SW5160601_Annual Certification Summary (2024)_20240308

Section A-Project Information
Permit Number: SW5160601 Project Town/City: Siler City
Project Name: Brookwood Farms RLAP Project County: Chatham
Permit issued: 3/14/2022 Project Status: completed
Section B-Permittee Information
Name: Brookwood Farms,Inc. Street Address: Mailing Address:
Signing Official: Jerry Wood 1015 Alston Bridge Road PO Box 277
Title: General Manager
Phone Number: 800-472-4787 Ext. Siler City,NC 27344 Siler City,NC 273440277
Email Address: [e-mail]
Section C-Property Owner Information
Name: Brookwood Farms,Inc. Street Address: Mailing Address:
Signing Official: Jerry Wood 1015 Alston Bridge Road PO Box 277
Title: General Manager
Phone Number: 800-472-4787 Ext. Siler City,NC 27344 Siler City,NC 273440277
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? NA 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: Jerry Wood Street Address: Mailing Address:
Title: General Manager 1015 Alston Bridge Road PO Box 277
Phone Number: 800-472-4787 Ext.
Email Address: [e-mail] Siler City,NC 27344 Siler City,NC 273440277
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 Jerry Wood on March 8,2024.

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: Construction for the site has finished
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: