NCC223454_FRO Submitted_20221007

131 W. Margaret Lane - Post Office Box 8181
Hillsborough, NC 27278
[phone]
https://www.orangecounlync.gov/1 302/Erosion-Control-Stormwater
1. Name of Project: MEADOWSTONE
2. Parcel Identification Number (PIN): 9824A3-0841,9824A3-5349,9824A3-5147 planning Jurisdiction: ORANGE
3. Size of Tract: 25.58 acres; Area Disturbed: 20.19 acres
4. Fees:
Erosion Control Plan Review
Required with Application $
Land Disturbing Permit
Optional with Initial Application $
Stormwater Management Plan Review
Orange County Planning Jurisdiction Only
Required with Application $
Total $
5. Approximate Date Land Disturbance Will Begin: 10/2022
FOR OFFICE USE ONLY
Date Paid Receipt #
Date Paid Receipt #
Date Paid Receipt #
6. Landowner(s) of Record: (Use additional pages if necessary and attach to application)
Name
GG Havenstone Limited Partnership
Street Address
351 King Street East, 13th floor
Current Mailing Address
Toronto, ON Canada M5A OL6 ett Mdr-M1.1k
City
919-229-3238
State Zip
Telephone Fax
raymond. [e-mail]
Email Address
Name
Street Address
Current Mailing Address
City State Zip
Telephone Fax
Email Address
Page 1

Future Landowners (if applicable): (Use additional pages if necessary and attach to application)
Company / Organization
Company / Organization
Contact
Contact
Starlight Homes North Carolina LLC
Street Address
Street Address
4025 Lake Boone Trail ste 200
Current Mailing Address
Current Mailing Address
Raleigh NC 27607
City State Zip
City State Zip
919-229-3238
Telephone
Telephone
[e-mail]
e-mail
e-mail
7. Person(s) or Firm(s) Financially Responsible for this Land Disturbing Activity:
Company / Organization:
Company / Organization:
Contact
Contact
Starlight Homes North Carolina LLC
Street Address
Street Address
4025 Lake Boone Trail ste 200
Current Mailing Address
Current Mailing Address
Raleigh NC 27607
City State Zip
City State Zip
919-229-3238
Telephone
Telephone
raymond. [e-mail]
e-mail
e-mail
8. Registered Agent (if any) for the Person(s) or Firm(s) Financially Responsible:
(NOTE: a North Carolina agent is required if the applicant is not a resident
of North Carolina)
Nance
City State Zip
Street Address
Telephone
Current Mailing Address
Email
Page 2

9. Yroject Description:
LEGAL DESCRIPTION
All ttrat certain lot or parcel of land situate in the County of Orange, State of North Carolina, and being more particularly
described as follows:
TRACT 1: BEING all of Lot 1 containing 34.88 acres (less the exceptions hereinafter set forth) more or
less, as shown on plat of survey entitled "Property Surveyed for Sam & Nadine Wilson" prepared by
Callemyn Parker, Inc. dated December29, 1997 and recorded in Plat Book 79, Page 194, Orange County Registry, to which
plat reference is hereby made for a more complete description of same.
THERE IS EXCEPTED from the above parcel, Tract One containing 10.01 acres, shown on the plat
recorded in Plat Book 115, Page 86, Orange County Registry and the parcel shown as Lot 1, containing 2.00 acres, shown
on the plat recorded in Plat Book 81, Page 186, Orange County Registry.
NOTE: Lot 1, originally contained 34.88 acres but now contains 22.87 acres after the two exceptions set forth above.
TRACT 2: BEING all of Lot One containing 2.01 acres, more or less, as shown on that Plat entitled "Final Plat of Property for
J.A. Wilson and Alan R. Wilson" prepared by Landmark Surveying, Inc. dated
12/22/1997 and recorded in Plat Book 81, Page 58, Orange County Registry, to which plat reference is
hereby made for a more complete description of same.
TRACT 3: BEING all of Lot Two, containing 2.37 acres, more or less, as shown on that Plat entitled
"Final Plat of Property for J.A. Wilson and Alan R. Wilson" prepared by Landmark Surveying, Inc. dated 12/22/1997 and
recorded in Plat Book 81, Page 58, Orange County Registry, to which plat reference is hereby made for a more complete
description of same.
Page 3

