NCC215512_FRO Submitted_20211005

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GUILFORD COUNTY
ENVIRONMENTAL BULLETIN
GRADING PERMITS
Grading permits are required for ccrtaii. land
disturbing activities to protect bodies of water and
adjacent property from sedimentation and erosion.
Guilford County issues permits for unincorporated
County, Jamestown, Stokesdale, Summerfield,
Mitsett, Sedalia, Pleasant Garden and Oak Ridge.
A grading permit is required when any area over one
(1) acre (43,560 square feet) is grubbed or graded.
Examples of development requiring grading permits
include: subdivisions, shopping centers, commercial
and industrial development, apartments, townhouses,
churches, and recreational development. Exemptions
from grading permit requirements include: disturbed
areas less than (one) 1 acre in size, agriculture,
mining, and area under State or Federal jurisdiction.
A grading permit issued by Guilford County is valid
for one (1) calendar year, unless the permit is revoked
or the project is completed. The permit can be
renewed for an additional six (6) month period by
making a written request to the Guilford County
Planning and Development Department, Inspections
Division. Reissued grading permits do not have to pay
another permit fee (unless revoked), but the erosion
control surety must remain in effect.
APPLICATIONS
The following items are needed to apply for a grading
permit. (I) .Four (4) copies of an Erosion
Control/Grading Plan prepared and sealed by a
registered professional engineer, architect, landscape
architect, or registered surveyor. Three (3) copies
should be submitted to Guilford County Planning and
Development and one (1) copy should be submitted to
the Guilford Soil and Water Conservation District,
3309 Burlington Road, Greensboro, N.C. 27405,
telephone number 336-375-5401. (2.) A grading
permit application. (3.) Financial responsibility
statement. If the person financially responsible is not a
resident of North Carolina, a North Carolina agent
must be designated in the statement. (4.) Erosion
control surety in the amount of $1,500.00 per acre
disturbed, to the nearest 1/10 of an acre. (Sureties for
GRADING PERMITS
demolition landfills are $2,000.00 per acre). Sureties
include bonds, irrevocable letters of credit, cashier's
check, cash, and escrow accounts payable to Guilford
County. (5.) Payment of the grading permit fee based
on disturbed acreage (see fee schedule).
Plan should be submitted thirty (30) days prior to
commencement of the land disturbing activity. Plans
are reviewed in the order that they are received and
plans can be (1) approved, (2) punch -listed, or (3)
denied for various reasons. A punch -listed plan may
be corrected and resubmitted. Denial of a plan. entitles
the applicant to a public hearing within fifteen (15)
days after receipt of written notice of disapproval. The
Guilford County Planning Board hears appeals within
thirty (30) days of the appeal request and makes a
recommendation to the Guilford County Board of
Commissioners. The Commissioners will render a
final decision within thirty (30) days of receipt of the
recommendations from the Planning Board. If the
appeal is denied, the applicant may further appeal to
the North Carolina Sedimentation Control
Commission.
EROSION CONTROL INSPECTIONS
Guilford County Erosion Control Staff will
periodically inspect the sites of land disturbing
activity to determine compliance with the plan. They
will indicate any areas that are weak and help answer
any questions that might arise. One important
inspection is the point at which the devices (i.e., silt
fences, sedimentation pits, eto.) have been installed.
Maintenance inspection is the final inspection. The
permit can be finalized after the site improvements
have been made and after the site has been stabilized.
CIVIL PENALTIES
A violation of the erosion control law could result in a
civil penalty of up to $5000.00 per day.
No. E2 Grading Permit & Appl. Rev. December 2017 Page l of 6

GUILFORD COUNTY
GRADING PERMIT APPLICATION
GRADING PERMIT APPLICATION
Please type or print answers: Return to: Earl E. Davis II Inspection
Planning and Development
Post Office Box 3427 Greensboro, NC 27402
[phone] or [phone] (fax)
XS
NAME OF PROJECT: �S (A Su l{� JPFDATF_: F� ! IS/41
LOCATION OF PROJECT: V ID AlAqW �rl►roG 170
ACREAGE TO BE DISTURBED: Z O. Z fA ACRES OR ( SQ. FEET)
TOTAL ACREAGE IN TRACT: —`LID- 6 � ACRES
IS THIS PROPERTY IN A DESIGNATED WATERSHED? J14A I,tp'OAMN(9trapraWK)
If so, the project must comply with Guilford County Regulations prior to a Grading Permit being issued.
WHAT TYPE OF UTILITIES WILL GO IN DURING CONSTRUCTION? (Water, Sewer, Power, Cablevision,
Telephone, etc.) J; Itl/6t(r N ;4,r tms
ENGINEER/ ARCHITECT/ SURVEYOR: Name: Gif'Ir4r11/ r �d(l�l/J;A/ wl1C9iFjl��lC.
Address: IA-4/!l+✓ YCrt
Telephone: �31i - ZQ ij - J6J+t
Fax:
E-Mail:VE�•Ar�pat✓�r!P/SCIJ/►r
The Property Owner and additional Financially Responsible Party (if any) do hereby agree to comply with all applicable
Guilford County Regulations pertaining to development if a Grading Permit is issued. The Property Owner and additional
Financially Responsible Party furthermore, do hereby agree to be responsible for the timely installation and maintenance of
erosion control devices throughout the duration of this project. A copy of the Guilford County Development Ordinance is
available from the Guilford County Planning and Development Department.
OWNER OF PROPERTY:
Name: W11 coys1tuCfT{I,t1 aFFi4wfTbVWw ua.
Address: LIR (3,crrertmio / v�l�fdYOQ,�'�Ytllit►I++�►��dG
Telephone: (Home)
(Office) 1'-
(Fax)
(EE-Mail)
J Lt./df✓,I�0i!�M O !�l �OW.t041
Print Name: ` w (n_jr /� v eXW
Signature:
ADDITIONAL FINANCIALLY RESPONSIBLE PARTY:
Name:
Address:
Print Name:
Signature:
NORTH CAROLINA AGENT (if applicable)
Name:
Address:
Telephone: (Home)
(Office)
(Fax)
(E-Mail)
H&.#nmw. LLG Telephone:
3A" S=veocddk Sr, Irlr 1#1 fly,
Nst,0ze, A,"I✓ Z#41
336-IIt FKa -
Z "k oJeWAS_"JP-r
(Home)
(Office)
(Fax)
(E-Mail)
No. E2 Grading Permit & Appl. Rev. December 2017 Page 2 of 6

GUILFORD COUNTY
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
DEPARTMENT OF PLANNING AND DEVELOPMENT
A Grading Permit trust be obtained before initiating any land -disturbing activity over one (1) acre (43,560 square feet). A
Grading Permit Application, this Financial Form, a Grading/Erosion Control Plan, a surety, good for one (1) year, and a
permit fee should be submitted 30 days prior to the planned commencement of the land -disturbing activity.
The above information should be submitted to:
Earl E. Davis 11 - Inspections Division
Guilford County Planning and Development
Post Office Box 3427
Greensboro, N.C. 27402 [phone]
Please type or print answers to the following:
Date: NISAl
Name of Project: 4UA0 4kr& A40W74ZarV d lkiWft'1/hVJ
Location of Project: S110 A194-Ui7�'lf�yr IrAwt. /?P
Acreage of Land to be Disturbed: _?, Z 3 �# Q
LATITUDE U.1SRUS (In Degrees) LONGITUDE, — r [. SUg Z (In Degrees)
Purpose of Activity (street construction, commercial building, parking lot, etc.):
S PV KGv
Landowner(s) of record:
Name: WCUNfPl1 Ywoe- �ItSjO��I�..IL ALL Name:
Address: 9 /St TJrir31wa1h Ate, Nr tf�D Address:
"WIN k�
Telephone: (Home) Telephone: (Horne)
(Office) [36 -1 } ti�6 (Office)
(Fax) (Fax)
(E-Mail) e"At, M"*1 (E-Mail)
Indicate County, Book, and Page where deed or instrument is filed.
UToon) e� zJ _l L6
County Book Page
The information provided on this form is true and correct to the best of my knowledge and belief and was provided by
me while under oath. This form trust be signed by the property owner if an individual. If owned by a company or
corporation, this form must be signed by an officer, director, partner, attorney -in -fact, or other person with authority to
execute instruments for the corporation. If the person financially responsible is not a resident of North Carolina a North
Carolina agent must be designed. If someone other than the owner is financially responsible, their signature is required
below also.
'yowl w,d W'ef s
Print or Type Name of IndividualG�f2Ei9--P—
!f Nfts P 4(_.
Tit a Nacre of parry % _,.,
wWr's`BigYiaiure
N. C. Agent's Signature (if applicable)
Additional Financially Responsible Party (If applicable)
No. B2 Grading Permit & Appl. Rev. December 2017 Page 3 of 6

PLEASE READ THE FOLLOWING INFORMATION'
If a Grading Permit is issued it is valid for up to one (1) year from the date it is issued. If circumstances warrant it, it may
be extended for six (6) months after the one (1) year period. Upon written notice the Grading Permit may be revoked for
failure to install devices as shown on the plan in a prompt fashion, or for failure to maintain the devices once they have
been installed. If a Grading Permit is revoked, all other development permits and approvals are withheld until the property
is once again in compliance with Guilford County regulations. Also, upon written notice a Civil Penalty (fine) can be
instigated against the property owner and/or additional Financially Responsible Party (if any) for violations of Guilford
County's Soil Erosion and Sedimentation Control Ordinance. This penalty is up to $5000,00 per day and is assessed daily
for every day the property is in violation. (Interfering with or hampering an inspection can result in a civil penalty without
written notice).
STATE OF
COUNTY OFyl
I, a Notary Public of said County and State, do hereby certify that
a1 in 1, r! (,f j- c o/L _ personally appeared before me this day and under oath acknowledged reading the
information above and acknowledged that the above form was executed by him or her.
Witness my hand and official seal, this the �2 " day of , 20-2j.
Notary Public
My Commission Expires: M, ELISA LANE
NOTARY PUBLIC
J, 60 6, Forsyth County
North Carolina
(SEAL) My Commission Expires 1/26/2026
STATE OF ADDITIONAL FINANCIALLY RESPONSIBLE PARTY SIGNATURE
COUNTY OF
I, a Notary Public of said County and State, do hereby certify that
personally appeared before me this day and under oath acknowledged reading the information above and
acknowledged that the above form was executed by him or her.
Witness my hand and official seal, this the day of 20
My Commission Expires:
IftezOML-ANE
NOTARY PUBLIC
Forsyth County
�q�tPire a
m
My Comi son pines 1/26/2026
No. l 2 Grading Permit & Appl. Rev. December 2017 Page 4 of 6

GUILFORD COUNTY GRADING PERMIT RE OUMEMENTS
A grading permit must be obtained before any area over 43,560 square feet (one (1) acre) is grubbed or graded.
The Inspections Division requires that four (4) copies of the Erosion Control/Grading Plan be submitted for review thirty (30) days
prior to commencement of activity,
An Application and Financial Ownership Responsibility Form must be submitted and signed by the property owner or one who has
power -of -attorney for the owner. 2jorth Carolina resident signature re aired. if person financlally responsible is not a
resident of North Carolina).
A surety is required before a grading permit can be issued. The amount is determined by multiplying $1,500.00 x acre(s) disturbed
($2,000.00 per acre for landfill). The property owner must provide this. A surety must be cash, cashier's check, performance bond,
Irrevocable Letter of Credit, or escrow account payable to Guilford County.
