NCC220084_FRO Submitted_20220106

APPLICATION FOR PERMIT FOR A File #
LAND DISTURBING ACTIVITY
Under the conditions set forth by LD Fe,! _ Review Fee
The New Hanover County
Soil Erosion and Sedimentation Control Ordinance
Datc Pd Date Pd
800 Coosaw, Wilmington, NC N&T #20166 [Tract 3C]
Engineering Department
Applicant or Applicant's Agent: Norris & Tunstall Consulting En ineers, P.C. 1 John S. Tunstall, P.E.
Mailing Address: 2602 Iron Gate Dr., Suite 102 Telephone Number: 910-343-9653 _ Fax Number: 910-343-9604
Wilmington, NC 28412 _ Email Address: [e-mail] & anorris@ntengineers.00m
Total Acres of Land Disturbance: 10 ac, Purpose of Development:
Residential
Description of Land Disturbance: fit unit Townhome Development -TRACT 3C _
Address of Land Disturbance 800 Coosaw, Wilmington, NC Latitude: 34.167O N
Longitude:-77.9290 W
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- Eft Farms, LLC Name: Echo Farms, LLC
Address: do Matrix. CN 4000 Forsgate Drive Address: c/o Matrix, CN 4000 Forsgate Drive
City/State: Cranbury, NJ
Zip Code` 08512
Telephone Number:
732-521-2900
_ City/State: Cranbury, NJ
Code: 08512
Telephone Number: 732-521-2900
Email: [e-mail] FaxNumber 609-395-8289 Email: ltaylor@matrixcompaniescom FaxNumber: 609-395-8289
Location of deed(s) or instrument(s): County:
New Hanover County
Book: [Plat] 66 Page: 178-179
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: 12
Signature
Name Joseph Taylor Title
Manager
11 . r��6�� _ fid e✓ __V'4�7-9 / cam,*-1 allotary Public of the County of 46.0.Yo u re State of
New Jersey, hereby certify that T056Pff S /�Y�-a,t_ appeared personally before me this day and
being duly sworn acknowledged that the above form was executed by him.
Witness my h d and notary al, this AO day of & CCsK4ejo— 20 2-1
Notary My commission expires NANt
Notary Public: of Now Jersey
100 2045907
SEAL My Commisslon Expires June 9, 2023
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 in question in connection related to this permit application. ,r
Applicati S nature ajDate
PLEASE COMPLETE ALL PORTIONS OF APPLICATION