SW6210901_Cover Letter and Permit_20210930

-RJ
ROY COOPER
Governor
ELIZABETHS. BISER
Secretory
BRAN WRENN
Director
NORTH CAROLINA
Environmental Quality
September 30. 2021
Spout Springs Holdings, LLC
Attn: J. Allen Jordan, Jr., Member
275 S. Bennet Street
Southern Pines, NC 28387
AND
Robert A. and Shirley Wright, Property Owner
750 June Johnson Road
Raeford, NC 28376
Subject: State Stormwater Management Permit No. SW6210901
Gates Farm Subdivision
High Density Subdivision Project
Hoke County
Dear Mr. Jordan and Mr. and Ms. Wright:
The Central DEQ Office received a complete, State Stormwater Management Permit Application
for the subject project on September 1, 2021. Staff review of the plans and specifications has
determined that the project, as proposed, complies with the Stormwater Regulations set forth in
Title 15A NCAC 02H.1000 mended on January 1, 2017 (2017 Rules). We are hereby
forwarding Permit No. S W6210901 dated September 30, 2021, for the construction of the built -
upon areas (BUA) and stormwater control measures (SCMs) associated with the subject project.
This permit shall be effective from the date of issuance until September 30, 2029 and the project
shall be subject to the conditions and limitations as specified therein and does not supersede any
other agency permit that may be required. Failure to comply with these requirements will result
in future compliance problems. Please note that this permit is not transferable except after notice
to and approval by the.Division. As the identified developer of the project, Spout Springs
Holdings, LLC ("Developer") shall be the designated permit holder and responsible for meeting
the conditions and limitations specified therein. The property owner, Robert A. and Shirley
Wright ("Property Owner"), will be responsible for recording the necessary deed restrictions.
This cover letter, attachments, and all documents on file with DEMLR shall be considered part
of this permit and is herein incorporated by reference.
Please be aware that it is the responsibility of the permit holders, the Developer and Property
Owner, to notify the Division of any changes in ownership and request an ownership/name
change for the stormwater permit. However, if the development agreement between the
Developer and the Property Owner is dissolved, cancelled or defaults, and the Division is not
notified by the Developer to transfer the permit, then the responsibility for permit compliance_
reverts back to the Property Owner. A complete transfer request must be submitted to the
Division within 30 days as described below otherwise the Developer and Property Owner will be
operating a stormwater treatment facility without a valid permit which is a violation of NC
General Statue 143-215.1. Failure to transfer the permit may result in appropriate enforcement
action in accordance with North Carolina General Statute § 143-215.6A through § 143-215.6C
being taken against the Property Owner:
:> North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
E Q512 North Salisbury Street 11612 Mail Service Center I Raleigh, North Carolina 27699-1612
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If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing by. filing a written petition with the Office of
Administrative Hearings (OAH). The written petition must conform to Chapter 150B of the
North Carolina General Statutes and must be filed with the OAH within thirty (30) days of
g th
receipt of this permit. You should contact the OAH with all questions re&ar me filing fee (if
a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center,
Raleigh, NC 27699-6714, or via telephone at 919431-3000, or visit their website at
www.NCOAH.com. Unless such demands are made this permit shall be final and binding.
If yyou have any questions concerning this permit, please contact Corey Anen in the Central DEQ
Office, at [phone] or Corey.AnenL,ncdenr.gov.
Sincerely,
,Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
cc: Matthew Lowder, PE — Triangle Site Design, PLLC
Fayetteville Regional Office Stormwater File
�D North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
�aa�� Q 512 North Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
nmenm awmr� /'� 919..707.9200.

