SW3210803_Annual Certification Summary (2024)_20240130

Section A-Project Information
Permit Number: SW3210803 Project Town/City: Waxhaw
Project Name: Belle Mar Subdivision Project County: Union
Permit issued: 10/12/2021 Project Status: completed
Section B-Permittee Information
Name: Development Solutions Group Street Address: Mailing Address:
Signing Official: Kent Olson 11121 Carmel Common Blvd Ste 450 11121 Carmel Common Blvd Ste 450
Title: Member/Manager
Phone Number: 704-543-0760 Ext. Charlotte,NC 28226 Charlotte,NC 28226
Email Address: [e-mail]
Section C-Property Owner Information
Name: Development Solutions Group Street Address: Mailing Address:
Signing Official: Kent Olson 11121 Carmel Common Blvd Ste 450 11121 Carmel Common Blvd Ste 450
Title: Member/Manager
Phone Number: 704-543-0760 Ext. Charlotte,NC 28226 Charlotte,NC 28226
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? No
SCM BUA not exceeded? NA Easements recorded? Yes Designer Cart.submitted? Yes
Lot BUA not exceeded? Yes 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? No Deed Restrict.recorded? Yes 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
Is the project in conformance with all permit conditions? No
See attached plan to bring the project into conformance with conditions.
Section F-Project Certifier Information
Certifier Signing: Douglas Draffen Street Address: Mailing Address:
Title: PE 8020 Tower Point Drive 8020 Tower Point Drive
Phone Number: 704.841.2588
Email Address: [e-mail] Charlotte,NC 28227 Charlotte,NC 28227
Section G-Certification
The information in this form is true,accurate,and complete? Yes
The project is in conformance with all permit conditions? No
The project is not in conformance with all permit conditions but will be brought into conformance? Yes
Electronically signed by Douglas Draffen on January 30,2024.

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 project is low density.
Lot BUA not exceeded N/a:
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:
O&M Agreemt recorded N/a:
O&M Agreemt on plats N/a:
Deed Restrict.recorded N/a:
O&M done per E&SC N/a: Construction has finished for the site.
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:
Action plan to bring the project into conformance with ALL permitting conditions(attached).