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HomeMy WebLinkAboutNCC240513_Site Plan or Location Map_20240223 2/20/24, 3:17 PM Hubbard Commercial, LLC. Mail-NC DEMLR-FROF Application Approval with Modifications Needed CRM:0197040 HubbardBrant Godfrey<bgodfrey@hubbardcommercial.com> Ct)\I\I I:IICI;1I, NC DEMLR - FROF Application Approval with Modifications Needed CRM:0197040 3 messages SVC_DoNotReply-DEQPermits <DoNotReply-DEQPermits@deq.nc.gov> Tue, Feb 20, 2024 at 2:24 PM To: "Latham-Walters Engineering, Inc" <mitch@Iwengineer.com>, "Hubbard Realty of W-S, Inc" <bgodfrey@hubbardcommercial.com> ois.: .top,, Qom , `*� ��P .•,ti ,t, 1 ..koir\r-(; ..As., .: 91/AM V10- .., North Carolina Department of Environmental Quality Division of Energy, Mineral & Land Resources Land Quality Section Roy Cooper Governor Elizabeth S. Biser Secretary William Vinson Jr. (Acting) Director 02-20-2024 Hubbard Realty of W-S, Inc 1598 Westbrook Plaza Drive Winston Salem, NC 27103 RE: Project Name:Arbor Park Acres Approved: 13.1 Application ID: PA-002495 Permit Number: DAVID-2024-0119 Address: Nifong Road City: Clemmons County: Davidson River Basin: Yadkin- Pee Dee Stream Classification: C:Aquatic Life, Secondary Contact Recreation, Fresh water Plan Type: New Plan Dear Hubbard Realty of W-S, Inc, This office has reviewed the subject erosion and sedimentation control plan. We find the plan to be acceptable with modifications and hereby issue this Letter of Approval with Modifications. The Modifications Required for Approval are listed below.The Certificate of Approval must be posted at the job site. This plan approval shall expire three (3) years following the date of approval, if no land-disturbing activity has been undertaken, as is required by Title 15A NCAC 4B .0129. https://mail.google.com/mail/u/1/?ik=ff7d7c800b&view=pt&search=all&permthid=thread-f:1791447101599951901&simpl=msg-f:179144710159995190... 1/4 2/20/24,3:17 PM Hubbard Commercial, LLC. Mail-NC DEMLR-FROF Application Approval with Modifications Needed CRM:0197040 As of April 1, 2019, all new construction activities are required to complete and submit an electronic Notice of Intent (eNOI) form requesting a Certificate of Coverage (COC) under the NCG010000 Construction General Permit.After the form is reviewed and found to be complete, you will receive a link with payment instructions for the $120 annual permit fee.After the fee is processed, you will receive the COC via email.As the Financially Responsible Party shown on the FRO form submitted for this project,you MUST obtain the COC prior to commencement of any land disturbing activity.The eNOlform may be accessed atdeq.nc.gov/NCG01. Please direct questions about the eNOlform to the Stormwater Program staff in the Raleigh central office. If the owner/operator of this project changes in the future,the new responsible party must obtain a new COC. Title 15A NCAC 4B .0118(a) and the NCGO1 permit require that the following documentation be kept on file at the job site: 1.The approved E&SC plan as well as any approved deviation. 2.The NCGO1 permit and the COC, once it is received. 3. Records of inspections made during the previous 12 months. Also, this letter gives the notice required by G.S. 113A-61.1(a)of our right of periodic inspection to ensure compliance with the approved plan. North Carolina's Sedimentation Pollution Control Act is performance-oriented, requiring protection of existing natural resources and adjoining properties. If, following the commencement of this project, the erosion and sedimentation control plan is inadequate to meet the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina General Statute 113A- 51 through 66), this office may require revisions to the plan and implementation of the revisions to insure compliance with the Act. Acceptance and approval of this plan is conditioned upon your compliance with Federal and State water quality laws, regulations, and rules. In addition, local city or county ordinances or rules may also apply to this land-disturbing activity. This approval does not supersede any other permit or approval. Please note that this approval is based in part on the accuracy of the information provided in the Financial Responsibility/Ownership Form, which you provided. You are requested to file an amended form if there is any change in the information included on the form. This permit allows for a land-disturbance, as called for on the application and plan, not to exceed the approved acres. Exceeding the acreage can be a violation of this permit and may require a revised plan and additional application fee. In addition, it would be helpful if you notify this office of the proposed starting date for this project. Modifications Required for Approval: 1. Diversions are proposed to direct flow at sharp angles and for considerable lengths throughout the project. Stormwater flow is not likely to make sharp turns or change direction as proposed. Please address on the plans. [GS 113A-57(3)] 2. Please provide locations for stockpiles, with measures, if stockpiles will be used. These should not be located within 50 feet of any storm drain, basin, or stream unless no alternative is feasible. [G.S. 143-215.1] 3. All area required for stockpiling of topsoil, contractor staging,temporary access, haul roads,septic systems, erosion control measures or other land-disturbing activities associated with this project must be included within the disturbed limits. Please submit a revised erosion control plan reflecting any additional area, along with any associated fees. [15A NCAC 4B .0118] 4. Please note that all erosion control measures shall be installed prior to any grading work. General Comments: 1. Please print this email as your Letter of Approval for your NCG010000 Certificate of Coverage application. 2. Please notify this office prior to your pre-construction conference for this project by calling (336) 776-9800 and asking to speak with the Land Quality inspector for your county. Permission must be obtained and granted from NC DEQ DEMLR prior to the removal of any ESC measures. [GS 113A-51, 15A NCAC 4B .0120] 3. Any off-site borrow and waste required for this project must come from a site with an approved erosion control plan, a site regulated under the Mining Act of 1971, or a landfill regulated by the Division of Solid Waste Management. Trash/debris from demolition activities or generated by any activities on site must be disposed of at a facility regulated by the Division of Solid Waste Management or per Division of Solid Waste Management or Division of Water Resources rules and regulations. [15A NCAC 4B .0110] https://mail.google.com/mail/u/1/?ik=ff7d7c800b&view=pt&search=all&permthid=thread-f:1791447101599951901&simpl=msg-f:179144710159995190... 2/4 2/20/24,3:17 PM Hubbard Commercial, LLC. Mail-NC DEMLR-FROF Application Approval with Modifications Needed CRM:0197040 4.Additional measures may be required -The applicant is responsible for the control of sediment on-site. If the approved erosion and sedimentation control measures prove insufficient, the applicant must take those additional steps necessary to stop sediment from leaving this site. [15A NCAC 4B .0115] 5.The NCGO1 has a $120 yearly fee and our office often receives closure inspection requests days prior to yearly NCGO1 fee payment due dates. Be advised the project requires a closure inspection report by DEMLR prior to filing the Notice of Termination (NOT) to terminate NCGO1 coverage. The closure inspection should not be requested until after the site has achieved full vegetative stabilization and measures have been removed. The removal of temporary ESC measures, including basins, requires prior approval. Often, a full growing season is necessary between initial seeding/mulching and removal of measures. Please plan your construction accordingly to avoid contacting our office prematurely for a closure inspection. Also be advised you may be asked for representative site pictures prior to a closure inspection. [General Comment] Your cooperation is appreciated. Sincerely, Winston-Salem Regional Office - 336-776-9800 North Carolina Department of Environmental Quality Division of Energy, Mineral & Land Resources Land Quality Section Enclosures: Certificate of Approval Application Report North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources D_E Qd Winston-Salem Regional Office 1450 West Hanes Mill Road, Suite 300 I Winston-Salem NC,27105 afa�; ,w....,\ r 336-776-9800 Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized state official. 2 attachments pyi Application Report-Tuesday, February 20, 2024 212 PM.pdf 93K Certificate of Approval -Arbor Park.pdf 117K Brant Godfrey <bgodfrey@hubbardcommercial.com> Tue, Feb 20, 2024 at 2:44 PM To: Justin Nifong <justin@lycoproperties.com>, John-Lewis Godfrey <jlgodfrey@hubbardcommercial.com>, John Mooney <jmooney@hubbardcommercial.com> FYI [Quoted text hidden] Brant H. Godfrey, JD Director, Sales and Development Hubbard Commercial 1598 Westbrook Plaza Drive, Suite 200 Winston-Salem, NC 27103 336-733-1524, Cell 336-399-0398 https://mail.google.com/mail/u/1/?ik=ff7d7c800b&view=pt&search=all&permthid=thread-f:1791447101599951901&simpl=msg-f:179144710159995190... 3/4 NCGO1 Notice of Intent (NOI) Certification Form Directions: Print this form, complete, scan and upload to the electronic NOI. Then, mail the original form to the NC DEMLR Stormwater Program (with $120 check if paying by check) at: Division of Energy, Mineral & Land Resources Stormwater Program 512 N. Salisbury Street, 6th Floor (Office 640K) 1612 Mail Service Center Raleigh, NC 27699-1612 THE FORM YOU MAIL MUST BE COMPLETED WITH AN ORIGINAL SIGNATURE (NOT DIGITAL) [40 CFR 122.22] Per NC General Statute 143-215.68(i), any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article. . . shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000). Under penalty of law, I certify that(check all boxes to indicate your agreement): ✓❑ I am the person responsible for the construction activities of this project, for satisfying the requirements of this permit, and for any civil or criminal penalties incurred due to violations of this permit. O The information submitted in this NOI is,to the best of my knowledge and belief,true, accurate, and complete based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information. © I will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. ©' If the approved Erosion and Sediment Control Plan is not compliant with Part II (Stormwater Pollution Prevention Plan) of the NCG010000 General Permit, I will