NCC232790_FRO Submitted_20230918

+ 4,0 APPLICATION FOR PERMIT FOR A
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LAND DISTURBING ACTIVITY File#
, tJ\�,` o Under the conditions set forth by LD Fee Review Fee
The New Hanover County
2 7 ,,i. a2 Soil Erosion and Sedimentation Control Ordinance
fs7:18LIsHED�� Date Pd Date Pd
Engineering Department
Applicant or Applicant's Agent: J.D. Edwards Investments, LLC/J.D. Edwards
Mailing Address:4119 Sheep Pasture Road Telephone Number:252-472-4661
p Fax Number:
Spring Hope, NC 27882-8019 Email Address: jezzell©edwardsinc.com
Total Acres of Land Disturbance: 8.56 Purpose of Development: Graded and gravled area for equipment stora
Description of Land Disturbance: Grading, compaction and surface gravel and geo textile
Address of Land Disturbance 5510 HWY 421 North 34d 18' 38" N 77d 59` 06" W
Latitude: Longitude.
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
J.D Edwards Investments, resident,you MUST have a N.C.agent. (List Below)
LLC
Name: Name:J.D Edwards Investments, LLC
Address: 4119 Sheep Pasture Address:4119 Sheep Pasture
City/State:Spring Hope, NC
City/State:Spring Hope, NC
Zip Code: 27882 Zip Code: 27882
Telephone [phone] Telephone Number:252-472-4661
Email:tezza it a�,edwardsinc.corn FaxNumber ezzelE edwardsinc.corn Email: l FaxNumber:
Location of deed(s)or instrument(s): County:New Hanover Book:3623 Page: 824
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: 5 Name J. Derri Edwards
Title Member
Signature
I, Saint.) K. Va.u.44A4 a Notary Public of the County of M461}
State of
North Carolina,hereby certify that i. D i2P.►t.t.. Ct A•0-1:1S appeared personally before me this day and
being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notary se this �5*k day of /t.lgit. 20 22.
Notary p ,k, . •.•S My commission expires
SEAL cti,: A,Q1•. Z.
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Permission to Enter on Lat lJ- ;••• •••; �..
I certify that I am authorized to kranl .dd•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.
Application Signature and Date
PLEASE COMPLETE ALL PORTIONS OF APPLICATION