SW5211201_As-Built - Certification_20240319 (3)

Post-Construction Stormwater Management
Permit No. SVV5211201
•
AS-BUILT PERMITTEE CERTIFICATION
I hereby state that I am the current permittee for the project named above, and I certify by my
signature below, that the project meets the below listed Final Submittal Requirements found in NCAC
02H.1042(4) and the terms, conditions and provisions listed in the permit documents, plans and
specifications on file with or provided to the Division.
R
Check here if this is a partial certification. Section/phase/SCM #?Check here if this is part of a Fast Track As-built Package Submittal
Printed Name 6Eoc 4E ToRirieS Signature
I, Ct"ham Iv\COL -1C)0..V15 , a Notary Public in the Stat of 014c e_oyt, \Q_
County of 1- , do hereby certify that Dr(- 4•Yc _ ,S
personally appeared before me this (2.:i5 day of ._.�,20 23
and acknowledge the due execution of this as-built certification. 0��°`�i '
fitness my hand and official sea °C0 Noq,46, ()%
st. si
GDSAf3S Oil�pAR,B _g
My commission expires OLD- 0 S-" �i S7,, X), }
Permittee's Certification NCAC .1042(4) `�P.�rrt� ^OU Sided / N/A 1
A. DEED RESTRICTIONS/BUA RECORDS
1. The deed restrictions and protective covenants have been recorded or N
and contain the necessary language to ensure that the project is gyp,
maintained consistent with the stormwater regulations and with the
permit conditions.
2. A copy of the recorded deed restrictions and protective covenants ( (5,)or N tjA
has been provided to the Division.
3. Records which track the BUA on each lot are being kept. (See Note to or N N�
1)
B. MAINTENANCE ACCESS
1. The SCMs are accessible for inspection, maintenance and repair. or N
2_ The access is a minimum of 10 feet wide. or N
3. The access extends to the nearest public right-of-way. Y or N
C. EASEMENTS
• 1. The SCMs and the components of the runoff collection conveyance
system are located in recorded drainage easements. cp' or N
2. A copy of the recorded plat(s) is provided. c)or N
D. SINGLE FAMILY RESIDENTIAL LOTS- Plats for residential lots that Y or N
have an SCM include the following:
1. The specific location of the SCM on the lot. Y or N
2. A typical detail for the SCM. Y or N c/
3. A note that the SCM is required to meet stormwater regulations and
that the lot owner is subject to enforcement action as set forth in Y or N
NCGS 143 Article 21 if the SCM is removed, relocated or altered
without prior approval.
E. OPERATION AND MAINTENANCE AGREEMENT Y or N
1. The O&M Agreement is referenced on the final recorded plat. (Y(or N
2. The O&M Agreement is recorded with the Register of Deeds and I Qor N
appears in the chain of title.
F. OPERATION AND MAINTENANCE PLAN—maintenance records are
being kept in a known set location for each SCM and are available for Oor N
review.
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Post-Construction Stormwater Management
Permit No.SW5211201
G. DESIGNER'S CERTIFICATION FORM— has been provided to the dtor N
Note 1-Acceptable records include ARC approvals, as-built surveys,and county tax records.
Provide an explanation for every requirement that was not met, and for every"N/A" below. Attach
additional sheets as needed.
cs{ 4.034G6 FASAI r L `.5
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