NCC223843_ESC Approval Submitted_20221129

City of Raleigh
Permit Summary
Project Address: 5101 Capital Blvd
Project Description: Tier-1 —Han-dee Hugo's #53— Demolish convenience store building, car wash building, fuel canopy, 6
fuel pumps and associated parking. Construct new 3,825 SF convenience store building with 5 fuel
pumps and canopy, plus associated parking. Grading 1.05 acres
Date Issued
Permit Type
Work Class
Permit Number
Istatus
I Contractor Name
01/10/2022
ENG - Land Disturbance
(Grading)
Grading
LDG-030696-2021
Issued
J & K CONTRACTING LLC
Permit Expiration: Per General Statue 160A-418, permits shall expire six (6) months if work has not commenced or if after commencement the work is
discontinued for a period of 12 months.
Refund: Trade permits will only be refunded within the first 6 months of issuance. All refunds are subject to an administrative fee per permit which is equal
to the minimum permit fee.
Permit Portal: Use the permit portal at permitportal.roleighnc.oav to request inspections, make payments and manage your projects online. To see all
permits and available inspections for your project, go to the main permit and click on Sub -Records.
Certificate of Occupancy, Certificate of Completeness: The Certificate of Occupancy (CO) or Certificate of Completeness (CC) will be issued automatically after
all final inspections are approved for the project by the next business day. Go to the Attachments tab to view your CO or CC. An application is required
for Partial Certificate of Occupancy (PCO) for commercial projects, and Temporary Certificate of Occupancy (TCO) for residential and commercial
projects.
Customer Service Center: (919-996-2500): Call the Customer Service Center between 8:00 a.m. and 4:30 p.m., for help relating to inspections, payments, the
permit portal or general enquiries.
January 11, 2022 Page 1 of 1

City of Raleigh
Development Services
Land Disturbance (Grading) Permit
Inspector Name - Stephen Leischner
ADDRESS: 5101 Capital Blvd
NC PIN: 1726368594
City Limits: CITY-RALEIGH
Authorized Work: Tier-] —Han-dee Hugo's 453— Demolish convenience store
building, car wash building, fuel canopy, 6 fuel pumps and associated parking.
Construct new 3,825 SF convenience store building with 5 fuel pumps and canopy,
plus associated parking. Grading 1.05 acres
Work Type: Grading
Total Construction Cost: $0.00
Permit #: LDG-030696-2021
Permit Issuance Date: January 10, 2022
Permit Expiration Date: July 09, 2022
Conditions/Comments: 1. When grass is utilized
for stabilization requirements, permanent
groundcover must be applied over 100% of the
disturbed area. Permanent stabilization will be
achieved when 80% of the permanent
groundcover is growing and established with no
evidence of large bare patches or erosion.
2. ESC plan approved. Applicant shall apply to
NCDEQ for coverage under NCGO1 permit. You
may do so at: https://deq.nc.govNCGOI
Property Owner(s): General Contractor:
Sampson-Bladen Oil Company, Incorporated J & K CONTRACTING LLC
PO Box 469
Clinton, NC 28329-0469 [phone]
Permit Details
Disturbed Acres: 1.05
Type of Grading: Fine Grading, NPDES Permit
Permit Charges
Fee Name Fee Amount Amount Paid
ENG - Land Disturbing Permit Fees $340.00 $340.00
Totals: $340.00 $340.00
The erosion and sedimentation control plan for this project is hereby approved.
Ashley L. Rodgers, PE, CFM
Stormwater Review Manager

Contractor/Subcontractor Change Form
Development Services Customer Service Center • One Exchange Plaza, Suite 400 i Raleigh, NC 27601 i 919-996-2500
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1 0
00 go
Raleigh
This form is used to advise the Planning and Development Department that the original contractor listed on the permit
referenced below has been replaced, and to reflect that the permit be amended to reflect this change. This is also used
to advise the City that the new contractor, who has signed below, agrees to assume all responsibility for any portion of
the project that may have been installed by the original contractor.
INSTRUCTIONS: Please complete one form per permit, per contractor, per permit. Forms are processed within two
business days of receipt. This form can be submitted via email to field.services ralei hnc. o� or via a -fax at 919-996-
1825.
GENERAL INFORMATION
Project Address: 5101 Capital Blvd
Requested By: Bob Brantley
Date:111312022
Address:389 Instrument Dr
City: ROckv Mount J State: NC
Zip Code:27804
Phone #:[phone]
PERMIT NUMBERS
NOTE: Provide only the # for the permit(s) associated with a contractor change.
Building #: Electrical #: Plumbing #:
Mechanical #: Fire Sprinkler#: Fire Alarm #:
Zoning #: Land Disturbing ML06-p3pG14• Right -of -Way #:
Other (specify):
F
of Original Contractor: AK COntractlnq, Inc.
of New Contractor: Oakes Gradinq, Inc. State Contractor License #: 78073 PU
Address: PO BOX 17
City:Youngsville I State: NC zip Code.27596
License Holder Name (PRINT): Robbie Oakes
License Holder Signature:
OFFICE USE ONLY
The request to amend the above referenced permit was approved.
amendment of the permit.
Approved By:
Date
Page 1 of 1
Phone #: [phone]
Title: President
Completion of this form constitutes
REVISION 10.05.20
raleighnc.gov