SW6220301_Annual Certification Summary (2024)_20240301

Section A-Project Information
Permit Number: SW6220301 Project Town/City: Vass
Project Name: Long Point Subdivision Project County: Moore
Permit issued: 2/22/2023 Project Status: not started
Section B-Permittee Information
Name: Moore HI Properites Inc Street Address: Mailing Address:
Signing Official: Tom Holderfield 55 Walnut Creek Dr 55 Walnut Creek Dr
Title: President
Phone Number: 910-690-5598 Ext. Pinehurst,NC 28374 Pinehurst,NC 28374
Email Address: [e-mail]
Section C-Property Owner Information
Name: Moore HL Properties,Inc. Street Address: Mailing Address:
Signing Official: Tom Holderfield 55 Walnut Creek Road 55 Walnut Creek Road
Title: President
Phone Number: 9106905598 Pinhurst,NC 28374 Pinhurst,NC 28374
Email Address: [e-mail]
Section D-Site Conformance with Permitting Conditions
Section D not applicable.
Section E-Plan to Bring the Project info Conformance
Project is in conformance with all permit conditions.
Section F-Project Certifier Information
Certifier Signing: Carlo Pardo Street Address: Mailing Address:
Title: Professional Engineer 4006 Barrett Drive 4006 Barrett Drive
Phone Number: 9195536570 Suite 104 Suite 104
Email Address: [e-mail] Raleigh,NC 27609 Raleigh,NC 27609
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 Carlo Pardo on March 1,2024.