NCC216470_NOT Closeout Documents_20231018

OF Rq� 5401 North
�y PROJECT 6112 Balance Ct
o�T-CAROy�
PERMIT 4 LDG 054473-2021
CERTIFICATE
OF
COMPLETION PLAN 4 Mass 0103-2021
City of Raleigh
Stormwater Management Division
[phone] Stephen Leischner
DATE 10/18/23
THIS CERTIFICATE OF COMPLETION CERTIFIES THAT:
® Final Inspection is Approved
The project has been inspected by a City stormwater inspector. Under the referenced
permit(s),the site is found to be in compliance with the approved plans and City Code. All
required stormwater certifications, surveys and approvals have been received and approved.
All temporary measures have been removed and permanent ground cover sufficient to restrain
erosion has been established.
® City Permit(s) Closed
The referenced permit(s)have been closed.
® Coverage Under NCGO10000
Proceed to deq.nc.gov/NCGO1 to submit a Notice of Termination (NOT)request to terminate
NCGO1 permit coverage. Please note that this Certificate must be uploaded as part of completing
the NOT process. Once the NOT is approved, continued self-monitoring of the project for
NCGO1 compliance will no longer be required.
® All Below Ground Stormwater Conveyance is Unobstructed
Photographs and other assurances that all pipe systems, inlets, and junction boxes have been
cleared of sediment and any other construction related debris.
® All Applicable Temporary Erosion Control Measures Removed
Insure appropriate removal of all temporary measures inclusive of inlet protection, silt fence,
silt fence outlets, etc. Extenuating circumstances could be detailed in comments below.
Stormwater Inspections Form 504
V3.312022
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