NCC223566_FRO Submitted_20221103

ORgENSB R ,
1'fORY14 GAECILINA.
Erosion and Sediment Control Plan Submittal
In this packet, you will find plan submittal instructions, a copy of the grading permit application and
financial responsibility -forms, and a checklist with plan requirements far your reference.
Now to submit a plan:
Plans and associated documentation should be uploaded through the City's Plan Review and
Wracking System via the City's website (Greensboro-nc.gov).
Required documents for Initial review:
• Grading permit application and financial responsibility forms
• Plan
• Calculations
Alan submittal format:
Please submit all plans and documents as PDF files. The complete plan should be included as
multiple pages In one PDF file. Additional files can also be uploaded as needed (i.e,: grading
permit application, calculations, etc.j.
Additional lnformotion:
After plans are reviewed and ready for approval, you will need to submit 3 sealed hard copies of
the approved version of the plan and associated paperwork including the original notarized copy
of the grading permit application and financial responsibility/ownership farms.
Submittal address.
City of Greensboro
Water Resources Department, Sediment and Erosion Control Section
2602 South Elm -Eugene St.
Greensboro, NC 27406
Contact Information:
If you have any questions regarding this process, please contact Cass Beaton at
cass.heatori ftreensboro-nc.eov or [phone]
040
PO BOX 3136 - GREENSBORO NC 27402.3136 - WWW.GREiENS80RO-NC.G0V - 336-373-CITY (2489)

City of Greensboro, NC
Grading Permit Application
GREENSBORp
N6fIN .18
Owner Information: Permit #;
Company Covered wagon LLC Contact _ MICHELLE SMILES_
Address 6805 CARNEGIE BLVD STE 370
CHARLOTTE, NC 28211 - — -
Project Information:
Project Name CHANDLER RIDGE SUBDIVISION
Address 1300 COVERED WAGON ROAD
GREENSBORO,NC27301
Phone No. 704-971.6060
Email MICHELLE MHFO.COM�
Latitude XON1111 Longitude •7a663770
Tax Map WA303960
Area Graded 9,25 Acres and/or 4OZ930 sq.ft. Site Area 9.75 Acres and/or 424,710 sq.ft.
Proposed Use of Property SINGLE-FAMILY SUBDMSIOH
Zoning R 5
Brief Description of Project Location PTOO Is loceled edlaceot to the e,deting chandler oaks Subdivision, South Walt of IrderetrdelS and MIL Hope Church Rd Inta vectian
Brief Description of Development Plan The proposed eubdivhianwill hulude 34 eingle-family lots, along with the adenllon of Covered Wagon Rd10 lnnfudoa cul-de•sacfumarour d.
All propaaad built -upon area fato ho troatad bye propoW watpottd stamwslar desks
If this application is approved by the properly designated authorities and a grading permit issued, the undersigned does hereby agree to
comply with all applicable City regulations under the Greensboro Soil Erosion and Sedimentation Control Ordinance as described in
Chapter 30-12-6 of the Greensboro Land Development Ordinance.
Before beginning any grading operation, call for an on -site pre -construction meeting, and when area has been protected, call for final
Inspection.
Signature of owner, developer, or agent: Date; 09/06/2022
SCOTT MATTET, MANAGER
FOR OFFICE USE
Approved by Date
Permit No. Date _.
Tracking No. Date Approved Tracking Type; TRC -Grading
Surety Amount Surety Type: LOC SCB HOD Check
Surety Number Surety Expiration Date
Temporary Measures Approved _ Date
Final Inspection Approved Date

CITY OF GREENSBORO
FINANCIAL RESPONSIBILITY/f3WNER aHIP:FOAM
SEDIMENTATION POLLUTION CONTROL ACT
No person may Initiate any land -disturbing activity covered by the Sedimentation Pollution Control Act before this form
has been completed and filed with the Sediment and Erosion Control Section of the City of Greensboro. (Please type
or print and, If questions are not applicable, place N/A In the blank).
Part /A:
1. Project Name: Chandler Ridge Subdivision
2. Location of land -disturbing activity: 1300 Covered Wa on Road Greensboro NC 27301
3. Approximate date land disturbing activity will be commenced: Se tember 5 2022
4. Development type. Commercial_ Industrial,,,,,,,, Institutional,,,_ MF residential, SF residential ✓
5, Approximate acreage of land to be disturbed: 9.25 AC
6. Has an erosion and sediment control plan been filed? Yes__✓___. No_ _ ___
7. Landowner(s) of Record (attach pages to list additional owners):
Covered Wagon LLC
Name
Current Mailing Address
CHARLOTTE, NC 28211
City State Zip
704-971-6054 M1QUELLE@—NJNFQMM
Telephone Email
M45_CARNE33IE. BLM UL 37.0
Current Physical Street Address
CHARLOTTE, NC 28211
City State Zip
8. Deed County: Book: Page:
9. Person to contact should erosion and sediment control Issues arise during land -disturbing activity:
Name:
E-mail:
Part 13:
Telephone:
Other:
1. Company(ies) or firms) who are financially responsible for the land -disturbing activity (Provide a comprehensive
list of all responsible parties on an attached sheet.) If the company or flat is a sole proprietorship the name of the owner
or manager may be listed as the financially responsible party.
Name Telephone 1 m ll
%51 W e'o ?, l i t_
Current Mailing A dress Current Physic I Street Ad ress
City State Zip City State Zip

2. (a) if the Financially Responsible Party Is not a resident of North Carolina, give name and street address of the
designated North Carolina Agent:
Name
Current Mailing Address
City State
Zip
"telephone
Email
Current Physical Street Address
City State Zip
(b) if the Financially Responsible Party is a Partnership or other person engaging in business under an assumed
name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible Party is a Corporation,
give name and street address of the Registered Agent:
Name
Current Mailing Address
City state Zip
Telephone Email
Current Physical Street Address
city State Zip
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 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 Person). I agree to provide corrected information should there
be any change in the information provided herein.
type or print na
Signature
officw
Title or Authority
Datel
a Notary Public of the County of ' um
State of — t0�_ hereby certify that _ V_�_l _ � #r1�
rc_,w+rw „wxw..n.�..... F y fY _
Personally accepted before me this day and under oath acknowledged that the above form was
executed by owner(s).
Witness my hand and notarial seal, this L day of
My Commission expires
Kaitlyn Salley
NOTARY PUBLIC
Mecklenburg County
North Carolina
My Commission Expires April, 27, 2025

Pe
OF GREENSBORO
WATER RESOURCES DEPARTMENT
SEDIMENT AND EROSION CONTROL SECTION
P€MNa12M
RESPONSIBILITY: The owner of any property within the City limits of the City of
Greensboro where a land -disturbing activity is taking place, shall be solely responsible for any
off -site damage to adjacent property or to City streets (mud and erosion in street), that may
have been caused by the lack of erosion control measures and poor maintenance. The soil
erosion measures detailed on your plans are the minimum required by the City of Greensboro.
When conditions become apparent the ownerldeveloper may be required by the City of
Greensboro to have his/her engineers to design or redesign additional measures/devices to
assure land protection.
1. Erosion Control measures shall be installed prior to grading and according to plans or as
directed by the City of Greensboro's Erosion Control Inspector,
2. The approval of the Erosion Control plan does not mean that additional measures may
not be required to stop off -site sediment.
3. The Owner/Developer shall require the Contractor to take every reasonable precaution
throughout construction to prevent erosion of soil and sedimentation of streams, lakes,
reservoirs, other impoundments, ground surfaces or other property, as required by
Chapter 30, Soil Erosion and Sedimentation Control, of the Code of Ordinances, City of
Greensboro, North Carolina.
4. The Owner/Developer is responsible for maintaining the erosion and sediment control
devices for the duration of the construction.
a. Inspect the site after each rain and periodically to ensure workmanship is according
to plan and site is in compliance with the Erosion Control Ordinance.
b. Repair or replace damaged or inoperative devices as directed by the Soil Erosion
Inspector within a reasonable time or time set forth by the inspector.
c. Keep mud off city streets
5. If eroded soil from the site is deposited on adjacent property, public street or into a
waterway, the Owner/Developer shall be responsible for returning the adjacent property,
city street or waterway to its original condition satisfactorily to the City or the owner of
the property.
6. After placement of asphalt binder on newly constructed street the shoulder shall be
seeded within fourteen (14) days according to the Seeding Specifications.

