SW5201101_As-Built - Certification_20220815 (3)

State Stormwater Management
Permit No. SW5201101
AS -BUILT DESIGNER'S CERTIFICATION FOR LOW DENSITY PROJECTS
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 MDC found in 15A NCAC 02H.1003, 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 or phase
❑ Check 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 project are provided.
Printed Name Elizabeth Steffens Signature Rxtw�A -269rt-�
NC Registration Number 030966 Date 2.t Z6
SEAL: 0`�'%{CARO'1.'1141
eon"*.
966
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�PTy B.iSi
III
Consultant's Mailing Address:
Dewberry Enaineers Inc.
2610 Wycliff Rd.
City: Raleigh State: NC Zip: 27607
Phone: 9j 84) 232-6795
Consultant's Email address: [e-mail]
O Circle N if the as -built value differs from the Plan/permit. If N is circled, provide an explanation on page 3.
® WE = Not Evaluated (provide explanation on page 2). ON/A = Not Applicable to this project/plan.
Consultant's Certification (MDC 15A NCAC 02H .1003)
Project Density and Built -Upon Area
OAs-built
ON/E
ON/A
1. The project has areas of high density based on natural drainage
area boundaries, variations in land use or construction phasing.
Y or t�
2. The project's built -upon area does not exceed the maximum limit
specified in the permit.
�or N
Dispersed Flow
OAs-built
©N/E
®N/A
1. The project maximizes dispersed flow through vegetated areas
and minimizes channelized flow.
(Y or N
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State Stormwater Management
Permit No. SW5201 101
Vegetated Conveyances
(DAs-built
ON/E
GN/A
1. Stormwater that is not released as dispersed flow is transported
(D or N
by vegetated conveyances.
2. The project has a minimal amount of non -vegetated conveyances
0 or N
to reduce erosion.
3. Other than minimal piping under driveways and roads, no piping
Y or N
N/A
has been added beyond what is shown on the approved plans.
4. Side slopes are no steeper than 3H: 1 V.
& or N
5. The conveyance does not erode in response to the peak flow from
(D or N
the 1 0-year storm.
Curb outlet systems (if applicable)
©As -built
ON/E
GN/A
1. The swale or vegetated area can carry the peak flow from the
Y or N
N/A
1 0-year storm at a non -erosive velocity.
2. The longitudinal slope of the swale or vegetated areas does not
Y or N
N/A
exceed 5%.
3. The swale has a trapezoidal cross-section and a minimum bottom
Y N
N/A
width of two feet.
or
4. The minimum length of the swale or vegetated area is 100 feet.
Y or N
N/A
5. Side slopes are no steeper than 3H:1 V.
Y or N
N/A
6. The project utilizes treatment swales designed per Section .1061
Y N
N/A
in lieu of the curb outlet system requirements.
or
Vegetated Setbacks (if applicable)
0As-built
QN/E
ON/A
1. The width of the vegetated setback is at least 50'.
(D or N
2. The width of the vegetated setback has been measured from the
normal pool of impounded waters, the MHW line of tidal waters,
N-) or N
or the to of bank of each side of rivers or streams.
3. The vegetated setback is maintained in grass or other vegetation.
or N
4. BUA that meets the requirements of NCGS 143-214.7(b2)(2) is
Y or N
N/A
located in the setback.
5. BUA that does NOT meet the requirements of NCGS 143-
214.7(b2)(2) is located within the setback and is limited to:
• Publicly -funded linear projects (road, greenway, or sidewalk)
Y or N
N/A
• Water dependent structures
• Minimal footprint uses such as poles, signs, utility
appurtenances, and security lights.
6. The amount of BUA within the setback is minimized, and
Y or N
N/A
channeling of the runoff from the BUA has been avoided.
7. Stormwater is not discharged (via swale or pipe) through a
vegetated setback. Stormwater is released at the edge of the
or N
setback and allowed to flow through the setback as dispersed flow.,

State Stormwater Management
Permit No. SW5201101
Outlets
OAs-built
9N/E
ON/A
1. Stormwater outlets do not cause erosion downslope of the
discharge point during the peak flow from the 10-year storm.
Y or N
Variations
OAs-built
®N/E
ON/A
1. The project has variations from the MDC that were not previously
approved. (Modification may be required.)
Y or
Deed restrictions (if applicable)
OAs-built
©N/E
ON/A
1. Deed restrictions are recorded and ensure that the project and
the BUA will be maintained in perpetuity consistent with the
permit, approved plans, and specifications.
YQ or N
For Subdivisions Only (Residential or Commercial)
OAs-built
CAN/E
®N/A
1. The number of platted lots is consistent with the approved plans.
Y or N
N/A
2. The project area is consistent with the approved plans.
Y or N
N/A
3. The layout of the lots and streets is consistent with the approved
plan.
Y or N
N/A
4. The width / radius of streets, paved accesses, cul-de-sacs and
sidewalks is consistent with the approved plan.
Y or N
N/A
5. No piping, other than those minimum amounts needed under a
driveway or under a road, has been added.
Y or N
N/A
6. The lot grading, road grading, vegetated conveyances, piping,
inverts, and elevations are consistent with the approved plans.
Y or N
NIA
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.
Project Density and BUA 1. N/A - No areas of high density
Vegetated Conveyance 3. NIA - No piping was installed as a part of this project.
No Curb Outlet System - N/A
Vegetative Setbacks 4,5,6 - N/A: No BUA was installed in the vegetative setback
Outlets - No stormwater outlets on this project
Variations - No, no variations from MDC
For Subdivisions Only - N/A (not a subdivision)
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