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SW8051048_CURRENT PERMIT_20060506
STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW FXJS��0Z 6 DOC TYPE RDCURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL PILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE .?OR'oJ5zxv YYYYMMDD OF WArF9 r >_^^ y tJ May 9, 2006 Mr Peter Bine, Town Manager Town of Oak Island 4601 E Oak Island Drive Oak Island, NC 28465 Subject. Stormwater Permit No. SW8 051048 Waterway Park High Density Project Brunswick County Dear Mr Bine Michael F Easley Governor William G Ross Jr Secretary North Carolina Department of Environment and Natural Resources Alan W Klimek P E Director Division of Water Quality The Wilmin ton Regional Office received a complete Stormwater Management Permit Application for Waterway Park on May 8, 2006 Staff review of the plans and specifications has determined that the roject, roposed, will comply with the Stormwater Regulations set p forth in Title 15A NCAC H 1000as�a are forwarding Permit No SW8 051048 dated May 9, 2006, for the construction of the subject project This permit shall be effective from the date of issuance until May 9, 2016, 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 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 sixty (60) 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, P O Drawer 27447, Raleigh, NC 27611-7447 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 Linda Lewis, or me at (910) 796-7215 Sincere Edwa e Regional Supervisor Surface Water Protection Section ENBlarl S 1WQSISTORMWATIPERMIT1051048 may06 cc Brad Sedgwick, P E , JBS Consulting Town of Oak Island Building Inspections Doug Huggett, DCM Rich Weaver, DCM Linda Lewis Wilmington Regional Office Central Files IV�Y�ltCaro na dvaturA��y North Carolina Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405 Phone (910) 796-7215 Customer Service Wilmington Regional Offiee Internet www cwater ualit or Fax (910) 350-2004 1-877-623-6748 An Equal Opportunity)Affirmatwe Action Employer — 50% Recycled110% Post Consumer Paper State Stormwater Management Systems Permit No SW8 051048 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY 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 Peter Bine & Town of Oak Island Waterway Park East Yacht Drive, Oak Island, Brunswick County FOR THE construction, operation and maintenance of an infiltration basin in compliance with the provisions of 15A NCAC 2H 1000 (hereafter referred to as the "stormwater 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 Water Quality and considered a part of this permit This permit shall be effective from the date of issuance until May 9, 2016, and shall be subject to the following specified conditions and limitations I. 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 16 on page 3 of this permit The stormwater control has been designed to handle the runoff from 30,703 square feet of impervious area The infiltration basin must be operated with a 50' vegetated filter 3 The tract will be limited to the amount of built -upon area indicated on page 3 of this permit, and per approved plans The built -upon area for the future development is limited to 186 square feet 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 the approved plans 5 The runoff from all built -upon area within the permitted drainage area of this project must be directed into the permitted stormwater control system Page 2 of 7 State Stormwater Management Systems Permit No SW8 051048 6 The following design criteria have been provided in the infiltration basin and must be maintained at design condition a DrainaArea, 9cres gnslte, ftz Offsite, ft b Total Impervious Surfaces, ft2 c Design Storm, inches d Basin Depth, feet e Bottom Elevation, FMSL f Bottom Surface Area, ft2 g Bypass Weir Elevation, FMSL h Permitted Storage Volume, ft3 1 Type of Sod i Expected Infiltration Rate, inlhr k Seasonal High Water Table, FMSL I Time to Draw Down, hours m Receiving Stream/River Basin n Stream Index Number o Classification of Water Body If SCHEDULE OF COMPLIANCE 1 38 60,113 0 30,703 15 20 85 1,957 105 6,897 Leon Sands 15 60 <12 hours Intracoastal Waterway / Lumber LBR59 15-25 "SA" 1 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 surface 2 During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately 3 The permttee shall at all times provide the operation and maintenance necessary to assure the permitted stormwater system functions at optimum efficiency The approved Operation and Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled intervals including, but not limited to a Semiannual scheduled inspections (every 6 months) b Sediment removal c Mowing and revegetation of slopes and the vegetated filter d Immediate repair of eroded areas e Maintenance of all slopes in accordance with approved plans and specifications f Debris removal and unclogging of bypass structure, infiltration media, flow spreader, catch basins, piping and vegetated filter g A clear access path to the bypass structure must be available at all Nimes