State Stormwater Management
Permit No. SW6210901
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION DEVELOPMENT
In compliance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations promulgated and adopted by the North
Carolina Environmental Management Commission, including 15A NCAC 02H.1000 amended on
January 1, 2017 (2017 Rules) (the "stormwater rules"),
PERMISSION IS HEREBY GRANTED TO
Spout Springs Holdings, LLC
Gates Farm Subdivision
Near the intersection of Turnpike Rd. and Lemont Dr., Raeford, Hoke County
FOR THE
construction, management, operation and maintenance of built -upon area (BUA) as well as one (1)
wet pond ("stormwater control measures" or "SCMs") as outlined in the application, approved
stormwater management plans, supplement, calculations, operation and maintenance agreement,
recorded documents, specifications, and other supporting data (the "approved plans and
specifications") as attached and/or on file with and approved by the Division of Energy, Mineral and
Land Resources (the "Division" or "DEMLR"). The project shall be constructed, operated and
maintained in accordance with these approved plans and specifications. The approved plans and
specifications are incorporated by reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until September 30, 2029 and shall be subject
to the following specified conditions and limitations. The permit issued shall continue in force and
effect until the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission; however, these actions do not stay any condition. The issuance of this permit does not
prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or
terminating the permit for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H.1000 and NCGS 143-215.1 et.al.
BUA REQUIREMENTS. The maximum amount of BUA allowed for the entire project is 305,418
square feet. The runoff from all BUA within the permitted drainage area of this project must
continue to be directed into the permitted SCM. The following specific requirements pertain to
the BUA on this project:
a. SCM BUA LIMITS. The SCM has been designed using the runoff treatment method to
handle the runoff from 305,418 square feet of BUA within the delineated drainage area. This
permit does not provide any allocation of BUA for future development within the delineated
drainage area(s).
BUA FOR INDIVIDUAL LOTS. Each of the 58 lots are limited to a maximum of 3,500 square
feet of BUA, as indicated in the approved plans and specifications. The maximum BUA
assigned to each lot via this permit and the recorded deed restrictions and protective
covenants may not be increased or decreased by either the individual lot owner or the
permittee unless and until the permittee notifies the Division and obtains written
approval from the Division.
Page 1 of 6

State Stormwater Management
Permit No. SW6210901
2. SCM REQUIREMENTS. The following requirements pertain to the SCMs on this project:
a. SCM DESIGN. The SCM is permitted based on the design criteria presented in the sealed,
signed and dated supplement and as shown in the approved plans and specifications. This
SCM must be provided and maintained at the design condition.
b. PLANTING PLAN. The SCM landscape planting plan shown in the approved plans shall be
followed in its entirety during construction. After the plants are established, the operation
and maintenance agreement must be followed.
c. FOUNTAINS. At this time, a decorative spray fountain has not been proposed within the wet
pond. Decorative spray fountains will be allowed in the wet pond if documentation is
provided demonstrating that the proposed fountain will not cause resuspension of sediment
within the pond or cause erosion of the pond side slopes.
d. IRRIGATION. If the wet pond is to be used for irrigation, it is recommended that some water
be maintained in the permanent pool, the vegetated shelf is planted with appropriate species
that can handle fluctuating conditions, and human health issues are addressed.
STORMWATER OUTLETS. The peak flow from the 10-year storm event shall not cause
erosion downslope of the discharge point.
4. VEGETATED SETBACKS. A 30-foot wide vegetative setback must be provided and maintained
in grass or other vegetation adjacent to all surface waters as shown on the approved plans. The
setback is measured horizontally from the normal pool elevation of impounded structures, from
the top of bank of each side of streams or rivers, and from the mean high waterline of tidal
waters, perpendicular to the shoreline.
a. BUA IN THE VEGETATED SETBACK. BUA may not be added to the vegetated setback
except as shown on the approved plans or in the following instances where the BUA has
been minimized and channelizing runoff from the BUA is avoided:
i. Water dependent structures; and
ii. Minimal footprint uses such as poles, signs, utility appurtenances, and security
lights that cannot practically be located elsewhere.
b. RELEASE OF STORMWATER NOT TREATED IN AN SCM. Stormwater that is not treated
in an SCM must be released at the edge of the vegetated setback and allowed to flow
through the setback as dispersed flow.
