SW6210302_As-Built - Certification_20240826 (2)

State Stormwater Management
Permit No. SW6210302
AS-BUILT DESIGNER'S CERTIFICATION GENERAL MDC
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets the below listed General MDC found in NCAC 02H.1050 in
accordance with the permit documents, plans and specifications on file with or provided to the
Division, except as noted on the "AS-BUILT" drawings, such that the intent of the stormwater rules
and statutes has been preserved.
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is a part of a Fast-Track As-Built Package Submittal per .1044(3).
_eeheck here if the designer did not observe the construction, but is certifying the project.
0i Check here if pictures of the SCM are provided.
Printed
Name aeir b Signature
NC Registration
Number 051 S ( Date e/26,1,L,
SEAL:\\\\\\.\\\ CAfR°"///i�� Consultant's Mailing Address:
• • City/State/ZIP � \ ,\,‘ fie-- (0(19
- •
SEAL • —
051571
` Phone Number Q fq—CS7S " 6S176
6 •NGI • � \�. Consultant's Email address:
.44
O Circle N if the as-built value differs from the Plan. If N is circled, provide an explanation on Page 2.
ON/E = not evaluated (provide explanation on page 2) ON/A= not applicable to this SCM or project.
Consultant's Certification NCAC .1003((3) & General MDC OAs built ON/E OO NIA
.1050
A. TREATMENT REQUIREMENTS
1. The SCM achieves runoff treatment. (Y_®or J
2. The SCM achieves runoff volume match. Y or CND
3. Runoff from offsite areas and/or existing BUA is Y or ()
bypassed.
4. Runoff from offsite areas and/or existing BUA is directed (9 or N
into the permitted SCM and is accounted for at the full
build-out potential.
5. The project controls runoff through an offsite permitted Y or N
SCM that meets the requirements of the MDC.
6. The net area of new BUA increase for an existing project or N
has been accounted for at the appropriate design storm
level.
7. The SCM(s) meets all the specific minimum design eibr N
criteria.
B. VEGETATED SETBACKS/ BUA
1. The width of the vegetated setback has been measured Y or N
from the normal pool of impounded waters, the MHW
line of tidal waters, or the top of bank of each side of 1./
rivers or streams.
2. The vegetated setback is maintained in grass or other Y or N
vegetation.
3. BUA that meets the requirements of NCGS 143-214.7 Y or N
(b2)(2) is located in the setback.
Page 3 of 6

State Stormwater Management
Permit No. SW6210302
4. BUA that does not meet the requirements of NCGS 143- Y or N
214.7 (b2)(2) is located within the setback and is limited
to:
a. Publicly funded linear projects (road, greenway
sidewalk)
•4/.
b. Water-dependent structures
c. Minimal footprint uses (utility poles, signs, security
lighting and appurtenances)
5. Stormwater that is not treated in an SCM is released at Y or N
the edge of the setback and allowed to flow through the
setback as dispersed flow.
()As-built ON/E ON/A
C. STORMWATER OUTLETS—the outlet handles the peak 60pr N
flow from the 10 year storm with no downslope erosion.
D. VARIATIONS
1. A variation (alternative) from the stormwater rule Y or N
provisions has been implemented.
2. The variation provides equal or better stormwater control Y or N
and equal or better protection of surface waters.
E. COMPLIANCE WITH OTHER REGULATORY PROGRAMS 6r N
has been met.
F. SIZING -the volume of the SCM takes the runoff from all
surfaces into account and is sufficient to handle the required Y or N
storm depth. �.
G. CONTAMINATED SOILS—infiltrating SCM's are not `f or N
located in or on areas with contaminated soils.
H. SIDE SLOPES
1. Vegetated side slopes are no steeper than 3H:1V. f )or N
2. Side slopes include retaining walls, gabion walls, or Y or N
other surfaces that are steeper than 3H:1V.
3. Vegetated side slopes are steeper than 3H:1V (provide Y or N ,f/
supporting documents for soils and vegetation).
I. EROSION PROTECTION
1. The inlets do not cause erosion in the SCM. or N
2. The outlet does not cause erosion downslope of the Y or N
discharge point during the peak flow from the 10 year
storm.
J. EXCESS FLOWS—An overflow/bypass has been or N
provided.
K. DEWATERING —A method to drawdown standing water has or N
been provided to facilitate maintenance and inspection. ,�
L. CLEANOUT AFTER CONSTRUCTION—the SCM has been Y or V
cleaned out and converted to its approved design state.
M. MAINTENANCE ACCESS
1. The SCM is accessible for maintenance and repair. or N
2. The access does not include lateral or incline slopes Y r N
>3:1.
N. DESIGNER QUALIFICATIONS (FAST-TRACK PERMIT)—
The designer is licensed under Chapters 89A, 89C, 89E, or Y or N
89F of the General Statutes.
Provide an explanation for every MDC that was not met, and for every item marked "N/A"or"N/E",
below. Attach additional pages as needed:
iv* ctan�� t,t)lw�- L, } a-3 - /VD 4-a\15 or sl sEt-- per-
c)-t,,g, 3: 1 ag-2,Se4,A.,,,4;cil
-scPi j1/4 Or air c
l act r d0 cccv'-I-- -Cur f-uk\ V f - /1 j - �- - -
ljzAL easy ?64ze,edifa%
Page 4 of 6
i3 1 AJe> , rk5