NCC241059_FRO Submitted_20240409

,y.J.0offo s}, Bryce A.Stuart Municipal Building
��` o � Suite 328
Single-Family Dwelling 100 E.First Street
City of Winston-Salem Winston-Salem,NC 27101
INSP C OHS
DIVISIONField P.O. Box 2511
Freagmce Lhraugh Senrre Erosion Control Permit Application Operations Winston-Salem, NC 27102-2511
Please use this form when the Developer and Builder are not the same Phone:311 or(336)747-7453
Fax:[phone]
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:5227 Sunny Brook Court, Clemmons, NC 27012 (LOTS 1-26)
Subdivision Name:Salem Brooke
Anticipated Dates of Construction Activity: Start:4/5/2024 Completion:4/5/2027
***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: Nova Triad Partners, LLC
Address:206 N Spruce Street, Suite 2B
City/State/Zip:Winston-Salem, NC 27101 Office Phone:[phone]
Mobile Phone: [phone] Email Address: [e-mail]
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)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.
Andrew Dreyfuss 4-
Print Name of Financially Responsible Person Signature of Financially Responsible Person
TO BE COMPLETED BY CITY STAFF ONLY:
Date of Application Submittal:
Permit Number:

Date: j - PAGE 1
1 NOTES AND APPLICABILITY TO LOT DEVELOPMENT
WINSTON-SALEM/FORSYTH COUNTY STANDARD SEDIMENT AND 1 individual sisforgle lots
aningsvidual disturbed area of 1.00 acre or less for
EROSION CONTROL PLAN FOR SMALL RESIDENTIAL LOTS A vicinity map showing the boundaries of the project and access to the site is to
2. either be shown on this standard plan or to accompany this standard plan.
A subdivision plat or plan showing numbered lots and the Limits of Disturbance
3. (LoD)is to accompany this standard plan.The LoD includes lots.access to
TABLE OF CONTENTS Page measures,staging areas.and utilities that may extend off-site.
1 4. Lots are"Finished",or at final grade.Mass grading with full stabilization has already
1. Title Sheet occurred or mass grading is not to occur.
Q 2 5. propertydoes not contain nor have jurisdictional waters within 100 feet of the
of Iofprm tip T bl 3 ��,� EN
�yplCal In IVI Ua O Layout Wth - 6. The site is not located in a High Quality Water Zone.
Curb and Gutter 7. No discharges are allowed into impaired waters.
8. On-site vehicle or equipment washing is not allowed.
4. Typical Individual Lot Layout With 4 9. This site involves no off-site material storage,waste disposal,or borrow areas.
10.All disturbed areas not built upon shall be provided with permanent ground cover.
Roadside Ditches - , Y 11 As otA April 1,2019.applicant must p pp apply on-line at deq.nc.gov/NCG01 for the
NCG01permit,if
5. NCG-01 Self-Inspection 5 r� applicable.
6 z ' 12.The Approval Authority reserves the right to require a site-specific erosion control
6. NCG-01 Ground Cover & Material dd�' , plan to be prepared and submitted for the 15 day review cycle.
Handling • !r f i" .-•,'- GENERAL CONSTRUCTION SEQUENCE FOR SMALL
7. Temporary Seeding 7 _ _ -• 6. RESIDENTIAL LOT EROSION AND SEDIMENT CONTROL
Recommendations -- 1. Prior to the start of construction,contact the Erosion Control Division to schedule
an on-site preconstruction meeting with the Erosion Control Inspector.
8. Permanent Seeding 8 t' -� 2. Install construction entrances(s).
Recommendations f / �. 3. Install check dams and/or erosion control blankets in roadside ditch,where exists.
f 4. Install yard inlet protection and perimeter controls(silt fence,silt fence outlets.etc.)
9. Construction Entrance/Exit 9 _ - r • according to the plan-For contiguous lots with different builders or land owners,it is
10.Inlet Protection '10 suggested that each builder owner install their own silt fence along the shared parcel
.- boundary.If silt fence is not required along the front of the lot due to the drainage
11.Rolled Erosion Control Products 11 - layout.the builder must provide a measure to limit access through the construction
entrance. Ensure inlets downgrade of disturbances are protected from siltation.
(RECP) 5. Proceed with individual lot construction-
12.Silt Fence 12 6. Maintain erosion and sedimentation controls during construction.
7. Provide for ground stabilization after completion of any phase of grading in
13.Silt Fence Outlet i3 accordance with the NPDES timeframes table.Persons responsible for land
14.Silt Sock/Wattle For Check Dams 14 disturbing activities are responsible for phased inspections to ensure the approved
PROJECT NAME: erosion and sedimentation control plan is being followed.All erosion control
15.Silt Sock/Wattle For Perimeter and 15 measures shall be inspected at least once per week and after each storm event of
PROJECT NUMBER. 1.0 inches or more in a 24-hour period.The self-inspection report,as well as
Inlet Protection instructions for the self-inspection program,can be found at deq.nc.gov/NCG01.
DATE OF APPROVAL. 8. Remove any temporary driveway pipe and temporary construction entrance
immediately prior to constructing permanent driveway.
9. Once construction is complete and all areas are stabilized, remove any remaining
NOTE-FOR ANY PERFORMANCE RESERVATIONS REGARDING THE SEDIMENT CONTROL PLAN(PERFORMANCE erosion or sedimentation controls and stabilize any areas disturbed by their removal.
BASED)OR CRITICAL AREAS.A FIELD REVISION OR A CUSTOM PLAN MAY BE REQUIRED 10. Once the last approved lot is complete,notify the Erosion Control Division for
a close-out inspection.
11.0
STANDARD SEDIMENT & EROSION CONTROL PLAN