7. Temporary or permanent groundcover shall be provided on all perimeter areas and
slopes 3:1 or greater within 7 calendar days following completion of any phase of
grading. Provide groundcover for all disturbed areas within 14 calendar days following
completion of construction or development.
8. The Owner/Developer must plan site work so stone placement on drive entrance,
driveway and parking lot can start immediately after fine grading.
8, The Owner or Responsible Parry is responsible for the long-term maintenance of the
groundcover on the property. Groundcover must be maintained to a degree that
prevents soil erosion and sedimentation at all times. The City of Greensboro has the
authority to require changes in the owner's groundcover maintenance plan in order to
stop soil erosion and sedimentation at any time.
Section 30-5-5.4 (B) — Specific Civil Penalties
Any person who violates any of the provisions of this chapter, or rules or orders adopted or
issued pursuant to this chapter, or who initiates of continues a land -disturbing activity for which
an erosion control plan is required except in accordance with the terms, conditions, and
provisions of an approved plan, shall be subject to a civil penalty of up to five thousand dollars
($5000.00) per day. No penalty shall be assessed until the person alleged to be in violation has
been notified of the violation by registered or certified mail return receipt requested, or other
means. The notice shall describe the violation with reasonable particularity, give the person a
reasonable time period to correct the violation and state that failure to correct the violation will
result in assessment of a civil penalty of up to five thousand ($5000.00) per day or other
enforcement action including criminal penalties. Each day of continuing violation shall constitute
a separate violation. The city council shall determine the amount of the civil penalty to be
assessed under this subsection and shall make written demand for payment upon the person in
violation, and shall set forth in detail a description of the violation for which the penalty has been
imposed. I n determining the amount of the penalty the governing body shall consider the
degree and extent of harm caused by the violation and the cost of rectifying the damage. If
payment is not received or equitable settlement reached within thirty (30) days after demand for
payment is made the matter shall be referred to the city attorney for institution of a civil action in
the name of the city in the appropriate division of the general courts of justice for recovery of the
penalty. Any sums recovered shall be Used to carry out the purposes and requirements of this
chapter.
615
Signature: _ eo�Date: 09/06/2022
Owner (Print). vvcnew wHuyry Was manager Date:
Project Address: 1300 Covered Wagon Rd Greensboro, NC 27301

City of Greensboro Sediment and Erosion Control
Plan and Grading Permit Submittal Checklist
aRE�NS9�R0
Project Title:
Disturbed Area: Plan Tracking Number:
All plans are required to meet the minimum design criteria set forth in the
r h COLOYna bra tarp and Sadimrn tro Plannin nd Deslon Manual.
RegU red Submittal for Initial review:
Completed grading permit application and financial responsibility/ownership form (in PDF format)
Plan (In PDF format)
Calculations for all sediment and erosion control measures (in PDF format)
Location i formatlow
Location map including roads, streets, drainage ways and relevant landmarks, A north arrow and scale
should be included.
Latitude and Longitude at the project entrance in decimal degrees.
General site features:
City of Greensboro cover sheet (Completed)
Acreage of disturbance
Total site acreage
Soil types
North Arrow and scale (Maximum of V = 60')
__ _ _ Legend (Provide symbols for all measures and reference them to the construction details)
Property lines and ownership Information for the site and adjoining properties
Land use of surrounding areas
Limits of disturbance
Existing contours (topography)
Proposed contours (topography)
Hyd rogeo logical features (rock outcrops, springs, seeps, wetlands, streams, lakes, ponds, dams etc.)
Designation and buffer zones for hydrological features
— Existing and proposed road locations (include elevations and contours)
Existing and proposed building or structure locations (include elevations and contours)

