NCC233642_FRO Submitted_20231208

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ENVIRONMENTAL BULLETIN GRADING PERMITS
GRADING PERMITS demolition landfills are $2,000.00 per acre). Sureties
Grading permits are required for certain land include bonds, irrevocable letters of credit, cashier's
disturbing activities to protect bodies of water and check, cash, and escrow accounts payable to Guilford
adjacent property from sedimentation and erosion. County. (5.) Payment of the grading permit fee based
Guilford County issues permits for unincorporated on disturbed acreage(see fee schedule).
County, Jamestown, Stokesdale, Summerfield,
Whitsett, Sedalia,Pleasant Garden and Oak Ridge. Plan should be submitted thirty (30) days prior to
A grading permit is required when any area over one commencement of the land disturbing activity. Plans
(1) acre (43,560 square feet) is grubbed or graded. are reviewed in the order that they are received and
Examples of development requiring grading permits plans can be (1) approved, (2) punch-listed, or (3)
include: subdivisions, shopping centers, commercial
denied for various reasons. A punch-listed plan may
and industrial development, apartments, townhouses, be corrected and resubmitted. Denial of a plan entitles
churches, and recreational development. Exemptions the applicant to a public hearing within fifteen (15)
days after receipt of written notice of disapproval. The
from grading permit requirements include: disturbed
areas less than (one) 1 acre in size, agriculture, Guilford County Planning Board hears appeals within
mining, and area—under State or Federal jurisdiction. thirty (30) days of the appeal request and makes a
recommendation to the Guilford County Board of
A grading permit issued by Guilford County is valid Commissioners. The Commissioners will render a
for one (1) calendar year,unless the permit is revoked final decision within thirty (30) days of receipt of the
or the project is completed. The permit can be recommendations from the Planning Board. If the
renewed for an additional six (6) month period by appeal is denied, the applicant may further appeal to
making a written request to the Guilford County the North Carolina Sedimentation Control
Planning and Development Department, Inspections Commission.
Division. Reissued grading permits do not have to pay EROSION CONTROL INSPECTIONS
another permit fee (unless revoked), but the erosion
control surety must remain in effect. Guilford County Erosion Control Staff will
periodically inspect the sites of land disturbing
APPLICATIONS activity to determine compliance with the plan. They
The following items are needed to apply for a grading will indicate any areas that are weak and help answer
permit: (1.) Four (4) copies of an Erosion any questions that might arise. One important
Control/Grading Plan prepared and sealed by a inspection is the point at which the devices (i.e., silt
registered professional engineer, architect, landscape fences, sedimentation pits, etc.) have been installed.
architect, or registered surveyor. Three (3) copies Maintenance inspection is the final inspection. The
should be submitted to Guilford County Planning and permit can be finalized after the site improvements
Development and one(1) copy should be submitted to have been made and after the site has been stabilized.
the Guilford Soil and Water Conservation District,
3309 Burlington Road, Greensboro, N.C. 27405, CIVIL PENALTIES
telephone number 336-375-5401. (2.) A grading A violation of the erosion control law could result in a
permit application. (3.) Financial responsibility civil penalty of up to$5000.00 per day.
statement.If the person financially responsible is not a
resident of North Carolina, a North Carolina agent
must be designated in the statement. (4.) Erosion
control surety in the amount of $1,500.00 per acre
disturbed,to the nearest 1/10 of an acre. (Sureties for
No.E2 Grading Permit& Appl. Rev.December 2017 Page 1 of 6

GUILFORD COUNTY
GRADING PERMIT APPLICATION
GRADING PERMIT APPLICATION
Please type or print answers: Return to:Earl E.Davis H Inspection
Planning and Development
Post Office Box 3427 Greensboro,NC 27402
[phone] or(336)641-3880(fax)
NAME OF PROJECT: Ace Hardware DATE: May 17,2023
LOCATION OF PROJECT: 3100 N.Hwy 150
ACREAGE TO BE DISTURBED: 1.67(Guilford County)ACRES OR( SQ.FEET)
TOTAL ACREAGE IN TRACT: 1.67 ACRES
IS THIS PROPERTY IN A DESIGNATED WATERSHED? Ready Creek,WS-III NSP
If so,the project must comply with Guilford County Regulations prior to a Grading Permit being issued.
WHAT TYPE OF UTILITIES WILL GO IN DURING CONSTRUCTION?(Water,Sewer,Power,Cablevision,
Telephone,etc.) Sewer&Dry Utilities(Power,Cable,Gas Telephone)
ENGINEER/ARCHITECT/SURVEYOR: Name: Ravindra Bissram,PE
Address: 8515 Triad Drive,Colfax NC,27235
Telephone: [phone]
Fax:
E-Mail: [e-mail]
The Property Owner and additional Financially Responsible Party (if any) do hereby agree to comply with all applicable
Guilford County Regulations pertaining to development if a Grading Permit is issued. The Property Owner and additional
Financially Responsible Party furthermore, do hereby agree to be responsible for the timely installation and maintenance of
erosion control devices throughout the duration of this project. A copy of the Guilford County Development Ordinance is
available from the Guilford County Planning and Development Department.
OWNER OF PROPERTY: NORTH CAROLINA AGENT(if applicable)
Name: DOUBLE G PROPERTIES,LLC Name:
Address: 8609 CEDAR HOLLOW RD GREENSBORO,NC 27455 Address:
Telephone: (Home)
(Office) [phone] Telephone: (Home)
(Fax) (Office)
(E-Mail) [e-mail] (Fax)
(E-Mail)
Print Name: Paul Tall
Signature: x
ADDITIONAL FINANCIALLY RESPONSIBLE PARTY:
Name: Telephone: (Home)
Address: (Office)
(Fax)
(E-Mail)
Print Name:
Signature:
No.E2 Grading Permit&Appl. Rev.December 2017 Page 2 of 6

