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HomeMy WebLinkAboutSWA000213_Construction Commencement Form_20231012 Post-Construction Stormwater Management ATC Permit No. SWA000213 Attachment A Fast Track Construction Commencement Form ATC Permit No. SWA000213 Station Pointe Phase 1 Harnett County Complete and submit this form (NO SUBSTITUTES) to the Fayetteville Regional Office The undersigned hereby notifies the agency below that the construction of this project is expected to commence on 1Z-5 (mm/dd/yyyy) and is expected to be completed by IQ/?,-tJZ5 (mm/dd/yyyy). I understand that this project shall not be considered complete until ther Division has received the final Fast-Track Stormwater Permit Application Form and all required supporting documentation. C (Vlfwf1 P016r' vi jolt, �7,1?13 Signature of t�miClcler Title (if any) Date Designer's Certification P5 1:5Lu , SR- . as a duly re istered Licensed Professional in the State of North Carolina, having b en authorized to observe ( periodically, ❑ weekly, ❑ full time) the construction of the subject project on behalf of the Permittee. I hereby state that, to the best of my abilities, due care and diligence will be used such that the project and all stormwater control measures (SCMs) shall be constructed to meet all applicable requirements of 15A NCAC 02H Section .1000- .1062, including the Minimum Design Criteria (MDC). ....................................................................... ,�µglu�urrr �N rrrrrrr North Carolina Licensed Professional Seal, signature, ..... and date: oQ--0FSss�pti�� IS ¢¢ SEA 'IS - ' 40 fill �. .�°� toto ...........-...............................: It is highly recommended that this notification be sent in a manner that provides proof of receipt by the Division. The Division does not acknowledge receipt of Fast Track Construction Commencement Notification Forms. Submit this form to the following Office: Energy, Mineral and Land Resources c% Meli er Post-Construction r Managem am Fayetteville Regional Offi 225 Gree , uite 714 etteville, NC 28301-5095 Page 1 of 1 BASS, NIXON & KENNEDY, INC. DATE: 03_ CONSULTING ENGINEERS 10/6/23 22069 ATTN: ® 6310 Chapel Hill Road,S-250,Raleigh, NC 27607 Stormwater Management Program © Telephone: (919)851-4422, Facsimile:(919)851-8968 RE: Katlin Peck or Jim Farkas C3 TO: Division of Energy, Mineral and Land ATC Permit No. SWA000213 Resources Station Pointe Phase 1 — Harnett Co./Angier, NC Post Construction Stormwater Management 1612 Mail Service Center Raleigh, NC 27699-1612 Physical Address: 512 N. Salisbury St. 640E Raleigh WE ARE SENDING YOU: ❑ ATTACHED ❑ UNDER SEPARATE COVER VIA THE FOLLOWING ITEMS: ❑ SHOP DRAWINGS ❑ PRINTS ❑ PLANS ❑ SAMPLES ❑ SPECIFICATIONS ❑ COPY OF LETTER ❑ CHANGE ORDER ❑ COPIES DATE Na DESCRIPTION: 1 ORIGINAL SIGNED FAST TRACK CONST. COMMENCEMENT FORM—ATTACHMENT A M GO' 12 7r,3 IVQ QUAU i ZVORMAIATER PERM, .N1 THESE ARE TRANSMITTED AS CHECKED BELOW: FOR APPROVAL ❑ APPROVED AS SUBMITTED ❑ RESUBMIT COPIES FOR APPROVAL ❑ FOR YOUR USE ❑ APPROVED AS NOTED ❑ SUBMIT COPIES FOR DISTRIBUTION ® AS REQUESTED ❑ RETURNED FOR CORRECTIONS ❑ RETURN CORRECTED PRINTS ❑ FOR REVIEW AND COMMENT ❑ ❑ FORBIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS: COPY TO: SIGNED KIRBY R. BELL, JR., PE, CPESC RC. , • t DENR-LAND QUAL STOMMIIATER PERMIT.' ,3