Page 3of7 State Stormwater Management Systems Permit No SW8 C51048 4 Records of maintenance activities must be kept and made available upon request to authorized personnel of DWQ The records will indicate the date, activity, name of person performing the work and what actions were taken 5 The facilities shall be constructed as shown on the approved plans 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, prior to issuance of a Certificate of Occupancy, 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 Any deviations from the approved plans and specifications must be noted on the Certification A modification may be required for those deviations 7 If the stormwater system was used as an Erosion Control device, it must be restored to design condition prior to operation as a stormwater treatment device, and prior to occupancy of the facility 8 Access to the stormwater facilities shall be maintained via appropriate easements at all times 9 The permittee shall submit to the Director and shall have received approval for revised plans, specifications, and calculations prior to construction, for any modification to the approved plans, including, but not limited to, those listed below a Any revision to any item shown on the approved playas, including the stormwater management measures, built -upon area, details, etc b Project name change c Transfer of ownership d Redesign or addition to the approved amount of built -upon area or to the drainage area e Further subdivision, acquisition, lease or sale of all or part of the project area The project area is defined as all property owned by the permittee, for which Sedimentation and Erosion Control Plan approval or a CAMA Major permit was sought f Filling in, altering, or piping of any vegetative conveyance shown on the approved plan 10 The permittee shall submit final site layout and grading plans for any permitted future areas shown on the approved plans, prior to construction 11 A copy of the approved plans and specifications shall be maintained on file by the Permittee for a minimum of ten years from the date of the completion of construction 12 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 Page 4 of 7 -f State Stormwater Management Systems Permit No SW8 051048 III GENERAL CONDITIONS This permit is not transferable except after notice to and approval by the Director In the event of a change of ownership, or a name change, the permittee must submit a formal permit transfer request to the Division of Water Quality, accompanied by a completed name/ownership change form, 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 The permittee is responsible for compliance with all permit conditions until such time as the Division approves the transfer request 2 Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the Division of Water Quality, in accordance with North Carolina General Statute 143-215 6A to 143-215 6C 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) having 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 permittee grants DENR Staff permission to enter the property during normal business hours for the purpose of inspecting all components of the permitted stormwater management facility 6 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 7 Unless specified elsewhere, permanent seeding requirements for the stormwater control must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual 8 Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit 9 The permittee shall notify the Division any name, ownership or mailing address changes within 30 days Permit issued this the 9th day of May 2006 NORTH ROLINA ENVIRONMENTAL MANAGEMENT COMMISSION for A an Klimek, erector Division of Water Quality By Authority of the Environmental Management Commission Page 5 of 7 State Stormwater Management Systems Permit No SW8 051048 ` Waterway Park Stormwater Permit No SW8 051048 Brunswick County Designer's Certification I, , as a duly registered in the State of North Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the protect, (Protect) for (Protect Owner) hereby state that, to the best of my abilities, due care and diligence was used in the observation of the protect construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications The checklist of items on page 2 of this form is included in the Certification Noted deviations from approved plans and specification Signature Registration Number Date SEAL Page 6 of 7 �7_e State Stormwater Management Systems Permit No SW8 051048 Certification Requirements 1 The drainage area to the system contains approximately the permitted acreage 2 The drainage area to the system contains no more than the permitted amount of built -upon area 3 All the built -upon area associated with the project is graded such that the runoff drains to the system 4 All roof drams are located such that the runoff is directed into the system 5 The bypass structure weir elevation is per the approved plan 6 The bypass structure is located per the approved plans 7 A Trash Rack is provided on the bypass structure 8 All slopes are grassed with permanent vegetation 9 Vegetated slopes are no steeper than 3 1 10 The inlets are located per the approved plans and do not cause short- circuiting of the system 11 The permitted amounts of surface area and/or volume have been provided 12 All required design depths are provided 13 All required parts of the system are provided 14 The required system dimensions are provided per the approved plans cc NCDENR-DWQ Regional Office Town of Oak Island Building Inspections Page 7 of 7 State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form may he photocopied for use as an original I. GENERAL INFORMATION: 1 Applicant's name (specify the name of the corporation, individual, etc who owns the project) Town of Oak Island 2 Print Owners/Signing Official's name and title (the person legally responsible for facility and compliance) Peter Bine - Town Manager 3 Mailing Address for person listed in item 2 above 4601 E Oak Island Dr City Oak Island State NC Zip 28465 Telephone Number (910) 278 5011 4 Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc ) Waterway Park 5 Location of Project (street address) East Yacht Drive City Oak Island 6 Directions to project (from nearest major intersection) 7 Latitude 034IT5184"N Longitude 8 Contact person who can answer questions about the project County Brunswick 077 55' 22 23"W Name Brad 5edgwlck, PE Telephone Number (910) 619-9990 II. PERMIT INFORMATION: 1 Specify whether project is (check one) X New Renewal of project Modification 17r%rm qUn T_1 ill Vi-remn 1 00 ISanp T of A 2 If this application is being submitted as the result of a renewal or modification to an existing permit, list the existing permit number and its issue date (if known) 3 Specify the type of project (check one) Low Density X High Density Redevelop General Permit Other 4 Additional Project Requirements (check applicable blanks) X CAMA Major X Sediment/Erosion Control 404/401 Permit �NPDES Stormwater Information on required state permits can be obtained by contacting the Customer Service Center at 1-877-623-6748 in PROJECT INFORMATION 1 In the space provided below, summarize how stormwater will be treated Also attach a detailed narrative (one to two pages) describing stormwater management for the project Stormwater treatment will be provided through the use of overland flow, swales, and an Infiltration Basin 2 Stormwater runoff from this project drains to the Lumber River basin 3 Total Project Area 138 acres 4 Project Built Upon Area 51 % 5 How many drainage areas does the project have9 1 6 Complete the following information for each drainage area If there are more than two drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below Basin Information Receiving Stream Name Intercoastal Waterway Receiving Stream Class SA,H W Drainage Area 138 acres Existing Impervious* Area 0 Proposed Impervious* Area 0 70 acres % p ervious* Area total 51 % Impervious* Surface Area Drainage Basin Drainage Basin Future Gazebo 186 sf On -site Gravel Parking 30,517 sf Off site Total �' 30,703 sf " Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, sidewalks, gravel areas, etc Rnrm QWf T_101 Vsrcirm 1 00 PanP 1 nfd r r J 44 1 J J I 77+,r1 71 will :a[! r r 1 J I . 1 k la y " _ jr, r k{ ,r t,'F r , �17171U Ir, I' ✓ I J 3 f i3 y7 r r Ir "I l � If 7 How was the off -site impervious area listed derived? NIA IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS The following italicized deed restrictions and protective covenants are required to be recorded for all subdivisions, out parcels and future development prior to sale of any lot If lot sizes vary significantly, a table listing each lot number, size and the allowable built upon area for each lot must be provided as an attachment The following covenants are intended to ensure ongoing compliance with state management permit number as issued by the Division of Water Quality These covenants my not be changed or deleted without the consent of the State 2 No more than square feet of any lot shall be covered by structures or impervious materials Impervious materials include asphalt, gravel, concrete, brick; stone, slate or similar material but do not include wood decking or the water surface of swimming pools 3 Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings 4 Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to construction 5 All permitted runofffrom out parcels or future development shall be directed into the permitted stormwater control system These connections to the stormwater control system shall be performed in a manner that maintains the integrity and performance of the system as permitted By your signature below, you certify that the recorded deed restrictions and protective covenants for this project shall include all the applicable item required above, that the covenants will be binding on all parties and persons claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted without concurrence from the State, and that they will be recorded prior to the sale of any lot V. SUPPLEMENT FORMS