SW1170501_Annual Certification Summary (2024)_20240301

Section A-Project Information
Permit Number: SW1170501 Project Town/City: Mills River
Project Name: Acony Bell Community Project County: Henderson
Permit issued: 3/27/2023 Project Status: underway
Section B-Permittee Information
Name: Acony Bell of UNC LLC Street Address: Mailing Address:
Signing Official: Kevin Murray 113 W Center St 113 W Center St
Title: Partner Suite 201 Suite 201
Phone Number: 919-378-1992 Lexington,NC 27292 Lexington,NC 27292
Email Address: [e-mail]
Section C-Property Owner Information
Name: Acony Bell of WNC LLC Street Address: Mailing Address:
Signing Official: Kevin Murray 113 W Center St 113 W Center St
Title: Partner Suite 201 Suite 201
Phone Number: 919-378-1992 Lexington,NC 27292 Lexington,NC 27292
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? Yes Easements recorded? Yes Designer Cart.submitted? Yes
Lot BUA not exceeded? NA 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? 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
Project is in conformance with all permit conditions.
Section F-Project Certifier Information
Certifier Signing: Kevin Murray Street Address: Mailing Address:
Title: Partner 113 W Center St 113 W Center St
Phone Number: 919-378-1992 Suite 201 Suite 201
Email Address: [e-mail] Lexington,NC 27292 Lexington,NC 27292
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 Kevin Murray on March 1,2024.

ATTACHMENT A
Explanation about why"N/A"items above are not applicable to this project.
Max BUA not exceeded N/a:
SCM BUA not exceeded N/a:
Lot BUA not exceeded N/a: Not a subdivision
BUA as shown on plans N/a:
SCM/LD area per plans Nla:
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 Nla:
O&M Agreemt on plats N/a:
Deed Restrict.recorded N/a:
O&M done per E&SC N/a:
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: