SW3220901_Cover Letter & Permit_20221123

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRIAN WRENN
Director
NORTH CAROLINA
Environmental Quality
MTS CLT, LLC
Attn: Joe Polite, Jr.
2857 Westport Rd
Charlotte, NC 28208
Subject: State Stormwater Management Permit No. SW3220901
Blythe Mill Townhomes
High Density Subdivision Project
Union County
Dear Joe Polite, Jr.:
November 23, 2022
The Raleigh Central Office received a complete, State Stormwater Management Permit
2022.
review of the
os and
specificationsor the has determinedbprojectect hat the pprotect, as proposed, comaprlliies with 17 (he S ormwater
hereby forwaulations rdin Perth rn 15ANCAC rmit No. SW32 09010dated Novembended on r 23, 2022, for theconstruction17 f the
built -upon areas rfBUA) and vegetated conveyances associated with the subject project.
This permit shall be effective from the date of issuance until November 22, 2030 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.
This cover letter, attachments, and all documents on file with DEMLR shall be considered part
Of this permit and is herein incorporated by reference.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicator
y hearing by filing a written petition with the Office of
Administrative Hearings (OAH). The written etttion must conform to Chapter 150B of the
North Carolina General Statutes and must be flied with the OAH within thirty (30) dayys of
receipt of this permit. You should contact the OAH with all questions regarding the filing fee (if
a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center,
Raleiggh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at
www.NCOAH.com. Unless such demands are made his permit shall be final and binding.
If you have any questions concerning this permit, please contact Carl Dunn in the Washington
Regional Office, at [phone] or [e-mail].
Sincerely,
William Carl Dunn, PE
Division of Energy, Mineral and Land Resources
Enclosures: Attachment A — Designer's Certification Form
Application Documents
Cc: Blake Estridge, PE— American Engineering Associates - Southeast ([e-mail])
Waxhaw Building Inspections — Dan Pruss ([e-mail])
Washington Regional Office Stormwater File
Raleigh Central Office Stormwater File
North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Washington Regional Office 1943 Washington Square Mail I Washington, North Carolina 27889
"""�'�""""�� 252.946,6481

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
MTS CLT, LLC
Blythe Mill Townhomes
Blythe Mill Rd., Waxhaw, Union County
FOR THE
construction, management, operation and maintenance of built -upon area draining to one
wet pond ("stormwater control measures" or "SCMs") discharging to Class C waters as
outlined in the application, approved stormwater management, 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
"DE pR"). 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 November 22, 2030 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
350,017 square feet. The runoff from all BUA within the permitted drainage areas of this
project must be directed into the permitted SCM. The BUA requirements and allocations
for this project are as follows:
esined
the runoff
a SCM BUA treatment method to handle thrunoff froma350,01TS. The SCM leled DAI hs been7 square feet of BUA within
the delineated drainage area. The SCM is not designed to handle any future
development from the delineated drainage area.
b. BUA FOR INDIVIDUAL LOTS. Each of the one hundred eighteen (180) town home
lots are limited to a maximum amount of 2,500 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.
PERVIOUS AREA IMPROVEMENTS. At this time, none of the pervious area
improvements listed in G.S. 143-214.7(b2) or the Stormwater Design Manual have been
proposed for this project. Pervious area improvements will be allowed in this project if
documentation is provided demonstrating those improvements meet the requirements of the
stormwater rule.
SCM REQUIREMENTS. The SCM requirements for this project are as follows:
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. The SCM must be provided and maintained at the design condition.
b. 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.
c. 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.
4. STORMWATER OUTLETS. The peak flow from the 10-year storm event shall not
cause erosion downslope of the discharge point.
5. 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.
6. 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.
d. 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 ongoingg compliance with
State Stormwater Management Permit Number SW8220901, 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 2,500 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 runo f 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 30-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.
e. 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.

7. 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. PROJECT CONSTRUCTION, OPERATION AND MAINTENANCE. 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 or no longer needed. 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.
8. 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 pennittee shall submit to the Director, and shall
have received approval for To
plans, specifications, and calculations including, but
not limited to, those fisted below. For changes to the protect or SCM that impact the
certifications, a new or updated certification(s), as appplicable, will be required and a copy
must c submitted to the appropriate DEQ regional otfrce 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 g reported in the approved plans and specifications.
or
of
d componentlof the approvediSCM(s)relocstormwater collectioniregrading, stand/orivegetative
conveyance shown on the approve plan.
e. The construction of any allocated future BUA.
f. Adding the option to use permeable pavement or #57 stone within the lots as a
permeable surface. The request may require a proposed amendment to the deed
restrictions and protective covenants for the subdivision to be submitted and recorded.
g. 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.
h. Other modifications as determined by the Director.

DESIGNER'S CERTIFICATION. Upon completion of the project, the permittee shall
determine if 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 B 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.
10. 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.
11. 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).
12. CURRENT PERMITTEE NAME OR ADDRESS CHANGES. The permittee shall submit
a completed Permit Information U date AvOication Form to the Division within 30 days to
making any one or more of the fol owing changes:
a. A name change of the current permittee;
b. A name change of the project;
c. A mailing address change of the permittee.

13. 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 parry constitutes an approved transfer
of the permit.
a. TRANSFER REQUEST. The transfer request must include the apppproppriate 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.
14. 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, within each
drainage area 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 lans 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.

c. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved pplans,
application, supplement, operation and maintenance agreement, all applicable
recorded documents, and specifications shall be maintained on file by the
permittee at all times.
d. MAINTENANCE ACCESS. SCMs, stormwater collection systems, and vegetated
conveyances must be accessible for inspection, operation, maintenance and repair
as shown on the approved plans.
e. DIVISION ACCESS. The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
project.
f. 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.
g. ANNUAL CERTIFICATION. The permittee shall electronically submit to the
Division an annual certification completed by either the permittee or their
designee confirming the projects conformance with permit conditions.
h. 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.
i. 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 23rd day of November 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8220901

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 may be
copied and used, as needed, for each SCM and/or as a partial certification to address a section
or phase of the project.

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.
❑ Check here if this is a partial certification. Section/phase/SCM
fi—Check here if this is part of a Fast Track As -built Package Submittal.
Printed Name
County of
a Notary Public in the State 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
Permittee's Certification NCAC .1042(4)
Completed/
N/A
A. DEED RESTRICTIONS BUA RECORDS
Provided
1. T e ee restrictions and protective covenants have been
_Y­or N
recorded and contain the necessary language to ensure that the
project is maintained consistent with the stormwater regulations
and with the Permit conditions.
2. A copy of t e recor e deed restrictions an protective
Y N
covenants has been provided to the Division.
or
3. Recor s WHICH trac the BUA on eachof are being ept. See
Note 1
y or N
B. MAINTENANCE ACCESS
1. The SCMs are accessible for inspection, maintenance and repair.
Y N
2. The access is a minimum of 10 feet wide.
or
3. The access extends to the nearest public right-of-way.
Y or N
C. EASEMENTS
Y or N
1. T e SCMs and the components of the runott collection/
conveyance system are located in recorded drainage easements.
Y or N
Z. A copy of the recorded plats) is provided.
D. SINGLE FAMILY RESIDENTIAL LOTS - Plats for residential lots that
Y or N
have an SCM include the following:
Y or N
1. The specific location of the SCM on the lot.
2. A typical detail for the SCM.
Y or N
Y or N

3. A note t at t e SCM is require Co meet stormwater regulations
and that the lot owner is subject to enforcement action as set
Y or N
forth in NCGS 143 Article 21 if the SCM is removed, relocated or
altered without rior oroval.
AND MAINTENANCE AGREEMENT
Y or N
E. OPERATION
1. The 0&M Agreement is referenced on the final recorded plat.
Y or N
T e o&M greement is i ec-il-ej wit t o Register of Dee s an
Y or N
a ears in the chain of title.
F. O E I AND MAIN I ENANCE PLAN - maintenance recor s are
being kept in a known set location for each SCM and are available for
Y or N
review.
G. D SIGN R C R IF CATI N M- as een provi a to e
Y or N
Division.
Note 1- Acceptable records mcivae ARC appruvaln, _,,-, .. ,, ,, -
Provide an explanation for every requirement that was not met, and for every "N/A" below.
Attach additional sheets as needed.

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
RChe
heck here if this is a part of a Fast -Track As -Built Package Submittal per .1044(3).
khee if thedesigner did not observe the construction, but is certifying the project.
heck here if pictures of the SCM are provided.
Printed
NC Registration Number
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. If N is circled, provide an explanation
on Page 2.
OO N/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
ON /
MDC .1050
OAs-built
E
ON/A
A. TREATMENT REQUIREMENTS
1. The SCM achieves runoff treatment.
Y N
2. The SCM achieves runoff volume match.
or
Y or N
3. Runoff rom of site areas an /or existing BUA is
Y N
b assed.
or
4. Runof from o fsite areas an or existing BUA is
directed into the permitted SCM is
Y or N
and accounted for
at the full build out otential.

5. The project controls runo t rough an of site Y or N
SCM that meets the requirements of the
permitted
MDC.
6. The net area of new BUA increase for an existing Y or N
project has been accounted for at the appropriate
des, n storm level.
7. T e SCM(s meets a the speci is minimum esign Y or N
criteria.
B. VEGETATED SETBACKS BUA
1. The wi t o t e vegetate set ac as een Y or N
measured from 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. T e vegetated set ac is maintained in grass or other Y or N
ve etation.
3. BUA t at meets t e requirements o NCGS 143-214.7 Y or N
b2 2 is located in the setback.
4. BUA t at oes not meet t e requirements of NCGS Y or N
143-214.7 (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,
secur, li htin and appurtenances)
S. Stormwater that is not LL UdLUCI in an SUVI no , eleased Y or N
at the edge of the setback and allowed to flow through
the setback as dispersed flow.
IOAs-built
0E /
©N/A
S O M ER OUTLETS -the outlet handles the peak Iy or N
flow from the 10 xrpnr storm with no downslo a erosion.
D. VARIATIONS
1. A variation (alternativej from(alternative the Stormwater rue y or N
provisions has been im lemented.
Z. Ttie variation provi es equa or etter stormwater
control and equal or better protection of surface
Y or N
waters.
E. C M LIANCE ITH THER REG T RY PROGRAMS
y or N
has been met.
F. SI IN A a volume ot the Sum takes t e runo rom a
surfaces into account and is sufficient to handle the
Y or N
re uired storm denth.
0 A I A ED S L- ni tratting SC s are not
Y or N
located in or on areas with contam,nated soils.
H. SIDE SLOPES
1. Vegetated side slopes are no steeper than 3H:IV.
Y or N
2. Si e s opes inc u e retaining wal s, ga ion wa s, or
Y or N
other surfaces that are steeper than 3H:1V.
3. Vegetate si e slopes are steeper than 3H:1V
Y or N
(provide supporting documents for soils and
vegetation),
1. EROSION PROTECTION
1. The inlets do not cause erosion in the SCM.
Y or N

2. T e out et oes not cause erosion owns ope o the
discharge point during the flow from
y or N
peak the 10 year
storm.
EX ES F O S - An over ow ypass as een
provided.
Y or N
D A R N - m-1:! 1111q I vi,'11 own stan mg water
has been provided to facilitate maintenance
y or N
and
ins ection.
L. ULbANUUTAFTER CONSTRU TI N- t e as een
cleaned out and converted to its approved design
Y or N
state.
M. MAINTENANCE ACCESS
1. The SC M is accessible for maintenance and repair.
Y
2. T e access oes not inclu e lateral or incline slopes
or N
>3:1.
y or N
N.D INR UL I AT- PR IT -
The designer is licensed under Chapters 89A, 89C, 89E,
or
89F of the General Statutes.
Y or N
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:

AS -BUILT DESIGNER'S CERTIFICATION FOR WET DETENTION POND PRO ECT
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 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
NC Registration Number
SEAL:
Consultant's Mailing Address:
City/State/ZIP
Phone Number
Consultant's Email address:
OO 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) OO N/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)
OO As -built
OO N/E
OO N/A
A. Foreba De the Fountain
1.
T e avai ab e Sediment storage is consistent wit the
a roved la n and is a minimum 6 in.
Y
or
N
2.
of
Water flow overt e forebay berm into t e main pond
occurs at a non -erosive velocit3
Y
or
N
3.
T ePiqvided Fore ay volume is 1 %-20% oft e main
ool volume.
4.
The Fore ay entrance e evation is eeper t an the exit
elevation into the
Y
Y
or
N
S.
pond.
T e Average Design Dept oft e main pon e ow the
or
N
permanent pool elevation is consistent with the
Y
N
ermitted value?
or
6.
Fountain documentation is provided.
B. Side slopes Banks I Vegetated Shelf
Y
or
N

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: