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.A <br />Conditions of Approval <br />Revised 8/06/14 <br />Letter of Acknowledgement <br />J <br />Engineering / Erosion Control / Stormwater Division <br />Orange County Plai-ming and Inspections <br />Post Office Box 8181 <br />Hillsborough, NC 27278 <br />Re: Acknowledgment of Receipt and Reading of Letter of Erosion Control Plan Approval for: <br />Project Name: <br />Triple Crown Farms <br />Permit Number: <br />ECI 7-0019 <br />Parcel Number: <br />9850910030 <br />To whom it may concern: <br />I, a person with authority to execute instruments for Triple Crown Farms, acknowledge that I <br />have received this letter and the Conditions of Approval attachment, have read them, <br />understand the requirements, and am prepared to ensure that my contractors, agents, etc. will <br />observe these requirements and the approved erosion control plan. I also acknowledge that I <br />am ultimately responsible for compliance with the approved erosion control plan and the <br />Ordinance, and for ensuring that the plan is successfully implemented. <br />Please note that this site may have additional requirements regarding stormwater runoff during <br />construction as noted below: <br />Land disturbance at this site will be less than one (1) acre therefore it does not <br />require an NPDES stormwater discharge permit for construction, nor does it require <br />self-inspection pursuant to the North Carolina Sedimentation Pollution Control Act. <br />Land Disturbance at this site will be one (1) acre or more; therefore the following <br />additional requirements apply to this site: <br />1. Self-Inspection pursuant to the North Carolina Sedimentation Pollution <br />Control Act. I acknowledge that I have received a copy of the self-inspection <br />documentation. <br />2. NPDES general stormwater discharge permit for construction activities <br />(NCG010000). I acknowledge that I have received a copy of the permit, read <br />the permit and understand that it is my responsibility to comply with the <br />permit requirements. This includes but is not limited to, maintaining a rain <br />gauge on-site, keeping precipitation records, and conducting required <br />monitoring and inspections. <br />Signature <br />Please Print Name and Title Legibly <br />Date <br />S:\5-Erosion Control and Water Quality\Erosion Control and Water Quality\Jobs by year\New Work <br />17\ Orange\ Triple Crown Farms\ COA Triple Crown. docx 9 <br />