NCC233455_FRO Submitted_20231128

•
Gpv14TY-,�,o APPLICATION FOR PERMIT FOR A File#
'�� LAND DISTURBING ACTIVITY
Under the conditions set forth by LD Fee Review Fee
_ The New Hanover County
,• '�Ii � Soil Erosion and Sedimentation Control Ordinance
Date Pd Date Pd
4`st4BLISHtO"'•
Engineering Department
Applicant or Applicant's Agent: Castle Hayne Development Group, LLC
Mailing Address: 120 Market Square, 2nd Floor Telephone Number: 910-695-3694 Fax Number:
Pinehurst, NC 28374 Email Address: [e-mail]
Total Acres of Land Disturbance: 5.60 Purpose of Development: Retail Commercial Development
Description of Land Disturbance: Site Clearing, Grading, Stormwater, Utilities
Address of Land Disturbance 3400 Castle Hayne Road Latitude:34.3125 Longitude:-77.90202
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 MUST have a N.C.agent. (List Below)
Name: Ashton & Avery, LLC Name: Castle Hayne Development Group,LLC
Address: 201 Marshfield Drive Address: 120 Market Square, 2nd Floor
City/State: Wilmington, NC 28374 City/State: Pinehurst, NC 28374
Zip Code: 28374 Zip Code: 28374
Telephone Number: Telephone Number: 910-695-3694
Email: FaxNumber Email: FaxNumber:
Location of deed(s) or instrument(s): County: New Hanover Book: 6268 Page: 180
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: 06/19/23 L2 me Thomas avin Melia Title Member/Manager
Signature �'��""�
I, Kcal.h .Z.A0e.9 a Notary Public of the County of Sc li91 State of
•North Carolina, hereby certify that l Y1OWy4.s C'it1 von ry LI a 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 day of 3U1'�- , 20 23
Notary A�V v/ y- My commission expires 16•IS•21
SEAL KATELYN BAXLEY
NOTARY PUBLIC
Scotland County
North Carolina
Permission to Enter on Land My Commission Expires May 15,2027
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 in question in connection related to this p rmit application.
Otg/044-142
Application Signature and Date
PLEASE COMPLETE ALL PORTIONS OF APPLICATION

June 16, 2023
New Hanover County, Engineering Dept.
230 Government Center Drive, Suite 160
Wilmington, NC 28403
RE: Castle Hayne Tractor Supply Co.
3400 Castle Hayne Road
New Hanover County, NC
To Whom It May Concern:
We, As\-,}.,,c 4 Avoy the owners of 3400 Castle Hayne Road (DB 6268. PG 180).
We hereby grant permission to Castle Havne Development Group, LLC to perform land-disturbing
activities on this tract and to be permitted as the financially responsible party and permittee of the
Drainage, Stormwater, Utility, and Erosion Control Plans and Permits prepared by Paramounte
Engineering, Inc. as submitted to and approved by the New Hanover County Engineering Dept., and
other state or federal permit agencies.
Sincerel
SWORN TO AND SUBSCRIBED
sr"
ore me day of v�'�L , 2023.
Notary Public
ib•el-
My commission expires:
(Stamp or Seal)
Peter C Vitagliano
Notary Public
New Hanover County
North Carolina .e742
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