SW7071010_COMPLIANCE_20071019

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW .1()7D0
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

Q�OF V`1 H T FRPG Michad F. Easley. C uc or
.y William G. Ross Jr., Secretary
r North Carolina Department of Environment and Neutral Resources
1 �
October 19,
Ms. Joyce Tipton, Manager
James Joyce Property, LLC
117 Wolfpack Lane
Durham, NC 27704
Subject: Request for Stormwater Application
Stormwater Review SW7071010
James Joyce Storage
Beaufort County
Dear Ms. Tipton:
Collin H. Sullins. Director
Division of Water Oualm
This office received a copy of your Sedimentation and Erosion Control Plan application and plans for the
subject project located on Bayview Road, in Beaufort County on October 12, 2007, North Carolina Administrative
Code 15 NCAC 2H.1000 requires that any project located in a coastal County that must receive either a
Sedimentation and Erosion Control Plan approval and/or a CAMA Major permit apply for and receive a
Stormwater Management Permit by the Division of Water Quality.
To obtain a Stormwater Permit you must submit a completed application, application fee of $505.00, two
sets of plans and specifications showing the proposed project and all stormwater treatment units alonc with
engineering calculations, soils report and a narrative description. The application package should be received by
this office prior to November 19, 2007. If an application package is not received by this date we will consider the
project incomplete. We also have an Express Permitting program. If you are interested in this program you may
contact Ms. Lyn Hardison, One Stop Permit Coordinator, at 252-948-3842.
Any development of the site prior to receipt of the required permit will constitute a violation of 15A NCAC
2H.1000 and North Carolina General Statute 143-215.1 and may result in appropriate enforcement action
including civil penalty assessment of up to $25.000 per day.
If you have questions, please feel free to contact me at [phone].
Sincerely,
Thorpe
oger K. Thorpe
Environmental Engineer
Washington Regional Office
cc: Washington Regional Office
North Caroline Division of Prate. Oua!irr in:e-i::'. vrrit. �ga:vat.;r• ii-.�
eq; Wesiiingioa Square h5ail ?nor:: ;_i_, _�;b— _.__ _._
Washinmor. Fa,

6SW7071010
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
OCT 12 2007
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 Environment and Natural Resources. (Please type or print and, if
the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
Part A.
1. ProjectNamey�/z�!) 2-S \JONCP , V-iak(tG C_� l' ,
2. Location of land -disturbing activity: CountyCgK City or Township�0.�'(/'
Highway/Street C Latitude S50-ZL '- 2iS " Longitude
3. Approximate date land -disturbing activity will commence: N ou r -V,, 2oa_7
4. Purpose of development (residential, commercial, industrial. institutional, etc.): Co
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): Z ..S S r4
6. Amount of fee enclosed: S I [ 5 The application fee of S65.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is S585).
58
7. Has an erosion and sediment control plan been filed? Yes No Enclosed ✓
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
dm
Name )OCtCe ! n`Ll/� E-mail Address_�� ee lT� //��T 1-a Alip L
Telephone gl 18 8 0 L4411 Cell # Fax # 9! '1 ��p 30%p�o
9. Landowner(s) of Record (attach accompanied page to list additional owners):
am ex, (oVre-ta-oo4ks ,r C1C_ 9(� SBt� q4S(J6
Name r Telephone Fax Number
i 7 (2 64��14,az
Current Mailing Ad&ess Current Street Address
:bUP_k4)1A k) L A770 1) aA4VI
City State Zip City / State Zip
10. Deed Book No. 1� 3 Page No. 67 2 Provide a copy of the most current deed.
Part B.
Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide_ a
comprehensive list of all responsible parties on an attached sheet):
y��Wze' � foue� 2 L 1 G sou�e i7'M�oit/@ i�tL. Gu
Name— �� E-mail Addr ss
Current Mailinc Address
eieon 7; t2 �� 1
Current Street Address
QJG :o r1 1
-ad I\1Un—i i=r

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Tplpnhnnp Fax Number
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an
assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible
Party is a Corporation, give name and street address of the Registered Agent:
I.f x4wyl A496.eu Qf��e DQaLcl�aiavt
Name of Registered Agent E-mail Ad res
-35-00 1J)Ar4ac,Tc,_DL STD &6
Current Mailing Add ss
IUILL464 n1 17707
City nn p State Zip
Zip
G
Telephone t (� �D / /D'
Current Street Address
State Zip
Fax Number (1 9 4 / —'7r XJ9
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 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 Person). I agree to provide
corrected information should there be any change in the information provided herein.
Ty o print nam
Slg atur
Title or Au ority
-L� 07
Date
a Notary Public of the County of 1��Vzxk"
State of North Carolina, hereby certify that '6 e e. tA�� appeared
personally before me this day and being duly 9worn acknowledged that the above form was
executed by him.
Witness my hand and notarial seal, this \Z day of } ems 20 0-1
D& Notary",DU \ \
n courtM
state o`NOrQi Cep Idry commissl ..;;plres
w+v en Ex

about:blank
John
You are granted until December 3, 2007 to submit the required information.
Roger Thorpe
John AK Tucker PE wrote:
Please accept this is our formal request for a 2 week extension to submit a stormwater manage plan and
application.
Thanks for your help.
Regards,
John A.K. Tucker, PE
Consulting Engineer
PO Box 297
Fuquay Varina, NC 27526
Voice 919 567 0483
Fax [phone]
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