NCC220501_Email RE Modification Not Approved_20230217

Georgoulias, Bethany
From: [e-mail]
Sent: Friday, February 17, 2023 9:33 AM
To: [e-mail]
Cc: Georgoulias, Bethany; [e-mail]; [e-mail]
Subject: Construction COC Modification Not Approved
This email is to notify you that your request to modify coverage under COC No. NCC220501 for the project Coldwater -
Lot 5, 10, 29, and 51-53 was not approved for the following reason:
A copy of the E&SC Permit application was uploaded instead of approval. You must resubmit a modification request with
E&SC approval documentation for the additional lots listed.
If you have any questions, please contact The NC DEMLR Stormwater Program at [phone].
This email was automatically generated by Laserfiche. Please do not respond to this email address, as responses are not
monitored.

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INSPEC DNS
DIVISION
Excellence rhrnugh Service
Single -Family Dwelling
_ (�• Bryce A. Stuart Municipal Building
IElliJl Suite 328
100 E. First Street
City of Winston-salem Winston-Salem, NC 27101
Field P.O. Box 2511
Erosion Control P e r m i t Application operations Wnston-Salem. NC 27102-2511
Please use this form when the Developer and Builder are not the same Phone: 311 or [phone]
financially responsible party/person and will be less than one (1) acre of Fax: [phone]
land disturbance on any one (1) lot.
Lot(s) to be Developed Information
Site Address: �_IjpUjQU y -
Subdivision Name:
Anticipated Dates of Construction Activity:
Completion
31is/; � �
*** Complete the LOT INFORMATION TABLE for each lot to be developed; ensure that the appropriate drainage pattern type is
denoted. Attach a corresponding, existing platted survey for each lot with your application, please. If not, your permit
application may not be accepted for review. ***
Financially ResponsiblerP1arty/Person
Name: � J` '21� �tCmP%
Address: Z60 P
Lm� Dr, m
City/State/Zip: �} Q,^S ,r-� , N C, ?7 07 rr Office Phone:
Mobile Phone: 31K - j �3 Email Address: VJ - -__►'�01 4—
My signature hereto signifies I am the owner/financially responsible party for job site compliance with the Erosion Control Ordinance
as outlined in Chapter, Section 8.4 of the Unified Development Ordinances (UDO) of the City of Winston -Sale mlForsyth County or
Article IV of the UDO of the Village of Clemmons, Town of Lewisville, or Town of Walkertown. I hereby acknowledge that the Best
Management Practices annotated on the attached sketch plan must be properly installed and maintained to retain soil within the
constructed lot.
I understand that if the total disturbed area for any reason becomes greater than one acre on any one (1) lot, a professionally designed
and sealed Erosion Control Plan will be required to be submitted and approved before the start of the land disturbing activity on the lot. I
further acknowledge that City Inspection's staff may refuse to make building inspections and the Erosion Control Division may issue
Notices of Violation, Stop Work Orders and/or Civil Penalty Assessments for failure to comply with Erosion Control requirements.
Print Name of Financially Responsible Person Signat re of Financ
TO BE COMPLETED BY CITY STAFF ONLY:
Date of Application Submittal:
Permit Number:
ponsible Person

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Bryce A. Stuart Municipal Building
Suite 328
o�
100E First
_" s Single -Family Dwelling ftw
3 K City of Winston-Salem
Street
Winston-Salem, NC 27101
INSPEC Ous
DIVISION Field
Fxcdhnce through Service Erosion Control P e r m i t App lication Operations
P.O. Box 2511
Winston-Salem, NC 27102-2511
use this form when the Developer and Builder are not the same
7453
Phe:Please
Fax (336)'727-2792747
financially responsible party/person and will be less than one (1) acre of
land disturbance on any one (1) lot.
Lot(s) to be Developed Information
Site Address: MGe
Subdivision Name;
Anticipated Dates of Construction Activity: Start: 31, 3 Completion:�
*** Complete the LOT INFORMATION TABLE for each lot to be developed; ensure that the appropriate drainage pattern type is
denoted. Attach a corresponding, existing platted survey for each lot with your application, please. If not, your permit
application may not be accepted for review. ***
Financially Respons
ible Party/Person
Name: �
0 HO(V
Address (� Po (V-) o 1 a 0 (~f vt i L e i&, C i
City/State/Zip: �N��,� nShr , �J �/ 2�"Ioffice Phone:
Mobile Phone: l j Email Address:w)l�. woAAkQ I q�kCmeOS• Cam
My signature hereto signifies I am the ownerlfinancially responsible party for job site compliance with the Erosion Control Ordinance
as outlined in Chapter, Section 8A of the Unified Development Ordinances (UDO) of the City of Winston-Salem/Forsyth County or
Article IV of the UDO of the Village of Clemmons, Town of Lewisville, or Town of Walkertown. I hereby acknowledge that the Best
Management Practices annotated on the attached sketch plan must be properly installed and maintained to retain soil within the
constructed lot
I understand that if the total disturbed area for any reason becomes greater than one acre on any one (1) lot, a professionally designed
and sealed Erosion Control Plan will be required to be submitted and approved before the start of the land disturbing activity on the lot. I
further acknowledge that City Inspection's staff may refuse to make building inspections and the Erosion Control Division may issue
Notices of Violation, Stop Work Orders and/or Civil Penalty Assessments for failure to comply with Erosion Control requirements.
SGi�t �S g•
Print Name of Financially Responsible Person �Signat
TO BE COMPLETED BY CITY STAFF ONLY:
Date of Application Submittal:
Permit Number:
nsible Person

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o�.10-W Fuesye
ANSPEcrlaNS,
DIVISION
FxcNknce rhrough Service
Single -Family Dwelling
Bryce A. Stuart Municipal Building
Iti�lli Suite 328
A4mlantm 100 E, First Street
City of Winston-saiem Winston-Salem, NC 27101
511
Erosion Control P e r m i t Application Field P.O. Box aler
�p on Operations Winston-Salem. NC 27102-2511
Please use this form when the Developer and Builder are not the samePhone: or
Fax: [phone]-7453
financially responsible party/person and will be less than one (1) acre of
land disturbance on any one (1) lot.
Lot(s) to be Developed Information
Site Address:_ �Uf./ J I(�C cA`cr (riryaGe,
Subdivision Name:
Anticipated Dates of Construction Activity: Start: b 1�1 3 Completion
C/,s/a4
*** Complete the LOT INFORMATION TABLE for each lot to be developed; ensure that the appropriate drainage pattern type is
denoted. Attach a corresponding, existing platted survey for each lot with your application, please. If not, your permit
application may not be accepted for review. ***
Financially Responsible PartylPerson
Name: U) PI
Address: EL2 r"1C}A�A V(, c,5
City/State/Zip: r r� S '&-,7 7 Office Phone:
Mobile Phone: 2,S I q Email Address: i. " . WO/L
My signature hereto signifies I am the owner/financially responsible party for job site compliance with the Erosion Control Ordinance
as outlined in Chapter, Section 8.4 of the Unified Development Ordinances (UDO) of the City of Winston-Salem/Forsyth County or
Article IV of the UDO of the Village of Clemmons, Town of Lewisville, or Town of Walkertown. I hereby acknowledge that the Best
Management Practices annotated on the attached sketch plan must be properly installed and maintained to retain soil within the
constructed lot.
I understand that if the total disturbed area for any reason becomes greater than one acre on any one (1) tot, a professionally designed
and sealed Erosion Control Plan will be required to be submitted and approved before the start of the land disturbing activity on the lot. #
further acknowledge that City Inspection's staff may refuse to make building inspections and the Erosion Control Division may issue
Notices of Violation, Stop Work Orders and/or Civil Penalty Assessments for failure to compiy with Erosion Control requirements.
J t7 �s
Print Name of Financially Responsible Person Signal re of Financ
TO BE COMPLETED BY CITY STAFF ONLY:
Date of Application Submittal:
Permit Number
nsible Person

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INSPECTIONS
DIVISION
Excellence rhroagh Service
Single -Family Dwelling
wm
City of WWinstonston-Salem
Field
Erosion Control P e r m i t Application Operations
Bryce A. Stuart Municipal Building
Suite 328
100 E. First Street
Winston-Salem, NC 27101
P.O. Box 2511
Winston-Salem, NC 27102-2511
Please use this form when the Developer and Builder are not the same Fax: ( 3) 2 -279 747 7453
p Fax: {336) 727-2792
financially responsible party/person and will be less than one (1) acre of
land disturbance on any one (1) lot.
Lot(s) to be Developed Information
Site Address: -4� E 1 b o R%DUAL Ua1 _.... ., ,.,_._...—.—_._.
Subdivision Name: l J01dwa
Anticipated Dates of Construction Activity: Start: 0I.5,�3 Completion: i5
*** Complete the LOT INFORMATION TABLE for each lot to be developed; ensure that the appropriate drainage pattern type is
denoted. Attach a corresponding, existing platted survey for each lot with your application, please. If not, your permit
application may not be accepted for review. ***
Financially Responsible Party/Person
Name:
Address
M6��t Ilt-�wei
CitylStatelZip: `eF.^� +V ( _7 U7 OficePhorl )�qq
Mobile Phone: 31 q - g1 q3 Email Address: w; Il - i-,o Q�&Wo Wz-� - Ga^'\
My signature hereto signifies I am the owner/financially responsible party forjob site compliance with the Erosion Control Ordinance
as outlined in Chapter, Section 8.4 of the Unified Development Ordinances (UDO) of the City of Winston-SalemlForsyth County or
Article IV of the UDO of the Village of Clemmons, Town of Lewisville, or Town of Walkertown. i hereby acknowledge that the Best
Management Practices annotated on the attached sketch plan must be properly installed and maintained to retain soli within the
constructed lot.
I understand that if the total disturbed area for any reason becomes greater than one acre on any one (1) lot, a professionally designed
and sealed Erosion Controi Plan will be required to be submitted and approved before the start of the land disturbing activity on the lot. I
further acknowledge that City Inspection's staff may refuse to make building inspections and the Erosion Control Division may issue
Notices of Violation, Stop Work Orders and/or Civil Penalty Assessments for failure to comply with Erosion Control requirements.
fs-
Print Name of Financially Responsible Person Signat re of Finan
TO BE COMPLETED BY CITY STAFF ONLY:
Date of Application Submittal:
Permit Number:
risible Person

