SW6220806_Annual Certification Summary (2024)_20240213

Section A-Project Information
Permit Number: SW6220806 Project Town/City: Hope Mills
Project Name: McMillan Manor Subdivision Project County: Cumberland
Permit issued: 12/15/2022 Project Status: underway
Section B-Permittee Information
Name: Stout Land Development LLC Street Address: Mailing Address:
Signing Official: Ben Stout 1786 Metromedical Dr 1786 Metromedical Dr
Title: Managing Member
Phone Number: 910-779-0019 Ext. Fayetteville,NC 28304 Fayetteville,NC 28304
Email Address: [e-mail]
Section C-Property Owner Information
Name: Stout Land Development LLC Street Address: Mailing Address:
Signing Official: Ben Stout 1786 Metromedical Dr 1786 Metromedical Dr
Title: Managing Member
Phone Number: 910-779-0019 Ext. Fayetteville,NC 28304 Fayetteville,NC 28304
Email Address: [e-mail]
Section D-Site Conformance with Permitting Conditions
Max BUA not exceeded? Yes Veg.setbacks per plans? NA Site is as shown on plans? Yes
SCM BUA not exceeded? NA Easements recorded? NA Designer Cert.submitted? NA
Lot BUA not exceeded? Yes O&M Agreemt recorded? NA O&M being performed? NA
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? NA
SCM/LD area accessible? Yes O&M done per E&SC? NA Permit is active? Yes
Stormwater outlets stable? NA SCMs fixed when done? NA 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: Ben Stout Street Address: Mailing Address:
Title: Managing Member 1786 Metromedical Dr 1786 Metromedical Dr
Phone Number: 910-779-0019 Ext.
Email Address: [e-mail] Fayetteville,NC 28304 Fayetteville,NC 28304
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 Ben Stout on February 13,2024.

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 a low density project only
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: Project is still under construction
Veg.setbacks per plans N/a: Project is still under construction
Easements recorded N/a: Project is still under construction
O&M Agreemt recorded N/a: Project is still under construction
O&M Agreemt on plats N/a: Project is still under construction
Deed Restrict.recorded N/a: Project is still under construction
O&M done per E&SC N/a: Project is still under construction
SCMs fixed when done N/a: Project is still under construction
Site is as shown on plans N/a:
Designer Cert.submitted N/a: Project is still under construction
O&M being performed N/a: Project is still under construction
No maintenance issues N/a:
Maint.records being kept N/a: Project is still under construction
Permit is active N/a:
Other conditions met N/a: