SW7061205_CURRENT PERMIT_20070410

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW(
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE11U7�/�7
YYYYMMDD

�r:..� �i
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
April 10, 2007
Mr. David Peres
Daniel -Gal, LLC
P.O. Box 1532
Kill Devil Hills, NC 27948
Subject: Permit No. SW7061205
Daniel -Gal, LLC
High Density Stormwater Project
Dare County
Dear Mr. Peres:
The Washington Regional Office received a completed Stormwater Application for the subject project on
December 4, 2006. Staff review of the plans and specifications has determined that the project, as proposed, will
comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No.
SW7061205 dated April 10, 2007 to Daniel -Gal, LLC for the construction and operation of 3 infiltration basins to serve
the Daniel -Gal, LLC development located at the intersection of South Croatan Highway (US 158) and Baum Street in
Kill Devil Hills, NC.
This permit shall be effective from the date of issuance until April 10, 2017, 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 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 or Samir
Dumpor at [phone],
incerely,
AI HodJ(R�e_g(ion I Supervisor
Surface Water Protection Section
Washington Regional Office
AH/sd J:\WPDATA\WQS\Samir - State SW\Permits - Infiltration
cc: Clayton E. Massey, PE, Massey Design and Associates, PC (1561 Bradford Road, Suite 204, Virginia Beach,
VA, 23455)
Dare County Building Inspections Department
✓Washington Regional Office
Central Files
North Carolina Division of Water Quality Internet: �\\c, newaieruualimore One
943 Washington Square Mall Phone [phone] NorthiCarolina
Washington, NC 27889 Far [phone]
An Equal Opportunity/Affirmative Action Employer— 50%Recyded110% Post Consumer Paper Naturally

State Stormwater Management Systems
Permit No. SW7061205
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
Daniel -Gal, LLC
Dare 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 "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 for an infiltration basin to serve the Daniel -Gal, LLC development located
at the intersection of South Croatan Highway (US 158) and Baum Street in Kill Devil Hills, NC.
This permit shall be effective from the date of issuance until April 10, 2017 and shall be subject to the following
Specified conditions and limitations:
DESIGN STANDARDS
1. 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 The stormwater control has been designed to handle the runoff from 46,408 square feet of
impervious area.
3. The tract will be limited to the amount of built -upon area indicated on the drainage area table of this permit, and
per approved plans.
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.
6. The following design criteria have been provided in the infiltration basins and must be maintained at design
condition:

DIVISION OF WATER QUALITY
PROJECT DATA
Project Name:
Daniel -Gal, LLC
Permit Number.
SW7061205
Location:
Dare County
Applicant:
Daniel -Gal, LLC
Mailing Address:
P.O. Box 1532, Kill Devil Hills, NC 27948
Receiving Stream:
Atlantic Ocean
Classification of Water Body:
SB
Total Site Area:
1.72 ac
Design Storm, inches:
1.0
Basin"A"+"B"+"C„
Drainage area to Basin:
1.72 ac
Impervious area in drainage basin:
46,408 sf
Infiltration Basin Depth:
2.5 ft
Basin bottom elevation, FMSL:
6.5
Bypass Overflow Elevation, FMSL:
8.0
Type of Soil:
Corolla
Provided Storage Volume:
12,654 cf
Time to Draw Down:
0.11 days
Expected Infiltration Rate, in/hr:
10.8

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
8. 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
1. 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:
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 spec cations
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
DWQ. 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 Water Quality.
A copy of the approved plans and specifications shall be maintained on file by the Permittee for the life of the
project.

Ill. 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 Water Quality
accompanied by an application fee, documentation from theparties 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 Water Quality, in accordance with North Carolina General Statute 143-
215.6(a) to 143-215.6(c). .
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 perrmitee, 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.
An application for permit renewal must be submitted at least 180 days prior the expiration of this permit along
with the appropriate processing fee.
Permit issued this the 10th day of April, 2007.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan W. Klimek, P.E. Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW7061205

Daniel -Gal, LLC
Stonnwater Permit No. SVV7061205
Designers Certification
1, , as a duly
registered, Professional Engineer in the State of North Carolina, having been authorized to observe
(periodically/weekly/full time)
the construction of the project,
for (Project Owner)
hereby state that to the best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial compliance and intent of the
approved plans and specifications.
Signature
Registration Number
Date
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. Alf roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
_6. The outlet/bypass structure is located per the approved plans.
_7. Trash rack is provided on the outlet/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.

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
1. GENERAL INFORMATION
WHOUECOVED
APR 0 2 2001
I. Applicants name (specify the name of the corporation, individual, etc. who owns thJe project):��pp��pp
David Peres Daniel Gal LLC UVARC).
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
David Peres President
3. Mailing Address for person listed in item 2 above:
City: Kill Devil Hills State: North Carolina Zip: 27948
Telephone Number: [phone]
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Daniel Gal LLC Kill Devil Hills North Carolina
5. Location of Project (street address):
Northwest quadrant — intersection of South Croatan Highway and Baum Street
City: Kill Devil Hills County:Dare
6. Directions to project (from nearest major intersection):
Northwest quadrant —South Croatan Highway (US 158) and Baum Street
7. Latitude: 360 00' 32.5" N Longitude: 750 39' 31.8" W of project
8. Contact person who can answer questions about the project:
Name: Clayton E. Massey P E Telephone Number: [phone]
11. PERMIT INFORMATION:
I. Specify whether project is (check one): X New Renewal Modification
FormSWU-101 Version3.99 Page Iof4

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number Not Applicable 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):
_LAMA Major _Sedimentation/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.
III. 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 . `S
Too of Basin = 8 9'8•�7
2. Stormwater runoff from this project drains to the Pasauotank River
River basin.
3. Total Project Area: 1.7 acres 4. Project Built Upon Area: 62
5. How many drainage areas does the project have? I
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
Drainage Area I
Atlantic Ocean
Drainage Area 2
Receiving Stream Class
SB
Drainage Area
75,129 SF (1.7 acres)
Existing Impervious * Area
0
Proposed Impervious * Area
46,408 SF
%Impervious *Area (total)
61.8%
Impervious * Surface Area
Drainage Area I
Drain a rea 2
On -site Buildings
14,287 SF
On -site Streets
0
On -site Parking
27,854 SF
Other on -site Sidewalks
4,267 SF
Other on -site
0
Off -site
0
* lmnerVian.V areas is Y finod — it— A.
Total: 46 408 SF
qe .. __e.
Total:
- - - - -- _- -••• •••� �•-••• ..ram., ­0 -1--ing, aar nor nmaea to, baadings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 3.99 Page 2 of

;-1
7. How was the off -site impervious area listed above derived? Not Applicable
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the 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.
1. The following covenants are intended to ensure n,g,,ing compliance with state srormwater management permit number
as
issued by the �ivislan of Water Dua(IN. These covenants mov not be changed
or deleted without the consent ojthe State.
46 4bef
No more than square jeer of is v lot shall hr covered by structures or impervious materials
decking or the water surface ojs-�.immin,
Impervious materials include asphalt. gravel. concrete. brick. stone. slate or similar material but do not include wood
decking pools.
3 Swd(es shall not beitled in. piped. or altered except as necessarn to provide driveway crossings.
a. Built -upon area it, excess of the permitted amount requires a state srormwater management permit modification prior to
construction.
5. Al! permitted runofffrom outparcels orfuture development shall be directed into the permitted srormwater control
system. These connections ro the srormwater control system shall be performed in a manner that maintains the integrity
and performance ofthe 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 items 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 [phone] for the status
and availability of these forms.
Form SWU-102 Wet DetentionBasinSupplement
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
Form SWU-101 Version 3.99 Page 3 of

VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DW
A complete package includes all of the items listed below. The complete application package should be Q)
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 copy of the Stormwater Management Permit Application Form Initials
• One copy of the applicable Supplement Form(s) for each BMP
• Permit application processing fee of $420 (payable to NCDENR) —"`—
• Detailed narrative description of stormwater treatment/management CIE;: iM
• Two copies of plans and specifications, including: Vv I
- Development/Project name - r
yl
- 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
Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and storrnwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage lculations easements, pipe sizes, runoff ca - Drainage areas delineated
- Vegetated buffers (where required)
VII. 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): Clayton E. Massey P E Massey Design A
Mailing Address: 1561 Bradford Road Suite 204 Associates, pr
City: Virginia Beach State: Vir mia
Phone: [phone] --)--- Zip: 23455
Fax: [phone]
VIII. APPLICANT'S CERTIFICATION
1, (print or type name ofperson listed in Genera! Information, item 2) David Peres
certify that the information i luded on this permit application form is, to the best of my knowledge, correct and
that the project will be co cted in conformance with the approved plans, that the required deed restrictions
and protective covenant§ 1 be recorded, and that the proposed project complies with the requirements of 15A
NCAC 2H .1000.
Form SWU-101 Version 3.99 Page 4 of

-. ;
Permit No.
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality HECEgnV �®
STORMWATER MANAGEMENT PERMIT APPLICATION FORM �
INFILTRATION BASIN SUPPLEMENT APR 0 2 2i?u1
This form may be photocopied for use as an original ® ''/yp— `A�ypt��/�
��/ RD
DWO 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: Daniel Gal, LLC Kill Devil Hills North Carolina (Formerly Woodcat III)
Contact Person. Clanton E. Massey P E Phone Number: [phone]
This worksheet applies to: Basin No. A — B — C in Drainage Area I*
(as identified on plans) (from Form SWU-101)
* All basins connected by leveling pipe.
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 (fmsl).
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
SP, SP - SM
10.8 rn/h or cf/hr/sf (circle appropriate units)
5.0 fmSI (Seasonal Nigh Water Table elevation)
2.0
inch
7,587
c.f.
0.11
days
odd sizes * ft. x
12,654 c.f.
6.5
fmsl
8.0
fmsl
8.5
fmsl
0.5 inch event for SA waters, I inch even for others)
— ft. —
sq. ft. (bottom dimensions)
* Basin "A"
8,873 CF
3,808 SF
Bottom
Basin "B"
2,615 CF
130 SF
Bottom
Basin "C"
1,166 CF
69 SF
Bottom
12,654 CF
4,007 SF
Bottom
Form SWU-103 Rev 3.99 Page Iof3

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 in the Stormwater Management Permit
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
C Erv. a.
System is located 50 feet from class SA waters and 30 feet from other surface waters.
CEM b
System is located at least 100 feet from water supply wells.
C yZ )
N
1 11 c.
Bottom of system is at least 2 feet above the seasonal high water table.
1 _ F M d.
Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
eVH e.
System is not sited on or in fill material or DWQ approval has been obtained.
N 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.
CC�.M g.
Drainage area for the device is less than 5 acres.
�14M h.
Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached.
GeM i.
System captures and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
CEM 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.
CE►"^ k.
All side slopes stabilized with vegetated cover are no steeper than 11 (H:V).
1. '
A pretreatment device such as a catch basin, grease trap filter strip, grassed swale or
sediment trap is provided. ( FbREt3ny /N $wAt-tr5)
m.
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.
CEN^ 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).
t+P o.
Flow distribution mechanism within the basin is provided.
C &k P.
A benchmark is provided to determine the sediment accumulation in the, pretreatment device.
CEIk q.
Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
C&M 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
n' Yl-
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 is
stabilized.
Form S W U-103 Rev 3.99 Page 2 of 3

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, inflow 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 infiltration 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.e. 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 6.5 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 stortnwater
control devices as allowed by NCAC 2H A 000 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:
]Yore: The legally responsible"party shoulcYnot 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.
�(CncQ� C �h/ "4� , a Notary Public for the�tate of /02� ��o�in , County of
�ciii'!u�jk do hereby certify thaf�lir,., e/eS personally appeared before me this `
day of �{/�/�e UO P and acknowledge the due execution of the forgoing infiltration basin maintenance requirements.
Witness my hand and official seal,, SEAL My My commission expires 6
Fonn S WU-103 Rev 3.99 Page 3 of 3