NCC230433_FRO Submitted_20230216

APPLICATI0N FOR PERMIT FOR A File # a--
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LAND DISTURBING ACTIN ITY
4210
Under the conditions set forth by LD Fee Review Fee
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The New. Hanover County
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Sal{. Erosion and Seth tat nr t�� io�ntro1 Ordinance pate Pd r i7�tie Fd
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Engineering Department
Applicant or Applicant's Agent:
CSD Engineering
Mailing Address: PO BOX 4041
Telephone Number: 910-791-4441 Fax Number: 910-791-1501
Wilmington NC.28406
Email Address: howardecsd-ea&eerinjg.con
Total Acres of Land Disturbance:
1 .4 0 Purpose of Development: Recreational vehicle dealership expansion
Description of Land Disturbance:
Land grading for new drive aisles, parking lots, buildings and roadway improvements
Address of Land Disturbance
6845 Market Street Latitude:34D14'41.56" Longitude: 77D49'5199"
STATEMENT OF FINANCIAL RESPONSIBILITY
Land owner(s) of record: Person or firin(s) financially responsible for the
land disturbing activity. If nGt a North Carolina
resident, you MUST have a N.C. agent. (List Below)
Name: WPS Molding LLC
Name: WP5 Holdin LLC
Address.. 3549 Governors Island
Drive Address: 3549 Governors Island Drive —
City/State: Denver NC
City/State: . NC
Zip Code: 28037
Zip Code: 28037
Telephone Number: 910-251-3733 Telephone Number: 910-251-3733
[e-mail] Fa.xNumber __ mail: [e-mail] FaxNuraber:
Location of deed(s) or instruntent(s): County: New Hanover-- Book: 6332 page: 2384
The above information is true and correct to the Kest of my knowledge and belief and was provided by the 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 I - Z oz L Name Matthew 5uttle
Signature
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North Carolina.`l�
being duly s N��
Witness my ' +
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Notary
y piJ6VXEAL
Permission to Enter o�i Il�la�
Title Registered Agent
(C a Notary Pu of the County of A v State of
/,/_ appeared personally before me this day and
;Above form. was execrated by hire.
07
day of yJ u s f` 20 Z-
._-- My commission expires - 1 �?' Z
RECEIVED
AUG 1 8 2022
I certify that I am authorized to grant and do in factgrant permission to the Erosion '�t� � t%*k-fgcjjjs to enter on
the land in question in connection related to this permit application. l - -
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Application Signature and Date
PLEASE COMPLETE: ALL PORTIONS OF APPLICATION