5. RECORDED DOCUMENT REQUIREMENTS. The stormwater rules require the following
documents to be recorded with the Office of the Register of Deeds prior to the sale of individual
lots or groups of lots:
a. ACCESS AND/OR EASEMENTS. The entire stormwater conveyance system, including any
SCMs, and maintenance accesses must be located in public rights -of -way, dedicated
common areas that extend to the nearest public right-of-way, and/or permanent recorded
easements that extend to the nearest public right-of-way for the purpose of inspection,
operation, maintenance, and repair.
b. OPERATION AND MAINTENANCE AGREEMENT. The operation and maintenance
agreement must be recorded with the Office of the Register of Deeds.
c. FINAL PLATS. The final recorded plats must reference the operation and maintenance
agreement and must also show all public rights -of -way, dedicated common areas, and/or
permanent drainage easements, in accordance with the approved plans.
Page 2 of 6

State Stormwater Management
Permit No. SW6210901
DEED RESTRICTIONS AND PROTECTIVE COVENANTS. Recorded deed restrictions and
protective covenants must include, at a minimum, the following statements related to
stormwater management:
i. The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number SW6210901, as issued by the Division of
Energy, Mineral and Land Resources (the "Division") under 15A NCAC 02H.1000,
effective January 1, 2017.
ii. The State of North Carolina is made a beneficiary of these covenants to the extent
necessary to maintain compliance with the Stormwater Management Permit.
iii. These covenants are to run with the land and be binding on all persons and parties
claiming under them.
iv. The covenants pertaining to stormwater may not be altered or rescinded without
the express written consent of the Division.
V. Alteration of the drainage as shown on the approved plans may not take place
without the concurrence of the Division.
vi. The maximum built -upon area (BUA) per lot is 3,500 square feet. This allotted
amount includes any BUA constructed within the lot property boundaries, and that
portion of the right-of-way between the front lot line and the edge of the pavement
not shown on the approved plans. BUA has the same meaning as G.S. 143-214.7,
as amended.
vii. The maximum allowable BUA shall not be exceeded on any lot until the permit is
modified to ensure compliance with the stormwater rules, permit, and the approved
plans and specifications.
viii. All runoff from the BUA on the lot must drain into the permitted system. This may
be accomplished via grading, a stormwater collection system and/or a vegetated
conveyance.
ix. A 50-foot wide vegetative setback must be provided and maintained adjacent to all
surface waters in accordance with 15A NCAC 02H.1003(4) and the approved
plans.
X. Any individual or entity found to be in noncompliance with the provisions of a
stormwater management permit or the requirements of the stormwater rules is
subject to enforcement procedures as set forth in NCGS 143, Article 21.
DEEDS FOR INDIVIDUAL LOTS. The permittee shall record deed restrictions and
protective covenants prior to the issuance of a certificate of occupancy to ensure the permit
conditions and the approved plans and specifications are maintained in perpetuity.
CONSTRUCTION. During construction, erosion shall be kept to a minimum and any eroded
areas of the on -site stormwater system will be repaired immediately.
a. SCM OPERATIONAL PRIOR TO DEVELOPMENT. During construction, all operation and
maintenance for the project shall follow the Erosion Control Plan requirements until the
Sediment -Erosion Control devices are converted to SCMs. Once the device is converted to
a SCM, the permittee shall provide and perform the operation and maintenance as outlined
in the applicable section below.
b. SCM RESTORATION. If one or more of the SCMs are used as an Erosion Control device
and/or removed or destroyed during construction, it must be restored to the approved state
stormwater design condition prior to close-out of the erosion control plan and/or project
completion and/or transfer of the state stormwater permit. Upon restoration, a new or
updated certification will be required for the SCM(s) and a copy must be submitted to the
appropriate DEQ regional office.
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State Stormwater Management
Permit No. SW6210901
MODIFICATIONS. No person or entity, including the permittee, shall alter any component
shown in the approved plans and specifications. Prior to the construction of any modification to
the approved plans, the permittee shall submit to the Director, and shall have received approval
for modified plans, specifications, and calculations including, but not limited to, those listed
below. For changes to the project or SCM that impact the certifications, a new or updated
certification(s), as applicable, will be required and a copy must be submitted to the appropriate
DEQ regional office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including the
SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
c. Further development, subdivision, acquisition, lease or sale of any, all or part of the project
and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), stormwater collection system and/or vegetative
conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement, #57 stone area, public trails, or landscaping
material within the common areas to be considered a permeable surface that were not
included in the approved plans and specifications.
g. Other modifications as determined by the Director.
DESIGNER'S CERTIFICATION. Upon completion of the project, the permittee shall determine i-
the project is in compliance with the approved plans and take the necessary following actions:
a. If the permittee determines that the project is in compliance with the approved plans, then
within 45 days of completion, the permittee shall submit to the Division one hard copy and
one electronic copy of the following:
i. The completed and signed Designer's Certification provided in Attachment A
noting any deviations from the approved plans and specifications. Deviations
may require approval from the Division;
ii. A copy of the recorded operation and maintenance agreement;
iii. Unless already provided, a copy of the recorded deed restrictions and
protective covenants; and
iv. A copy of the recorded plat delineating the public rights -of -way, dedicated
common areas and/or permanent recorded easements, when applicable.
b. If the permittee determines that the project is not in compliance with the approved plans, the
permittee shall submit an application to modify the permit within 30 days of completion of the
project or provide a plan of action, with a timeline, to bring the site into compliance.
9. OPERATION AND MAINTENANCE. The permittee shall provide and perform the operation and
maintenance necessary, as listed in the signed operation and maintenance agreement, to
assure that all components of the permitted on -site stormwater system are maintained at the
approved design condition. The approved operation and maintenance agreement must be
followed in its entirety and maintenance must occur at the scheduled intervals.
a. CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions. This includes actions required by the
Division and the stormwater rules such as the construction of additional or replacement on -
site stormwater systems. These additional or replacement measures shall receive a permit
from the Division prior to construction.
b. MAINTENANCE RECORDS. 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.
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State Stormwater Management
Permit No. SW6210901
10. PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior to the
expiration date of this permit. The renewal request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(3).
11. CURRENT PERMITTEE NAME OR ADDRESS CHANGES. The permittee shall submit a
completed Permit Information Update Application Form to the Division within 30 days to making
any one or more of the following changes:
a. A name change of the current permittee;
b. A name change of the project;
c. A mailing address change of the permittee.
12. TRANSFER. This permit is not transferable to any person or entity except after notice to and
approval by the Director. Neither the sale of the project and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit.
a. TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(2) and must be
submitted upon occurrence of any one or more of the following events:
i. The sale or conveyance of the project and/or property area in whole or in part,
except in the case of an individual residential lot sale that is made subject to the
recorded deed restrictions and protective covenants;
ii. The assignment of declarant rights to another individual or entity;
iii. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of NCGS 143-214.7(c2);
iv. Dissolution of the partnership, corporate, or LLC entity, subject to NCGS 55-14-05
or NCGS 57D-6-07 and 08;
V. Bankruptcy;
vi. Foreclosure, subject to the requirements of Session Law 2013-121;
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site inspection
will be conducted by Division personnel to ensure the permit conditions have been met and
that the project and the on -site stormwater system complies with the permit conditions.
Records of maintenance activities performed to date may be requested. Projects not in
compliance with the permit will not be transferred until all permit and/or general statute
conditions are met.
13.. COMPLIANCE. The permittee is responsible for complying with the terms and conditions of this
permit and the approved plans and specifications until the Division approves the transfer
request.
a. REVIEWING AND MONITORING EACH LOT FOR COMPLIANCE. The permittee is
responsible for verifying that the proposed BUA on each individual lot and for the entire
project does not exceed the maximum amount allowed by this permit. The permittee shall
review all individual lot plans for new construction and all subsequent modifications and
additions for compliance. The plans reviewed must include all proposed BUA, grading, and
driveway pipe placement. The permittee shall not approve any lot plans where the maximum
allowed BUA limit has been exceeded or where modifications are proposed to the grading
and/or to the stormwater collection system and/or to the vegetated conveyance unless and
until a permit modification has been approved by the Division. The permittee shall review
and routinely monitor the project and each lot to ensure continued compliance with the
conditions of the permit, the approved plans and specifications, and the recorded deed
restrictions and protective covenants. The permittee shall notify any lot owner that is found
to be in noncompliance with the conditions of this permit in writing and shall require timely
resolution.
b. ARCHITECTURAL REVIEW BOARD (ARB) OR COMMITTEE (ARC). The permittee may
establish an ARB or ARC to conduct individual lot reviews. However, any approval given by
the ARB or ARC on behalf of the permittee does not relieve the permittee of the
responsibility to maintain compliance with the conditions of the permit and the approved
plans and specifications.
Page 5 of 6

State Stormwater Management
Permit No. SW6210901
c. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable recorded
documents, and specifications shall be maintained on file by the permittee at all times.
d. DIVISION ACCESS. The permittee grants Division Staff permission to enter the property
during normal business hours to inspect all components of the permitted project.
e. ENFORCEMENT. Any individual or entity found to be in noncompliance with the provisions
of a stormwater management permit or the requirements of the stormwater rules is subject to
enforcement procedures as set forth in NCGS 143 Article 21.
f. OBTAINING COMPLIANCE. 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 modified plans and certification in writing to the Director that the changes have
been made.
g. OTHER PERMITS. The issuance of this permit does not preclude the permittee from
obtaining and complying with any and all other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or ordinances,
which are imposed by any other Local, State or Federal government agency having
jurisdiction. Any activities undertaken at this site that cause a water quality violation or
undertaken prior to receipt of the necessary permits or approvals to do so are considered
violations of NCGS 143-215.1, and subject to enforcement procedures pursuant to NCGS
143-215.6.
Permit issued this the 30th day of September, 2021.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
, A " �) r- -
zV-Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW6210901
Page 6 of 6

State Stormwater Management
Permit No. SW6210901
Attachment A
Certification Forms
The following blank Designer Certification forms are included and specific for this project:
• As -Built Permittee Certification
• As -Built Designer's Certification General MDC
• As -Built Designer's Certification for Wet Detention Pond Project
A separate certification is required for each SCM. These blank certification forms maybe copied and
used, as needed, for each SCM and/or as a partial certification to address a section or phase of the
project.
Page 1 of 1

State Stormwater Management
Permit No. SW6210901
AS -BUILT PERMITTEE CERTIFICATION
I hereby state that I am the current permittee for the project named above, and I certify by my signature below,
that the project meets the below listed Final Submittal Requirements found in NCAC 02H.1042(4) and the
terms, conditions and provisions listed in the permit documents, plans and specifications on file with or provided
to the Division.
HCheck here if this is a partial certification. Section/phase/SCM #?
Check here if this is part of a Fast Track As -built Package Submittal.
Printed Name Signature
I, a Notary Public in the State of
County of do hereby certify that
personally appeared before me this day of , 20
and acknowledge the due execution of this as -built certification. (SEAL)
Witness my hand and official seal
My commission expires
Permttee's Cert
ification NCAG .1042(4)
Completed /
Provided
N/A
A. DEED RESTRICTIONS. / BUA RECORDS
1. The deed restrictions and protective covenants have been recorded and
contain the necessary language to ensure that the project is maintained
consistent with the stormwater regulations and with the permit conditions.
Y or N
2. A copy of the recorded deed restrictions and protective covenants has been
provided to the Division.
Y or N
3. Records which track the BUA on each lot are being kept. (See Note 1)
Y or N
B. MAINTENANCE ACCESS
1. The SCMs are accessible for inspection, maintenance and repair:
Y or N
2. The access is a minimum of 10 feet wide.
Y or N
3. The access extends to the nearest public right-of-way.
Y or N
C. EASEMENTS
1. The SCMs and the components of the runoff collection / conveyance system
are located in recorded drainage easements.
y or N
2. A copy of the recorded plat(s) is provided.
Y or N
D. SINGLE FAMILY RESIDENTIAL LOTS - Plats for residential lots that
have an SCM include the following:
y or N
1. The specific location of the SCM on the lot.
Y or N
2. A typical detail for the SCM.
Y or N
3. A note that the SCM is required to meet stormwater regulations and that the
lot owner is subject to enforcement action as set forth in NCGS 143 Article
21 if the SCM is removed relocated or altered without prior approval.
