NCC230282_ESC Approval Submitted_20230208

J
CERTIFICATE OF PLAN APPROVAL,
The posting of this certificate certif es .that an -erosion and sedimentation -control plan has been
approved for, this projeet by the ,'North Carolina Department of Environmental Quality.in -
accordance with North Carolina General Statute 113A — 57 (4) and 113A — 54 (d) (4) and North
Carolina AdministrativeCode, Title 15A, Chapter 4B.0107 (c). This certificate must be posted
at the primary entrance of the job site before construction begins and until establishment of
permanent groundcover as required by North Carolina Administrative Code, Title 15A,
Chapter 48.0127 (b)*
�.ubanks Site
November 4, 2022
Date of Plan Approval
Certificate of Coverage Number
Project Name and Location
DE
Polk
POLK-2023-001
Region
ngineer

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRIAN WRENN
Director
Mr. Glenn Eubanks
NORTH CAROLINA
Environmental Quality
November 4, 2022
LETTER OF APPROVAL WITH MODIFICATIONS
P.O. Box 11
Mill Spring, NC 28756
RE: Project Name: EUBANKS SITE
Acres Approved: 3.99
Project ID: POLK-2023-001
County: Polk
City: Mill Spring
Address: Manus Chapel Rd.
River Basin: Broad
Stream Classification: Wheat Creek - Class C
Submitted By: Mr. Glenn Eubanks
Date Received by LQS: October 6, 2022
Plan Type: Residential
Dear Mr. Eubanks,
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 on the attached page.
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 413.0129.
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 NCGO10000 Construction General Permit. After the form is reviewed and found to be
complete, you will receive a link with payment instructions for the $100 annual permit fee.
After the fee is received, you will receive the COC via email. You MUST obtain the COC prior
to commencement of any land disturbing activity. The eNOI form may be accessed at
deq.nc.gov/NCG01. Please direct questions about the eNOI form to Paul Clark at
[e-mail]. If the owner/operator of this project changes in the future, the
new responsible party is required to apply for his/her own COC.
�Q
14::� 0 E " - I W. -;. A
NORTH CAROUNA
Oepartrmi a4 EmkoiurtdMafI qualy
North Carolina Department of Environmental Quality j Division of Energy, Mineral and Land Resources
Asheville Regional Office 1 2090 U.S. Highway 70 ( Swannanoa, North Carolina 28778
828.296.4500

Letter of Approval with Modifications
Mr. Glenn Eubanks
November 4, 2022
Page 2 of 4
Title 15A NCAC 4B .0118(a) and the NCG01 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 NCG01 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 insure compliance with the approved plan.
North Carolina's Sedimentation Pollution Control Program is performance -oriented,
requiring protection of existing natural resources and adjoining properties. If, following
the commencement of this project, it is determined that 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 ensure 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 Form, which you provided. This permit allows for a land -
disturbance, as called for on the application plan, not to exceed the approved acres.
Exceeding the acreage will be a violation of this permit and would require a revised plan
and additional application fee. You are requested to file an amended form if there is any
change in the information included on the form. In addition, it would be helpful if you
notify this office of the proposed starting date for this project.
Your cooperation is appreciated.
Sincerely,
Fred Walker, PE
Express Engineer
Division of Energy, Mineral, and Land Resources

Letter of Approval with Modifications
Mr. Glenn Eubanks
November 4, 2022
Page 4 of 4
MODIFICATIONS REQUIRED FOR APPROVAL
Project Name: EUBANKS SITE
Project ID: POLK-2023-001
County: Polk
For final plan approval please provide to this office the requested documents listed below.
1. Provide signed written consent from Ms. Eubanks to Mr. Glenn Eubanks to conduct
land disturbing activities on county referenced parcel identification number and to
obtain an approved E&SC plan. Provide a copy of the current deed for the site.
Submit a revised Financial Responsibility/Ownership form with the latitude and
longitude section completed. {G.S. 113A-54.1.(a)}
2. Provide a temporary construction entrance and show location on the E&SC plan
sheet. {G.S. 113A-57.31
3. Provide inlet protection for all culvert pipes. {G.S. 113A-57.3}
4. Note on plan that all borrow and or waste must come from or go to a permitted site
and or facility. Contractor is to provide LQS inspector with permit number of
borrow/waste site before transporting materials. {15A NCAC 04B .0110}
S. Provide erosion control matting for conveyance stabilization. {G.S. 113A-57.3}
6. Include NPDES NCG010000 Major Elements Table and Inspection/Recordkeeping
Table in the E&SC plan. {NPDES NCG010000}
7. Provide construction details and maintenance requirements for proposed E&SC
measures, seeding types and rates, and mulching type and rates. {G.S. 113A-57.3}
8. Note size and type of material for culverts on plan sheet. {G.S. 113A-57.4}
Ref: G.S. 113A-54.1 through G.S. 113A-57
Sections 15A NCAC 04A.0101 through 15A NCAC 04E.0504
General Permit NCG 010000 NPDES for Construction Activities

Letter of Approval with Modifications
Mr. Glenn Eubanks
November 4, 2022
Page 3 of 4
Enclosures: Certificate of Approval
NPDES NCG01 Fact Sheet
Modifications
ec: Mr. Bryan Shamblin - NCDEQ-LQS (brvan [e-mail])
Mr. Landon Davidson, PG - NCDEQ DWR ([e-mail])
Mr. Andrew Moore, PG - NCDEQ DWR (andrew.w.moore(@ncdenr.gov)
cc: Regional Office file