NCC222810_FRO Submitted_20220805

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 Rebekah Evans Transmission Line
2.
3.
4.
5.
Location of land -disturbing activity: County Cumberland City or Township Grays Creek
Upton Tyson Rd-78.834739 34.931081
Highway/Street LatltUde(decimalaegrees) Long ltUde(decimal degrees)
Approximate date land -disturbing activity will commence: 06/24/2022
Purpose of development (residential, commercial, industrial, institutional, etc.): Overhead Electric Line
Total acreage disturbed or uncovered (including off -site borrow and waste areas). 20
6. Amount of fee enclosed. $ 2,000 . 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.
rA
3
0
Has an erosion and sediment control plan been filed? Yes ❑ Enclosed 9 No ❑
Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Nathan Bass (Pike Engineering, LLC)
Phone: Office # 803-835-7929
E-mail Address [e-mail]
Mobile # [phone]
Landowner(s) of Record (attach accompanied page to list additional owners):
South River Electric Membership Corporation 910.892.8071
Name
PO Box 931
Current Mailing Address
Dunn, NC 28335
Phone: Office # Mobile #
17494 US 421 S
Current Street Address
Dunn, NC 28335
City State Zip City State Zip
10. Deed Book No. 11389 Page No. 0591 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).
South River Electric Membership Corporation [e-mail]
Company Name
PO Box 931
Current Mailing Address
Dunn, NC 28335
E-mail Address
17494 US 421 S
Current Street Address
Dunn, NC 28335
City State Zip City State Zip
Phone: Office # 910.892.8071 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:
Chris Spears
Name of Registered Agent
PO Box 931
Current Mailing Address
Dunn, NC 28335
City State
Phone: Office # 910.892.8071
[e-mail]
E-mail Address
17494 US 421 S
Current Street Address
_ Dunn, NC 28335
Zip City
Mobile #
Name of Individual to Contact (if Registered Agent is a company)
State Zip
(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 pro ided herein.
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Type or not name Title ctor Authority
ignature Date
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1, 1`���� �,� �O�,r�50� , a Notary Public of the County of
State of North Carolina, hereby certifythat�C' : s `(`C'\ <1 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 �'�,,,.Q_ 202Z
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E
W Johnson Notary
ary Public County, NC My commission expires `lS l