SW6190102_As-Built Permittee Certification_20220427

Project Name FB-SOF Special Tactics Facility Phase 3 PN76514 permit ## SW 6190102
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 15a 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.
® Check here if this is a partial certification. Sectionlphase/SCM # SW6190102
❑ Check here if this is part of a Fast -Track As -Built Package Submittal per 15A NCAC 02H 1044(3),
Printed Name David A. Heins Signature_)-- 4•� _
County of
a Notary Public in the State of ,
do hereby certify that
personally appeared before me this day of 20.
and acknowledge the due execution of this as -built certification. (SEAL)
Witness my hand and official seal
My commission expires
Permittec's Certification 15A NCAC 02H .1042(4)
DEED RESTRICTIONS I BUA RECORDS
Completed /
NIA
Provided
1. The deed restrictions and protective covenants have been recorded and
Y or N
contain the necessary language to ensure that the project is maintained
NIA
consistent with the stormwater regulations and with the permit conditions.
2. A copy of the recorded deed restrictions and protective covenants has been
Y or N
NIA
provided to the Division.
3. Records which track the BUA on each lot are being kept. (See Note 1)
Y or N
NIA
MAINTENANCE ACCESS
Completed 1
Provided
NIA
Y or N
1. The SCMs are accessible for inspection, maintenance and repair.
Y or N
2. The access is a minimum of 10-feet wide.
3. The access extends to the nearest public right-of-way.
Y or N
NSA
NCDEQ 2/4/201 S

Project Name FB-SOF Special Tactics Facility Phase 3 PN76514 Permit # SW 6190102
EASEMENTS
Completed /
Provided
1. The SCMs and the components of the runoff collection 1 conveyance system
NIA
are located in recorded drainage easements.
Y or N
2. A copy of the recorded plat(s) is provided.
Y or N
NIA
SINGLE-FAMILY RESIDENTIAL LOTS
Completed /
Plats for residential lots that have an SCM include the following:
Provided
1. The specific location of the SCM on the lot.
Y or N
NIA
2. A typical detail for the SCM.
Y or N
NIA
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 NCGS 143 Article
Y or N
NIA
21 if the SCM is removed, relocated or altered without prior approyzil.
OPERATION AND MAINTENANCE AGREEMENT
Completed /
Provided
1. The O&M Agreement is referenced on the final recorded plat.
Y or N
NIA
2. The O&M Agreement is recorded with the Register of Deeds and appears in
NIA
the chain of title.
Y or N
OPERATION AND MAINTENANCE PLAN
Completed /
Provided
1. Maintenance records are being kept in a known, set location for each SCM
Y or
and are available for review.
DESIGNER'S CERTIFICATION FORM
Completed /
Provided
1. A completed designer's certification form has been provided to the
0 or N
Division.
Provide an explanation below for every requirement that was not met, and for every item marked "NIA."
Attach additional pages as needed.
Deed restricitions do not apply. There are no residential lots. O&M is provided by the base,
therefore no O&M agreement is necessary. The project is not complete so a set location for
the maintenance records are not known at this time.
NCDEQ 2/9/2018