ry d
NOTARY /
Puguc My commission expires
.ExP •d
Page 1 of 2
Type: CONSOLIDATED REAL PROPERTY
Recorded: 2/28/2024 9:13:05 AM
Fee Amt: $184.00 Page 1 of 2
Revenue Tax: $158.00
Pitt County, NC
Lisa P. Nichols REG OF DEEDS
B K 4495 PG 800 - 801
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax:$158.00 Recording Time, Book and Page
Tax Map Parcel Identifier No. 85706
This instrument was prepared by: H. E. Whichard, Jr.
THIS DEED made this 26th day of February 2024 by and between
GRANTOR GRANTEE
Happy Trail Farms,LLC Eduardo Garcia
P O Box 1863
Greenville,NC 27835-1863 P.O. BOX 361
WINTERVILLE, NC 28590
The property is not the primary residence of the Grantor.
The designation Grantor 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.
WITNESSETH, that the Grantor; for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged,has and by these presents does grant,bargain,sell and convey unto the Grantee in fee simple,all that certain
lot or parcel of land situated in the City N/A,Chicod Township,Pitt County,North Carolina and more particularly described
as follows:
BEING all of Lot 18 of Woodland Pointe Section 3 Phase 2 as rec gdedin Map Book 82 Page 188 of the Pitt County Registry
a
Submitted electronically by The Jones Law Firm PA in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Pitt County Register of Deeds.
Book:4495 Page:800 Page 1 of 2
Page 2 of 2
All or a portion of the property hereinabove described was acquired by Grantor by instrument recorded in Deed
Book 3527 Page 861of the Pitt County Registry.
A map showing the above-described property is recorded in Map Book 82 Page 188 and referenced within this
instrument.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto
belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee,that Grantor is seized of the premises in fee simple,has 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 lawful claims of all persons whomsoever except for the exceptions hereinafter stated.
All those easements and encumbrances that may or may not be of record including but not limited to water,sewer,electric,
telephone, cable, fiber optic, gas, utility easements, drainage easements,Pitt County Ordinances and zoning regulations,
NCDOT rights-of-way,easements of ingress,egress,regress and restrictive covenants,if any. Restricted to site built homes
with no less than 2,000 finished square feet. No commercial trucks or inoperable vehicles allowed to be stored outside on
lot. No commercial use permitted. No farm animals permitted. No discharging of firearms.
IN'ITN WHER F "e Gr or has hereunto set his hand and seal, or if corporate, has caused
this in ril eras:fo e ez' n ' s corporate name by its duly authorizes of;icer(s),the slay and year
first ov vvf=itte
/ (SEAL)
Happy/Trail Far s, L
By: H. E. ' ard, Jr. (SEAL)
Title: Manager
By: (SEAL)
Title:
(SEAL)
NORTH CAROLLNA, P i COUNTY
1j cL t 6 alto
(,,certify that the following person(s) personally appeared before me this day, each acknowledging to me that he
or she voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated: H.
E.Whichard,Jr. Witness my hand and official stamp or seal,this , day of February 2024.
My Commission Expires: 1406 5 11cili ,
0 Nota u lic
Print Notary Name: /y,5. k ibi 'qC %
Lisa M Mongiello
Notary Public
/ Pitt County, North Carolina
Book:4495 Page:800 Page 2 of 2