Y or N
E. OPERATION AND MAINTENANCE AGREEMENT
Y or N
1. The O&M Agreement is referenced on the final recorded plat.
Y or N
2. The O&M Agreement is recorded with the Register of Deeds and appears in
the chain of title.
Y or N
F. OPERATION AND MAINTENANCE PLAN — maintenance records are
being kept in a known set location for each SCM and are available for review.
Y or N
G. DESIGNER'S CERTIFICATION FORM— has been provided to the
Division:
y or N
mote i - acceptable recoras mctuae AKU approvals, as -built surveys, and county tax records.
Page 1 of 6

State Stormwater Management
Permit No. SW6210901
AS -BUILT DESIGNER'S CERTIFICATION 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 the below listed General MDC found in NCAC 02H.1050 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 statutes has been preserved.
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is a part of a Fast -Track As -Built Package Submittal per .1044(3).
Check here if the designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed Name Signature
NC Registration Number Date
:SEAL:
Consultant's Mailing Address:
City/State/ZIP
Phone Number
Consultant's Email address:
iD Circle N if the as -built value differs from the Plan. If N is circled, provide an explanation on Page 2.
ON/E = not evaluated (provide explanation on page 2) OO N/A = not applicable to this SCM or project.
Consultant's Certification NCAC .1003((3) & General MDC .1050
OAs-built
ON/E
OO N/A.
A. TREATMENT REQUIREMENTS:
1. The SCM achieves runoff treatment.
Y or N
2. The SCM achieves runoff volume match.
Y or N
3. Runoff from offsite areas and/or existing BUA is bypassed.
Y or N
4. Runoff from offsite areas and/or existing BUA is directed into
Y or N
the permitted SCM and is accounted for at the full build -out
potential.
5. The project controls runoff through an offsite permitted SCM
Y or N
that meets the requirements of the MDC.
6. The net area of new BUA increase for an existing project has
Y or N
been accounted for at the appropriate design storm level.
7. The SCM(s) meets all the specific minimum design criteria.
Y or N
B. VEGETATED SETBACKS / BUA
1. The width of the vegetated setback has been measured from
Y or N
the normal pool of impounded waters, the MHW line of tidal
waters or the top of bank of each side of rivers or streams.
2. The vegetated setback is maintained in grass or other
Y or N
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:
a. Publicly funded linear projects (road, greenway sidewalk)
b. Water -dependent structures
c. Minimal footprint uses (utility poles, signs, security
lighting and appurtenances)
5. Stormwater that is not treated in an SCM is released at the
Y or N
edge of the setback and allowed to flow through the setback as
dispersed flow.
Page 3 of 6

State Stormwater Management
Permit No. SW6210901
OAs-built
ON/E
OO N/A
C.: STORMWATER OUTLETS - the outlet handles the peak flow
from the.10 year storm with no downslo a erosion.
y or N
D. VARIATIONS
1. A variation (alternative) from the stormwater rule provisions
has been implemented.
y or N
2. The variation provides equal or better stormwater control and
equal or better protection of surface waters.
Y or N
E. COMPLIANCE WITH OTHER REGULATORY
PROGRAMS has been met.
y or N
F. SIZING -the volume of the SCM takes the runoff from all
surfaces into account and is sufficient to handle the required storm
Y or N
depth.
G. CONTAMINATED SOILS — infiltrating SCM's: are not located
Y or N
in or on areas with contaminated soils.
H. SIDE SLOPES-
1. Vegetated side slopes are no steeper than 3H:1 V.
Y or N
2. Side slopes include retaining walls, gabion walls, or other
Y or N
surfaces that are steeper than 3H:IV.
3. Vegetated side slopes are. steeper than 3H:1 V (provide
Y or N
su porting documents for soils and vegetation).
