NCC243041_FRO Submitted_20241001

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 West River Solar
2. Location of land-disturbing activity: County Guilford City or TownshipMCCIeanSVIIIe
1922 Mt Hope Church Rd 36.0849 N 79.6478 W
Highway/Street Latitude(decimaI degrees) Longitude(decimai degrees)
3. Approximate date land-disturbing activity will commence: 9/1 3/2024
4. Purpose of development(residential, commercial, industrial, institutional, etc.): Solar Farm
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 259
6. Amount of fee enclosed: $8,325.00 . 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❑ Enclosed ❑x No ❑
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name
Jos Freeman E-mail [e-mail]
Phone: Office# 833-436-1249 Mobile# [phone]
9. Landowner(s)of Record (attach accompanied page to list additional owners):
See Attached
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
10. Deed Book No. Page No. 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)maybe listed as the financially responsible party(ies).
Blue Ridge Power, LLC
Company Name E-mail Address
105 Fairview Rd., Ste 30
Current Mailing Address Current Street Address
Asheville NC 28803
City State Zip City State Zip
Phone: Office# 833-436-1249 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:
Registered Agent Solutions, Inc
Name of Registered Agent E-mail Address
176 Mine Lake Court, Ste 100
Current Mailing Address Current Street Address
Raleigh NC 27615
City State Zip City State Zip
Phone: Office# 800-906-9220 Mobile#
Naomi Ostopowitz
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
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.
Philip Dierickx Project Execution
Type •{print name Title or Authority
9/9/24
` •• - . re Date
I, M41044.10 Sra VII , a Notary Public of the County of SVYIC W
State of North Carolina, hereby certify that M�i VeriGK- appeared personally
before me this day and being duly sworn ackn wledged that the above formwas executed by him/her.
Witness my hand and notarial seal, this °PI day of .� lit'Vb r , 20 ?ilf•
,`»p,nm,p,r,i,i ng{1oi1�,,��4,-- RO(/.0 VV
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c ce , O r o My commission expires q
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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#

DocuSign Envelope ID:9DDBF850-BC28-4BC2-9FAB-ODFFF2AD45BD
BLUE RIDGE POWER
January 5, 2024
North Carolina Department of Environmental Quality
217 West Jones Street
Raleigh,NC 27603
RE: Blue Ridge Power; West River Solar; Consent to Initiate Land Disturbing Activities
To whom it may concern:
Please allow this signed letter to serve as consent on behalf of JH Stewart Family, LLC, a North
Carolina limited liability company, the owner of that certain real property by which the subject
application concerns, for the applicant to submit a draft erosion and sedimentation control plan,
and any related documents required to conduct the desired land disturbing activities.
Thank you very much,
JH Stewart Family,LLC,
a North Carolina limited liability company
By: CDocusigned by:
awl. Stuftur1. 1►^
42D78E49802A40D...
Name: Hillard W. Shepherd, Jr.
Title: Managing Member

Docusign Envelope ID:6043D24E-AD34-4E6E-B2A9-EC87D187868C
BLUE RIDGE POWER
August 20, 2024
North Carolina Department of Environmental Quality
217 West Jones Street
Raleigh, NC 27603
RE: Blue Ridge Power;West River Solar; Consent to Initiate Land Disturbing Activities
To whom it may concern:
Please allow this signed letter to serve as consent on behalf of Needham Farm, LLC,a North
Carolina limited liability company,the owner of that certain real property by which the subject
application concerns,for the applicant to submit a draft erosion and sedimentation control plan,
and any related documents required to conduct the desired land-disturbing activities.
Thank you very much,
Needham Farm, LLC
A North Carolina limited liability company
Signed by:
By:
63631777EA91488...
Name:Tom Needham
Title: Managing Partner

RLI Insurance Company
GRADING ON-SITE IMPROVEMENT PERMIT BOND
BOND # CMS357904 -
KNOW ALL MEN BY THESE PRESENTS: That we West River Solar. LLC
as Principal,and RLI Insurance Company,a corporation duly licensed to do business in the State
of North Carolina as Surety,are held and firmly bound unto
Guilford County ,Obligee,in the full and just penal
sum of Three Hundred Ninety Thousand and 00/100 Dollars
($ 390,000.00 ),the payment of which sum,well and truly to be made, the said Principal
and Surety bind themselves,and each of their heirs,administrators,executors,and assigns,jointly
and severally,firmly by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH,that whereas,the said Principal
has been granted a Grading Permit by said Obligee.
NOW,THEREFORE,if said Principal shall well and truly perform the duties and in all things
comply with the laws and ordinances,including all amendments thereto,appertaining to the
license or permit applied for,then this obligation shall be void,otherwise to remain in full force
and effect.
PROVIDED,HOWEVER,that this bond is issued subject to the following express conditions:
1. The aggregate liability of the Surety hereunder on all claims whatsoever shall not exceed
the penal sum of the bond in any event.
2. Any suit under this bond must be instituted before the expiration of two(2)years from
the date upon which Principal ceases work under the permit.
3. No right of action shall accrue on this bond to or for the use of any person or corporation
other than the Obligee named herein or the heirs,executors,administrators or successors
of Obligee.
Signed and sealed this 26th day of August ,2024.
PRINCIPAL: SURETY: ' on'.. "
SEAL:
West River Solar.LLC (seal) RLI Insurance Com an (seal) °��`,"O,,s,`
ame Title) Brenda Wong,Attorney-in-Fact
Doug stein, Au+ttor;te-Ct P(r OV

POWER OF ATTORNEY
RLI Insurance Company
Contractors Bonding and Insurance Company
9025 N.Lindbergh Dr. Peoria,IL 61615 CMS357904
Phone: [phone] Bond No.
Know All Men by These Presents:
That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes, but may be detached by the
approving officer if desired.
That this Power of Attorney may be effective and given to either or both of RLI Insurance Company and Contractors Bonding and
Insurance Company,required for the applicable bond.
That RLI Insurance Company and/or Contractors Bonding and Insurance Company, each Illinois corporations (as applicable),
each authorized and licensed to do business in all states and the District of Columbia do hereby make,constitute and appoint:
Brenda Wong in the City of Los Angeles , State of California
it's true and lawful Agent and Attorney in Fact, with full power and authority hereby conferred upon him/her to sign, execute,
acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds and undertakings in an amount not to exceed
Seventy Five Million Dollars($75,000,000)for any single obligation,and specifically for the following described bond.
Principal: West River Solar,LLC
Obligee: County of Guilford
RLI Insurance Company and Contractors Bonding and Insurance Company, as applicable, have each further certified that the
following is a true and exact copy of a Resolution adopted by the Board of Directors of each such corporation, and now in force,
to-wit:
"All bonds, policies, undertakings, Powers of Attorney or other obligations of the Corporation shall be executed in the
corporate name of the Corporation by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,
or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any
Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds,
policies or undertakings in the name of the Corporation. The corporate seal is not necessary for the validity of any bonds,
policies,undertakings,Powers of Attorney or other obligations of the Corporation. The signature of any such officer and
the corporate seal may be printed by facsimile or other electronic image."
IN WITNESS WHEREOF, RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have
caused these presents to be executed by its respective Sr.Vice President with its corporate seal affixed this 31st day of
October , 2023 RLI Insurance Company
„,so wicE'oq°0;-, "°'''' Contractors Bonding and Insurance Company
R ` _
SEAL s'. SEAL ., =
•
State of Ohio Eric Raudins<ti,r , KuHois
Sr.Vice President
} SS
County of Cuyahoga )) CERTIFICATE
On this 31 st day of October ,1021,before me,a Notary I, the undersigned officer of RLI Insurance Company and/or
Public,personally appeared Eric Raudins , who Contractors Bonding and Insurance Company, do hereby certify
being by me duly sworn, acknowledged that he signed the above Power of that the attached Power of Attorney is in full force and effect and is
Attorney as the aforesaid officer of the RLI Insurance Company and/or irrevocable; and furthermore, that the Resolution of the Company as
Contractors Bonding and Insurance Company, and acknowledged said set forth in the Power of Attorney, is now in force. In testimony
instrument to be the voluntary act and deed f said corporation. whereof, I have hereunto set my hand and the seal of the RLI
Insurance Company and/or Contractors Bonding and Insurance
p / Company this 26th day of August ,2024
By: /C/(
Jill A.Scott Notary Public RLI Insurance Company
Contractors Bonding and Insurance Company
_/ s J4l A SCorr /
a` _T Notary Pubic D
fp
State or Ohio By. Vim.
`-a _!- :° ray Comm.Expires Jeffrey iicl� Corporate Secretary
% 4- "o September 22,2025
A00AI124