NCC222131_MODIFICATION Supporting Doc LOTS Lots 2-3 7 50_20221114

Georgoulias, Bethany
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Subject: [External] Fwd: Review Completed - Coldwater - Lot 2, 3, 7, and 50
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-----Original Message -----
From: City of Winston-Salem <[e-mail]>
To: [e-mail]
Sent: Wed, Nov 9, 2022 10:02 am
Subject: Review Completed - Coldwater - Lot 2, 3, 7, and 50
Application Type: 04.02) Grading/Erosion Control Permit
Workflow: 04.02) Grading & Erosion Control
Project: Coldwater - Lot 2, 3, 7, and 50
A/P #: EN2200041
Acreage to be Disturbed: 1.71
https://wi nston-salem.idtplans.com/secure/project/?prooectid=712891
Hello Chris Clement Homebuilders, 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 (FRO) form as applicable. 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. Reminder that a completed FRO form is not required in the instance where a project
qualifies to use the HB 489 Sketch Erosion Control Plan document.
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 NCG01 Construction Stormwater Permit (NPDES) has been obtained. Please obtain
coverage under the permit at the following website (https://edocs.deg.nc.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 NCG01 is provided. *** This approval email serves as the "Approval Letter" that must be
uploaded when filing the a-NOI application to obtain the NCG01 Certificate of Coverage. ***
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 Matthew Osborne at
336-462-7480 or [e-mail].
Winston-Salem North Carolina and Forsyth County
City Link 311
21 1 ,.,- (IIr) 7)ZR000
citylinkg,cityofws.org
100 E. First Street
Winston-Salem, NC 27101
City Directory

0Coldwater - Lot 2, 3, 7, and � City of Winston-Salem
50 S#ormwater &
wasiem City Hall Building Erosion Control
101 N. Main Street, Suite 53
Winston-Salem, NC 27101
Phone: [phone] Fax: [phone] City of � y'-S Sion rvsvater a. Eros! on
Control
Project Overview
Project Dame: Coldwater - Lot 2, 3, 7, and 50 State: NC
Jurisd€ction: Cityof Winston-Salem County: Forsyth
ProjectfD: 712691
Financial Responsibility/Ownership Form
Project Name: Lot 7 Coldwater Address(es), Parcels), or PIN#(s): 6712 COLDWATER
TERRACE STOKESDALE: NC (Unverified)
Project Information
Additional Location Information: End of Coldwater Terrace off Approximate Date to Commence Land -Disturbing Activity:
of Coldwater Road 02121 2022
Purpose of Grading: Residential Single Family tot Total Acreage: 1.098
Acreage to be Disturbed: 0.427
Land Owner of Record
Property Owner
Shannon Thompson
5325 Walkertolmn Landing, 2€34
Walkertown, NC 27410
P:3365583515
cchNrc:
Contractor Information
Value of Grading Contract: 10000 Has a project contractor been selected?: Yes
Contractor Please choose which Contractor number you will be
Chris Clement providing: Contractor's NC License Number
Chris Clement Homebuilders, Inc.
6067 MARION POINT CTg
BELEWS CREEK, NC 27009
P:3365583515
fi�hhlnC��4l.L'O�l
City of W-S Contractor`s ID #: Contractor's NC License Number: 57566
Financially Responsible Parties

Persons) or Firm Financially Responsible
Chris Clement
Chris Clement Homebuilders, Inc.
6067 MARICN POINITCTO
BELEWS CREEK, NO 27009
P:3365583515
[e-mail]
Is the financially responsible party an out-of-state
resident?: No
Is the financially responsible party part of a partnership?:
No