SW7060814_CURRENT PERMIT_20121214

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
YYYYMMDD

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
W0.RO
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
TRACY DAVIS
Director
December 14, 2015
Pastor Eric Rainwater
Currituck Bible Baptist Church
6470 Caratoke Hwy
Grandy, NC 27939
Subject: Stormwater Permit No. SW7060814 Name/Ownership Change
Currituck Bible Baptist Church
High Density Project
Currituck County
Dear Pastor Rainwater:
The Washington Regional Office received a complete Stormwater Name/Ownership
Change Application for the proposed Currituck Bible Baptist Church to be located at
6339 Caratoke Hwy in Grandy, NC on November 16, 2015. Staff review of the.
application and an on -site inspection has determined that the permit can be reissued.
We are forwarding Permit No. SW7060814 for a wet detention pond to serve this
project.
This permit, upon its effective date, will replace all previous State Stormwater permits
for this site. This permit shall be effective from the date of issuance until December 29,
2020, and shall be subject to the conditions and limitations as specified therein. Please
pay special attention to the Operation and Maintenance requirements in this permit.
Failure to establish an adequate system for operation and maintenance of the
stormwater management system will result in future compliance problems. The
issuance of this permit does not resolve any previous violations of the stormwater rules.
If any parts, requirements, or limitations contained in this permit are unacceptable; you
have the right to request an adjudicatory hearing upon written request within thirty (30)
days following receipt of this permit. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed
with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact me at [phone].
Sincerely,
Rog r K. Thorpe
Environmental Engineer
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
943 Washington Square Mall. I Washington, NC 27889
252.946-6481 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURSES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Currituck Bible Baptist Church
6339 Caratoke Hwy, Grandy, NC
Currituck County
FOR THE
construction, operation and maintenance of stormwater management systems in
compliance with the provisions of 15A NCAC 2H.1000 (hereafter referred to as the
"storm water rules') and the approved stormwater management plans and specifications and
other supporting data as attached and on file with and approved by the Division of Energy,
Mineral, and Land Resources and considered a part of this permit for a wet detention pond
to serve Currituck Bible Baptist Church.
This permit shall be effective from the date of issuance until December 29, 2016 and shall
be subject to the following specified conditions and limitations:
DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.6.of this permit.
3. A maximum of 68,453 square feet of built upon area is allowed on this 3.0 acre site.
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
943 Washington Square Mall. I Washington, NC 27889
252-946-6481 T

r
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be recorded
showing all such required easements, in accordance with approved plans.
5. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
6. The following design criteria have been permitted for the wet detention pond and
must be provided and maintained at design condition:
Project Name:
Receiving Stream:
Classification of Water Body:
Total Site Area:
Drainage area:
Total Impervious allowed on site:
Wet Pond Depth:
Permitted Storage Volume. -
Permitted Surface Area:
Controlling Orifice:
Currituck Bible Baptist Church
UT to Currituck Sound
SC
3.0 ac
3.0 ac
68,453 sf
5.0 ft
14,855 cf
4,835 sf
1.0 inch @ elevation 9.0 ft
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
943 Washington Square Mall. I Washington, NC 27889
252-946-6481 T

7. No homeowner/lot owner/developer shall be allowed to fill in, alter, or pipe any
vegetative practices (such as swales) shown on the approved plans as park of the
stormwater management system without submitting a revision to the permit and
receiving approval from the Division.
8. The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size
b. Project name change
C. Transfer of ownership
d. Redesign or addition to the approved amount of built -upon area
e. Further subdivision of the project area.
In addition, the Director may determine that other revisions to the project should
require a modification to the permit.
9. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in
the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide copies
of revised plans and certification in writing to the Director that the changes have been
made.
II. SCHEDULE OF COMPLIANCE
The permittee will comply with the following schedule for construction and
maintenance of the stormwater management system.
a. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surfaces except roads.
b. During construction, erosion shall be kept to a minimum and any eroded areas
of the system will be repaired immediately.
2. The facilities must be properly maintained and operated at all times. The approved
Operation and Maintenance Plan must be followed in its entirety and maintenance
must occur at the scheduled intervals.
3. The permittee shall at all times provide the operation and maintenance necessary to
assure the permitted stormwater system functions at optimum efficiency including,
but not limited to:
State of North Carolina I Environmental Quality I Energy, Mineral and [,and Resources
943 Washington Square Mall. I Washington, NC 27889
252-946.6481 T

