SW4210803_As-Built - Certification_20240129

Post-Construction Stormwater Management
Permit No. SW4210803
AS-BUILT PERMITTEE CERTIFICATION
I hereby state that I am the current permittee for the project named above, and I certify by my signature below,
that the project meets the below listed Final Submittal Requirements found in NCAC 02H.1042(4) and the terms,
conditions and provisions listed in the permit documents, plans and specifications on file with or provided to the
Division.
❑ Check here if this is a partial certification. Section/phase/SCM#?
[.Check here if this is part of a Fast Track As-built Package S • ,,���
Printed Name e t L.L 1 • 5+0GL4 m A Signature
I,Mrj) , a Notary Public in the State of /VD!'-Yrl_ Caro lit \c_
County of Div;ti(Th. ,do hereby certify that E);/( L. 6-10
personally appeared before me this /7 day of S' AU.Ar j , 20 a
and acknowledge the due execution of this as-built certification. `J (SEAL)
Witness my hand and official seal ANDREW L KIVETT
NOTARY PUBLIC
v� eC� DAVIDSON COUNTY,NC
My commission expires 5 - - cao ��I
Permittee's Certification NCAC .1042(4) Completed/ N/A
Provided
A. DEED RESTRICTIONS/BUA RECORDS
1. The deed restrictions and protective covenants have been recorded Y or N
and contain the necessary language to ensure that the project is .vie,
LOW
maintained consistent with the stormwater regulations and with the DENSITY
permit conditions.
2. A copy of the recorded deed restrictions and protective covenants Y or N N/A
has been provided to the Division.
3. Records which track the BUA on each lot are being kept. (See Note 0 or N
1) AS BUILT SURVEY
B. MAINTENANCE ACCESS
1. The SCMs are accessible for inspection, maintenance and repair. Y or N
2. The access is a minimum of 10 feet wide. Y or N
3. The access extends to the nearest public right-of-way. Y or N
C. EASEMENTS
1. The SCMs and the components of the runoff collection/conveyance Y or N
system are located in recorded drainage easements.
2. A copy of the recorded plat(s) is provided. Y or N N/A
D. SINGLE FAMILY RESIDENTIAL LOTS- Plats for residential lots that Y or N N/A
have an SCM include the following:
1. The specific location of the SCM on the lot. Y or N put.
2. A typical detail for the SCM. Y or N N/A
3. A note that the SCM is required to meet stormwater regulations and
that the lot owner is subject to enforcement action as set forth in Y or N
NCGS 143 Article 21 if the SCM is removed, relocated or altered
without prior approval.
E. OPERATION AND MAINTENANCE AGREEMENT Y or N
1. The O&M Agreement is referenced on the final recorded plat. Y or N N/A
2. The O&M Agreement is recorded with the Register of Deeds and Y or N N/A
appears in the chain of title.
F. OPERATION AND MAINTENANCE PLAN—maintenance records are N/A
being kept in a known set location for each SCM and are available for Y or N LOW DENSITY
review.
G. DESIGNER'S CERTIFICATION FORM—has been provided to the Y or N
Division.
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Post-Construction Stormwater Management
Permit No. SW4210803
Note 1-Acceptable records include ARC approvals, as-built surveys, and county tax records.
Provide an explanation for every requirement that was not met, and for every"N/A" below. Attach
additional sheets as needed.
ANY/ALL REQUIREMENTS PERTAINING TO SCM'S AND RESIDENTIAL LOTS ARE MARKED NOT
APPLICABLE.THIS DEVELOPMENT WAS FOR A LOW DENSITY UTILITY SUBSTATION.ADDITIONALLY,
THE O&M AGREEMENT SECTION IS LISTED AS N/A SINCE THERE WAS NOT A FINAL PLAT TO
RECORD FOR THIS DEVELOPMENT.
Page 2 of 7

Post-Construction Stormwater Management
Permit No. SW4210803
AS-BUILT DESIGNER'S CERTIFICATION GENERAL MDC
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets the below listed General MDC found in NCAC 02H.1050 in
accordance with the permit documents, plans and specifications on file with or provided to the
Division, except as noted on the"AS-BUILT"drawings, such that the intent of the stormwater rules
and statutes has been preserved.
riCheck here if this is a partial certification. Section/phase/SCM #?
,Check here if this is a part of a Fast-Track As-Built Package Submittal per .1044(3).
Check here if the designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed Name Joe Fulk Signature w
NC Registration Number 43160 Date 1/ /23
SEAL: ��N' CAR �� i� Consultant's Mailing Address:
�•` p�,. E." ••c/ ; 20484 Chartwell Center Drive, Suite D
S AL
City/State/ZIP Cornelius, NC 28031
j43l6O
= Phone Number 704-990-9438
•.'CINE�;. 4 ��� Consultant's Email address:
'�' ��; `��
�i i i i [e-mail]
ZU"4.01.1Z 10:ZO:b1-Ub"00"
CI Circle N if the as-built value differs from the Plan. If N is circled, provide an explanation on Page 2.