The applicable state stormwater management permit supplement form (s) listed below must be submitted for each BMP specified for this project Contact the Stormwater and General Permits Unit at (919) 733-5083 for the status and availability of these forms Form SWU-102 Wet Detention Basin Supplement Form SWU-103 Infiltration Basin Supplement Form SWU-104 Low Density Supplement Form SWU-105 Curb Outlet System Supplement Form SWU-106 Off -Site System Supplement Form SWU-107 Underground Infiltration Trench Supplement Form SWU-108 Neuse River Basin Supplement Form SWU-109 Innovative Best Management Practice Supplement Fnrm QW1 1-1 f11 Vi-minn '2 QQ PA(TP Z of d VI. SUBMITTAL REQUIREMENTS Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ). A complete package includes all of the items listed below. The complete application package should be submitted to the appropriate DWQ Regional Office. 1 Please indicate that you have provided the following required information by initialing in the space provided next to each item • Original and one copv of the Stormwater Management Permit Application Form • One coov of the aonlicable Sunnlement Form(s) for each BMP • Permit application nrocessma fee of $420 (oavable to NCDENR) • Detailed narrative description of stormwater treatment/manaaement • Two comes of plans and specifications. including - Development/Project name - Engineer and firm - Legend - North arrow - Scale - Revision number & date - Mean high water line - Dimensioned property/project boundary - Location map with named streets or NCSR numbers - Onginal contours, proposed contours, spot elevations, finished floor elevations - Details of roads, drainage features, collection systems, and stormwater control measures - Wetlands delineated, or a note on plans that none exist - Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations - Drainage areas delineated - Vegetated buffers (where required) VI. AGENT AUTHORIZATION If you wish to designate authority to another individual or firm so that they may provide information on your behalf, please complete this section Designated agent (individual or firm) JIBS Consulting Mailing Address 7332 Cotesworth Dr City Wilmington State NC Zip 28405 Phone _(910) 619-9990 Fax 910 401-1620 VIII. APPLICANT'S CERTIFICATION I, (print or type name ofperson listed in General Information, item 2) Peter Bine - Town Manager certify that the information included on this permit application form is, to the best of my knowledge, correct and that the project will be nstructed in conformance with the approved plans, that the required deed restrictions and protective coven will orded, and that the proposed project complies with the requirements of 15A NCAC 2H 100 Signature ' Date Form SWU-101 Version 3 99 Page 4 of 4 l r J (R I I I f i 1 d r � S ! r y 1 !l 1 1 I I' r 1 ' F ! r Ily li � J i ! S r i I I 1 i 1 • Rk� • R l 1 I r r S Permit No . �a5io tv (to be provided by DWQ) State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM INFILTRATION BASIN SUPPLEMENT This form may be photocopied for use as an original DWQ.Stormwater Management Plan Review A complete stormwater management plan submittal includes a stormwater management permit application, an infiltration basin supplement for each system, design calculations, soils report and plans and specifications showing all stormwater conveyances and system details I. PROJECT INFORMATION Project Name _W -F-1 a � Y Contact Person F)4 hD 5G76W E C Phone Number (7(16 ) _ 61 J -1 � 50_ This worksheet applies to Basin No i in Drainage Area I (as identified on plans) (from Form SWU-101) II. DESIGN INFORMATION - Attach supporting calculations/documentation The soils report must be based upon an actual field investigation and soil borings County soil maps are not an acceptable source of soils information All elevations shall be in feet mean sea level (fmsi) Soils Report Summary Soil Type Infiltration Rate SHWT Elevation Basin Design Parameters Design Storm Design Volume Drawdown Time Basin Dimensions Basin Size Basin Volume Provided Basin Elevations Bottom Elevation Storage Elevation Top Elevation . 6-__ or cf/hr/sf (circle appropriate units) (Seasonal High Water Table elevation) 1 inch (1 S inch event for SR waters, 1 inch event for others) 3�a cf o y�1 days 1133 k5 ' ft x JS ft = -1 _sq ft (bottom dimensions) cf 1/ finsl 1d fins] %r © fmsl Form SWU-103 Rev 3 99 Page 1 of 3 III. 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 that the following design requirements have been met and supporting documentation is attached If the applicant has designated an agent to the Stormwater Management Permit Application Form, the agent may initial below Attach ,justification if a requirement has not been met. Applicants Initials a System is located 50 feet from class SA waters and 30 feet from other surface waters b System is located at least 100 feet from water supply wells c Bottom of system is at least 2 feet above the seasonal high water table d Bottom of the system is 3 feet above any bedrock or impervious soil horizon a System is not sited on or in fill material or DWQ approval has been obtained f System is located in a recorded drainage easement for the purposes of operation and maintenance and has recorded access easements to the nearest public right-of-way g Drainage area for the device is less than 5 acres h Soils have a minimum hydraulic conductivity of 0 52 inches per hour and soils report is attached i System captures and infiltrates the runoff from the first 10 inch of rainfall (1 5 inch event for areas draining to SA waters ) Design volume and infiltration calculations attached J System is sized to take into account the runoff at the ultimate built -out potential from all surfaces draining to the system, including any off -site drainage Calculations attached k. All side slopes stabilized with vegetated cover are no steeper than 3 1 (H V) 1 A pretreatment device such as a catch basm, grease trap, filter strip, grassed swale or sediment trap is provided in Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches or dense vegetative cover is provided n Vegetated filter is provided for overflow and detail is shown on plans (Required minimum length is 50 feet for SA waters, 30 feet for other waters) o Flow distribution mechanism within the basin is provided JV p A benchmark is provided to determine the sediment accumulation in the pretreatment device q Runoff in excess of the design volume bypasses off-line systems (bypass detail provided) r System is designed to draw down the design storage volume to the proposed bottom elevation under seasonal high water conditions within five days A soils report and all pertinent draw -down calculations are attached s Plans ensure that the installed system will meet design specifications (constructed or restored) upon initial operation once the project is complete and the entire drainage area 1s stabilized Form SWU-103 Rev 3 99 Page 2 of 3 .. .� ' I I I I s I � J s _ � F � nI I ` , A i + �i I E J 1 �� y i LI S ' r� 4 � 1 1 1 + 1 �� + . 4 1 + I � + � ' 1 + � e _ �> � � � ) a ' x 1�u' �} r Y ; � 1 y . >> f � I I r +r � l I < J + �1 .. ' ' I I � ' ' + I � �. I �: � + ' 1 � h + �' � i 1 I 1 � jL � J � v � � � S � I � .1 � � M+ '^ f + � l � r I � rJ � i a � It r -IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT 1 After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion, trash accumulation, vegetative cover, and general condition 2 Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow vegetated cover to maintain a maximum height of six inches, and remove trash as needed 3 After every runoff producing rainfall event and at least monthly inspect the bypass, mflow and overflow structures for blockage and deterioration Remove any blockage and repair the structure to approved design specifications 4 Remove accumulated sediment from the pretreatment system and mfiltration basin annually or when depth in the pretreatment unit is reduced to 75% of the original design depth The system shall be restored to the original design depth without over -excavating Over -excavating may cause the required water table separation to be reduced and may compromise the ability of the system to perform as designed Removed sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will adversely impact water quality (i a stockpiling near a stormwater treatment device or stream, etc ) A benchmark shall be established in the pretreatment unit The benchmark will document the original design depth so that accurate sediment accumulation readings can be taken The measuring device used to determine the depth at the benchmark shall be such that it will give an accurate depth reading and not readily penetrate into accumulated sediments When the design depth reads O. 45 feet in the pretreatment unit, the sediment shall be removed from both the pretreatment unit and the infiltration basin. 5 If the Division determines that the system is failing, the system will immediately be repaired to original design specifications If the system cannot be repaired to perform its design function, other stormwater control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed I acknowledge and agree by my signature below that I am responsible for the performance of the five 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 and Title - a e g 5 t rg,- - Te r..1w1 NAP -A m*-rz Address Phone Signature Date Z, '2.7 45 5 Note The legally responsible party should not be a homeowners association unless more than SO'0 of the lots have been sold and a resident of the subdrinvision has been named the president I, LOA ( , C i GL, u n e a Notary Public for the State of AL r4A Oa ra /r /I a County of Y u ii s W I C % do hereby certify that ] Do i e r 8 + n e personally appeared before me this 7 74- day of _004 h e r _! n0 S and acknowledge the due execution of the forgoing infiltration basin maintenance requirements Witness my hand and official seal, -"" OFFICIAL SEAL �f SEAT, N.Wy Puhlc Nnoh Camhna My commission expires BRUNSWICK COUNTY PATRICIA H BRUNELL M mom ps,sion Expires Form SWU-103 Rev 3 99 Page 3 of 3