NCC241210_ESC Approval Submitted_20240419

Kevin Heath
From: SVC_DoNotReply-DEQPermits <[e-mail]>
Sent: Tuesday, April 16, 2024 11:21 AM
To: Draughn, Robert; Kevin Heath
Subject: NC DEMLR - FROF Application Approval with Modifications Needed CRM:0170066
Attachments: SURRY-2024-0110_North Surry High School New One Lane Driveway and Parking
Area.pdf; Application Report -Tuesday, April 16, 2024 1114 AM.pdf
North Carolina Department of Environmental Quality
Division of Energy, Mineral & Land Resources
Land Quality Section
Roy Cooper
Governor
Elizabeth S. Biser
Secretary
William Vinson Jr. (Acting)
Director
04-16-2024
Surry County Board of Education
209 N Crutchfield St
Dobson, NC 27017
RE: Project Name: North Surry High School New One-Lane Driveway and Parking Area
Acres Approved:5.52
Application ID: PA-004135
Permit Number: SURRY-2024-0110
Address:West Pine Street
City: Mt Airy
County:Surry
River Basin:Yadkin-Pee Dee
Stream Classification:WS-IV:Water Supply IV
Plan Type: New Plan
Dear Surry County Board of Education,
This office has reviewed the subject erosion and sedimentation control plan. We find the plan to be acceptable with
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modifications and hereby issue this Letter of Approval with Modifications. The Modifications Required for Approval are
listed on the attached page.The Certificate of Approval must be posted at the job site. 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 48 .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 $120 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 eNOl form
may be accessed atdeq.nc.gov/NCG01. Please directquestions about the eNOlform totheStormwater 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
newCOC.
Title 15A NCAC 4B .0118(a) and the NCG01 permit require that the following documentation be kept on file at the job
site:
1. The approved E&SC plan as well as any approved deviation.
2. The NCG01 permit and the COC, once it is received.
3. Records of inspections made during the previous 12 months.
Also, this letter gives the notice required by G.S. 113A-61.1(a) of our right of periodic inspection to ensure compliance with
the approved plan.
North Carolina's Sedimentation Pollution Control Act is performance-oriented, requiring protection of existing natural
resources and adjoining properties. If, following the commencement of this project, the erosion and sedimentation
control plan is inadequate to meet the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina
General Statute 113A-51 through 66), this office may require revisions to the plan and implementation of the revisions to
insure compliance with the Act.
Acceptance and approval of this plan is conditioned upon your compliance with Federal and State water quality laws,
regulations, and rules. In addition, local city or county ordinances or rules may also apply to this land-disturbing
activity. This approval does not supersede any other permit or approval.
Please note that this approval is based in part on the accuracy of the information provided in the Financial
Responsibility/Ownership Form, which you provided. You are requested to file an amended form if there is any change in
the information included on the form. This permit allows for a land-disturbance, as called for on the application and plan,
not to exceed the approved acres. Exceeding the acreage can be a violation of this permit and may require a revised plan
and additional application fee. In addition, it would be helpful if you notify this office of the proposed starting date for this
project.
Modifications Required for Approval:
1. Please print this email as your Letter of Approval for your NCG010000 Certificate of Coverage application.
2.Please notify this office prior to your pre-construction conference for this project by calling [phone] and asking to
speak with the Land Quality inspector for your county. Permission must be obtained and granted from NC DEQ DEMLR
prior to the removal of any ESC measures. [GS 113A-51, 15A NCAC 4B .01201
3.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
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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]
4.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]
5.The NCGO1 has a $120 yearly fee and our office often receives closure inspection requests days prior to yearly NCGO1
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 NCGO1 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]
Your cooperation is appreciated.
Sincerely,
North Carolina Department of Environmental Quality
Division of Energy, Mineral & Land Resources
Land Quality Section
Enclosures: Certificate of Approval
Modifications Required for Approval
North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
x _ Winston-Salem Regional Office 1450 West Hanes Mill Road, Suite 300 I Winston-Salem NC, 27105
t". 336-776-9800
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.
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CERTIFICATE OF PLAN APPROVAL
STATE
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The posting of this certificate certifies that an erosion and sedimentation control plan has been
approved for this project by the North Carolina Department of Environmental Quality in
accordance with North Carolina General Statute 113A — 57 (4) and 113A — 54 (d) (4) and North
Carolina Administrative Code, Title 15A, Chapter 4B.0107 (c). This certificate must be posted
at the primary entrance of the job site before construction begins and until establishment of
permanent groundcover as required by North Carolina Administrative Code, Title 15A,
Chapter 4B.0127 (b).
North Surry High School New One-Lane Driveway and Parking Area
West Pine Street Mt Airy, NC 27030
4/16/2024 SURRY-2024-0110
Date of Plan Approval , ---Z1) Project Identifier
Certificate of Coverage Number:

FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land-disturbing activity on one or more acres as covered by the Act, including any
activity under a common plan of development of this size as covered by the NCGO1 permit, before this form
and an acceptable erosion and sedimentation control plan have been completed and approved by the Land
Quality Section, N.C. Department of Environmental Quality. Submit the completed form to the appropriate
Regional Office. (Please type or print and, if the question is not applicable or the e-mail address or phone
number is unavailable, place N/A in the blank.)
Part A.
1. Project Name: North Surry High School New One-Lane Driveway and Parking Area
*If this project involves American Rescue Plan Act(ARPA)funds, list the Project Name below under which
you applied for funding through the Division of Water Infrastructure (DWI).
Is Project ARPA Funded ARPA Project Name ARPA Project#
No
2. Location of land-disturbing activity: County: Surry City or Township: Mt Airy
Highway/Street: West Pine Street Latitude: 36.503944 Longitude:-80.673175
3. Approximate date land-disturbing activity will commence: 6/1/2024
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Institutional
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas): 5.52
6. The application fee of $100.00 per acre (rounded up to the next acre) is assessed without a ceiling
amount (Example: 8.10-acre application fee is $900).
7. Has an erosion and sediment control plan been filed? Yes-Will be Mailed or Hand-Delivered
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name: Robert Draughn E-mail Address: [e-mail]
Phone: [phone] Mobile:
9. Landowner(s)of Record:
Landowner(s) of Record
Name Email Business Phone Mobile Phone
Surry County Board of Education [e-mail]
Physical Address Mailing Address
Street 1 City State Zip Street 1 City State Zip
209 N Crutchfield Dobson NC 27017 209 N Crutchfield Dobson NC 27017
St St

Part B.
1. Company(ies) who are financially responsible for the land-disturbing activity (Provide a comprehensive list of all
responsible parties on accompanied page.)If the company is a sole proprietorship or if the landowner(s)is an individual(s), the
name(s) of the owner(s)may be listed as the financially responsible party(ies).
Primary Financially Responsible Party
Company Name Email Business Phone Mobile Phone
Surry County Board of Education [e-mail]
Physical Address Mailing Address
Street 1 City State Zip Street 1 City State Zip
209 N Crutchfield Dobson NC 27017 209 N Crutchfield Dobson NC 27017
St St
Additional Financially Responsible Parties
Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form the
landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation control
plan and to conduct the anticipated land disturbing activity.
2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
Registered Agent Information
Name Email Business Phone Mobile Phone
Physical Address Mailing Address
Street 1 City State Zip Street 1 City State Zip
(b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the
designated North Carolina agent who is registered on the NC Secretary of State business registry:
North Carolina Agent Information
Name Email Business Phone Mobile Phone
Physical Address Mailing Address
Street 1 City State Zip Street 1 City State Zip
Engineering/Consulting Firm Information
Name Email Business Phone Mobile Phone
The Lane Group, Inc. [e-mail] 2762364588
Physical Address Mailing Address
Street 1 City State Zip Street 1 City State Zip
119 N Main Galax VA 24333 119 N Main Galax VA 24333
Street Street

Additional Details
1. Stream Classification: WS-IV: Water Supply IV
2. Was Express Review Requested: No
The above information is true and correct to the best of my knowledge and belief and was provided
by me under oath. (This form must be signed by the Financially Responsible Person if an individual(s)
or his attorney-in-fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Party). I agree to provide
corrected information should there be any change in the information provided herein.