nonetheless ensure that all conditions of Part II of the permit are met on the project at all times. Q I hereby request coverage under the NCG010000 General Permit and understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. Project Name (must match Ala): Av6r 'PccK Specific Lot Numbers (must match Alb): Permittee (must match 81): kA1ocrd ilaslky 4P (,J-3 (�� Legally Responsible Person (must match 82& 83): r Cr,r"f' 6ocara--,-1 Title of Legally Responsible Person (must match 83b): Pr-o-5ze-tifl Print Name &Title of Signed if Authorized Individual Differs from Legally Responsible Person: Phone Number: 33`r3 ii -431 g Signature of Legally Respo si erson or Authorized Individual Date * IMPORTANT NOTE: This form must be signed by a responsible corporate officer that owns or operates the construction activity, such as a president,secretary, treasurer, or vice president, or a manager that is authorized in accordance with Part IV,Section B, Item(6)of the NCG010000 permit. FINANCIAL RESPONSIBILITY/OWNERSHIP FORM SEDIMENTATION POLLUTION CONTROL ACT No person may initiate any land-disturbing activity on one or more acres as covered by the Act, including any activity under a common plan of development of this size as covered by the NCG01 permit, before this form and an acceptable erosion and sedimentation control plan have been completed and approved by the Land Quality Section, N.C. Department of Environmental Quality. Submit the completed form to the appropriate Regional Office. (Please type or print and, if the question is not applicable or the e-mail address or phone number is unavailable, place N/A in the blank.) Part A. 1. Project Name: Arbor Park *If this project involves American Rescue Plan Act(ARPA)funds,list the Project Name below under which you applied for funding through the Division of Water Infrastructure (DWI). Is Project ARPA Funded ARPA Project Name ARPA Project# No 2. Location of land-disturbing activity: County: Davidson City or Township: Clemmons Highway/Street: Nifong Road Latitude: 35.953394 Longitude:-80.340724 3. Approximate date land-disturbing activity will commence: 3/15/2024 4. Purpose of development(residential, commercial, industrial, institutional, etc.): Residential 5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 13.10 6. The application fee of $100.00 per acre (rounded up to the next acre) is assessed without a ceiling amount (Example: 8.10-acre application fee is $900). 7. Has an erosion and sediment control plan been filed? Yes -Will be Mailed or Hand-Delivered 8. Person to contact should erosion and sediment control issues arise during land-disturbing activity: Name: Brant Godfrey E-mail Address: bgodfrey@hubbardcommercial.com Phone: 3367331524 Mobile: 3363990398 9. Landowner(s)of Record: Landowner(s) of Record Name Email Business Phone Mobile Phone Hubbard Realty of W-S, Inc bgodfrey@hubbardcommercial.com 3367331524 Physical Address Mailing Address Street 1 City State Zip Street 1 City State Zip 1598 Westbrook Winston NC 27103 1598 Westbrook Plaza Winston NC 27103 Plaza Drive Salem Drive Salem Part B. 1. Company(ies) who are financially responsible for the land-disturbing activity (Provide a comprehensive list of all responsible parties on accompanied page.)If the company is a sole proprietorship or if the landowner(s)is an individual(s), the name(s)of the owner(s)maybe listed as the financially responsible party(ies). Primary Financially Responsible Party Company Name Email Business Phone Mobile Phone Hubbard Realty of W-S, Inc bgodfrey@hubbardcommercial.com 3367331524 Physical Address Mailing Address Street 1 City State Zip Street 1 City State Zip 1598 Westbrook Winston NC 27103 1598 Westbrook Winston NC 27103 Plaza Drive Salem Plaza Drive Salem Additional Financially Responsible Parties Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation control plan and to conduct the anticipated land disturbing activity. 2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State business registry, give name and street address of the Registered Agent: Registered Agent Information Name = Email Business Phone Mobile Phone Physical Address Mailing Address Street 1 City State Zip Street 1 City State Zip (b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the designated North Carolina agent who is registered on the NC Secretary of State business registry: North Carolina Agent Information Name Email Business Phone ! Mobile Phone Physical Address Mailing Address Street 1 City State Zip Street 1 City State Zip Engineering/Consulting Firm Information Name Email Business Phone Mobile Phone Mitchell Latham mitch@Iwen ineer.com 1-(704)-895-8484 Physical Address Mailing Address Street 1 City State Zip Street:1 City State Zip Additional Details 1. Stream Classification: C: Aquatic Life, Secondary Contact Recreation, Fresh water 2. Was Express Review Requested: No The above information is true and correct to the best of my knowledge and belief and was provided by me under oath. (This form must be signed by the Financially Responsible Person if an individual(s) or his attorney-in-fact, or if not an individual, by an officer, director, partner, or registered agent with the authority to execute instruments for the Financially Responsible Party). 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