SW4220302_As-Built - Certification_20220322

Project Name Permit # SW8 �;'rt,,4e'eve
AS -BUILT DESIGNER'S CERTIFICATION FOR
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 all of the below listed General MDC found in 15A NCAC 02H.1 a50, 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 the general statutes has been preserved.
❑ Check here if this is a partial certification. Section/phase/SCM #
YVCheck here if this is part of a Fast -Track As -Built Package Submittal per 15A NCAC 02H .1044(3).
❑ Check here if the Designer did not observe the construction but is certifying the project.
❑ Check here if pictures of the SCMs are provided.
Printed Name
NC Registration Number 2 2 0_,5- 2__
� SEAL: �N"t\A CA/YO�OOfi��
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• � f S `�I1'L1 =
22052
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Signature % r5f '
onsultant's Mailing Address' -a
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Cr3� o . it ; ✓i S �''� — ..5� � State:�� � Zip: � � /�
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:onsultant's Email address:
13 5 .-b rkq D s CF7 4
i0 Circle N if the as -built value differs from the Planlpermit. If N is circled, provide an explanation on page 3.
O N/E = Not Evaluated (provide explanation on page 2). ON/A = Not Applicable to this project or SCM.
Consultant's Certification 15A NCAC 02E1.1003(3) & General MDC 15A NCAC 02H .1050
j TREATMENT REQUIREMENTS
1. The SCM achieves runoff treatment.
2. The SCM achieves runoff volume match.
3. Runoff from offsite areas and/or existing BUA is bypassed.
4. Run.off from offsitee areas and/or existing BUA is directed into
the permitted SCM and is accounted for at the full build -out
potential.
5. The project controls runoff through an offsite permitted SCM
that meets the requirements of the MDC.
6. The net area of new BUA increase for an existing project has
been accounted for at the appropriate design storm level.
tOAs-built I OO NB f l ON/A
Y or N
Y or N
%V/f
Y or N
Y or N
Y or N IV/4
Y or N I I Aft
NCDEQ 2/9/2018

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Project Name 0 � � �� Permit # SW8 Skv.gA-Onia
design criteria.
Y or N
/V /'f
7. The SCM(s) meets all the specific minimum
VEGETATED SETBACKS /BUA
OO As -built
ON/E ON/A
1. The width of the vegetated setback has been measure from
Y or N
the nonnal pool of impounded waters, the MHW line of tidal
waters, or the to of bank of each side of rivers or streams.
2. The vegetated setback is maintained in grass or other
Y or N
IVj14
vegetation.
3. BUA that meets the requirements of NCGS 143-214.7 (b2)(2)
Y or N
is located in the setback.
4. BUA that does not meet the requirements of NCGS 143-214.7
Y or N
(b2)(2) is located within the setback and is limited to:
• Publicly funded linear projects (road, greenway sidewalk)
• Water -dependent structures
�l
• Minimal footprint uses (utility poles, signs, security
liUhtin and appurtenances)
—
5. Stonnwater that is not treated in an SCNI is released at the
Y or N
`
edge of the setback and allowed to flow through the setback as
/"
dispersed flow.
STORMWATER OUTLETS
OAs-built
ON/E ON/A
I. the outlet handles the peak flow from the 10-year storm with
or N
0
no downslope erosion.
VARIATIONS
GAs-built
I
OO N/E ON/A
�
1. A variation (alternative) from the stormwater rule provisions
has been implemented.
2. The variation provides equal or better stormwater control and
equal or better protection of surface waters.
COMPLIANCE WITH OTHER REGULATORY PROGRAMS
1. The project is compliant with other applicable regulatory
programs.
SIZING
1. The volume of the SCM takes the runoff from all surfaces into
account and is sufficient to handle the required storm depth.
CONTAMINATED SOILS
1. Infiltrating SCM's are not located in or on areas with
contaminated soils.
SIDE SLOPES
1. Vegetated side slopes are no steeper than 3H:1 V.
Y or
Y or
OAs-built
or N
IV104
A//W
ON/E 1 ON/A
OAs-built I ON/E I ON/A
Y or N IV/j4
OAs-built ON/E ON/A
Y or N IV/4
OAs-built ON/E ON/A
Y or N
NCDEQ 2/9/2018

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Project Name 01_41 90 X�IVI Permit # SW8 ,q�A��jn%tOS
2. Side slopes include retaining walls, gab Ion walls, or other
Y°'
v/74
surfaces that are steeper than 3H:IV.
Y 0-
/
3. Vegetated side slopes are steeper than 3H:1 V (provide
supporting documents for soils and vegetation).
IVA
EROSION PROTECTIONOAs-built
OO N/E
OO N/A
1. The inlets do not cause erosion in the SCM.
Y or N
2. The outlet does not cause erosion downslope of the discharge
i N
point during the peak flow from the 10-year storm.
EXCESS FLOWSOAs-built
OON/E OO N/A
1. An overflow / bypass has been provided. Y or N /V
— i
DEWATERING OAs-built ON/E (IN/A
-
1. A method to drawdown standing water has been provided to Y or N N/R
facilitate maintenance and inspection.
CLEANOUT AFTER CONSTRUCTIONOAs-built OO N/E OO N/A
1. The SCM has been cleaned out and converted to its approved
Y or N
� 1A
design state.
MAINTENANCE ACCESS
OO As -built
OWE
OO N/A
The SCM is accessible for maintenance and repair.
Y or N
/�jY //q-
!
2.l.
The access does not include lateral or incline slopes >3:1.
or N
q � �j
/ Y / t
DESIGNER QUALIFICATIONS (FAST -TRACK PERMIT)OAs-built
ON/E
OO N/A
1. The designer is licensed under Chapters 89A, 89C, 89E, or
0or N
89F of the General Statutes.
IA
Provide an explanation below for every MDC that was not met, and for every item marked "NIA" or "N/E."
Attach additional pages as needed.
an SC
NCDEQ 2/9/2018