Lot numbers, building numbers and/or addresses
Planned and existing utilities and easements (Include any pipe sizes, materials, etc.)
Soil stockpile areas (Must be within the site's sediment and erosion control measures)
Borrow and/or waste areas (Note: If the same person conducts the land -disturbing activity & any related
borrow or waste activity, the related borrow or waste activity shall constitute part of the land -disturbing
activity unless the borrow or waste activity is regulated under the Mining Act of 1971, or is a landfill
regulated by the Division of Waste Management, if the land -disturbing activity and any related borrow or
waste activity are not conducted by the same person, they shall be considered separate land -disturbing
activities and must be permitted either through the Sedimentation Pollution Control Act as a one -use
borrow site or through the Mining Act.)
Site drainage features:
Drainage delineation maps for existing and planned drainage patterns. Include off -site areas that drain
through the project as well as areas below the project that will be directly affected by drainage from the
site.
— Drainage delineation maps to all proposed sediment and erosion control measures
__ Location and details for existing and proposed. storm sewer systems and culverts
Location and contours for existing and planned channels
Sediment and erosion control measures.and site stabilization:
Location and detail of construction entrance (City of Greensboro standard #217 or 436)
Location and detail of silt fence (See section 6.62 In the N.C. Erosion and Sediment Control Planning and
Design Manual for acceptable usage and maximum slope length for silt fence applications.) (City of
Greensboro standard #430)
Location, detail and calculations for sediment traps (See section 6.6 in the N.C, Erosion and Sediment
Control Planning and Design Manual for options and acceptable usage.)
Location and method of protection for storm Inlets (See section 6.5 In the N.C. Erosion and Sediment
Control Planning and Design Manual for options and acceptable usage.) (City of Greensboro Standard #
430)
Location, detail and method of stabilization for channels. Include calculations, specifications for proposed
liners and staple patterns, (See section 6.3 in the NC Erosion and Sediment Control Planning and Design
Manual for options and acceptable usage.)
Location, detail and method of stabilization fortemporary and permanent diversions, (See section 6.2 in
the N.C. Erosion and Sediment Control Planning and Design Manual for options and acceptable usage.)
Location and detail for slope drains (See section 6.32 in the NC Erosion and Sediment Control Planning
and Design Manual for options and acceptable usage.)
Design detail for partially installed storm sewers (City of Greensboro Standard #443)

Method of stabilization for slopes that are greater than 2:1, (Methods of stabilization for slopes steeper
than 2:1 must be shown in detail, and vegetative cover alone is not acceptable. Retaining walls greater
than 5 feet In height require review and permits through Building Inspections)
Location, details and calculations for all other proposed sediment and erosion control measures
Specific details and sequencing for any work proposed to be done In streams (See section 6.7 in the N.C.
Erosion and Sediment Control Planning and Design Manual. Copies of all required permits from Federal
and State agencies are required)
Stabilization:
Provision for ground cover on exposed slopes that are 3:1 or steeper, perimeter slopes, fill slopes, slopes
greater than 50 feet in length, swales, dikes, ditches and high quality water zones within 7 days, and all
other areas within 14 days
Temporary seeding specifications including method of soil preparation, seed and soil supplement types
and amounts, mulch types and amounts, and method of anchoring (matting or tacking materials)
Permanent seeding specifications including method of soil preparation, seed and soil supplement
types and amounts, mulch types and amounts, and method of anchoring (matting or tacking
materials)
Other information:
Construction Sequence related to sediment and erosion control (This is site specific, Should include a pre -
construction meeting, installation of measures and inspection of measures prior to Initiation of land
disturbance, specifics related to grading and development of the site including relevant utility installation,
stabilization of drive and parking areas, stabilization of other areas as applicable, removal of temporary
measures, and a final inspection to close the grading permit.)
Provisions for monitoring and self -inspection requirements of the NPDES NCG0100000 permit, It should
be noted that self -inspection requirements are required until the site is stable and the grading permit is
closed,
Required submittpl griorto permitting:
Grading permit application and financial responsibility/ownership forms (original signed and notarized)
Plan (Sealed, signed, and including all pages and information contained in electronic submittals)
Surety (Sites with 5 acres or more disturbed require a surety of $2000.00 per disturbed acre)
Copies of all permits from Federal and State agencies (Army Corps 404 permit and Water Quality 401
certification where required)