NCC231691_ESC Approval Submitted_20230602

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PLAN APPROVAL LETTER is C+ -�
NORTH CAROLINA'S INTERNATIONAL CITY'm
May 17, 2023
Owner/Financial Responsible Party
Leoterra Johnson Street LLC
110-A Shields Park Drive
Kernersville, NC 27284
RE: APPROVAL of EROSION and SEDIMENTATION CONTROL PLAN
Project: Skeet Club Road and Johnson Street Subdivision
Location: at/near 4321 Johnson Street, High Point, NC 27265
Land-Disturbing Permit# EN 23 0065 2475
Dear Sir or Madame:
The Engineering Services Department has completed the review process for the Soil Erosion
Sedimentation Control Plan for the project referenced above. Based on our review, the plan
is hereby approved with the following conditions:
• This plan approval will specifically cover the Erosion and Sediment Control
Measures required for the phases listed in the following sequence:
• Tree Clearing Phase .
• Installation of perimeter measures as found on Sheet C2.0 of the
E&SC Plans submitted on 4-28-2023.
• Removal of Stumps.
• Providing sufficient ground cover per NCGO1 Permit and G.S.
113A-57(2) on all disturbed areas.
• Limit of Disturbance is to be clearly marked to prevent accidental entry of the buffers
during the activities listed above.
• No disturbance (including logging) will be permitted within:
• The Riparian Buffer.
• The Perennial or Intermittent Streams on site.
• The Wetlands.
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax: [phone] Phone: [phone] TDD: 336.883.8517

• All wetland and streams identified on Sheet C2.0 will be clearly marked so that they
are distinguishable from the Limits of Disturbance.
• Disturbance within Wetlands as shown on Sheet C2.0 as being approved for
disturbance via 404 Permit#SAW 2022 01124 will not be part of this approval
• No logging, grading or disturbance other than what is required to install Skimmer
Basins 1 through 4, and Diversion Ditches 1 through 8 or what is shown on Sheet
C2.0 will be allowed.
• Skimmer Basins 1 through 4 will be constructed/installed as per elevations shown on
Sheet C2.0 with Coir Baffles being spaced as per CoHP Detail 610.01. The Water
Quality Device Modified for Skimmer Sediment Basin, where noted on Basins 1
through 4, will be used.
• Prior to any additional grading, a revised Erosion and Sediment Control Plan must be
submitted for review and approval.
When you are ready for the Land-Disturbing Permit to be issued, please notify Engineering
Services to arrange for a pre-construction meeting.
The Erosion Control Measures shown on the plan(s) are approximate. Some field adjustment
may be required to make the measures work correctly.
An Erosion Control Financial Guarantee (Surety) is required to be submitted prior to any
Land-Disturbing activities. This refundable guarantee shall remain in force until the work is
completed in accordance with the Land-Disturbance Permit and the work is approved by the
Engineering Services Director. The amount of the guarantee required is $2000.00 per
disturbed acre and can be in the form of a Check, Irrevocable Letter of Credit, Equivalent
Security or Surety Bond. The Check, Irrevocable Letter of Credit or Equivalent Security can
be deposited with the City or held in escrow with a Financial Institution as per Section 7.2.2
—Performance Guarantee of the City of High Point Development Ordinance. Surety bonds
will be held by the city until released.
This letter will serve notice that:
• As per NCGS 15A NCAC 04B .0120 (b) and (c), INSPECTIONS AND
INVESTIGATIONS, this letter shall serve as notice that inspection of sites shall be
carried out by the staff of Department of Environmental Quality or other qualified
persons authorized by the Commission or Department of Environmental as necessary to
carry out its duties under the Act and no person shall refuse entry or access to any
representative of the Commission or any representative of a local government who
requests entry for purposes of inspection.
• Any amount of visual off-site sedimentation- the process by which sediment resulting
from accelerated erosion has been or is being transported off the site (land area under
responsible control of person or party conducting land-disturbing activities) of the land-
disturbing activities, or into a lake, natural watercourse, riparian buffer or wetland, or
noted violation(s) of the conditions set forth in the approved plan will necessitate a
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax: [phone] Phone: [phone] TDD: 336.883.8517

Notice of Violation (NOV) and/or a Stop Work Order being issued. If compliance is not
achieved within the allotted time set forth in the NOV, fines can be assessed and a
demand for payment can be imposed as per City of High Point Development Ordinance—
Chapter 9. Stipulations of a Stop Work Order will be imposed as outlined in the City of
High Point Development Ordinance—Chapter 9. In addition to the Notice of Violation
and/or Stop Work Order, any additional enforcement remedies and/or penalties outlined
in the Sedimentation Pollution Control Act of 1973 or the current City of High Point
Development Ordinance—Chapter 9, may be used in obtaining compliance.
• As per High Point Development Ordinance 2.5.10.G.1 and 2, the Land-Disturbing Penult
will become null and void one (1)year from the date of issuance. You may request in
writing, an 180-day permit extension 30 days prior to the expiration date, for good cause.
• The approval of the draft Erosion and Sediment Control Plan and the Land Disturbing
Permit issued by the City of High Point is conditional based on the applicant's
compliance with Federal and State water quality laws, regulations, and rules.
• The approval of the draft Erosion and Sediment Control Plan is based in part on the
accuracy of the information provided on the submitted Financial Responsibility Foiin. If
any changes to the submitted Financial Responsibility Four(e.g., ownership, address,
company name,North Carolina Agent, etc.) occur, then you are required to submit an
amended four showing such changes.
• The approval of the draft Erosion and Sediment Control Plan does not supersede any
other penult or approval.
• This Letter of Approval must be posted at the site of the land disturbing activity along
with the Land-Disturbing Permit,the approved Erosion and Sediment Control Plan. A
condition of this permit will be that the DEMLR Monitoring Form(i.e., Self-Inspection
Records for Land-Disturbing Activities per GS 113A-54.1 and Inspection and Monitoring
Records for Activities under Stormwater General Permit NCG010) must be maintained
while the Land-Disturbing Peuuit is active.
• Per G.S. 113A-54.1.(e), The landowner,the financially responsible party, or the
landowner's or the financially responsible party's agent shall perform an inspection of the
area covered by the plan after each phase of the plan has been completed and after
establishment of temporary ground cover in accordance with G.S. 113A-57(2) - the angle
for graded slopes and fills shall be no greater than the angle that can be retained by
vegetative cover or other adequate erosion-control devices or structures. In any event,
slopes left exposed will, within 21 calendar days of completion of any phase of grading,
be planted or otherwise provided with temporary or permanent ground cover, devices, or
structures sufficient to restrain erosion. The record of inspection, also known as the
DEMLR Monitoring Form, shall set out any significant deviation from the approved
erosion control plan, identify any measures that may be required to correct the deviation,
and document the completion of those measures. This record shall be maintained until
peiuianent ground cover has been established as required by the approved erosion and
sedimentation control plan. The record of inspections is required by this subsection shall
be in addition to inspections required by G.S. 113A-61.1 (NOV).
• Modifications to the approved Erosion and Sediment Control Plan that require changes to
the Erosion and Sediment Control Plan shall be approved by the Erosion and Sediment
Control Plan Authority prior to modification. Minor adjustments/deviation(s) from the
approved Erosion and Sediment Control Plan to address minor deficiencies can be
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax: [phone] Phone: [phone] TDD: 336.883.8517

approved by the Erosion and Sediment Control Plan Authority. Deviations are limited to
the following deficiencies:
o Addition of E&SC measures (e.g., silt fence, inlet protection, check dam, rolled
erosion control practices, etc.).
o Relocation of E&SC Measures that improve the overall stormwater and sediment
control.
• Erosion Control Measures must be maintained until site is stabilized with sufficient
ground cover:
o The establishment of temporary ground cover in accordance with G.S. 113A-
57(2), ... slopes left exposed will, within 21 calendar days of completion of any
phase of grading, be planted or otherwise provided with temporary or permanent
ground cover, devices, or structures sufficient to restrain erosion. Stabilization by
temporary ground cover is recognized as being achieved with the establishment of
a uniform and evenly distributed(no large, denuded areas) ground cover with a
cover density of at least 80%.
o Permanent ground cover sufficient to restrain erosion after completion of
construction or development shall be accomplished within 90 calendar days (15A
NCAC 04B .0107) as specified by rule of the Commission. Stabilization by
permanent ground cover is recognized as being achieved with the establishment
of a uniform and evenly distributed (no large, denuded areas) ground cover with a
cover density of at least 80%.
• A condition of this approval is that the permittee will maintain close contact with the
Erosion Control Inspector. It is the responsibility of the person conducting the land-
disturbing activity to inform the Erosion Control Inspector of:
o Any site-specific conditions that would lead to a site being in non-compliance or
violation of the approved Erosion and Sediment Control Plan.
o Any proposed temporary removal of an Erosion Control Measure in order to
disturbed, install, construct, build, grade repair, etc. , an area where the measure is
in conflict with proposed grading/building activities. An example of a temporary
removal would be the removal of water bars, berms, etc., in a road/street under
construction so that new/additional grading can be performed in the immediate
area of the measure being temporarily removed. Any temporarily removed
measure must be re-installed prior to a rain event, completion of the activity
which necessitated the temporary removal of the measure(s), or prior to the end of
the workday.
o Any "upset" of the Erosion and Sediment Control Measures required by the
approved Erosion and Sediment Control Measures.
o Any planned or accidental "Draw Down" of Sediment Basins for maintenance or
close out.
• The Sedimentation Pollution Control Act of 1973 (NCGS 113A-51 through 66) is
performance-oriented, requiring protection of existing natural resources and adjoining
properties. If following the commencement of this project, the approved E&SCP is found
to be inadequate to meet the requirements of the Sedimentation Pollution Control Act of
1973, revisions to the plan may be required by the Erosion Control Inspector.
• Construction site pollutants must be maintained on-site and not allowed to reach the
state's waters. Any spent fluids from construction traffic must be cleaned up and disposed
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax: [phone] Phone: [phone] TDD: 336.883.8517

of properly. Any herbicide, pesticide and fertilizer must be used in accordance with the
label restrictions. All wastes composed of building materials shall be disposed of in
accordance with North Carolina General Statues, Chapter 130 A, Article 9— Solid Waste
Management, and rules governing the disposal of solid waste (NC Administrative Code
Section 15A NCAC 13B). No dumping of paint and other liquid building material waste
in storm drains. Concrete materials onsite, including excess concrete, must be controlled,
and managed to avoid contact with surface waters, wetlands, or buffers. No concrete
slurry shall be discharged from the site.
• Erosion Control Measures to prevent construction traffic from tracking sediment onto the
streets must be provided and maintained. Any debris or sediment shall be cleaned from
the street surface immediately.
SPECIAL INFORMATION:
• Update your Financial Responsibility/Ownership Form to reflect the new name of the
subdivision. A copy of the Financial Responsibility/Ownership Form is attached.
• The Financially Responsible Party is required by Section 6.3.1. of the Development
Ordinance or § 15A NCAC 04B.0105 to protect all public and private property from
sedimentation and erosion damage caused by the land-disturbing activities. Erosion
and Sediment Control Measures must be provided and maintained to prevent off-site
sedimentation to adjoining properties, stottiiwater drainage systems, streams/lakes,
streets and/or sidewalks.
Site Data:
Project Name: Skeet Club Road and Johnson Street Subdivision
Land-Disturbing Permit(CHP Project Tracking ID): # EN 23 0065 2475
Limits of Disturbance (in acres) approved: 33.06 acres per FR/OF
Address: at/near 4321 Johnson Street
City: High Point
State: NC
Zip Code: 27265
County: Guilford
Latitude (in decimal degrees): 36.038855 degrees *
Longitude (in decimal degrees): -80.021426 degrees *
River Basin: Cape Fear
Receiving Water-Body: West Fork Deep River
Stream Index: 17-3-(0.7)
Draft E&SCP submitted by: Bowman North Carolina, 10130 Perimeter Parkway,
Charlotte NC 28216
Date(s) draft E&SCP Received: April 28, 2023
Plan Type: E&SCP
Is this site part of a project covered under a common plan of development: No
* - Construction Entrance
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax: [phone] Phone: [phone] TDD: 336.883.8517

You will be required to submit for an electronic Notice of Intent(NOI) form requesting a
Certificate of Coverage (COC)under the NCG010000 Construction Stormwater General Permit
from the Department of Environmental Quality (DEQ). Detailed information can be found on the
North Carolina Environmental Quality's website at https://deq.nc.gov/about/divisions/energy-
mineral-land-resources/energy-mineral-land-permits/stormwater-permits/construction-sw
Please call me if you have any questions or comments.
Sincerely,
Scott E. Ford
Engineering Services Department
[phone]
cc: File
Brandon Shreves, PE, Bowman-North Carolina, 10130 Perimeter Parkway, Charlotte
NC 28216 (via email)
Attachment:
Financial Responsibility/Ownership Form
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax: [phone] Phone: [phone] TDD: 336.883.8517

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NORTH CAROLINA S INTERNATIONAL CITY'"
City of High Point
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
Pursuant to 6.3 of the City of High Point Development Ordinance, no person may initiate any land-
disturbing activity, as that term is defined in Chapter 10 of the City of High Point Development
Ordinance,before this authorized statement of financial responsibility and/or ownership, and an
acceptable erosion and sedimentation control plan, have been completed, submitted, and approved by the
City of High Point Department of Engineering Services.
If the applicant/financially responsible party is not the owner of the land to be disturbed,the owner's
written consent(signed and dated) for the applicant/financial responsibility party to submit a draft
Erosion and Sediment Control Plan and to conduct the anticipated land-disturbing activity must be
submitted with this document.
Submit the completed form to the City of High Point Department of Engineering Services or appropriate
ACCELA Record if required
Please type or print. 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
2. Address/Location of land-disturbing activity (include Zip Code):
Street Address
City NC Zip Code
County(ies)
Latitude (decimal degrees) Longitude (decimal degrees)
(for Latitude and Longitude Location,please use main entrance for the above location)
3. Approximate date land-disturbing activity will commence:
Month Day Year
4. Purpose of development (residential, commercial, industrial, etc.)
FinResFm Revised 9-2022. Page# 1

5. Total acreage of land to be disturbed or uncovered(include off-site and waste areas in acres):
Acres to be Disturbed acres
Off-site and/or waste site to be include with this project acres
Total Disturbed Acres (disturbed area plus off-site/or waste site) acres
6. Is this statement of Financial Responsibility and/or Ownership submitted for(choose one):
An initial Erosion and Sedimentation Control Plan.
IA revised Erosion and Sedimentation Control Plan. If the revised submittal proposes
additional disturbance,provide additional acres
A transferred Erosion and Sedimentation Control Plan.
7. Landowner(s)of Record—Company or Individual (if needed, use attached page to list additional
owners):
Landowner(List either the Company(ies) or Individual(s))
Current Mailing Address Current Street Address
City, State, Zip City, State, Zip
Office Telephone Number Mobile Telephone Number
email Address
8. Is the Landowner(s) of Record the Financially Responsible Party also?
Yes No If not, "Part B" is required to be filled out.
9. Indicate book and page where deed or instrument is filed(use blank page to list additional deeds
or instruments). Copies of Deed(s) must be provided with this submittal.
Book Page
Book Page
10. Provide Tax PIN or Parcel Number
11. Is this proposed disturbance within the Randleman Lake Water Shed Watershed ?
Yes No
*Watershed information can be found at thePOINT v20.3.2 (highpointnc.gov), under the
Environment Layer and Watershed Sublayer.
FinResFm Revised 9-2022. Page# 2

PART B.
1 (a) If the Landowner of Record is not the Financially Responsible Party for the land-
disturbing activity, provide the names of either the Company(ies) or Individual(s)
who will be financially responsible for the disturbance. If needed, list any additional
responsible parties on the 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) may be listed as the
financially responsible party(ies).
Financially Responsible Party (List either the Company(ies) or Individual(s))
Current Mailing Address Current Street Address
City, State, Zip e-mail Address
Office Telephone Number Mobile Telephone Number
1 (b) If the Financially Responsible Party is a domestic company registered on the NC Secretary
of State business registry, provide the name and street address of the Registered Agent:A
North Carolina agent must be designated in the statement for the purpose of receiving notice of
compliance or non-compliance with the Plan, the Act, or rules or orders adopted or issued
pursuant to this ordinance.
Name of Registered Company
Current Mailing Address Current Street Address
City, State, Zip e-mail Address
Office Telephone Number Mobile Telephone Number
Name of Individual to Contact (if Registered Agent is a company)
FinResFrn Revised 9-2022. Page# 3

Part B continued
1 (c) If the Financially Responsible Party is an individual who is not a resident of North Carolina,you
must provide a designated North Carolina agent who is registered on the NC Secretary of State
business registry. Provide the name and street address of the Registered Agent: A North Carolina
agent must be designated in the statement for the purpose of receiving notice of compliance or non-
compliance with the Plan, the Act, or rules or orders adopted or issued pursuant to this ordinance.
Name of Registered Agent
Current Mailing Address Current Street Address
City, State,Zip City, State, Zip
Office Telephone Number Mobile Telephone Number
e-mail Address
Name of Individual to Contact within North Carolina(if Registered Agent is a company)
1 (d) If the Financially Responsible Party is engaging in business under an assumed name, provide name
of business under which the company is doing business as.
OR
If the Financially Responsible Party is an individual, General Partnership, or other company not
registered and doing business under an assumed name, attach a copy of the Certificate of
Assumed Name.
Company DBA Name
1 (f) The Financially Responsible Party shall provide a contact person should an Erosion and
Sedimentation Control issue arise:
Name e-mail Address
Office Telephone Number Mobile Telephone Number
FinResFrn Revised 9-2022. Page # 4

Part B continued
2. 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, or if not an individual, by an officer, director, partner or attorney-in-fact, or
registered agent with authority to execute instruments for the financially responsible party).
I agree to provide corrected information should there be any change in the information provided
herein.
Type or Print Name Title of Authority
Signature Required Date
Notary Information
I, , a Notary Public of the County of
State of
do hereby certify that , appeared personally before me
this day and being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notarial seal, this day of , 20
Notary Public
My commission expires:
FinResFnm Revised 9-2022. Page# 5

Continued from Item 7 in Part A of the Financial Responsibility/Ownership Form for multiple owners. Attach
copies of this page as needed to list all landowners.
Additional Landowner(s) of Record
Landowner
Current Mailing Address Current Street Address
City, State, Zip City, State, Zip
Office Telephone Number Mobile Telephone Number
e-mail Address
Additional Landowner(s) of Record
Landowner
Current Mailing Address Current Street Address
City, State, Zip City, State, Zip
Office Telephone Number Mobile Telephone Number
e-mail Address
Additional Landowner(s) of Record
Landowner
Current Mailing Address Current Street Address
City, State, Zip City, State, Zip
Office Telephone Number Mobile Telephone Number
e-mail Address
FinResFm Revised 9-2022, Page 6

Continued from Item 1 in Part B of the Financial Responsibility/Ownership Form for multiple parties.
Attach copies of this page as needed to list all financially responsible parties.
Financially Responsible Party
Current Mailing Address Current Street Address
City, State, Zip City, State, Zip
Office Telephone Number Mobile Telephone Number
e-mail Address
Financially Responsible Party
Current Mailing Address Current Street Address
City, State, Zip City, State, Zip
Office Telephone Number Mobile Telephone Number
e-mail Address
Financially Responsible Party
Current Mailing Address Current Street Address
City, State, Zip City, State,Zip
Office Telephone Number Mobile Telephone Number
e-mail Address
FinResFm Revised 9-2022, Page# 7