SW6210902_Annual Certification Summary (2024)_20240119

Section A-Project Information
Permit Number: SW6210902 Project Town/City: Fuquay Varina
Project Name: American Dream Baseball Field Project County: Harnett
Permit issued: 12/7/2021 Project Status: underway
Section B-Permittee Information
Name: Kendall Grimsley Street Address: Mailing Address:
Signing Official: Kendall Grimsley 641 Oakridge Duncan Rd 1404 Weslyn Springs Way
Title: President
Phone Number: 919-621-2992 Ext. Fuquay Varina,North Carolina 27526 Fuquay Varina,NC 27526
Email Address: [e-mail]
Section C-Property Owner Information
Name: Kendall Grimsley Street Address: Mailing Address:
Signing Official: Kendall Grimsley 641 Oakridge Duncan Rd 1404 Weslyn Springs Way
Title: President
Phone Number: 919-621-2992 Ext. Fuquay Varina,North Carolina 27526 Fuquay Varina,NC 27526
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 Cart.submitted? Yes
Lot BUA not exceeded? NA O&M Agreemt recorded? Yes O&M being performed? Yes
BUA as shown on plans? Yes 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? Yes 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: Kendall Grimsley Street Address: Mailing Address:
Title: President 1404 Weslyn Springs Way 1404 Weslyn Springs Way
Phone Number: 919-621-2992 Ext.
Email Fuquay Varina,North Carolina 27526 Fuquay Varina,NC 27526
Address: [e-mail]
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 Kendall Grimsley on January 19,2024.

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: Low Density Project
Lot BUA not exceeded N/a: Not a subdivision
BUA as shown on plans N/a:
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:
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: