NCC240543_FRO Submitted_20240315

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w��i APPLICATION FOR PERMIT FOR A Fik _
z & f, LAND DISTURBING ACTIVITY
< Undo the conditions eat forth b, 1�tcc Review Fee
- _ The New Hanover County
Z t g •sz Soil coelioo and Sediments.-ion Control Ordinance Date PO Date Pd
Engineering DepartmC°` Christina Fulford - Fulford Construction Group
Applicant or Applicant's Agent
mailing Address" 6606 Lyons Ct &omirrn)lon NC 2 1 i Telephone Number: Fax Number:
Psnatl Address: dtrlsttna4ou'awn+Nt*orrl corn
Total Aces of Land;Jisturbartax: 31 acres pose of apmea: SFH residential new construction
I?escripori of Land Disturbance: hew house foundation,concrete driveway. _
Address of land✓istal:lance 740 Nautra Yacht Club Dr-1Ni1"9om NC Latitude: _Lonetude:
Lot numbers 18&19
STATEMENT OF FINANCIAL RESPONSIBILFIY
Led owrer,$) 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.eger t akt.Below)
Name: a►a-err" _- Name: - raig"0.1e
Address: 6102 Timber creek to Address: 6102 Tauber Creek In
City/State: Wainigton NC city/state: NFlmnglon NC
Zip Code: 2s411 Zip Code_ 2a41. -
Telephone Number: 9194094113 Texphone Numb: 9194°94113
Email: cnlppeme23agrnv Corti =axNumber Email: cnigpeme23agr skein FaxNumber: _ _ - _-_ -_.
Location o'deed(s)or ins rumcntls)- Coun'.y: ""wove' Bonk- 6520 Pam: 1358
The above information is true and correct to the best of my cnowiedge and belief and was provided by me while under oath.
(Thisform must be signed by the financially responsible persor if an individual and by an officer,director,partner, attchncy-in
fact, or other perstm of authority to execute inatnrnts for the financially responsible person if not an individual.) I agree tc
provide corrected information should there be/any change in the infornatio n provided herein
Date: IZ l 3�Z� - - Name �✓t^i , ti. 1----,_,4.I t'' .Title,C'`1�' ------- ---
S'gr atuae s� �" "-
?, I)C:m i n, Lk M,qC -cJl a Notary Public of the County of i .L,-, . - State of
North Carolina,hereby certify that C r ck:9 e L,' r'C appeared personally before me this day and
being duly sworn acknowledged that the above farm was executed by him.
witness my hand and notary seal,this day of_: .s-C,r ix r' ,20 Z 3 .
No - My commission expires -5a01. 3 i Lcz,:f-
SEAL DOMINICK MITCHELL
Notary Public
New Hanover Co.. North Carolina
My Commission Expires Jan.31,2028
-?rrilissico to .:a tte-r on?aAd
I certify that 1 am authorized to grant and do in fact grant permission to the Erosion Control Inspector and his agents to cater on
the land in ques - in lined to this permit application.
Application Signature
PLEASE COMPLETE ALL PORTIONS OF APPLICATION

This appbcatioa must be sealed by the notary and accompanied by 4 acts of plans, the fee. calculations, dimensone, temporary at
permanent seeding specifications, a mainteruince plan for erosion control measures and setting, and narrative statements as called for t
the ordinance The following bat specifies tie sinimom requirements.
SEDIMENTS AND EXOSION CON"TRQL PLAN COMPOSTS
Name,address of the designer,phone tmatber,fax norther and email address.
'Vicinity map. Atli assigned by Cry Planning or the City of Wilmington
3 Copy of S kr the property.
4 LAaitnde and iaiarivair of Project
5 PDF file(on CD).
6. Existing&Proposed topography.
7. Arta to be disturbed(shown as construction Limits or the plan with a legend. Include off site work)_
8. Proposed site unprovements(structures,roads,patting areas, loss,aoectaeta.etc.)
9. Consruction Sequence.
I0.Temporary sediment control measures(locations,dimensions.,details and calculations).
11.Graveled construction entrance(dimensions and cross sotto details).
12.Proposed storm water network(males,culverts,inlet and outlet structures,etc with grades,elevator's,details,
drainage calculatioes with velocities)and energy dirsipiter dimensions.
13.Peru agent eaoeioo controls(locations,dimensions,details and capcuiations).
14.Permanent&temporary seeding specifications(seedbed preparat too.soil amendments,seeding rates&whertile)
15 Sediment and erosion control material specifications
16. Gcraal cotes
17.Wetlands,CA.M.A areas, 100-year floodplain,575' HQW,and Conservation Overlay'Districts trust be shown on the
plan if applicable
18 Mainrrsesnce plan for all erosion control measures&stabilization methods_
19. Tree protection approval from the City of Wilmington or New Hanover County Pluming for subdivisions or New
Hanover County Zoning for Commercial Projects.
NAR18ATiVE$'TATEMENr CX)MPONENTS
1. Name and address of owlet and of the financially tesporssible person,phone number,fax number&email address.
2- Sealed notarized fmaacial responsibility farm with a North Carolina agent and irdividnal's namefsignature.
3. Purpose of land disturbing activity
4. Storm water run off calculations and explanation of the method of determination.
S. Construction sequence and schedule(flow chart if available).
6. Re-vegetation specifications(preparation, seed type and rates;fertiliser,lime and mulch rates and schedule)
The New Hanover County Erosion and Sedimentation Control Ordinance requires that all person 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 cominercement of said land disturbing activity.
Bdoar an application package is considered complete, this application must be completed and submitted along with the feats.plans, the
calculations, dimensions and the narrative to this office. The plans and narrative will be submitted to New Hanover County Soil
Comervation 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. Comore.-cial tree approval requires submittal to New Hanover County
Zoning. Projects within the City of Wilnwigtnn require City tree approval. Commencement of a land disturbing activity under the
jurisdiction of this Act poor 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 most approve:he
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 nxps tuterts 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 subrmttal period. If an eavuon xn al document is required, the application will be
deemed inrnroplete until the document is available for review by the County. In this case,the applicant will be notified that the 30 day
time limit fix a review of the plan shall not begin until a complete environmental document is available rot review. Revisions or
amradmrayts to rusting plans most be submitted for review 15 days prior to any site changes. Until such tune as the revisits;is arnwne.+.+,+
by the Canty. the land disturbing activity shall not proceed.