GUILFORD COUNTY
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
DEPARTMENT OF PLANNING AND DEVELOPMENT
A Grading Permit must be obtained before initiating any land-disturbing activity over one(1) acre(43,560 square feet).A
Grading Permit Application, this Financial Form, a Grading/Erosion Control Plan, a surety, good for one (I) year, and a
permit fee should be submitted 30 days prior to the planned commencement of the land-disturbing activity.
The above information should be submitted to: Earl E.Davis II-Inspections Division
Guilford County Planning and Development
Post Office Box 3427
Greensboro,N.C. 27402 [phone]
Please type or print answers to the following:
Date:May 17,2023
Name of Project:Ace Hardware
Location of Project: 3100 N.Hwy 150
Acreage of Land to be Disturbed:1.67(Guilford County)
LATITUDE 36.2184°N (In Degrees)LONGITUDE 79.7865°"W (In Degrees)
Purpose of Activity(street construction,commercial building,parking lot,etc.): Commercial Hardware Store with associated parking area
Landowner(s)of record:
Name: DOUBLE G PROPERTIES,LLC Name:
Address: 8609 CEDAR HOLLOW RD Address:
GREENSBORO,NC 27455
Telephone: (Home) Telephone: (Home)
(Office) [phone] (Office)
(Fax) (Fax)
(E-Mail) (E-Mail)
Indicate County,Book,and Page where deed or instrument is filed.
Guilford 8663 480
County Book Page
The information provided on this form is true and correct to the best of my knowledge and belief and was provided by
me while under oath. This form must be signed by the property owner if an individual. If owned by a company or
corporation, this form must be signed by an officer, director,partner, attorney-in-fact, or other person with authority to
execute instruments for the corporation. If the person financially responsible is not a resident of North Carolina.a North
Carolina agent must be designed. If someone other than the owner is financially responsible, their signature is required
below also.
x !/L //t'LG LeY
Print or Type Name of Individual C.Agent's Signature (if applicable)
Title and Nam of Co any Additional Financially Responsible Party (if applicable)
Owner's S' nature
No.E2 Grading Permit&Appl. Rev.December 2017 Page 3 of 6

PLEASE READ THE FOLLOWING INFORMATION:
If a Grading Permit is issued it is valid for up to one(1)year from the date it is issued. If circumstances warrant it, it may
be extended for six(6)months after the one (1)year period. Upon written notice the Grading Permit may be revoked for
failure to install devices as shown on the plan in a prompt fashion, or for failure to maintain the devices once they have
been installed.If a Grading Permit is revoked,all other development permits and approvals are withheld until the property
is once again in compliance with Guilford County regulations. Also, upon written notice a Civil Penalty (fine) can be
instigated against the property owner and/or additional Financially Responsible Party (if any) for violations of Guilford
County's Soil Erosion and Sedimentation Control Ordinance. This penalty is up to $5000.00 per day and is assessed daily
for every day the property is in violation. (Interfering with or hampering an inspection can result in a civil penalty without
written notice).
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STATE OF
COUNTY OF 1 l C'UYd
I,a Notary Public of said County and State,do hereby certify that
( j.A\ 1dlt( / personally appeared before me this day and under oath acknowledged reading the
information above and ad..knowledged that the above1 form was executed by him or her.
Witness my hand and official seal,this the l D day of In G{ ,20 7 3
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My Commission Expires: _`,,‘ kl‘•
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STATE OF (ADDITIONAL FINANCIALLY RESPONSIBLE PARTY SIGNATURE)
COUNTY OF
I,a Notary Public of said County and State,do hereby certify that
personally appeared before me this day and under oath acknowledged reading the information above and
acknowledged that the above form was executed by him or her.
Witness my hand and official seal, this the day of 20
Notary Public
My Commission Expires:
(SEAL)
No.E2 Grading Permit&Appl.Rev. December 2017 Page 4 of 6