20061804 Ver 5_Stormwater Info_20151030

Soil & Environmental Consultants, PA
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 • Phone: [phone] • Fax: [phone]
sandec.com
October 30, 2015
S &EC Project # 6658.P6
To: NC DWR, 401 & Buffer Permitting Unit
Attn: Karen Higgins
Archdale Building — 9th Floor
512 N. Salisbury Street /� I�
Raleigh, NC 27604 v
Re: The Village at Flowers Plantation
Stormwater Management Plan -POD 10 -Phase One
DWQ Project #20061804, Ver.5 /Gertification No. 3766
Johnston County, NC
On behalf of Mrs. Rebecca Flowers, please find the attached Stormwater Management Plan for
POD 10 -Phase One. According to the Individual 401 Water Quality Certification Approval
Certification No. 3766, Condition No. 9, "a final, written stormwater management plan for each
phase of this project shall be submitted to the DWQ 401 Oversight/Express Permitting Unit for
review and approval ". Therefore, please see attached Stormwater Management Plan for your
review and anticipated Approval. Please contact me at DShirlev(o),SandEC.com or (919) 846-
5900 if you have any questions.
Sincerely,
Soil & Environmental Consultants, PA
L
L
Deborah E. Shirley
Environmental Specialist
Attachments:' �' 2
1) Flowers Plantation Pod 10 Sitework Calculations
2) Bioretention Operations & Maintenance Agreement- signed and notarized f
3) Flowers Plantation -North East Quad Master Lot Layout OCT 3 0 2015 ,
4) POD -10 Grading Plan
DENR • OF TER RESOURCES
401 8 BUFFER PERMITTING

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;Siftework Calculi
Flowers Plantation
Evergreen
Pod 10
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STOCKS ENGINEERING, P.A.
1100 Eastern avenue Phone: [phone]
PO Box 1108 Fax: [phone]
Nashville, NC 27856 Mobile: [phone]
Email: mstocks @stocksengineering.com

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NC®ENR
Permit Number,
(to be provided by D WQ)
O�o� W A7FgQG
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STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 11!) must be printed, filled out and submitted along with all of the required information.
: :�
I:'PR JECT 1 FORMA 10 ,. , .. , a ,..r .. , .. � ; =� =�:'. -
0 iV •�,.
Project name Evergreen Phase 1 - Pod NE 10
Contact name Kevin Vamell
Phone number 252.459.8196
Date July 23, 2015
Drainage area number 1
III. -,DESIGN INFORMATION:
Site Characteristics
Drainage area
222,987 ft'
Impervious area
77,540 f?
Percent impervious
34.8% %
Design rainfall depth
1.0 inch
Peak Flow Calculations
Is prelpost control of the 1 -yr, 24 -hr peak flow required?
Y (Y or N)
1 -yr, 24 -hr runoff depth
3 in
1 -yr, 24 -hr intensity
0.12 in/hr
Pre - development 1 -yr, 24 -hr peak Flow
0.411 ft' /sec
Post - development 1 -yr, 24 -hr peak flow
0.401 ft' /sec
Pre /Post 1 -yr, 24 -hr peak control
-0.010 h3 /sec
Storage Volume: NonSA Waters
Minimum volume required
6,877.0 ft'
Volume provided
7,437.0 It
OK
Storage Volume: SA Waters
15' runoff volume
It
Pre - development 1 -yr, 24 -hr runoff
ft'
Post - development 1 -yr, 24 -hr runoff
It
Minimum volume required
0 ff3
Volume provided
ft
Cell Dimensions
Ponding depth of water
12 inches
OK
Ponding depth of water
1.0011
Surface area of the top of the bioretention cell
7,437.0 ft
OK
Length:
fl
Width.
fl
-or- Radius
ft
Media and Soils Summary
Drawdown time, ponded volume
6 hr
OK
Drawdown time, to 24 inches below surface
18 hr
OK
Drawdown time, total:
24 hr
In -situ soit
Sal permeability
0.10 in/hr
Insufficient. Increase infiltration rate or include underdrains.
Planting media soil:
Sol] permeability
2.00 in/hr
OK
Soil composition
% Sand (by volume)
86%
OK
% Fines (by volume)
10%
OK
% Organic (by volume)
4%
OK
Total: 100%
Phosphorus Index (P- Index) of media 30 (unilless) OK
Form SW401- eioretention -Rev.8 i
June 25, 2010 Parts I and II. Design Summary, Page 1 of 2

Permit Number.
(to be provided by DWQ)
Basin Elevations
Excess volume must pass through filter.
Temporary pool elevation
287.00 fmsl
Type of bioretenlion cell (answer 'Y' to only one of the two
Show how flow is evenly distributed.
following questions).
OK
Is this a grassed cell?
Y (Y or N) OK
Is this a cell with treeslshrubs?
N (Y or N)
Planting elevation (top of the mulch or grass sod layer)
288 fmsl
Depth of mulch
inches
Bottom of the planting media soil
284 fmsl
Planting media depth
2 It
Depth of washed sand below planting media soil
0.33 ft
Are underdrains being installed?
Y (Y or N)
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
SHWT elevation
Distance from bottom to SHWT
Internal Water Storage Zone (IWS)
Does the design include IWS
Elevation of the top of the upturned elbow
Separation of IWS and Surface
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
bioretention cell?
Does volume in excess of the design volume flow evenly distributed
through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at feast 30 feet from surface waters (50 feet V
SA waters)?
Is the BMP located at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3,19
Is the BMP located in a proposed drainage easement with access
to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretenlion cell greater than 20 %?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an 'X" in the shaded cell)
Gravel and grass
(flinches gravel followed by 3 -5 ft of grass)
Grassed swale
Forebay
Other
8 OK
2 OK
1 ft
282.67 fmsl
278.25 fmsl
4.42 ft OK
N (Y or N)
fmsl
286 ft
0
Y (Y or N) OK
N (Y or N)
Excess volume must pass through filter.
ft
N (Y or N)
Show how flow is evenly distributed.
Y (Y or N)
OK
Y (Y or N)
OK
Y (Y or N)
OK
Y (Y or N)
OK
0.52 fUsec OK
N (Y or N) OK
N (Y or N) OK
Y (Y or N) OK
X
OK
Form SW401- 13iorelention -Rev.8
June 25, 2010 Parts I and It Design Summary, Page 2 of 2

Permit No
(to be assigned by DWQ)
IIIL REQUIRED ITEMS CHECKLIST :.' :. .. , .
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional Information, This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met, If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Page/ Plan
Initials Sheet No.
Plans (1" - 50' or larger) of the entire site showing:
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Cell dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Clean out pipe locafions,
Overflow device, and
Boundaries of drainage easement.
2. Plan details (1" = 30' or larger) for the bioretention cell showing-
- Cell dimensions
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable),
Clean out pipe locations,
- Overflow device, and
Boundaries of drainage easement.
Indicate the P -Index between 10 and 30
3. Section view of the bioretention cell (1' = 20' or larger) showing:
Side slopes, 3:1 or lower
Underdrain system (if applicable), and
Bioretention cell layers [ground level and slope, pre - treatment, ponding depth, mulch depth, fill media
depth, washed sand, filler fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County sod maps are not an acceptable source of soils information. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include-
Soil permeability,
Sal composition (% sand, % fines, % organic), and
P- index.
5. A detailed planting plan (1" = 20' or larger) prepared by a qualified individual showing
A variety of suitable species,
Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified,
A planting detail,
The source nursery for the plants, and
Fertilizer and watering requirements to establish vegetation.
6. A construction sequence that shows how the bioretention cell will be protected from sediment until the
entire drainage area is stabilized.
7. The supporting calculations (including underdrain calculations, if applicable).
8. A copy of the signed and notarized inspection and maintenance (I &M) agreement.
9, A copy of the deed restriction.
Form SW401- Bioretention -Rev -7 Part III, Page 1 of 1

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Watershed Model Schematic
1 - Pre Development
CD
Hydraflow Hydrographs by Intelisolve v9.22
2 - Post Development
v
3 - Outflow
Project: Pre vs Post.gpw I Wednesday, Jul 29, 2015

2
Hydrograph Return Period Recap
Hydraflow Hydrographs by Intelisolve v9 22
Hyd. Hydrograph Inflow Peak Outflow (cfs) Hydrograph
No. type Hyd(s) description
(origin) 1 -Yr 2 -Yr 3 -Yr 5-Yr 10 -Yr 25 -Yr 50 -Yr 100 -Yr
1 SCS Runoff - - - - -- 0.411 – – - – – – – – - - - - - -- - - - - - -- - - ----- Pre Development
2 SCS Runoff - - - - --- 6660 ------- - - - - ---
- - - -- - -- — - - - - - -- - - - - - -- Post Development
3 Reservoir 2 0.401 - - - - - -- - - - - -- - -•- — -- — – – -- Outflow
Proj. file: Pre vs Post.gpw I Wednesday, Jul 29, 2015

Hydrograph Summary
report
Hydraflow Hydrographs by Intelisolve v9.22
Hyd. Hydrograph Peak Time Time to
Hyd. Inflow
Maximum
Total
Hydrograph
No. type flow interval peak
volume hyd(s)
elevation
strge used
description
(origin) (cfs) (min) (min)
(cult)
(ft)
(curt)
1 SCS Runoff 0.411 2 720
2,902 - - --
-
- -
Pre Development
2 SCS Runoff 6.660 2 720
15,598
- -- ---
- - --
Post Development
3 Reservoir 0.401 2 808
7,456 2
287.04
8,505
Outflow
Pre vs Post.gpw Return Period: 1 Year Wednesday, Jul 29, 2015

Hydrograph Report
Hydraflow Hydrographs by Intelisolve v9.22
Hyd. No. 1
Pre Development
Hydrograph type = SCS Runoff
Storm frequency = 1 yrs
Time interval
Drainage area
Basin Slope
Tc method
Total precip.
Storm duration
Q (cfs)
0.50
0.45
0.40
0.35
0.30
0.25
0.20
0.15
0.10
0.05
2 min
5.120 ac
3.0%
KIRPICH
2.89 in
24 hrs
Pre Development
Hyd. No. 1 — 1 Year
0.00 - .
0 2 4 6 8 10 12
Hyd No. 1
2
Wednesday, Jul 29, 2015
Peak discharge = 0.411 cfs
Time to peak
= 12.00 hrs
Hyd. volume
= 2,902 cuft
Curve number
= 55
Hydraulic length
= 900 ft
Time of conc. (Tc)
= 5.66 min
Distribution
= Type II
Shape factor
= 484
Q (cfs)
0.50
0.45
0.40
0.35
0.30
0.25
0.20
0.15
0.10
...... 0.05
0.00
14 16 18 20 22 24 26
Time (hrs)

Hydrograph Report
Hydraflow Hydrographs by Intelisolve v9.22
Hyd. No. 2
Post Development
Hydrograph type = SCS Runoff
Storm frequency = 1 yrs
Time interval
Drainage area
Basin Slope
Tc method
Total precip.
Storm duration
Q (cfs)
7.00
. OU
M
4.00
2 min
5.120 ac
2.0%
KIRPICH
2.89 in
24 hrs
Post Development
Hyd. No. 2 -- 1 Year
Wednesday, Jul 29, 2095
Peak discharge = 6.660 cfs
Time to peak
= 12.00 hrs
Hyd. volume =
15,598 cuft
Curve number =
74
Hydraulic length =
1100 ft
Time of cons. (Tc) =
7.73 min
Distribution =
Type II
Shape factor =
484
Q (cfs)
7.00
6.00
5.00
4.00
3 -00 3.00
2.00 i 2.00
1.00 1.00
0.00 :..:.:..... -:_ _.- ., 0.00
0 2 4 6 8 10 12 14 16 18 20 22 24 26
Hyd No. 2 Time (hrs)

Hydrograph Report
Hydraflow Hydrographs by Intelisolve v9.22
Hyd. No. 3
Outflow
Hydrograph type = Reservoir
Storm frequency = 1 yrs
Time interval = 2 min
Inflow hyd. No. = 2 -Post Development
Reservoir name = Bioretention
Storage Indication method used
Q (cfs)
7.00
.M
5.00
4.00
3.00
2.00
1.00
Outflow
Hyd. No. 3 -- 1 Year
6
Wednesday, Jul 29, 2015
Peak discharge = 0.401 cfs
Time to peak
= 13.47 hrs
Hyd. volume
= 7,456 cuft
Max. Elevation
= 287.04 ft
Max. Storage
= 8,505 cuft
Q (cfs)
7.00
6.00
5.00
4.00
3.00
2.00
1.00
0.00 a...... :,.......... 0.00
0 2 4 6 8 10 12 14 16 18 20 22 24 26
Time (hrs)
Hyd No. 3 Hyd No. 2 [TTH11 T1 Total storage used = 8,505 cult

Ponca Report 7
HydraFlow Hydrographs by Intelisolve v9.22
Wednesday, Jul 29, 2015
Pond No. 1 -
Bioretention
Pond Data
Contours - User - defined contour areas. Average end area method used for volume calculation. Begining Elevation = 286.00 ft
Stage / Storage Table
Stage (ft)
Elevation (ft) Contour area (sqft)
incr. Storage (cuft)
Total storage (cuft)
0.00
286.00
7,437
0
0
1.00
287.00
8,844
8,141
8,141
2.00
288.00
10,307
9,576
17,716
2.50
288.50
11,827
5,534
23,250
Culvert/ Orifice Structures
Weir Structures
[A] [B]
[C]
[PrfRsr]
[A] [B]
[C]
[D]
Rise (in)
= 1800 000
0.00
0.00
Crest Len (ft)
= 10.00 0.00
0.00
0.00
Span (in)
= 18.00 0.00
000
0.00
Crest El. (ft)
= 287.00 0.00
0.00
0.00
No. Barrels
= 1 0
0
0
Weir Coeff.
= 3.33 3.33
3.33
3.33
Invert El. (ft)
= 281.00 0.00
0.00
0.00
Weir Type
= Riser - --
- --
--
Length (ft)
= 50.00 000
0.00
0.00
Multi -Stage
= Yes No
No
No
Slope ( %)
= 10.00 0.00
000
n/a
N -Value
= .013 013
.013
n/a
Orifice Coeff.
= 0.60 060
0.60
0.60
Exfil.(in /hr)
= 0.000 (by Contour)
Multi -Stage
= n/a No
No
No
TW Elev. (ft)
= 0.00
Note Culvert /Onfice outflows are analyzed under inlet (ic) and outlet (oc)
control. Weir risers checked for orifice conditions (Ic) and submergence (s)
Stage (ft)
300
W#111
1.00
0.00
0.00 200
Total Q
Stage / Discharge Elev (ft)
289.00
287.00
286.00
4.00 6.00 8.00 1000 12.00 14.00 16.00 18.00 2000 22.00
Discharge (cfs)

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Soil & Environmental Consultants, PA
8412 I'altti uf ticii r )juait. Suuc lu -S, Raleigh, \f: 761 • I'tu>nc (')P ) 846 WX) • F.ux OP)) 840 9467
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April 20, 2015
Job # 6658.54
DWF c/o Stocks Engineering
Attn: Mike Stocks
PO Box 1 108
Nashville, NC 27856
Re: Detailed storm water soils evaluation for the proposed storni water Bioretention area at
Flowers Plantation, Evergreen POD 10, Johnston County. NC.
Dear Mr. Stocks:
Soil & Environmental Consultants, PA (S &EC) perfornied a detailed soil evaluation within
the targeted area of a potential stone water basin on the site mentioned above. The purpose of'
this evaluation was to provide additional information fi)r the proper design of the proposed
bioretention area, used as a BM13 to treat the on -site storm water. Soil morphological profile
descriptions were performed at the specified locations to detennine depths to seasonal high
water table (SHWT), The following is a brief report of the methods utilized in this evaluation
and the results obtained.
Soil /Site Evaluation Methodoloev
The site evaluation was perfbrmcd by advancing hand auger borings to sufficient depths to
estimate seasonal high water table. S &EC navigated to the soil boring locations within the
stone water device location with a GPS receiver to describe soil morphological conditions
using standard techniques outlined in the "Field Book for Describing and Sampling Soils"
published by the Natural Resources Conservation Service (NRCS, 2002),
Soil/Site Conditions
This site consists of very deep. poorly drained to very poorly drained soils of the Coastal
Plain. Field investigation revealed that Soil Borings 1 -3. as referenced on the attached map,
have seasonal high water table indications between 6" and 9" in depth from top of ground at
the specified locations.
Under current regulations, the bottom of any bioretention pond must be a minimum of two
feet above the seasonal high water table. Current NC -DWR regulations also stipulate that an
underdrain must be installed in a bioretention area it -soils underlying the structure have a
drainage rate of less than 2 in /hr, S &EC made no attempt to measure soil saturated hydraulic

Conductivity (Ksat) in the underlying soil at this time but, due to the underlying clay horizons,
S &C?C believes that the hydraulic conductivity would be less than 2 in /hr.
Soil & Environmental Consultants, PA is pleased to be of` service in this matter and we look
forward to assisting in the successful completion of the project. if requested. S &EC can meet
on -site with NC -DWR to discuss ()ur findings and recommendations. Please feel free to call
with any questions or comments.
Sincerely,
Soil & Environmental Consultants, PA
SOIL 9C,
0 A PO
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A ;
�\„�FNORTH GP��
Ricky Pontello
NC Licensed Soil Scientist f 1232
Page 2 of 2

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LEGEND
'I GRAPHIC SCALE 9JL 70i YlG LOCA7 ON
30 0 30 60
+"" Irvpu Ne LLS� 5�
EVERGREEN POD 10
90118 Bnvltoameatal Conaultaots, [_�OHN5TOM co-, NC r 5TocK5 i•.�o v
5TORMWATtR SOILS EVALUATION I of I

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Bioretention Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
- Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
- Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
- Heavy equipment will NEVER be driven over the bioretention cell.
- Special care will be taken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
The entire BMP
The perimeter of the
bioretention cell
The inlet device: pipe,
stone verge or swale
Potential problems:
Trash /debris is present.
Areas of bare soil and /or
erosive gullies have formed
The pipe is clogged (if
applicable).
The pipe is cracked or
otherwise damaged (if
applicable).
Erosion is occurring in the
swale (if applicable).
Stone verge is clogged or
covered in sediment (if
applicable).
How I will remediate the problem:
Remove the trash/ debris.
Regrade the soil if necessary to
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one -time fertilizer application.
Unclog the pipe. Dispose of the
sediment off -site.
Replace the pipe.
Regrade the swale if necessary to
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Remove sediment and clogged
stone and replace with clean stone.
Form SW401- Bioretention O &M -Rev.3 Page 1 of 4

BMP element:
The pretreatment area
The bioretention cell:
vegetation
The bioretention cell:
soils and mulch
Potential problems:
Flow is bypassing
pretreatment area and /or
gullies have formed.
Sediment has accumulated to
a depth greater than three
inches.
Erosion has occurred
Weeds are present.
Best professional practices
show that pruning is needed
to maintain optimal plant
health.
PIants are dead, diseased or
dying.
Tree stakes /wires are present
six months after planting.
Mulch is breaking down or
has floated away.
Soils and /or mulch are
clogged with sediment.
An annual soil test shows that
pH has dropped or heavy
metals have accumulated in
the soil media.
How I will remediate the problem:
Regrade if necessary to route all
flow to the pretreatment area.
Restabilize the area after grading.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand.
Prune according to best professional
practices.
Determine the source of the
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one -time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Remove tree stake/ wires (which
can kill the tree if not removed).
Spot mulch if there are only random
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Determine the extent of the clogging
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
Dolomitic lime shall be applied as
recommended per the soil test and
toxic soils shall be removed,
disposed of properly and replaced
with new planting media.
Form SW401- Bioretention O &M -Rev.3 Page 2 of 4

BMP element:
The underdrain system
(if applicable)
The drop inlet
The receiving water
Potential problems:
Clogging has occurred,
Clogging has occurred.
The drop inlet is damaged
Erosion or other signs of
damage have occurred at the
outlet.
How I will remediate the }problem:
Wash out the underdrain system.
Clean out the drop inlet. Dispose of
the sediment off -site.
Repair or replace the drop inlet.
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
733 -1786.
Form SW401- Bioretention O &M -Rev.3 Page 3 of 4

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project tutme:Fl owers Plantation - Everereen Phase 1 (Pod NE -10)
BMP drainage area number:NA
Print name:Rebecca Flowers
Title:Owner / Developer
Address:4880 NC 42 East, Clavton, NC 27520
Phone: i -r_.�� - �� C 4
Signature:
Date: �N��� r�( Ci r 'A
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, j Zyv —,5cl a Notary Public for the State of
t: (` ►�� -�1 Cr,0 01 , County of �(�� r��, �y� , do hereby certify that
�S�SCCC vt �G��.;E►`3 personally appeared before me this
day of 'JU �� ,�P , and acknowledge the due execution of the
l
forgoing bioretention maintenance requirements. Witness my hand and official seal,
Teresa O'Hara
Notary Public
Johnston Countyb C -
My Commission Expires 1 '
SEAL
My commission expires C� ! Z! Z) i f)
Form SW401- Bioretention I &M -Rev. 2 Page 4 of 4

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