I. EROSION PROTECTION
1. The inlets do not cause erosion in the SCM.
Y or N
2. The outlet does not cause erosion downslope of the discharge
Y or N
point during the peak flow from the 10 year storm.
J. EXCESS FLOWS — An overflow / bypass has been provided.
Y or N
K. DEWATERING. - A method. to drawdown standing water has
Y or N
been provided to facilitate maintenance and ins ection:
L. CLEANOUT AFTER CONSTRUCTION —the SCM has been
Y or N
cleaned out and converted to its approved design state:
M. MAINTENANCE ACCESS
1. The SCM is accessible for maintenance and repair:
Y or N
2. The access does not include lateral or incline slopes >3:1.
Y or N
N. DESIGNER QUALIFICATIONS (FAST -TRACK PERMIT) —
The designer is licensed under Chapters 89A, 89C, 89E, or 89F of
Y or N
the General Statutes.
Provide an explanation for every MDC that was not met, and for every item marked "N/A" or "N/E", below.
Attach additional pages as needed:
Page 4 of 6

State Stormwater Management
Permit No. SW6210901
AS -BUILT DESIGNER'S CERTIFICATION FOR WET DETENTION POND PROJECT
I hereby state that I am a licensed professional and I certify by my signature and seal below, that 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 NCAC 02H.1053, 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 #?
Check here if this is part of a Fast -Track As -Built Package Submittal per .1044(3).
Check here if the Designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed Name Signature
NC Registration Number Date
SEAL: Consultant's Mailing Address:
City/State/ZIP
Phone Number
Consultant's Email address:
O Circle N if the as -built value differs from the Plan/permit. If N is circled, provide an explanation on page 2
ON/E = not evaluated (provide explanation on page 2) ON/A = not applicable to this project or SCM.
This Certification must be completed in conjunction with the General MDC certification under NCAC 02H.1050
Consultant's Certification (MDC .1053)
OAs-built
ON/E.
ON/A
A. ForebayDepths / Fountain
1. The available Sediment storage is consistent with the approved
Y N
plan and is a minimum of 6 in.
or
2. Water flow over the forebay berm into the main pond occurs at
Y N
non -erosive velocity.
or
3. The provided Forebay Volume is 15%-20% o of the main pool
y N
volume.
or
4. The Forebay entrance elevation is deeper than the exit elevation
Y N
into the pond.
or
5. The Average Design Depth of the main pond below the
Y N
permanent pool elevation is consistent with the permitted value.
or
6. Fountain documentation is provided.
Y or N
B. Side slopes / Banks / Vegetated Shelf
1. The width of the Vegetated Shelf is consistent with the approved
y N
plans and is a minimum of 6 feet.
or
2. The slope of the Vegetated Shelf is consistent with the approved
y N
plans and is no steeper than 6:1.
or
C. As -built Main Pool /Areas / Volumes / Elevations
1. The permanent pool surface area provided is consistent with the
y N
permitted value.
or
2. The Temporary Pool Volume provided is consistent with the
Y or N
permitted value.
3. The permanent pool elevation is consistent with the permitted
Y N
value.
or
4. The temporary pool elevation is consist h h d consistent with the permitted
Y or N

9
6
State Stormwater Management
Permit No. SW6210901
iOAs-built
ON/E
ON/A
D. Inlets./ Outlet / Drawdown
1.
The design volume draws down in 2-5 days.
Y
or
N
2.
The size of the Orifice is consistent with the permitted value.
Y
or
N
3.
A trash rack is provided on the outlet structure.
Y
or
N
4.
Hydrologic impacts to the receiving channel are minimized from
the 1 r 24 hr storm discharge?
Y
or
N
5.
The inlets and the outlet location are situated per the approved
plan and avoid short-circuiting.
Y
or
N
E.. Vegetation
1.
The vegetated shelf has been planted with a minimum of 3
diverse species.
Y
or
N
2.
The vegetated shelf plant density is consistent with the approved
plans and is no less than 50 plants per 200 sf or no less than 24
inches on center.
Y
or
N