SW6220806_Annual Certification Summary (2024)_20240110

Section A-Project Information
Permit Number: SW6220806 Project Town/City: Hope Mills
Project Name: McMillan Manor Subdivision Project County: Cumberland
Permit issued: 12/15/2022 Project Status: underway
Section B-Permittee Information
Name: Stout Land Development LLC Street Address: Mailing Address:
Signing Official: Benjamin Stout 1786 Metromedical Dr 1786 Metromedical Dr
Title: Owner
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: Benjamin Stout 1786 Metromedical Dr 1786 Metromedical Dr
Title: Owner
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? Yes Designer Cert.submitted? Yes
Lot BUA not exceeded? Yes O&M Agreemt recorded? Yes O&M being performed? Yes
BUA as shown on plans? NA O&M Agreemt on plats? Yes No maintenance issues? Yes
SCM/LD area per plans? Yes Deed Restrict.recorded? Yes Maint.records being kept? Yes
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: Hannah McGrath Street Address: Mailing Address:
Title: Permitting Coordinator 1786 Metromedical Drive 1786 Metromedical Drive
Phone Number: 910-779-0019
Email Address: [e-mail] Fayetteville,NC 28304 Fayetteville,NC 28304
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 Hannah McGrath on January 10,2024.

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