NCC231841_ESC Approval Submitted_20230614

CERTIFICATE OF PLAN APPROVAL
A '
t ip eo.I %V
Owwv�=
The posting of this certificate certifies that an erosion and sedimentation control plan has been
approved for this project 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 Administrative Code, 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 4B.0127 (b).
L 5 c -\-k c 'o(NT I2oM , OLD E-E Ns aoczo 12_omD, Keizisi u_s v iuk-
V���-C 22 26'�3 Project Name and Location
T-0(2 Sy - 2017 -OLo
Date of Plan Approval (IQIC--0 CA IDS
�Q Q Nicole Chiles, EI
Assistant Regional Engineer
NCGO1 Certificate of Coverage#
Scanned with CamScanner

•
ROY COOPER e... Q,
Governor
ELIZABETH BISER
Secretary
DOUGLAS ANSEL °"""`�•
Interim Director NORTH CAROLINA
Environmental Quality
March 22, 2023
LETTER OF APPROVAL WITH MODIFICATIONS
Smith and Jennings Properties, LLC
Attention: Charles Smith, Owner •
1020 Hedgecock Road
High Point,NC 27265
RE: Project Name: 4545 High Point Road
Acres Approved: 7.8
Project ID: FORSY-2023-020
County: Forsyth
City: Kernersville
Address: Old Greensboro Road
River Basin: Yadkin
Stream Classification: WS-III
Submitted By: CPT Engineering and Surveying, Inc
Date Received by LQS: March 20,2023
Plan Type: Revised
Dear Mr. Smith:
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 4B .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 NCG010000
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 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 eNOI form may be accessed at deq.nc.gov/NCGO I. Please direct questions about
the eNOI form to the Stonnwater 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 NCG010000 permit require that the following documentation be
kept on file at the job site:
D� A North Carolina Department of Environmental Quality I Division of Energy,Mineral,and Land Resources
Winston-Salem Regional Office 1450 West Hanes Mill Road,Suite 300 I Winston-Salem,North Carolina 27105
336-776-9800
Scanned with CamScanner

Letter of Approval with Modifications
Smith and Jennings Properties, LLC
March 22, 2023
Page 2 of 3
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 Act 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. 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,
Nicole Chiles, EI
Assistant Regional Engineer
Land Quality Section
Enclosures: Certificate of Approval
Modifications Required for Approval
c: CPT Engineering and Surveying, Inc
Attn: Charles Truby Jr., PE
4400 Tyning Street
High Point, NC 27265
Scanned with CamScanner