Date.
Page 2
PLEASE COMPLETE ALL INFORMATION FOR EACH LOT TO BE DEVELOPED. ENTER THE DRAINAGE PATTERN TYPE(A,B,C,D,E,F,G OR H)A5 WELL AS'RD'FOR ROAD DITCH OR'CO'FOR CURS AND GUTTER IN THE APPROPRIATE FIELD,
PARCEL NUMBER LOT NUMBER DISTURBED AREA(ACRE) TOTAL LOT SIZE(ACRE) t DRAINAGE PATTERN TYPE SPECIAL NOTES
5892-60-1905 1 .275 .275 A,RD
5892-60-1807 2 .218 .218 A,RD
5892-60-1800 3 .254 .254 A,RD
5892-60-2993 4 .367 .367 A,RD
5892-60-2893 5 .294 .294 A,RD
5892-60-2888 6 .288 .288 A,RD
5892-60-2670 7 .256 .256 A,RD
5892-60-2563 8 .265 .265 A,RD
5892-60-2456 9 .299 .299 A,RD
5892-60-2348 10 .335 .335 A,RD
5892-60-2322 11 .372 .372 A,RD
5892-60-2215 12 .338 .338 A,RD
5892-60-2105 13 .673 .673 A,RD
5892-60-9183 14 .396 .396 A,RD
5892-50-8248 15 .412 .412 A,RD
5892-50-8188 16 .83 .83 A,RD
5892-50-8248 17 .505 .505 A,RD
5892-50-8386 18 .464 .464 A,RD
5892-60-0455 19 .266 .266 A,RD
5892-50-9485 20 .209 .209 A,RD
5892-50-9425 21 .209 .209 A,RD
5892-50-8456 22 .209 .209 A,RD
5892-50-8456 23 .292 .292 A,RD
LOT INFORMATION TABLE (ADD TABLE(S) IF NECESSARY)

Date.
Page 2
PLEASE COMPLETE ALL INFORMATION FOR EACH LOT TO BE DEVELOPED_ENTER THE DRAINAGE PATTERN TYPE A.B,C,D,E,F,G OR HI AS WELL AS'RD'FOR ROAD DITCH OR'CO'FOR CURB AND GUTTER IN THE APPROPRIATE FIELD.
PARCEL NUMBER LOT NUMBER DISTURBED AREA(ACRE) TOTAL LOT SIZE(ACRE) DRAINAGE PATTERN TYPE SPECIAL NOTES
5892-50-7685 24 .292 .292 A,RD
5892-50-8665 25 .209 .209 A,RD
5892-50-9625 26 .209 .209 A,RD
Total Disturbed
Area = 8.74 ac�es
WS/FC EROSION CONTR ICE
PI ANS APPROVFI) FOR N UCTION
This plan complies with Ch er , Se n 4- Erosion Cc ntrol
of the Winbtcm afen irs ounty fled Dcvclopmc-it
Ordinance. A printe. of the - p .pproved plans must
be kept on the constr on si e f of ce when install ng
required erosion con m: ur:
- _ matthewn_..._ 14/0'10024 2.3Fi•76 PVI
td )
-sue LOT INFORMATION TABLE (ADD TABLE(S) IF NECESSARY)