Pay the appropriate grading permit fee (see fee sclredule�. One (1) copy of the Erosion Control/Grading Plan must be sent to the Soil
and Water Conservation District for their review if the disturbed area is greater than one (1) acres. Mail to: 3309 Burlington Road,
Greensboro, N.C. 27405, Telephone Number 336-375-5401.
COMPONENTS FOR A COMPLETE EROSION CONTROL/GRADING PLAN
Name of Project
Name, Address and Telephone
Number of Owner(s)
Engineer, Architect or Surveyor's Seal
Engineer, Architect or Surveyor's Name,
Address and Telephone
North Arrow
Scale and legend. of Symbols
Construction Sequence
Vicinity Map
Soil Type(s)
Adjoining Property Owner(s)
Tax Map Number(s)
Zone of Property
Total Acres in Tract
Area to be disturbed outlined with number of graded acres noted, (Easements are to, be included if they will be disturbed).
Area left undisturbed and condition of such (vegetated?) should be denoted with size indicated,
All creeks, rivers, ponds, lakes, railroad tracks, existing structures, etc., should be noted.
Proposed site improvements should be noted (roads, parking, easements, structures, etc.). Submit one (1) copy of street profiles.
Temporary sediment control measures (design, locations, dimensions, calculations, cross -sectional details).
Permanent erosion control measures (design, locations, dimensions, calculations, cross -sectional details).
Stormwater Network (sweles, culverts, inlet and outlet structures with grades, elevations, dimensions and hydrologic Calculations).
Include design storm.
Seeding specifications (seedbed preparation, lime, fertilize, seed, mulch and tack rates).
Topography, both before and after aradina, with elevations noted off edge of property.
Watershed requirements are to be reflected on the Erosion ControVGrading Plan.
No. F2 Grading Permit & Appl. Rev. December 2017 Page 5 of 6

GUILFORD COUNTY Fee Schedule
t� PLANNING AND DEVELOPMENT
Incorporated & Unincorporated
Grading Permit
Soil Erosion Division
GRADING PERMIT FEES
EFFECTIVE JULY 1, 2017
AMOUNT DISTURBED BASE FEE
One (1) acre (43,560 SF) $450.00
but less than 'Three (3) acres
Three (3) acres or more $450.00 plus
$225.00 per acre for each
additional acre*
EXAMPLES:
GRADED AREA FEE
3.0 acres up to 3.9 acres...............................................................
$675.00
4.0 acres up to 4.9 acres................................................................
$900.00
5.0 acres up to 5.9 acres ..... .............................. ....... .1,.......... I ........ 1
$1125.00
6.0 acres up to 6.9 acres................................................................
$1350,00
7.0 acres up to 7.9 acres................................................................
$1575.00
8.0 acres up to 8.9 acres................................................................
$1800.00
9.0 acres up to 9.9 acres...... .................................. .......................
$2025.00
10.0 acres up to 10.9 acres............................................................
$2250.00
11.0 acres up to 11.9 acres............................................................
$2475.00
12.0 acres up to 129 acres... .................................... ....................
$2700.00
13.0 acres up to 13.9 acres............................................................
$2925.00
14.0 acres up to 14.9 acres............................................................
$3150.00
15.0 acres up to 15.9 acres............................................................
$3375.00
16.0 acres up to 16.9 acres............................................................
$3600.00
17.0 acres up to 17.9 acres............................................................
$3825.00
18.0 acres up to 18.9 acres............................................................
$4050.00
19.0 acres up to 19.9 acres............................................................
$4275.00
20.0 acres up to 20.9 acres............................................................
$4500.00
21.0 acres up to 21.9 acres............................................................
$4725.00
22.0 acres up to 22.9 acres............................................................
$4950.00
23.0 acres up to 23.9 acres............................................................
$5175.00
*Guilford County has a maximum fee of $8325 @ 38+ acres
Schedule Fee Soil Erosion Eff. 7-1-17
Revised 07/07/2017
Page 1 of 1
No. E2 Grading Permit & Appl. Page 6 of 6
Rev -December 2017