NCC241643_MODIFICATION Supporting Documents_20240927

Georgoulias, Bethany
From: Matthew Osborne <[e-mail]>
Sent: Friday, September 27, 2024 10:11 AM
To: Tom Anastasi; Georgoulias, Bethany
Cc: Kent Wall
Subject: RE: [External] Construction SW Modification Request - Approval of Modified
Disturbance Area
Follow Up Flag: Follow up
Flag Status: Flagged
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
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Bethany & Tom,
My apologies. I did not revise the disturbed area reference on the revised plan approval email before sending it
out. See below for correction. Let me know if you need anything additional.
Number of Recipients: 1
Sent: 09/24/2024 10:15:13 AM
Sent by: Matthew Osborne
To: [e-mail]
Cc:
Bcc:
Subject: Review Completed - Sheetz - Peters Creek Pkwy
Attachments:
Application Type: 04.02) Grading/Erosion Control Permit
Workflow: 04.02) Grading & Erosion Control
Project: Sheetz -Peters Creek Pkwy
A/P #: EN2400033
Acreage to be Disturbed: 2.4
https://winston-salem.geocivix.com/secure/prof ect/?prof ectid=1240702
Hello Sheetz, Inc.,
i

Thank you for submitting your project to City of Winston-Salem. Review of the Erosion Control Pla
project has been completed. The design is adequate to meet the ordinance standards and the plan has
approved.
Be aware that this plan shall expire three (3)years following the date of approval, if no land disturbi:
has been undertaken, as is required by Title 15A NCAC 4B .0129. Also, acceptance and approval of
is conditioned upon compliance with Federal and State water quality laws, regulations, and rules.
If you have not already done so,please provide an original signed and notarized Financial
Responsibility/Ownership (FRO) form as applicable. This document is required prior to the issuance
Grading/Erosion Control Permit. If this has already been provided,then please disregard this
statement. Reminder that a completed FRO form is not required in the instance where a project qua]
the HB 489 Sketch Erosion Control Plan document.
If this project will disturb more than 1 acre or is part of a larger common plan of development,the
Grading/Erosion Control Permit cannot be issued until documentation is provided that coverage and
NCGO1 Construction Stormwater Permit(NPDES)has been obtained. Please obtain coverage under
at the following website (https:Hedocs.deci.nc.2ov/Forms/NCGO1-NOI). Once coverage is obtain(
upload a copy of the Certificate of Coverage (COC) to the project documents in the electronic plan r
system. The Grading/Erosion Control Permit will not be issued until proof of coverage under NCG(
provided. Please direct questions about the eNOI form to NCDEQ - DEMLR Stormwater Program
Raleigh central office. If the owner/operator of this project changes in the future,the new responsibl
must obtain a new COC. *** This approval email serves as the "Approval Letter" that must be
uploaded when filing the a-NOI application to obtain the NCG01 Certificate of Coverage. ***
As outlined in the Unified Development Ordinances (UDO) of Winston-Salem/Forsyth County, Vill
Clemmons, Town of Lewisville, and Town of Walkertown, Erosion Control Division staff may peri(
inspect sites of land disturbing activity to determine compliance with the Erosion Control ordinance:
approved Erosion Control Plan. No person shall willfully resist, delay, or obstruct an authorized rep
employee, or agent of the Erosion Control Division while that person is inspecting or attempting to i
land disturbing activity under the ordinance.
Should you have any questions as you move forward please contact Kent Wall at 336-462-
7481 or kentw(acityofws.or2.
Matthew Osborne, CFM, CPESC
Stormwater Operations Analyst
City Of Winston-Salem
Field Operations Department
Stormwater Division
PO Box 2511 (Mailing)
101 N.Main Street(Physical)
Winston-Salem,NC 27101 (27102 for PO Box)
Office: 336-747-6919
Mobile: [phone]
From:Tom Anastasi <[e-mail]>
Sent: Friday, September 27, 2024 8:45 AM
To: Georgoulias, Bethany<[e-mail]>; Matthew Osborne<[e-mail]>
Subject: RE: [External] Construction SW Modification Request-Approval of Modified Disturbance Area
2

You don't often get email from [e-mail]. Lear,, VV I IV
E
ION:***EXTERNAL SENDER *** STOP. EVALUATE. VERIFY. Were
Does the content make sense? Can you verify the sender? If the emai is sus i
ck links or open attachments. Click the Report Messa a butt
Matt
I downloaded the approval letter from the City Portal, if you have something better please share. We modified
the previously approved disturbed area slightly per Kent's request.
Thank you,
Tom
From: Georgoulias, Bethany<[e-mail]>
Sent: Friday, September 27, 2024 8:37 AM
To:Tom Anastasi <[e-mail]>; Matthew Osborne<[e-mail]>
Subject: RE: [External] Construction SW Modification Request-Approval of Modified Disturbance Area
FYI—a request to verify documentation for an NCG01 Modification, if you are able to assist. I saw Kent's
automated reply.
From: Georgoulias, Bethany
Sent: Friday, September 27, 2024 8:32 AM
To:[e-mail]; [e-mail]
Subject: RE: [External] Construction SW Modification Request-Approval of Modified Disturbance Area
Good morning,
We received the modification request below for the NCG01 Construction Stormwater permit for this project;
however,the approval email uploaded (attached)was indistinguishable from the original in the NCC241643
NCG01 file.There is no date of approval or revision noted. Is this the most recent approval?
I've copied Kent Wall with the City of Winston-Salem to verify if needed.
Thankyou,
Bethany Georgoulias (she/her)
Environmental Engineer, Stormwater Program
DEMLR Laserfiche Administrator
Division of Energy, Mineral,and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
[e-mail]
512 N. Salisbury Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: http://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
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From: [e-mail]<[e-mail]>
Sent:Tuesday, September 24, 2024 3:17 PM
To:[e-mail]
Cc:[e-mail]
Subject: [External] Construction SW Modification Request Received
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Thank you for submitting a Modification request for Sheetz - Peters Creek Pkwy in Forsyth County,
Certificate of Coverage (COC) no. NCC241643.
Modification Reason: Other Revision(s)to E&SC Plan
Additional Details (if provided): E&S revision submitted to the City of Winston Salem for a modified
disturbed area. Re-approval documentation uploaded.
If your submittal is accepted,you will receive e-mail confirmation. You will also be notified if additional
information is needed or if the modification request or documents cannot be accepted.
If you have any questions, please contact [e-mail].
Be sure to add [e-mail] to your contacts to avoid future e-mails about this
application from going into Spam filters.
The NC DEMLR Stormwater Program
512 N. Salisbury Street,Archdale Building 6th Floor, 1612 Mail Service Center, Raleigh, NC 27699-1612
`QEQ!�'
This email was automatically generated by Laserfiche. Please do not respond to this email address, as
responses are not monitored.
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.
4

Application Type: 04.02)Grading/Erosion Control Permit
Workflow: 04.02)Grading& Erosion Control
Project: Sheetz- Peters Creek Pkwy
A/P#: EN2400033
Acreage to be Disturbed: 2.05
https://winston-satem.geocivix.com/secure/project/?projectid=1240702
Hello Corporation Service Company,
Thank you for submitting your project to City of Winston-Salem. Review of the Erosion Control Plan for
this project has been completed. The design is adequate to meet the ordinance standards and the plan
has been approved.
Be aware that this plan 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. Also,
acceptance and approval of this plan is conditioned upon compliance with Federal and State water quality
laws, regulations, and rules.
If you have not already done so, please provide an original signed and notarized Financial
Responsibility/Ownership (FRO) form as applicable. This document is required prior to the issuance of
the Grading/Erosion Control Permit. If this has already been provided, then please disregard this
statement. Reminder that a completed FRO form is not required in the instance where a project
qualifies to use the HB 489 Sketch Erosion Control Plan document.
If this project will disturb more than 1 acre or is part of a larger common plan of development, the
Grading/Erosion Control Permit cannot be issued until documentation is provided that coverage under
the NCG01 Construction Stormwater Permit (NPDES) has been obtained. Please obtain coverage
2

under the permit at the following website (https://edocs.deq.nc.gov/Forms/NCG01-NOI). Once
coverage is obtained, please upload a copy of the Certificate of Coverage (COC) to the project
documents in the electronic plan review system. The Grading/Erosion Control Permit will not be issued
until proof of coverage under NCG01 is provided. Please direct questions about the eNO1 form to
NCDEQ - DEMLR Stormwater 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. ***This approval
email serves as the "Approval Letter" that must be uploaded when filing the a-NOI application to
obtain the NCG01 Certificate of Coverage. ***
As outlined in the Unified Development Ordinances (UDO) of Winston-Salem/Forsyth County, Village of
Clemmons, Town of Lewisville, and Town of Walkertown, Erosion Control Division staff may
periodically inspect sites of land disturbing activity to determine compliance with the Erosion Control
ordinances and the approved Erosion Control Plan. No person shall willfully resist, delay, or obstruct an
authorized representative, employee, or agent of the Erosion Control Division while that person is inspecting or
attempting to inspect a land disturbing activity under the ordinance.
Should you have any questions as you move forward please contact Kent Wall at 336-462-7481 or
kentw(aocityofws.org.
Winston-Salem North Carolina and Forsyth County
City Link 311
311 or(336)727-8000
citylinkAci.ofws.org
100 E.First Street
Winston-Salem,NC 27101
City Directory
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