SW6210702_Annual Certification Summary (2024)_20240122

Section A-Project Information
Permit Number: SW6210702 Project Town/City: Raeford
Project Name: Walters Meadow Project County: Hoke
Permit issued: 10/7/2021 Project Status: not started
Section B-Permittee Information
Name: Walters Meadow LLC Street Address: Mailing Address:
Signing Official: Ralph Huff 2919 Breezewood Ave Ste 100 2919 Breezewood Ave Ste 100
Title: Managing Partner
Phone Number: 910-302-3608 Ext. Fayetteville,NC 283035283 Fayetteville,NC 283035283
Email Address: [e-mail]
Section C-Property Owner Information
Name: Walters Meadow LLC Street Address: Mailing Address:
Signing Official: Ralph Huff 2919 Breezewood Ave Ste 100 2919 Breezewood Ave Ste 100
Title: Managing Partner
Phone Number: 910-302-3608 Ext. Fayetteville,NC 283035283 Fayetteville,NC 283035283
Email Address: [e-mail]
Section D-Site Conformance with Permitting Conditions
Section D not applicable.
Section E-Plan to Bring the Project info Conformance
Project is in conformance with all permit conditions.
Section F-Project Certifier Information
Certifier Signing: Lee Humphrey Street Address: Mailing Address:
Title: Project Manager 150 S.Page Street 150 S.Page Street
Phone Number: 910-684-8646
Email Address: [e-mail] Southern Pines,NC 28387 Southern Pines,NC 28387
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 Lee Humphrey on January 22,2024.