SW6220804_Annual Certification Summary (2024)_20240129

Section A-Project Information
Permit Number: SW6220804 Project Town/City: Fayetteville
Project Name: Rebekah Evans 230kV POD Project County: Cumberland
Permit issued: 3/1/2023 Project Status: completed
Section B-Permittee Information
Name: South River Electric Membership Corp Street Address: Mailing Address:
Signing Official: Chris Spears PO Box 931 PO Box 931
Title: Executive Vice President and CEO
Phone Number: 910-892-8071 Ext. Dunn,NC 28335 Dunn,NC 28335
Email Address: [e-mail]
Section C-Property Owner Information
Name: South River Electric Membership Corp Street Address: Mailing Address:
Signing Official: Chris Spears PO Box 931 PO Box 931
Title: Executive Vice President and CEO
Phone Number: 910-892-8071 Ext. Dunn,NC 28335 Dunn,NC 28335
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? 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? NA No maintenance issues? Yes
SCM/LD area per plans? Yes Deed Restrict.recorded? NA Maint.records being kept? Yes
SCM/LD area accessible? Yes O&M done per E&SC? NA 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: Joe Ervin Street Address: Mailing Address:
Title: Proj Mgr/Engr IV 123 N White St. 123 N White St
Phone Number: 843.697.0606
Email Address: [e-mail] Ft Mill,SC 29715 Ft Mill,SC 29715
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 Joe Ervin on January 29,2024.

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 not a high density project
Lot BUA not exceeded N/a: This is a commercial project Owned byan electric utility.The property is not a subdivision and will not be subdivied in the future
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: No easements were created/needed for permanent stormwater conveyance
O&M Agreemt recorded N/a:
O&M Agreemt on plats N/a: O&M Agreement has been recorded in Cumberland County RMC office
Deed Restrict.recorded N/a: No deed restrictions required.Property is owned by electric utility and substation has been built on the property for use in perpetuity
O&M done per E&SC N/a: Construction has been completed.Growing season is expected to develop the final vegetative cover needed to officially close out the
project.
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: