NCC232932_ESC Approval Submitted_20231017

• ROY COOPER 16`4
17.
'
Governor
ELIZABETH BISER 14 ="
Secretary
DOUGLAS ANSEL
Interim Director NORTH CAROLINA
Environmental Quality
May 19, 2023
LETTER OF APPROVAL WITH MODIFICATIONS
Circle K Stores,Inc
Attention: Meredith Rice, Jr, Vice President
1100 Situs Court Ste 100
Raleigh,NC 27606
RE: Project Name: Circle K—Expansion 2723205 Old US Hwy 52 & Hickory Tree Rd
Acres Approved: 0.95
Project ID: DAVID-2023-065
County: Davidson
City: Winston Salem
Address: Hickory Tree Road
River Basin: Yadkin
Stream Classification: C
Submitted By: Timmons Group
Date Received by LQS: May 5, 2023
Plan Type: New
Dear Sir or Madam:
This office has reviewed the subject erosion and sedimentation control plan. We find the plan to be
acceptable with modifications and hereby issue this letter of Approval with Modifications. The
modifications required for approval are listed on the attached page. This plan approval shall expire three
(3) years following the date of approval, if no land-disturbing activity has been undertaken, as is
required by Title 15A NCAC 4B .0129.
As of April 1, 2019, all new construction activities are required to complete and submit an electronic
Notice of Intent (eNOI) form requesting a Certificate of Coverage (COC) under the NCG010000
Construction General Permit. After the form is reviewed and found to be complete, you will receive a
link with payment instructions for the $100 annual permit fee. After the fee is processed, you will
receive the COC via email. As the Financially Responsible Party shown on the FRO form submitted for
this project,you MUST obtain the COC prior to commencement of any land disturbing
activity. The eNOI form may be accessed at deq.nc.gov/NCG01. Please direct questions about
the eNOI form to the Stonnwater Program staff in the Raleigh central office. If the owner/operator of
this project changes in the future, the new responsible party must obtain a new COC.
Title 15A NCAC 4B .0118(a) and the NCG010000 permit require that the following documentation be
kept on file at the job site:
North Carolina Department of Environmental Quality I Division of Energy,Mineral,and Land Resources
Winston-Salem Regional Office 1450 West Hanes Mill Road,Suite 300 I Winston-Salem,North Carolina 27105
336-776-9800

, Letter of Approval with Modifications
Circle K Stores Inc
May 19, 2023
Page 3 of 3
MODIFICATIONS REQUIRED FOR APPROVAL
Project Name: Circle K—Expansion 2723205 Old US Hwy 52 & Hickory Tree Rd
Project ID: DAVID-2023-065
County: Davidson
Modifications pursuant to applicable North Carolina General Statutes and/or Regulations:
1. Any off-site borrow and waste required for this project must come from a site with an
approved erosion control plan, a site regulated under the Mining Act of 1971, or a landfill
regulated by the Division of Solid Waste Management. Trash/debris from demolition
activities or generated by any activities on site must be disposed of at a facility regulated by
the Division of Solid Waste Management or per Division of Solid Waste Management or
Division of Water Resources rules and regulations. [15A NCAC 4B .0110]
2. Additional measures may be required - The applicant is responsible for the control of
sediment on-site. If the approved erosion and sedimentation control measures prove
insufficient, the applicant must take those additional steps necessary to stop sediment from
leaving this site. [15A NCAC 4B .0115]
3. The NCGO 1 has a $100 yearly fee and our office often receives closure inspection requests
days prior to yearly NCG01 fee payment due dates. Be advised the project requires a closure
inspection report by DEMLR prior to filing the Notice of Termination (NOT) to terminate
NCG01 coverage. The closure inspection should not be requested until after the site has
achieved full vegetative stabilization and measures have been removed. The removal of
temporary ESC measures, including basins, requires prior approval. Often, a full growing
season is necessary between initial seeding/mulching and removal of measures. Please plan
your construction accordingly to avoid contacting our office prematurely for a closure
inspection. Also be advised you may be asked for representative site pictures prior to a
closure inspection. [General Comment]
Ref: G.S. 113A-54.1 through G.S. 113A-57
Sections 15A NCAC 04A.0101 through 15A NCAC 04E.0504
General Permit NCG 010000 NPDES for Construction Activities

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