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11TY•'VO APPLICATION FOR PERMIT FOR A File#
�y LAND DISTURBING ACTIVITY
''' Under the conditions set forth by LD Fee Review Fee
0� �I ° The New Hanover County
i a Soil Erosion and Sedimentation Control Ordinance
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Engineering Department
Applicant or Applicant's Agent: ThorneFish Properties,LLC
Mailing Address: 310 Bobby Jones Drive Telephone Number: 910.620.1414 Fax Number:
Wilmington,NC 28412 Email Address: clell@hammhearingaids.com
Total Acres of Land Disturbance: 0.6 Ac Purpose of Development: Offices and Art Gallery
Description of Land Disturbance: Grading for Commercial Development
Address of Land Disturbance 2280 Blockbuster Road Latitude: N34°10'45" Longitude: W77°55'05"
STATEMENT OF FINANCIAL RESPONSIBILITY
Land owner(s)of record: Person or firm(s)financially responsible for the
land disturbing activity. If not a North Carolina
resident,you MIDST have a N.C.agent.(List Below)
Name: Barclay Commons Retail,LLC Name: ThorneFish Properties,LLC
Address: 1201 Glen Meade Road Address: 310 Bobby Jones Drive
City/State: Wilmington,NC City/State: Wilmington,NC
Zip Code: 28401 Zip Code: 28412
Telephone Number: 910.762.2676 Telephone Number: 910.620.1414
Email:hill@cameronco.com Fax Number Email:clell@,hammhearingaids.com Fax Number:
Location of deed(s)or instrument(s): County: New Hanover Book: 5950 Page: 1116
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: 1". aQ Name 3d)VIC‘ C.C.U. *Lr'AIV\ Title M WrI�Co• JtifMB R._
Signature6
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1, ocArrire. L. 5-tJ.Je11 a Notary Public of the County of N€A.) 1.kanoVex' State of
North Carolina,hereby certify that John CIe t\ 'r A.M1M appeared personally before me this day and
being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notary eal,this day ofUlk�( 20�-3
Notary . �� \E L �t ., mission expires 1/ �7-/7�a5 .
'Y y
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SEAL
NOTARY
g PUBLIC =
Permission to Enter on Land = y ,`- - f
I certify that I am authorized to grant and do in 1 1 ct o the Erosion Control Inspector and his agents to enter on
the litnd in questi in connection r ated to this pert ,l, tlit.
'CAA/k 1 - I - 4043
/6t"
ation Signature and Date
PLEASE COMPLETE ALL PORTIONS OF APPLICATION
This application must be sealed by the notary and accompanied by 4 sets of plans, the fee, calculations, dimensions, temporary and
permanent seeding specifications, a maintenance plan for erosion control measures and seeding, and narrative statements as called for
by the ordinance. The following list specifies the minimum requirements.
SEDIMENTS AND EROSION CONTROL PLAN COMPONENTS
1. Name,address of the designer,phone number,fax number and email address.
2. Vicinity map. Address assigned by County Planning or the City of Wilmington.
3.Copy of deed(s)for the property.
4.Latitude and Longitude of Project.
5.DXF File.(On Disk)
6. Existing&Proposed topography.
7. Area to be disturbed(shown as construction limits on the plan with a legend. Include off site work).
8. Proposed site improvements(structures,roads,parking areas,lots,easements,etc.)
9. Construction Sequence.
10. Temporary sediment control measures (locations, dimensions, details and
calculations).
11.Graveled construction entrance(dimensions and cross section details).
12.Proposed storm water network(swales,culverts,inlet and outlet structures,etc.with grades,elevations,
details,drainage calculations with velocities)and energy dissipater dimensions.
13. Permanent erosion controls(locations,dimensions,details and calculations)
14. Permanent & temporary seeding specifications (seedbed preparation, soil amendments, seeding rates &
schedule).
15.Sediment and erosion control material specifications.
16.General notes.
17.Wetlands,C.A.M.A.areas, 100-year floodplain,575'HQW,and Conservation Overlay Districts must be shown on the
plan if applicable.
18.Maintenance plan for all erosion control measures&stabilization methods.
19.Tree protection approval from the City of Wilmington or New Hanover County Planning for subdivisions or New
Hanover County Zoning for Commercial Projects.
NARRATIVE STATEMENT COMPONENTS
1. Name and address of owner and of the financially responsible person, phone number, fax number & email
address.
2. Sealed notarized financial responsibility form with a North Carolina agent and individual's name/signature.
3. Purpose of land disturbing activity.
4. Storm water run off calculations and explanation of the method of determination.
5. Construction sequence and schedule(flow chart if available).
6. Re-vegetation specifications (preparation, seed type and rates; fertilizer, lime and mulch rates and
schedule)
The New Hanover County Erosion and Sedimentation Control Ordinance requires that all persons disturbing more than one (1)acre of
land must obtain approval of a soil erosion control plan and be issued a permit prior to the commencement of said land disturbing activity.
Before an application package is considered complete, this application must be completed and submitted along with the fees,plans,the
calculations, dimensions and the narrative to this office. The plans and narrative will be submitted to New Hanover County Soil
Conservation Service and State Stormwater. Plans must be submitted by the applicant to the New Hanover County Planning Department
for Conservation Overlay Review and subdivision tree approval. Commercial tree approval requires submittal to New Hanover County
Zoning. Projects within the City of Wilmington require City tree approval. Commencement of a land disturbing activity under the
jurisdiction of this Act prior to the approval of an erosion and sedimentation control plan is a violation of the Act.The Act further states
that the application package must be filed a minimum of thirty(30)days prior to the activity and the approving authority must approve the
submitted plan within thirty(30) days of receipt. Failure of the approving authority to approve or disapprove the submitted plan within
the thirty(30)day period will be deemed approval of the plan.Additional information may be requested after the 30 day period in order to
meet requirements of the ordinance.
No activity should proceed on site without the issuance of a land disturbing activity unless the approving authority fails to notify the
applicant (usually the engineer) within the 30 day submittal period. If an environmental document is required, the application will be
deemed incomplete until the document is available for review by the County. In this case,the applicant will be notified that the 30 day
time limit for a review of the plan shall not begin until a complete environmental document is available for review. Revisions or
amendments to existing plans must be submitted for review 15 days prior to any site changes. Until such time as the revision is approved
by the County, the land disturbing activity shall not proceed. Any nreviously nermitted site that requires additional work no
matter what size.must submit an amended erosion control nlan for aunroval prior to any chances on site,,All land disturbing:
Activity ona tract since 1988 is cumulative towards the one acre threshold and reauires a permit. NO work should begin on site
without a preconstruction erosion control conference,