NCC216370_ESC Approval Submitted_20211115

From: City of Winston-Salem [[e-mail]
Sent: Wednesday, November 3, 2021 9:26 AM
To: [e-mail]
Subject: Review Completed - Lot 377 Brookberry
Application Type: 04.02) Grading/Erosion Control Permit
Workflow: 04.02) Grading & Erosion Control
Project: Lot 377 Brookberry
A/P #: EN2100245
Acreage to be Disturbed: 0.07
https://winston-salem.idtplans.com/secure/project/?projectid=645898
Hello Tate Rice Homes, Inc.,
Thank you for submitting your project to City of Winston-Salem. Review of the plans for this
project have been completed. The design is adequate to meet the ordinance standards and the
plans have been approved.
If you have not already done so, please provide an original signed and notarized Financial
Responsibility/Ownership form. This document is required prior to the issuance of the
Grading/Erosion Control Permit. If this has already been provided, then please disregard this
statement.
If this project will disturb more than 1 acre or is part of a larger common plan of development,
the Grading/Erosion Control Permit cannot be issued until documentation is provided that
coverage under the NCGO1 Construction Stormwater Permit (NPDES) has been obtained.
Please obtain coverage under the permit at the following website
{https://edoes.deg.ne.gov/Forms/NCG01-NOI). Once coverage is obtained please upload a
copy to the project documents in the electronic plan review system. The Grading/Erosion
Control Permit will not be issued until proof of coverage under NCGOI is provided.
As outlined in the Unified Development Ordinances (UDO) of Winston-Salem/Forsyth
County, Village of Clemmons, Town of Lewisville, and Town of Walkertown, Erosion
Control Division staff may periodically inspect sites of land disturbing activity to determine
compliance with the Erosion Control ordinances and the approved Erosion Control Plan. No
person shall willfully resist, delay, or obstruct an authorized representative, employee, or agent of
the Erosion Control Division while that person is inspecting or attempting to inspect a land
disturbing activity under the ordinance.
Should you have any questions as you move forward please feel free to contact our offices.
We will be happy to assist you.

0
WiRSIOR- alem
Phone: [phone]
Project Overview
Project Name: Lot 377 Brookberry
Jurisdiction: City of Winston-Salem
ProjectlD: 645898
Lot 377 Brookberry
City Hall Building
101 N. Main Street, Suite 53
Winston-Salem, NC 27101
Fax: [phone]
State: NC
County: Forsyth
City of Winston-Salem
Stormwater &
Erosion Control
City of W-S Stormwater & Erosion
Control
Financial Responsibility/Ownership Form
Project Name: Lot 377 BBF Address(es), Parcel(s), or PIN#(s): 1166 Heron Ridge RD
(5896-63-5532.000)
Project Information
Additional Location Information: Lot 377 Approximate Date to Commence land -Disturbing Aictiv '
11 /01/2021
Purpose of Grading: Residential Single Family Lot Total Acreage:.16
Acreage to be Disturbed:.07
Land Owner of Record
Property Owner
Tate Rice
Tate Rice Homes, Inc
PO Box 188
Clemmons, NC 27012
P:3363992906
[e-mail]
Contractor Information
Value of Grading Contract: 5000
City of WS Contractors ID #:
Financially Responsible Parties
Person(s) or Firm Financially Responsible
Tate Rice
Tate Rice Homes, Inc
PO Box 188
Clemmons, NC 27012
P:3363992906
Has a project contractor been selected?: No
Please choose which Contractor number you will be
providing:
Contractors NC License Number.
Is the financially responsible party an out-of-state
resident?: No
Created with ifflans Review
10/29/21 Lot 377 Brookberry
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