10. Plans Prepared By:
WILLIAM WIRT
Name of Person or Firm Contact Person
SUMMIT DESIGN AND ENGINEERING SERVICES [e-mail]
Mailing Address Email
320 EXECUTIVE COURT NC 27278 919-732-3883 X3151
City State Zip Telephone
11. Signature and Witness: the above information is true and correct to the best of my knowledge and belief and was
provided by ire while under th.
Raymond Rinker
Signature of Financially Responsible Type or Print Name Legibly
Vice President of Land Development October 3, 2022
Title or Authority Date
1, Mary Herold
a Notary Public of the County of
Wake
hereby certify that Raymond Rinker, VP of Land Development personally before me this day and under oath
acknowledged that this Application for Erosion Control Plan Approval, Stormwater Management Plan
Approval and Land Disturbing Permit / Statement of Ownership and Financial Responsibility
was executed by him or her.
Witness my hand and notarial seal, this 3 rd Day of
Signature of Notai?�,b
SEAL MARY HILL HEROLD
NOTARY PUBLIC
WAKE COUNTY, N.C.
My Commission Expires 9-24-2026.
October
ci
My Commission Lipires
2022
Page 4

Instructions and Fee Schedule for Completing
Applications for
Erosion Control Plan Approval; Stormwater
Management Plan (SMP) Approval; Land
Disturbing Permit (LDP); and
Statement of Ownership and Financial Responsibility
The following must be submitted as a package for a request to review an erosion control plan for land -
disturbing activities that are regulated under the Orange County Unified Development Ordinance (UDO):
1. One completed signed, and notarized Application for Erosion Control Plan Approval, Stormwater Management
Plan Approval and Land Disturbing Permit with the Statement of Ownership and Financial Responsibility
form. Use an original form or good copy; Please DO NOT fax.
2. One copy of the proposed sediment and erosion control plan drawing, prepared according to the standards
outlined in the North Carolina Division of Energy, Mineral, and Land Resources (NCDEMLR) Erosion and
Sediment Control Design Manual https://deq.nc.gov/about/divisions/energy-mineral-land-resources/energ_y-
mineral-land-permit-guidance/erosion-sediment-control-planning design -manual.
3. One copy of any supporting calculations and other applicable documents.
4. Applicationfee. Note, the land disturbing permit fee may also be paid at the time of submittal so that the
permit can be obtained when the plan approval is given, or the fee can be paid at a later time aslon ag sthe
plan has been approved and is still valid. The expiration dates of the approvals, stated below, should be
considered when making this decision so that the land disturbing permit does not expire and the fee lost
before construction can begin.
All of the above items must be received before the application will be reviewed. The review period (30 days)
provided by UDO does not begin until all items have been received by the Erosion Control / Stormwater Division.
Expiration of Plan Approval and Land Disturbing Permit
AnapprovedErosion Control Plan approval expires after l8months if work has not begun (based on the definition
of the start of construction in the UDO). An approved Land Disturbing Permit (LDP) expires two(2) years after
the start of construction. If construction extends beyond two (2) years, another LDP must be paid.
Page 5

Instructions for Completing the Application Form
Please type or print in ink. Please Do Not Use a Pencil!
1. Name of Project: Give the name of the development, subdivision, shopping center, road, sewer line, etc. for which
the plan approval and land -disturbing permit are required. Use the same name used for other approvals.
2. Parcel Identification Numbers (PINs): What are the current PINs assigned to this property?
3. Planning Jurisdiction: What local government has planning jurisdiction over this project (e.g. Carrboro, Chapel Hill,
Hillsborough, or Mebane) or is the project contained within Orange County's jurisdiction?
4. Size of Tract: How many acres are in the entire site?
5. Area Disturbed: How much area will be uncovered and/or disturbed? Give the area in both square feet and acres.
(There are 43,560 square feet in an acre.)
If one (1) acre or more will be disturbed or uncovered, the project comes under the conditions of the General Permit of
the Environmental Protection Agency's National Pollutant Discharge Elimination System (NPDES) Stormwater
Discharge, which is administered be the North Carolina Division of Energy, Mineral, and Land Resources (NCDEMLR).
In addition, the NCDEMLR Self -Inspection Program applies to projects disturbing 1 or more acres. Contact the Erosion
Control / Stormwater Division for details concerning the General Permit and Self -Inspection Program.
6. Fees: Calculate the plan review fee and the land disturbing permit fee using the disturbed acreage total from #5 above.
The fees are based on the total disturbance involved including any off -site disturbances such as utility extensions,
roadway improvements, borrow and waste areas, soil stockpiles, storage yards, etc.
If the project is over the land -disturbance thresholds for the specific watershed in which the project is located; located
in either the Falls Lake Watershed (Meuse Basin); or Jordan Lake Watershed (Cape Fear Basin); and the project is
within Orange County's plarming jurisdiction, a Stormwater Management Plan (SMP) is required for the project.
If the project is located within the planning jurisdiction of one of the municipalities, a SMP may be required, but is
administered by the specific municipal jurisdiction.
The plan review fee must accompany the application in order for the application to be considered complete and
review process to begin. LDP fees may be paid at the time of application or obtained at a later date, provided plan
approval has been granted and has not expired. However, the land disturbance cannot begin until the appropriate fee
has been paid, the LDP is obtained, a Pre -construction Conference held with Erosion Control / Stormwater personnel,
and any other applicable conditions of approval or required permits are met.
Payment by phone is preferred, once the case number is assigned and the correct fee confirmed, call Building Inspections
at 919-245-2600 to make you payment. Note, please ensure that you reference the case number when making the
payment.
If paying by check, checks should be made out to Orange County, NOT Orange County Erosion
Control.
Fees are subject to change; if in doubt or you have not submitted a plan recently, contact erosion control /stormwater
personnel to ensure this is the current fee schedule. Fees are not refundable, even if the plan is never approved, the
approval or permit expires, or the proposed disturbance is never carried out.
Page 6

7. Approximate Date Land Disturbance Will Begin: Give the best estimate possible regarding when the anticipated
work will begin. Per the Unified Development Ordinance, staff has 30-days for initial review following receipt of a
complete application package. Staff has 15-days to review revised plans. Therefore, for complex plan submittals, we
recominend adding 60 calendar days to your initial submittal date as a realistic expectation. This allows you and/or
your designer 15-days to turn around any required plan revisions, assuming only one round of corrections are necessary.
8. Landowner(s) of Record: Give the requested information for all ofthe current owners listed on the deeds and/or
instruments listed in answer to question number 10 below. Give all of the information, including the current mailing
address, requested for each owner.
9. Future Landowner(s) (if applicable): If another person(s) or finn(s) will take possession of the property, initiate and
conduct the land disturbance, give the requested information for all of the known future owner(s) to be listed on the
deeds and/or instruments to be recorded. Give all of the information, includingthecurrentmailingaddress, requested for
each owner. This does not apply to subdivisions where individual lots may be sold to builders or homeowners and it is
unrealistic for the person financially responsible to know or involve these owners in advance. Example: Where a tract
is under a purchase option, show the current owner as the Landowner and the future Landowner as the developer holding
the option and developing the property (applying for subdivision approval, erosion control plan approval, etc.).
10. Person(s) or Firm(s) Financially Responsible for the Disturbance: This can be the current owner, the developer,
the person or firm holding a lease or option on the property. This the party paying the fees for the development, land
disturbance, and construction of the property, notthebuildingor rg adingcontractor who will be hired to perform the
clearing and implement the erosion control plan, even though there is a contract agreement stating that the contractor is
responsible for implementing the erosion control plan. The contractor is ultimately liable to the owner/developer; the
owner/developer. The person financially responsible is liable to the County for both the implementation and success
of the approved plan. Statements on the plan that the contractor is responsible do not remove responsibility for
compliance with the UDO, and/or for enforcement actions and/or fines and penalties.
Page 8

11. Registered Agent (if any) for the Person Financially Responsible: A North Carolina agent is required if the applicant
if the applicant is not a resident of North Carolina. This may be an attorney, engineer, etc. acting as an agent for
the owner of this site.
12. Description of Land Disturbance / Construction: What is being built: office buildings, apartments, street, parking
lot, sewer line, etc.? List all the various components of the project.
13. Plans Prepared By: Name, mailing address, and telephone number of the person or firm that prepared the plan. In
the interest of time and effort, erosion control / stormwater personnel will contact this person about revisions to the
proposed plan instead of contacting the owner/developer.
14. Signature and Witness: This application and statement of ownership must be signed under oath by the financially
responsible person, if an individual or by an officer, director, partner, attorney -in -fact, or other person with authority
to execute instruments for the financially responsible person if not an individual. This form must be signed in the
presence of a Notary Public and signed and sealed by that Notary.
When and Where to Submit the Application
Atleast60-dayspriortothedesiredstaitofconstruction, submit the completed, signed, and notarized application together
with the plans and a check for the plan review fee (plus the Land Disturbing Permit fee, if you decide to include it) to
the address at the top of the first page of the application. Make checks payable to "Orange County". You may ship,
mail or hand deliver the plans. Please note that hand delivery does not expedite the review process. Our policy is to
review the plans in the order as they are received and deemed sufficient.
If interested in electronic plan submittal and review, please check with us as we will soon be accepting Land Disturbing
Permit applications, online payment and electronic plans via our new Citizen Self Service (CSS) portal. The review can
be conducted electronically and, upon approval, we would require a paper copy for our files.
Review and Response to the Application
The Orange County UDO allows up to 30 days for initial review and response to the erosion control / stormwater
management plan, followed by up to 15 day re -submittal reviews if necessary.
The plan will be reviewed and the designer contacted if there are questions or if revisions are needed. A site investigation
is normally a part of the review process. The Ordinance gives erosion control / stormwater personnel the authority to
enter the site to conduct investigations and to ensure compliance with the approved plan and Ordinance once work
begins.
The plan will be approved, approved with conditions of approval, or if disapproved, staff will discuss the needed
revisions with the designer in an effort to resolve the issues so that it can be approved. If these efforts are
unsuccessful, the plan will remain as disapproved and can be appealed at that time.
If approved, an approval packet will be sent to the financially responsible party or registered agent as supplied on the
application.
Erosion Control and Stormwater Contracts
Patrick Mallett
Erosion Control & Storrnwater
pmallettgoran e� cam, i�gov
919-245-2577
Supervisor
Christopher Sandt, P.E.
Staff Engineer
csandt(&oran eg c�ync.
919-245-2583
Steve Kaltenbach
Erosion Control Officer II
skaltenbach(a),oran eg countync.gov
919-245-2588
Kenneth Owens
Erosion Control Officer II
kowens a,oran eg countync.gov
919-245-2584
Nathan Jacobsen
Erosion Control Officer I
niacobsen(o)oran e�ync.gov
919-245-2580
Page 9

PLANNING & INSPECTIONS DEPARTMENT
Craig N. Benedict, AICP, Director
Current Planning - 131 W. Margaret Lane
[phone] Suite 201
[phone] (FAX) ORANGE COUNTY P. O. Box 8181
www.orangecountync.gov NORTH CAROLINA Hillsborough, NC 27278
Erosion Control, Stormwater and Engineering Fees 2021
Erosion.Control Plan' Review Fees
{
Residential / Non-residential land disturbance less
$125
than 1 acre (43,560 sq. ft.)
(flat fee)'
Residential land disturbance greater than 1 acre
$150 per disturbed acre
(43,560 sq. ft.)
(or fraction thereof)
Non-residential land disturbance greater than 1 acre
$300 per disturbed acre
(43,560 sq. ft.) and/or residential disturbance greater
(or fraction thereof)
than 25 acres
** PLAN REVISIONS: Applicants proposing increases in the acreage of disturbance where an erosion and
sedimentation control plan has already been approved, but where a Land Disturbing Permit (LDP) has not been
issued, shall pay an additional $150.00 per disturbed acre. **
LandfDisturbing (Grading) Permits (in addition to the above if applicable).
$300
Land disturbance less than 1 acre (43,560 sq. ft.)
(flat fee)
Land disturbance greater than 1 acre (43,560 sq. ft.)
$300 per disturbed acre
but less than 10 acres
(or fraction thereof)
Land disturbance greater than 10 acres but less than
$600 per disturbed acre
25 acres
(or fraction thereof)
Land disturbance greater than 25 acres
$900 per disturbed acre
(not to exceed 150 acres)
(or fraction thereof)
1 Pursuant to the North Carolina Sediment Act under G.S. 113A-60(a), as amended with Session Law
2021-121 HB 489: for approved subdivisions and/or common plan of developments with single-family lots
less than 1 acre, the erosion control fee for the single-family lot shall be set at no more than one hundred
dollars ($100.00) per lot/acre developed. The remainder of the erosion control fee (i.e. additional land
disturbance areas outside of the single-family lots such as roads and common areas) shall be calculated
per the applicable erosion control land basis rates as listed herein.

Un-scheduled Site Re-inspection2
$200.00 per re -inspection
Stormwater Management Plan Fees (in addition to the above if applicable)
Stormwater Management Plan Review —
$500 per Stormwater Control Measure (SCM)
Traditional Stormwater Control Measure (SCM)
Stormwater Management Plan Review —
Low Impact Development (LID) without Conservation
$300 per plan
Area Review
Stormwater Management Plan Review —
Low Impact Development (LID) with Conservation
$500 per plan
Area Review
Re -Inspection of Stormwater Control Measure (SCM)
1 st inspection no fee
associated with a failed SCM inspection report
$250 per SCM inspection thereafter
Inspection of Stormwater Control Measure (SCM)
$250 per SCM inspection
associated with a Notice of Violation (NOV)
Recurring 5-Year Inspection of Stormwater Control
$750 per SCM
Measure (SCM) 3
Miscellaneous Fees
Private Roads
$155 per road
Conservation Area Document Review
$200 per area
Stream Origin and Stream Determinations
1-2 determinations/site $300
Surface Water Identification (SWID) Application and
3-6 determinations/site $600
Field Work
7-9 determinations/site $1000
10-12 determinations/site $1200
13-16 determinations/site $1500
17-19 determinations/site $2000
Stop Work Order (SWO) / Notice of Violation (NOV)
$200 per order issued
At cost for legal ad and notifications required
Appeal of a Land Disturbing Permit (Grading Permit)
to process if appealed to Public Hearing per
UDO 2.26.8&9
2 Fee captures work directed from municipal jurisdictions under their delegated authority and/or re-
inspection(s) after 3rd "Failed" and/or "Needs Maintenance" inspection item(s) from an inspection report
have not been resolved.
3 Includes $125/year for the first four (4) annual inspection reviews, plus $250 for physical 5-year
inspection by ECS&E.