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INSPEI; NNS
o1VIS1um
Fxeollante fhrnuyh skime
Single -Family Dwelling
Bryce A. Stuart Municipal Building
I[;lhJl Suite 328
1�tlaat�ro 100 E. First Street
City of Wmston.salem w€nston-Salenl, NC 27101
Field P.C. Box 2511
Erosion Control P e r m i t Application Operations Winston-Salem. NO 27102-2511
Please use this form when the Developer and Builder are not the same
financially responsible party/person and will be less than one (1) acre of
land disturbance on any one (1) lot.
Lot(s) to be Developed Information
Site Address:
Subdivision Name;
tu�e_ [Jr -
Anticipated Dates of Construction Activity: Start: I )- t5 ;L3 Completion
Phone: 311 or [phone]
Fax: [phone]
*** Complete the LOT INFORMATION TABLE for each lot to be developed; ensure that the appropriate drainage pattern type is
denoted. Attach a corresponding, existing platted survey for each lot with your application, please. If not, your permit
application may not be accepted for review. ***
Financially Responsible Party/Person
Name: �Jol � t'1XA�Cs
Address: (/0() PO("�C.�Ari'_ Dri V.C. S{
City/State/Zip: CLC.pi��� �l 1. Z;}q0 Office Phone: 3J(fd
Mobile Phone: we)3 - 61 Email Addmss:!� {� • U�K. �I�ai�{Zn.t�.��.
My signature hereto signifies I am the owner/financially responsible party for job site compliance with the Erosion Control Ordinance
as outlined in Chapter, Section 8.4 of the Unified Development Ordinances (UDO) of the City of Winston-Salem/Forsyth County or
Article IV of the LIDO of the Village of Clemmons, Town of Lewisville, or Town of Walkertown. I hereby acknowledge that the Best
Management Practices annotated on the attached sketch plan must be properly installed and maintained to retain soil within the
constructed lot.
I understand that if the total disturbed area for any reason becomes greater than one acre on any one (1) lot, a professionally designed
and sealed Erosion Control Plan will be required to be submitted and approved before the start of the land disturbing activity on the lot. I
further acknowledge that City inspections staff may refuse to make building inspections and the Erosion Control Division may issue
Notices of Violation, Stop Work Orders and/or Civil Penalty Assessments for faflure to comply with Erosion Contras requirements.
Print Name of Financially Responsible Person �ignatre
TO BE COMPLETED BY CITY STAFF ONLY:
Date of Application Submittal:
Permit Number:
sible Person

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INSPI:C DNS
DIVISION
fxcellove lhruuyh Smite
Single -Family Dwelling
_ V_ Bryce A. Stuart Municipal Building
[lhlJt Suite 328
i4f� 100 E. First Street
wm
City of Winston-Salem Winston-Salem, NC 27101
Field P.O. Box 2511
Erosion Control P e r m i t Application Operations Winston-Salem, NC27102-2511
Please use this form when the Developer and Builder are not the same
financially responsible party/person and will be less than one (1) acre of
land disturbance on any one (1) lot.
Lot(s) to be Developed Information
Site Address:
Subdivision Name:
Phone: 311 or [phone]
Fax: [phone]
Anticipated Dates of Construction Activity: Start: �J_ L5) -?-3 Completion: !l � �, r
*** Complete the LOT INFORMATION TABLE for each lot to be developed; ensure that the appropriate drainage pattern type is
denoted. Attach a corresponding, existing platted survey for each lot with your application, please. If not, your permit
application may not be accepted for review. ***
Financially Responsible Party/Person
Name: U04" �Omt`i;
Address: ZaD NL1216A or!V`C_, SL
City/State/Z'ip: 6(-e,{r- r n (� L o l Office Phone 3x01 m -
Mobile Phone:31)31Y - �(q Email Address: t� l� U0(k i kf�a s
My signature hereto signifies I am the owner/financially responsible party forjob site compliance with the Erosion Control Ordinance
as outlined in Chapter, Section 8.4 of the Unified Development Ordinances (UDO) of the City of Winston-Salem/Forsyth County or
Article IV of the UDO of the Village of Clemmons, Town of Lewisville, or Town of Walkertown. I hereby acknowledge that the Best
Management Practices annotated on the attached sketch plan must be properly installed and maintained to retain soil within the
constructed lot.
I understand that if the total disturbed area for any reason becomes greater than one acre on any one (1) lot, a professionally designed
and sealed Erosion Control Plan will be required to be submitted and approved before the start of the land disturbing activity on the lot. 1
further acknowledge that City Inspection's staff may refuse to make building inspections and the Erosion Control Division may issue
Notices of Violation, Stop Work Orders and/or Civil Penalty Assessments for failure to comply with Erosion Control requirements.
J
Print Name of Financially Resp nsible Person Signat re of Financ
TO BE COMPLETED BY CITY STAFF ONLY:
Date of Application Submittal:
Permit Number.
nsible Person

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