ON/E = not evaluated (provide explanation on page 2) ON/A= not applicable to this SCM or project.
Consultant's Certification NCAC .1003((3) &General MDC OAs-built ZON/E OO N/A
.1050
A. TREATMENT REQUIREMENTS
1. The SCM achieves runoff treatment. Y or N ✓
2. The SCM achieves runoff volume match. Y or N I
3. Runoff from offsite areas and/or existing BUA is Y or N
bypassed. I
4. Runoff from offsite areas and/or existing BUA is directed Y or N
into the permitted SCM and is accounted for at the full ✓
build-out potential.
5. The project controls runoff through an offsite permitted Y or N ✓
SCM that meets the requirements of the MDC.
6. The net area of new BUA increase for an existing project Y or N
has been accounted for at the appropriate design storm I
level.
7. The SCM(s) meets all the specific minimum design Y or N
criteria. ✓
B. VEGETATED SETBACKS/ BUA
1. The width of the vegetated setback has been measured Y or N
from the normal pool of impounded waters, the MHW
line of tidal waters, or the top of bank of each side of ✓
rivers or streams.
2. The vegetated setback is maintained in grass or other 0 or N
vegetation.
3. BUA that meets the requirements of NCGS 143-214.7 Y or O
(b2)(2) is located in the setback.
4. BUA that does not meet the requirements of NCGS 143- Y or 0
214.7 (b2)(2) is located within the setback and is limited
to:
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Post-Construction Stormwater Management
Permit No. SW4210803
a. Publicly funded linear projects (road, greenway
sidewalk)
b. Water-dependent structures
c. Minimal footprint uses (utility poles, signs, security
lighting and appurtenances)
5. Stormwater that is not treated in an SCM is released at YO or N
the edge of the setback and allowed to flow through the
setback as dispersed flow.
OAs-built OO N/E OO N/A
C. STORMWATER OUTLETS—the outlet handles the peak YOor N
flow from the 10 year storm with no downslope erosion.
D. VARIATIONS
1. A variation (alternative)from the stormwater rule Y or N ✓
provisions has been implemented.
2. The variation provides equal or better stormwater control Y or N
and equal or better protection of surface waters. ✓
E. COMPLIANCE WITH OTHER REGULATORY PROGRAMS Y or N
has been met.
F. SIZING -the volume of the SCM takes the runoff from all
surfaces into account and is sufficient to handle the required Y or N
storm depth.
G. CONTAMINATED SOILS—infiltrating SCM's are not Y or N ✓
located in or on areas with contaminated soils.
H. SIDE SLOPES
1. Vegetated side slopes are no steeper than 3H:1V. 9/or N
2. Side slopes include retaining walls, gabion walls, or or q"J
other surfaces that are steeper than 3H:1V.
3. Vegetated side slopes are steeper than 3H:1V (provide Y or NO
supporting documents for soils and vegetation).
I. EROSION PROTECTION
1. The inlets do not cause erosion in the SCM. Y or N
2. The outlet does not cause erosion downslope of the 0 or N
discharge point during the peak flow from the 10 year
storm.
J. EXCESS FLOWS—An overflow/bypass has been YOor N
provided.
K. DEWATERING—A method to drawdown standing water has Y or N
been provided to facilitate maintenance and inspection. ✓
L. CLEANOUT AFTER CONSTRUCTION—the SCM has been Y or N ✓
cleaned out and converted to its approved design state.
M. MAINTENANCE ACCESS
1. The SCM is accessible for maintenance and repair. Y or N
2. The access does not include lateral or incline slopes Y or N ✓
>3:1.
N. DESIGNER QUALIFICATIONS(FAST-TRACK PERMIT)—
The designer is licensed under Chapters 89A, 89C, 89E, or YO or N
89F of the General Statutes.
Provide an explanation for every MDC that was not met, and for every item marked "N/A"or"N/E",
below. Attach additional pages as needed:
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Post-Construction Stormwater Management
Permit No. SW4210803
AS-BUILT DESIGNER'S CERTIFICATION FOR LOW DENSITY PROJECTS
I hereby state that I am a licensed professional and I certify by my signature and seal below,that I have
observed the construction of the project named above to the best of my abilities with all due care and diligence,
and that the project meets all of the MDC found in 15A NCAC 02H.1003, in accordance with the permit
documents, plans and specifications on file with or provided to the Division, except as noted on the"AS-BUILT"
drawings, such that the intent of the stormwater rules and the general statutes has been preserved.
❑ Check here if this is a partial certification. Section or phase
[Check here if this is part of a Fast-Track As-Built Package Submittal per 15A NCAC 02H .1044(3).
❑ Check here if the Designer did not observe the construction but is certifying the project.
❑ Check here if pictures of the project are provided.
Joe Fulk GCS
Printed Name Signature
NC Registration Number 43160 Date 1/12/23
SEAL: O`-1\N CARo , Consultant's Mailing Address:
`�0�'..Essi••.�'�' #.• 20484 Chartwell Center Drive, Suite D
S AL c City: Cornelius State: NC Zip: 28031
,I4 160 Phone:(7014 990-9438
•.NGINE;;. 4 �` Consultant's Email address:
''� ;;' ; 0‘�` [e-mail]
20 4.01.12 15:20:28-05'00'
O Circle N if the as-built value differs from the Plan/permit. If N is circled, provide an explanation on page 3.
O N/E= Not Evaluated (provide explanation on page 2). ON/A= Not Applicable to this project/plan.
Consultant's Certification (MDC 15A NCAC 02H .1003)
Project Density and Built-Upon Area OAs-built ON/E ON/A
1. The project has areas of high density based on natural drainage 0 or N
area boundaries,variations in land use or construction phasing.
2. The project's built-upon area does not exceed the maximum limit Oor N
specified in the permit.
Dispersed Flow OAs-built ON/E OO N/A
1. The project maximizes dispersed flow through vegetated areas OY or N
and minimizes channelized flow.
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Post-Construction Stormwater Management
Permit No. SW4210803
Vegetated Conveyances OAs-built ON/E ON/A
1. Stormwater that is not released as dispersed flow is transported O or N
by vegetated conveyances.
2. The project has a minimal amount of non-vegetated conveyances O or N
to reduce erosion.
3. Other than minimal piping under driveways and roads, no piping 0 or N
has been added beyond what is shown on the approved plans.
4. Side slopes are no steeper than 3H:1V. YOor N
5. The conveyance does not erode in response to the peak flow from 0 or N
the 10-year storm.
Curb outlet systems(if applicable) OAs-built ®N/E ON/A
1. The swale or vegetated area can carry the peak flow from the 0 or N
10-year storm at a non-erosive velocity.
2. The longitudinal slope of the swale or vegetated areas does not 0 or N
exceed 5%.
3. The swale has a trapezoidal cross-section and a minimum bottom Y or NO
width of two feet.
4. The minimum length of the swale or vegetated area is 100 feet. YO or N
5. Side slopes are no steeper than 3H:1V. YO or N
6. The project utilizes treatment swales designed per Section .1061 0 or N
in lieu of the curb outlet system requirements.
Vegetated Setbacks(if applicable) OAs-built ON/E ON/A
1. The width of the vegetated setback is at least 50'. Y or N ✓
2. The width of the vegetated setback has been measured from the
normal pool of impounded waters,the MHW line of tidal waters, Y or N ✓
or the top of bank of each side of rivers or streams.
3. The vegetated setback is maintained in grass or other vegetation. Y or N ✓
4. BUA that meets the requirements of NCGS 143-214.7(b2)(2) is Y or N
located in the setback. ✓
5. BUA that does NOT meet the requirements of NCGS 143-
214.7(b2)(2) is located within the setback and is limited to:
• Publicly-funded linear projects (road,greenway, or sidewalk) Y or N I
• Water dependent structures
• Minimal footprint uses such as poles, signs, utility
appurtenances, and security lights.
6. The amount of BUA within the setback is minimized, and Y or N I
channeling of the runoff from the BUA has been avoided.
7. Stormwater is not discharged (via swale or pipe)through a
vegetated setback. Stormwater is released at the edge of the Y or N ✓
setback and allowed to flow through the setback as dispersed flow.
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Post-Construction Stormwater Management
Permit No. SW4210803
Outlets OAs-built OO N/E OO N/A
1. Stormwater outlets do not cause erosion downslope of the V or N
discharge point during the peak flow from the 10-year storm.
Variations OO As-built ©N/E ON/A
1. The project has variations from the MDC that were not previously Y or 0
approved. (Modification may be required.)
Deed restrictions(if applicable) OAs-built ON/E ON/A
1. Deed restrictions are recorded and ensure that the project and
the BUA will be maintained in perpetuity consistent with the Y or N
permit, approved plans, and specifications.
For Subdivisions Only(Residential or Commercial) OAs-built ON/E ON/A
1. The number of platted lots is consistent with the approved plans. Y or N
2. The project area is consistent with the approved plans. Y or N
3. The layout of the lots and streets is consistent with the approved Y or N I/
plan.
4. The width/radius of streets, paved accesses,cul-de-sacs and Y or N
sidewalks is consistent with the approved plan.
5. No piping, other than those minimum amounts needed under a Y or N
driveway or under a road, has been added.
6. The lot grading, road grading,vegetated conveyances, piping, Y or N
inverts, and elevations are consistent with the approved plans.
Provide an explanation below for every MDC that was not met,and for every item marked "N/A"or
"N/E."Attach additional pages as needed.
Vegetated setbacks were not part of the originally approved design. Buffers/setbacks
were provided per local jurisdiction. Swales were constructed per approved plans
without a bottom width. Swales still adequately pass drainage without erosion. Deed
was already recorded and did not include any maximum BUA language. No additional
plats/deeds were needed to be recorded for development. All subdivision items were
marked as N/A (project is a proposed utility substation).
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