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Home My WebLink AboutSW8910705_HISTORICAL FILE_19910726STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW8 `� 1 o-1 O 5 DOC TYPE ❑ CURRENT PERMIT ❑ APPROVED PLANS 0 HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE Mg l 0, 2-to YYYYMMDD LEM OF UG°3L°aaOMMIL COUNTY OF BRUNSWICK . ROBERT E. TUCKER, COUNTY EN?jffMjVF_D P. O. BOX 249 Kc� BOLIVIA, NC 28422 w` 'r1mington Regtonat Office TO 1VG��tV'pEM L Z^1 �92p i r�+►•c, t D r� LAN , -:) L z04-05 - 2�84< _WE ARE SENDING YOU 24achecl ❑ Under separate cover via ❑ Shop drawings ❑ Prints ❑ Copy of letter ❑ Change order ❑ Plans 252 DATE ZLZICI ! JOB NO. ATTENTION N RE: ❑ Samples the following items: ❑ Specifications COPIES DATE NO. \ DESCRIPTION 2 �> I C'%IZH� JrJt+.c. �OtJ �f(�) .�( j-A�•1.� THESE ARE TRANSMITTED as checked below: Dr IM . XLEor approval ❑ Approved as submitted ❑ Resubmit %Ojo'ss-fc t ❑ For your use ❑ Approved as noted - ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR �BIDS DUE - 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS' COPYTO FORM66493, RAPIDFORMS, INC.. THOROFARE. NJ 090869499 If enclosures are not as noted, kindly notify us at once., ROBERT E. TUCKER, COUNTY ENGINEER P. O. BOX 249, -» BOLIVIA, NC 28422 TO t�1GVFrJ� I Z1�u� i rJac. �X7(:�� I in1 vV Ut�l 3�,-Nrl rJ ( -z- L _WE ARE SENDING YOU IrAttached ❑ Under separate cover via 252 DATE �J 7 4 r JOB NO. ATTENTION �+\ RE: the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 2 �3! 1 Gi2ra o�>� L,4LAM UN) uJ7TVl THESE ARE TRANSMITTED as checked below: . For approval ❑ For your use ❑ As requested ❑ For review and comment ❑ FORBIDS DUE REMARKS iC\ 1._C. (5 — ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections A ❑ Resubmit copies for approval,- ❑ Submit copies for distribution ❑ Return corrected prints 19 ❑ PRINTS RETURNED AFTER LOAN TO US c ( til 1 u 5a�r� -Tht IZ f;ePI44 ,�f�Ni L.�f 1A I41tftikce) I Kt V:: ZHgTuti W 1+1c-tti vJNI; -Tb —f1i Y f- A✓t I XA L V E 0 l,hr�Q �H I"r. COPY TO SIGNED FORM 66493, RAPIDFORMS, INC.. THOROFARE, NJ 08086 9499 - ` - , - •- If enclosures are noCas noted kindly notify us at once. FINANCIAL RESPONSIBILITY/OWNERSHIP FORM SEDIMENTATION POLLUTION CONTROL ACT No person may Initiate any land -disturbing activity on one or more contiguous 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, Health, and Natural Resources. (Please type or print and, If question is not applicable, place N/A in the blank.) Part A. 1. Project Name Solid Waste convenience Site N 2 2. Location of land -disturbing activity: County Brunswick or Township and Highway / Street N.C. 904 3. Approximate date land -disturbing activity will be commenced: July, 1991 4. Purpose of development (residential, commercial, industrial, etc.) : Government 5. Total acreage disturbed or uncovered (including off -site borrow and waste areas ) 6. Amount of fee enclosed $ $50 00 7. Has an erosion and sedimentation control plan been filed ? Yes X No B. Person to contact should sediment control issues arise during land -disturbing activity. Robert E. Tucker, P.E. 1.6 acres Telephone 919-253-4488 9. Landowner (s) of Record ( Use blank page to list additional owners.): County of Brunswick Name (s) P. 0. Box 249 Current Mailing Address Bolivia, NC 28422 City State Zip Current Street Address City State Zip Chy 10. Recorded in Deed Book No. 687 Page No.. 848.:.......:. . Part B. p�[� `'fit 1. Person (s) or firms (s) who are financially responsible forthis leth7afls[�r�irPg'aL•1f4i j(11se`t?ie b'fa'rikpagg . additional persons or firms): JUL 51991 County of Brunswick _Wumfnvtan Regional Office Name of Person (s)or Fi.an (s) oEM P. 0. Box 249 Mailing Address n lidn NC 98422 City State Zip Telephone 919-253-4331 Street Address JO;L, $ 1g91 City State., D E 4i rROJ # 9to— Telephone 2. (a) It the Financially Responsible Party is not a resident of North Carolina give name and street address of a Ncrth Carolina Agent. Name Mailing Address Street Address City State Zip City State Zip Telephone Telephone (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. II the Financially Responsible Party is a Corporation give name and street address of the Registered Agent. Name of Registered Agent Mailing Address Street Address City State Zip City State Zip Telephone Telephone 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 attomey-in- fact or if not an individual by an officer, director, partner, or registered agent with authority to execute Instru- ments for the finanacially responsible person ). I agree to provide corrected Information should there be any change in the information provided herein. T„maker, p-F County Engineer T e r ript nym� / Title or Authority eiP Llro r/ 1 Date a Notary Public of the County ofi„�..rr�/� State of North Carolina, hereby certify that , I appeared personally before me this day and being duly sworn acknowledged that the above form was exe- cuted by him. 1�; fSal7;�;p�1aand notarial seal, this day ofz 19�L. =. �� eaq� d'i."y� �,• •S'' No1J�J.�Oi-gCia. My commission expires �K CO AK --- - -- --------- ------ IW17 ZTZ -pa,6 iry is -o �^"�\. eV�. s,� c. G%qi w.. e--- -° �`roYe �_✓JI(1y4 rP lJ 1 V sell �� iJC� i�__^ �S1 �%U ... � � ;"� ti " �I � � �. I� il_ --___ ____.__. '. SECTION 3111 Page I. 1. 2. 3. 4. CONSTRUCTION SPECIFICATION EROSION AND SEDIMENTATION CONTROL SCOPE The work covered in this section shall include the materials, labor, installation, and maintenance of all devices necessary for the control of erosion and sedimentation as shown on the plans or directed by the Engineer. GENERAL REQUIREMENTS The Contractor shall take necessary measures to minimize soil erosion, siltation, water pollution, and air pollution. All devices and appropriate measures illustrated on the PLAN shall be installed prior to land disturbing activity and/or as work progresses. Failure on the part of the Contractor to perform the necessary measures shall result in the following actions: a. Notification to the Contractor of measures to be completed. b. If the Contractor fails to perform as directed by the Engineer within twenty-four (24) hours after notification, the Engineer may suspend work without extension of contract time. C. The Engineer shall allow the necessary work to be performed by other!&,at the Contractor's expense. EROSION AND SILTATION CONTROL The Contractor shall take reasonable precautions to prevent the eroding of soil and sedimentation damage to the project site, surrounding water bodies, water courses, and adjacent property. The Contractor shall be liable for any damages resulting from insufficient erosion and siltation control measures. EXECUTION OF WORK Temporary and permanent erosion control measures will be provided as illustrated on the plans or as directed by the Engineer or Inspector of the State of North Carolina -- Land Quality Section, All temporary controls shall be removed after site stabilization. 75