a. Semiannual scheduled inspections (every 6 months)
b. Sediment removal
C. Mowing and revegetation of side slopes
d. Immediate repair of eroded areas
e. Maintenance of side slopes in accordance with approved plans and
specifications
f. Debris removal and unclogging of outlet structure, orifice device and catch
basins and piping.
4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of the Division. The records will indicate the date, activity,
name of person performing the work and what actions were taken.
5. This permit shall: become voidable unless the facilities are constructed in accordance
with the conditions of this permit, the approved plans and specifications, and other
supporting data.
6. Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from an appropriate designer for the system installed
certifying that the permitted facility has been installed in accordance with this permit,
the approved plans and specifications, and other supporting documentation. Mail
the Certification to the Washington Regional Office, 943 Washington Square Mall,
Washington, North Carolina, 27889, attention Division of Energy, Mineral, and Land
Resources.
7. A copy of the approved plans and specifications shall be maintained on file by the
Permittee for a minimum of five years from the date of the completion of construction.
III. GENERAL CONDITIONS
This permit is not transferable. In the event there is a desire for the facilities to change
ownership, or there is a name change of the Permittee, a formal permit request must
be submitted to the Division of Energy, Mineral, and Land Resources accompanied
by an application fee, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request will be considered on
its merits and may or may not be approved.
2. Failure to abide by the conditions and limitations contained in this permit may subject
the Permittee to enforcement action by the Division of Energy, Mineral, and Land
Resources, in accordance with North Carolina General Statute 143-215.6(a) to 143-
215.6(c).
State of North Carolina I Environmental Quality I Energy, Mineral and band Resources
943 Washington Square Mall, I Washington, NC 27889
252-946-6481 T

3. The issuance of this permit does not preclude the Permittee from complying with any
and all statutes, rules, regulations, or ordinances which may be imposed by other
government agencies (local, state, and federal) which have jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or
replacement stormwater management systems.
5. The permit may be modified, revoked and reissued or terminated for cause. The filing
of a request for a permit modification, revocation and reissuance or termination does
not stay any permit condition.
6. The permit is effective from the date of issuance until December 29, ,2020.The
Permittee, at least six (6) months prior to the expiration of this permit, shall submit in
writing a request for an extension along with appropriate application fee.
Permit issued this the 14 th day of December, 2015.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral, and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW7060814
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
943 Washington Square Mall, I Washington, NC 27889
252-946-6481 T

1
State of North Carolinar-� ti
Department of Environment and Natural Resources � < V
Division of Water Quality
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM 16 2015 j
I. CURRENT PERMIT INFORMATION
1. Stormwater Management Permit Number: 5W ri C)
2. Project Name: u{
3. Current Permit Holder's &mpany Name/Organization: a&ertx�t '1i
4. Signing Official's Name: �P-O Title:
5. Mailing Address: tDoLt&�-
City: State: Zip:
6. Phone: ( )
Fax: ( )
II. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
❑ Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
®'Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address / phone number change. (Please complete Item 4 below)
❑ Other (please explain):
n z l t .�7► 1 1 I 1
1. Proposed permittee's company name/organ' ion:
2. Proposed permittee's signin official's name: J s4,>
3. Proposed permittee's title
p
4. Mailing dress: . LoLhoC
City: State: M Zip: 2
Phone: �a "7— GC1q9 Fax:
5. New Project Name to be placed on permit:PI LMAiVIL-alk-0
'lc,�,r
Please check the appropriate box. The proposed permittee listed above
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in #1 above and provide name of HOA/POA's authorized representative in #2 above)
The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4

III. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. IThis certification must be completed and signed by both the
cu rr ent permit holder and the new applicant if this is a change of ownership!
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement:
❑ Check here if the current permittee is only changing his/her/its name, the project name, or mailing
address, but will retain the permit. I, , the current
permittee, hereby notify the DWQ that I am changing my name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
[j Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit. "~
I, , the current permittee, am submitting this application
for a transfer of ownership for permit # . I hereby notify DWQ of the sale or
other legal transfer of the stormwater system associated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be approved by the DWQ unless and until the facility is in compliance with the
permit.
Signature:
Date:
I, , a Notary Public for the State of
, County of , do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
Notary Signature
(Notary Seal)
SSW N/O Change Rev24Sept2012 Page 2 of 4

V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership) .
hereby notify the DWQ that I have acquired
through sale, lease or legal trans er, the responsibility for operating and maintaining the permitted
stormwater management system, and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
[r�the most recent permit
❑❑ the designer's certification for each BMP
[any recorded deed restrictions, covenants, or easements
Wthe DWQ approved plans and/or approved as -built plans
❑ the approved operation and maintenance agreement
8 past maintenance records from the previous permittee (where required)
DWQ stormwater inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts
of this application are not completed or if all required supporting information and attachments listed
above are not inc ed, this appli n package will be returned as incomplete..
Signature: Date:
o?�`�-1 day of
rgoing i istrument.
u re
,Uaf3 , a Notary Public for the State of
County of 4 1[l , do hereby certify that
personally appeared before me this the
20 ! , and acknowledge the due execution of the
and official seal,
My Commission Expires March 22nd, 2020
Susan H. Sul ;an
Notary Public
Currftudk County
S
North . ti
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
SSW N/O Change Rev24Sept2012 Page 3 of 4

VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections 11 and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name:
Organization.
Title within the Organization:
Street Address:
City:
Mailing Address:
City:
Phone:
Email:
State:
(if different from street address)
State:
Fax:
Zip:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute
(NCGS) 143-215.1, and may result in appropriate enforcement action including the assessment of
civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature of the property owner Date:
, a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this the
day of 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
SSW-N/O Change Rev24Sept2012 Page 4 of 4

�,z1 Permit No.
(to he provided b>> DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water -Quality , IIy,7,-=
ED
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
AUG 2 2 2006
WET DETENTION BASIN SUPPLEMENT ��
This form may he photocopied for use as an original , � J�" � ^ � dti 0
�.
Dn Stormwater Mann ement Plan Review:
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
I. PROJECT INFORMATION
Project Name: K_+^1i45 M1LA- 4T 67P_a,NlDy
Contact Person: M e-i-le's-A Phone Number.
For projects with multiple basins, specify which basin this worksheet applies to: N�A
elevations
Basin Bottom Elevation 4. ft.
Permanent Pool Elevation C) , D_ ft.
Temporary Pool Elevation i l , 0 _ -ft,
areas
Permanent Pool Surface Area sq. ft.
Drainage Area ac.
Impervious Area 1 + S T ac.
(floor of the basin)
(elevation of the orfce)
(elevation of the discharge structure overflow)
(water surface area at the orifice elevation)
(on -site and off -site drainage to the basin).
(on -site and off -site drainage to the, basin)
volumes
Permanent Pool Volume ZZ 193c cu. ft. (combined volume of main basin and forebay)
Temporary Pool Volume 0,055 cu. ft. (volume detained above the permanent pool)
Forebay Volume 7.,cu. ft. (approximately 20% of total volume)
Other parameters
SA/DA1 3,w% (surface area to drainage area ratio from DWQ table)
Diameter of Orifice I in. (2 to 5 day temporary pool draw -down required)
Design Rainfall _ in.
Design TSS Removal 2 % (minimum 85% required)
Form SWU-102 Rev 3.99 Page 1 of 4

Footnotes:
t When using the Division SAIDA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the
actual impervious % and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries.
2 In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90% TSS removal. The NCDENR BMP manual provides design tables for both 85% TSS removal and 90% TSS removal.
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the' applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may.initial below. If a requirement has not been met, attach justification.
Applicants Initials
API a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
0A b. The forebay volume is approximately equal to 20% of the basin volume.
11k1 c. The temporary pool controls runoff from the design storm event.
ill 1 d. The temporary pool draws down in 2 to 5 days.
e. If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
calculations)
pJif� f. The basin length to width ratio is greater than 3:1.
Al g..The basin side slopes above the permanent pool are no steeper than 3:1.
! h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
i. vegetative cover above the permanent pool elevation is specified.
41 AA j. A trash rack or similar device is provided for both the overflow and orifice.
k. A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
1. 1f the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin.
IUf in, A mechanism is specif ed which will drain the basin for maintenance or an emergency.
Ill. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined -as the wet detention basin, pretreatment including forebays and the
vegetated filter if one is provided.
This system (check one) 0 does 9/does not incorporate a vegetated filter at the outlet.
This system (check one) 0 does Adoes not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3.99 Page 2 of

Maintenance activities shall be performed as follows:
. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition.
b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs within
2 to 5 days as designed.
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
3. Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap,-ete.) quarterly to maintain
proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water -quality (i.e.
stockpiling near a wet detention basin or stream, etc.).
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments.
When the permanent pool depth reads 3 3-5 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 2—,'2-5 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
(fill in the blanks)
0 Permanent Pool Elevation 9 , 0
Sediment R oval El. (p , 75 75 o
Sediment Removal Elevation 5z 75%
Bottomfle ation La,� %----------------------------------i--------------o---
Bottom Elevation 25 /o
FOREBAV MAIN POND
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to'grow along the vegetated shelf and forebay berm.
b. if the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
Form SWU-102 Rev 3.99 Page 3 of

7. All components of the wet detention basin system shall be maintained in good working order.
1 acknowledge. and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print name: (' C. o 12,& C: S 1J t- L ! Z
Title: bW NL-4 Al 10--C G`
Address: W E3.....CA� -TO IC c= r C LJ09- �� , �� 42Co 6✓C 2 %'�/ 17
Phone: z.Sz� �/ S� �Z?
r-1
Signature:
Date: Cz �-Lo-
Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president.
a Notary Public for the State of
Cou of do hereby certify that �!
personally appeared before me this _�day of _GC.GC� ,�Cb� , and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
My commission expires MyC=0ftOnEXOreser7-Zuii
Form SWU-102 Rev 3.99 Page 4 of 4