NCC230437_FRO Submitted_20230217

GUILFORD COUNTY
ENVIRONMENTAL BULLETIN
GRADING PERMITS
Grading permits are required for certain land
disturbing activities to protect bodies of water and
adjacent property from sedimentation and erosion.
Guilford County issues permits for unincorporated
County, Jamestown, Stokesdale, Summerfield,
Whitsett, Sedalia, Pleasant Garden and Oak Ridge.
A grading permit is required when any area over one
(1) acre (43,560 square feet) is grubbed or graded.
Examples of development requiring grading permits
include: subdivisions, shopping centers, commercial
and industrial development, apartments, townhouses,
churches, and recreational development. Exemptions
from grading permit requirements include: disturbed
areas less than (one) 1 acre in size, agriculture,
mining, and area— under State or Federal jurisdiction.
A grading permit issued by Guilford County is valid
for one (1) calendar year, unless the permit is revoked
or the project is completed. The permit can be
renewed for an additional six (6) month period by
making a written request to the Guilford County
Planning and Development Department, Inspections
Division. Reissued grading permits do not have to pay
another permit fee (unless revoked), but the erosion
control surety must remain in effect.
APPLICATIONS
The following items are needed to apply for a grading
permit: (L) Four (4) copies of an Erosion
Control/Grading Plan prepared and sealed by a
registered professional engineer, architect, landscape
architect, or registered surveyor. Three (3) copies
should be submitted to Guilford County Planning and
Development and one (1) copy should be submitted to
the Guilford Soil and Water Conservation District,
3309 Burlington Road, Greensboro, N.C. 27405,
telephone number 336-375-5401. (2.) A grading
permit application. (3.) Financial responsibility
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
Spencer Hills
Surety Amount: $1,500 x 8.9 ac = $13,350.00
Base Fee: 8.0-8.9 ac = $1800.00
GRADING PERMITS
demolition landfills are $2,000.00 per acre). Sureties
include bonds, irrevocable letters of credit, cashier's
check, cash, and escrow accounts payable to Guilford
County. (5.) Payment of the grading permit fee based
on disturbed acreage (see fee schedule).
Plan should be submitted thirty (30) days prior to
commencement of the land disturbing activity. Plans
are reviewed in the order that they are received and
plans can be (1) approved, (2) punch -listed, or (3)
denied for various reasons. A punch -listed plan may
be corrected and resubmitted. Denial of a plan entitles
the applicant to a public hearing within fifteen (15)
days after receipt of written notice of disapproval. The
Guilford County Planning Board hears appeals within
thirty (30) days of the appeal request and makes a
recommendation to the Guilford County Board of
Commissioners. The Commissioners will render a
final decision within thirty (30) days of receipt of the
recommendations from the Planning Board. If the
appeal is denied, the applicant may further appeal to
the North Carolina Sedimentation Control
Commission.
EROSION CONTROL INSPECTIONS
Guilford County Erosion Control Staff will
periodically inspect the sites of land disturbing
activity to determine compliance with the plan. They
will indicate any areas that are weak and help answer
any questions that might arise. One important
inspection is the point at which the devices (i.e., silt
fences, sedimentation pits, etc.) have been installed.
Maintenance inspection is the final inspection. The
permit can be finalized after the site improvements
have been made and after the site has been stabilized.
CIVIL PENALTIES
A violation of the erosion control law could result in a
civil penalty of up to $5000.00 per day.
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 II Inspection
Planning and Development
Post Office Box 3427 Greensboro, NC 27402
[phone] or [phone] (fax)
NAME OF PROJECT: Spencer Hill
LOCATION OF PROJECT: 1768 Scalesville Rd
ACREAGE TO BE DISTURBED: 8.9
TOTAL ACREAGE IN TRACT: 37.64
DATE: October 11, 2022
ACRES OR ( SQ. FEET)
ACRES
IS THIS PROPERTY IN A DESIGNATED WATERSHED? No
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.) Water, Cable, Power, Telephone
ENGINEER/ ARCHITECT/ SURVEYOR: Name:
Address:
Telephone:
Fax:
E-Mail:
Fleming Engineering - Brent Sievers
8518 Triad Drive, Colfax NC
336-544-6432
336-852-9766
[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:
Name: PMA I Holding, LLC
Address: P. O. Box 5323 Winston Salem, NC 27113
Telephone: (Home)
(Office) 336-659-9503
(Fax)
(E-[Mail)
Print Name: ] J
Signature:
ADDITIONAL FINANCIALLY RESPONSIBLE PARTY:
Name:
Address:
Print Name:
Signature:
NORTH CAROLINA AGENT (If applicable)
Name:
Address:
Telephone: (Home)
(Office)
(Fax)
(E-Mail)
Telephone: (Home)
(Office)
(Fax)
(E-Mail)
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:
Please type or print answers to the following:
Date: October 11, 2022
Name of Project: Spencer Hills
Earl E. Davis II - Inspections Division
Guilford County Planning and Development
Post Office Box 3427
Greensboro, N.C. 27402 [phone]
Location of Project: 1768 Scalesville Rd
Acreage of Land to be Disturbed: 8.9
LATITUDE 36013'38.74"N (In Degrees) LONGITUDE -79051'41.32"W (In Degrees)
Purpose of Activity (street construction, commercial building, parking lot, etc.): Street construction for Residential Development
Landowner(s) of record:
Name: PMA I Holding, LLC
Address: P. O. Box 5323
Winston Salem, NC 27113
Telephone: (Home)
(Office) 336-659-9503
(Fax)
(E-Mail)
Indicate County, Book, and Page where deed or instrument is filed.
Guilford
County
8602
Book
Name:
Address:
Telephone: (Home)
(Office)
(Fax)
(E-Mail)
1617
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 si ed the roe 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 aLrent must be designed. If someone other than the owner is financially responsible, their signature is required
below also.
7r--T P+�R-k 5
Print or Type Name of Individual
PMA I Holding, LLC
Title and Na Co y
OwnCr s S ignat
N. C. Agent's Signature (if applicable)
Additional Financially Responsible Party (If applicable)
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).
*************************************
STATE OF JM cq k4 , ` ov
COUNTY OF
(OWNER'S SI ATURE)
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 � 8 day of Q G-CA , 20*2X
otary Public
My Commission Expires:Elyse Howlett
NOTARY PUBLIC
3 • Fa Davie County, NC
(SEAL)
My Commission Expires March 07, 2024
*************************************
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
My Commission Expires:
Notary Public
(SEAL)
20
No. E2 Grading Permit & Appl. Rev. December 2017 Page 4 of 6

LAND IMPROVEMENT BOND
STATE OF NORTH CAROLINA
COUNTY OF GUILFORD
Bond No. 2338219
Know all men by these present: That we, PMA I Holdings, LLC a North Carolina Limited Liability Company
authorized to do business in the State of North Carolina, as Principal, and Swiss Re Corporate Solutions America
Insurance Corporation, a company organized and existing under and by virtue of the laws of the State of Missouri
and authorized to do business in the State of North Carolina as Surety, we are held and firmly bound unto Guilford
County, in the penal sum of Thirteen Thousand Three Hundred Fifty and 00/100 ($13,350.00)dollars for the
payment of which, well, are truly made, we firmly bind ourselves, and each of our heirs, executors, administrators,
and assigns, jointly and severally by these presents.
Whereas, the Principal has submitted a Grading/Erosion Control Plan, as required by Guilford County's Soil Erosion
and Sedimentation Control Ordinance, entitled Spencer Hills Subdivision a copy of which is by reference made
apart hereof;
The condition of this obligation is such that if the Principal shall well and truly do and perform the Erosion Control
measures in Spencer Hills Subdivision as required in the Guilford County Code of Ordinances and the Grading
Permit issue thereunder, and shall fully stabilize the site at completion, this obligation shall be void, otherwise to
remain in full force and effect.
Signed, sealed, delivered, and effective this 27th day of October, 2022.
Countersigned:
McGriff Insurance Services
Agency Name
David Liggett, Registered Agent
PMA I Holdings, LLC
Seal
By:
Swiss Re Corporate Solutions America
Insurance Corporation
Seal
By. `7 r�%-0Z•1y-dam
Margo G. Ro efts, Attorney -In -Fact

SWISS RE CORPORATE SOLUTIONS
SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION F/K/A NORTH AMERICAN SPECIALTY INSURANCE COMPANY ("SRCSAIC")
SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION F/K/A WASHINGTON INTERNATIONAL INSURANCE COMPANY ("SRCSPIC")
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and
having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of
Missouri and having its principal office in the City of Kansas City, Missouri, each does hereby make, constitute, and appoint:
KENNETH J. PEEPLES. BOBBI D. PENDLETON, PHOEBE C. HONEYCUTT, HEATHER SEGRIST, CHRISTOPHER A. LYDICK, JULIA C. MCELLIGOTT,
ADAM PFANMILLER, MEGAN S. BARTMAN, RONDA W. BUSH, DAVID LIGGETT, MARGO G. ROBERTS, CAMILLE MOYE EDWARDS, SAMANTHA ARGENIO,
JOSEPH ZOLLER, MICHAEL McCREADIE and HOLDEN KEEN JOINTLY or SEVERALLY
Its true and lawful Attomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of
FIFTY MILLION ($50,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both SRCSAIC and SRCSPIC at meetings duly called and held on the 91 of May 2012:
"RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any Vice President, the Secretary or any Assistant
Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of
Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation may be affixed to any such Power of Attorney or to
any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Corporation when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
""{7LUf,(Ty"�s c�t3LUT1p ryy
=rr S't4:�ilv...Y91 Y} By F tF:�pPUft 'rA ,
Erik Januens, Senior Vice Praident of SRCSAIC & Senior Vice President of SRCSPIC = a4'C� te"•,'P=
F� S EALSEAL m'
A;
e. ;'yz
'y sy; .Rrrsstiv?`•= a' By
s
Gerald Jagrowsld, Vice President of SRCSAIC & Vice President of SRCSPIC � .........
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IN WITNESS WHEREOF, SRCSAIC and SRCSPIC have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized
officers this 16TH day of SEPTEMBER 2022
Swiss Re Corporate Solutions America Insurance Corporation
State of Illinois Swiss Re Corporate Solutions Premier Insurance Corporation
County of Cook
On this 16TH day of SEPTEMBER , 2022 , before me, a Notary Public personally appeared Erik Janssens , Senior Vice President of SRCSAIC
and Senior Vice President of SRCSPIC and Gerald Jagrowski , Vice President of SRCSAIC and Vice President of SPCSPIC, personally known to me, who
being by me duly swom, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act
and deed of their respective companies.
r"Wj4 a pal I
OIIICla, st AI 10 nawrs+.a+c sr14erw...4
wrr11 l0e1
Yasmin A. Patel, Notary
I, Jeffrey Goldberg, the duly elected Senior Vice President and Assistant Secretes of SRCSAIC and SRCSPIC, do hereby certify that the above and foregoing
is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC, which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 27th day of October , 2022
Jeffrey Goldberg, Senior Vice President &
Assistant Secretary of SRCSAIC and
SRCSPIC