NCC240176_MODIFICATION Supporting Docs (LOT 558)_20240312

Review Completed - Lot 558 Brookberry - SFD Construction
City of Winston-Salem <[e-mail]>
Tue 3/12/2024 10:29 AM
To:Justin Reece <[e-mail]>
ir�Ninston-Salem
Application Type: 04.02) Grading/Erosion Control Permit
Workflow: 04.02) Grading & Erosion Control
Project: Lot 558 Brookberry - SFD Construction
A/P #: EN2400070
Acreage to be Disturbed: 0.10
https://winston-salem.geocivix.com/secure/project ?projectid=1274529
Hello Third Generation Homes, LLC.,
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 under the permit at the following website
(httRs://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 unrlor rnirrni ic nrnwirlorl please direct questions about the eNO1 form
to NCDEQ - DEMLF, Stormwater Program staff ,i the Raleigh central office. If the
owner/operator of this project cha, _ s 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 iy questions as you move forward please contact Kent Wall at 336-462-
7481 c,-- [e-mail]
Winston-Salem North Carolina and Forsyth County
City Link 311
311 or(336)727-8000
citycityofws.org
100 E.First Street
Winston-Salem,NC 27101
City Directory

yn'""f`O"Sr, (1 Bryce A.Stuart Municipal Building
^oi yCc Suite 328
:y = Single-Family Dwelling 100 E.First Street
City of Winston-Salem Winston-Salem,NC 27101
INSPECT DNS
DIVISIDN E Field P.O. Box 2511
xccf/once thraegh Scrvrcc Erosion Control P e r m i t Application pP 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
financially responsible party/person and will be less than one (1) acre of Fax:[phone]
land disturbance on any one (1) lot.
Lot(s)to be Developed Information II
Site Address: I U /6 Cyool b o k L & /;�sto�t — 5.1cm /yC a7/0
Subdivision Name: Aeook6e.,111
Anticipated Dates of Construction Activity: Start: ()3 /.�' ,20.) Y Completion: /a/ a 3�?(Q y
T
***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: � it m (' r1/ t al t M `y0n'!el L L L
Address: S /1�P �d, {' R 5 L : 7L0V
City/State/Zip: / htM 120 f Al C 0/ Office Phone: (3 36 7U 9- 0 6
Mobile Phone: (330 G V- / y 7 Email Address: r Ce getiera����io.>~es.Co.�
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 LIDO 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.
_J"& -fIk, eece 76/4 L.Lc J /_Z
Print Name of Financially Responsible Person S ture of Financially Responsible Person
TO BE COMPLETED BY CITY STAFF ONLY:
Date of Application Submittal:
Permit Number:

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04.02) Erosion Control Checklist
GENERAL SITE FEATURES:
• Vicinity Map
• Project Location
• North Arrow
• Scale
• Property Lines
• Legend
• Existing Contours
• Proposed Contours
• Limit and Acreage of Disturbed Area
• Planned and Existing Building Locations/Names
• Lot and/or Building Numbers
• Land Use of Surrounding Areas
• Wetlands(if any)
• Easements
• Streams, Lakes, Ponds, Drainage Ways, Dams
• Boundaries of the Total Tract
• Stockpiled Topsoil or Subsoil Locations
SITE DRAINAGE FEATURES:
• Existing and planned drainage patterns(including off-site areas that drain through property)
• Size and location of culverts and sewers
• Design calculations for peak discharges and runoff(Q-10)
• Design calculations and construction details for culverts and storm sewers
• Design calculations,cross sections,and method of stabilization of planned channels(include temporary linings)
• Design calculations and construction details of energy dissipaters below culverts and storm sewer outlets(for rip rap
aprons, include stone size,diameters,and apron dimensions)
• Names of receiving watercourses
EROSION CONTROL MEASURES:
• Legend
• Location of temporary and permanent measures
• Construction drawings and details for temporary and permanent measures
• Design calculations for skimmer sediment basins and other measures
• Maintenance requirements during construction
• Person responsible for maintenance during construction
• Location of concrete washout areas with detail
VEGETATIVE STABILIZATION:
• Areas and acreage to be vegetatively stabilized designated bytime of stabilization as indicated in the State Ground
Stabilization Criteria chart
• Planned vegetation with details of plants,seed, mulch,and fertilizer
• Specifications for permanent and temporary vegetation
• Method of soil preparation
• Ground Stabilization Criteria chart
Created with idtPlans Review Brookberry Lot 628

OTHER REQUIREMENTS:
• Narrative describing construction sequence
• Narrative describing the nature and purpose of the construction activity
• Construction sequence related to Sedimentation and Erosion Control(latest version). Include installation of critical
measures prior to initiation of the land disturbing activity and the removal of measures after areas they serve have been
permanently stabilized.
Created with idtPlans Review Brookberry Lot 628 Page 2 of 2

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