SW6220602_Annual Certification Summary (2023)_20231218

Section A-Project Information
Permit Number: SW6220602 Project Town/City: Fayetteville
Project Name: Tarrant Estates Subdivision Project County: Cumberland
Permit issued: 9/26/2022 Project Status: underway
Section B-Permittee Information
Name: Stout Land Development LLC Street Address: Mailing Address:
Signing Official: Ben Stout 1786 Metromedical Dr 1786 Metromedical Dr
Title: Managing Member
Phone Number: 910-779-0019 Fayetteville,NC 28304 Fayetteville,NC 28304
Email Address: [e-mail]
Section C-Property Owner Information
Name: Stout Land Development LLC Street Address: Mailing Address:
Signing Official: Ben Stout 1786 Metromedical Dr 1786 Metromedical Dr
Title: Managing Member
Phone Number: 910-779-0019 Fayetteville,NC 28304 Fayetteville,NC 28304
Email Address: [e-mail]
Section D-Site Conformance with Permitting Conditions
Max BUA not exceeded? Yes Veg.setbacks per plans? Yes Site is as shown on plans? Yes
SCM BUA not exceeded? NA Easements recorded? NA Designer Cart.submitted? NA
Lot BUA not exceeded? Yes O&M Agreemt recorded? NA O&M being performed? Yes
BUA as shown on plans? Yes O&M Agreemt on plats? NA No maintenance issues? Yes
SCM/LD area per plans? Yes Deed Restrict.recorded? NA Maint.records being kept? NA
SCM/LD area accessible? Yes O&M done per E&SC? Yes Permit is active? Yes
Stormwater outlets stable? Yes SCMs fixed when done? NA Other conditions met? Yes
See Attachment A for a list of all N/A explanations to the above items.
Section E-Plan to Bring the Project info Conformance
Project is in conformance with all permit conditions.
Section F-Project Certifier Information
Certifier Signing: Scott Brown Street Address: Mailing Address:
Title: Engineer for project 409 Chicago Drive 409 Chicago Drive
Phone Number: 910-426-6777 Suite 112 Suite 112
Email Address: [e-mail] Fayetteville,NC 28306 Fayetteville,NC 28306
Section G-Certification
The information in this form is true,accurate,and complete? Yes
The project is in conformance with all permit conditions? Yes
Electronically signed by Scott Brown on December 18,2023.

ATTACHMENT A
Explanation about why"NIA"items above are not applicable to this project.
Max BUA not exceeded N/a:
SCM BUA not exceeded N/a: This is a low density project
Lot BUA not exceeded N/a:
BUA as shown on plans N/a:
SCM/LD area per plans N/a:
SCM/LD area accessible N/a:
Stormwater outlets stable N/a:
Veg.setbacks per plans N/a:
Easements recorded N/a: Project is still under construction
O&M Agreemt recorded N/a: Project is still under construction
O&M Agreemt on plats N/a: Project is still under construction
Deed Restrict.recorded N/a: Project is still under construction
O&M done per E&SC N/a:
SCMs fixed when done N/a: Project is still under construction
Site is as shown on plans N/a:
Designer Cert.submitted N/a: Project is still under construction
O&M being performed N/a:
No maintenance issues N/a:
Maint.records being kept N/a: Project is still under construction
Permit is active N/a:
Other conditions met N/a: