SW6220904_Annual Certification Summary (2024)_20240227

Section A-Project Information
Permit Number: SW6220904 Project Town/City: Raeford
Project Name: Hidden Valley Subdivision Project County: Hoke
Permit issued: 11/30/2022 Project Status: completed
Section B-Permittee Information
Name: Tg Ventures LLC Street Address: Mailing Address:
Signing Official: Greg Caulder 9820 US 301 North 9820 US 301 North
Title: Member Manager
Phone Number: 910-258-1673 Lumberton,NC 28360 Lumberton,NC 28360
Email Address: [e-mail]
Section C-Property Owner Information
Name: TG Ventures,LLC Street Address: Mailing Address:
Signing Official: Greg Caulder 9820 US Hwy 301 North 9820 US Hwy 301 North
Title: Member Manager
Phone Number: 910-258-1673 Lumberton,NC 28360 Lumberton,NC 28360
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? Yes Designer Cart.submitted? NA
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? Yes Deed Restrict.recorded? Yes Maint.records being kept? Yes
SCM/LD area accessible? Yes O&M done per E&SC? Yes Permit is active? Yes
Stormwater outlets stable? Yes SCMs fixed when done? NA Other conditions met? NA
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: Greg Caulder Street Address: Mailing Address:
Title: Member Manager 9820 US 301 North 9820 US 301 North
Phone Number: 910-258-1673
Email Address: [e-mail] Lumberton,NC 28360 Lumberton,NC 28360
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 Greg Caulder on February 27,2024.

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
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: O&M is being performed...we did not select N/A
SCMs fixed when done N/a: No devices were removed or destroyed during construction
Site is as shown on plans N/a:
Designer Cert.submitted N/a: Designer's certification is in process by our engineer
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: We have not other permitting conditions