HomeMy WebLinkAboutNCC230438_FRO Submitted_20230215APPLICATION FOR PERMIT FOR A
LAND DISTURBING ACTIVITY
Under the conditions set forth by
The New Hanover County
Soil Erosion and Sedimentation Control Ordinance
Engineering Department
Applicant or Applicant's Agent:
LD Fee Review Fee
Date Pd Date Pd
Mailing Address: 421 Fayetteville St, Suite 600 Telephone Number: 984.833.4424 Fax Number:
Raleigh, NC 27601 Email Address. con nor. linton kimle-horn.com
Total Acres of Land Disturbance: 2.80 Purpose of Development: Building eX nSIOn C�r1StRlCtiOrt
Description of Land Disturbance: Adding 23.000 sf of retail space to Target building with utility relocations and parking lot improvements.
Address of Land Disturbance 4711 New Centre Drive Wilmington, NC 28405 Latitude: 34° 14'57.4"N Longitude: 77-52'47.8"W
Land owner(s) of record:
Name: Target Corporation
Address:1000 Nicollet Mall
City/State: Minneapolis, MN
Zip Code: 55403
Telephone Number: 612.761.6818
STATEMENT OF FINANCIAL RESPONSIBILITY
Person or firm(s) financially responsible for the
land disturbing activity. If not a North Carolina
resident, you MUST have a N.C. agent. (List Below)
Name: Sean Symonds - Target Corporation
Address: 121 Fairview St
-City/State: Clayton NC
_7ip Code: 27520
_ Telephone Number: 919-413-1647
Email: recilio,santanatBNaM .eom FaxNumber Email: Sean•Sym❑nds�jarget.t:orn F'axNumber: _
Location of deed(s) or instrument(s): County: New Hanover County Book: 2323 Page: 479
The above information is true and correct to the best of my knowledge and belief and was provided by me while under oath.
(This form must be signed by the financially responsible person if an individual and by an officer, director, partner, attorney -in -
fact, or other person of authority to execute instruments for the financially responsible person if not an individual_) I agree to
provide corrected information should there be any change in the information provided herein.
Date: 06/30/2022 Name
Signature .
111TI-L-IUCFP!IJW5 :i127;n I�
James L. Tucker
Title Sr. Real Estate Director
Notary Public of the County of jC yl ��_O � -_ State of
North Carolina, hereby certify that 5 appeared personally before me this day and
being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notary seal, this ?,7 day of ) jj 20 7,2
Notary ST. 'omrnission expires —
Caitlin A Rivera
SEAL NOTARY PUBLIC
Johnston County, N.C.
My Comrnission >=xplres D9-28-+?Q�B
Permission to Enter on Land
I certify that I am authorized to grant and do in fact grant permission to the Erosion Control Inspector and his agents to enter on
the land 't Mon in cone • n d to this permit application.
Application Signature and Date
PLEASE COMPLETE ALL PORTIONS OF APPLICATION