SW3191101_As-Built - Certification_20240412

Project Name Avril Cambridge Village Permit# SW8 SW3191101
AS-BUILT PERMITTEE CERTIFICATION
I hereby state that I am the current permittee for the project named above, and I certify by my signature below,
that the project meets the below listed Final Submittal Requirements found in 15a NCAC 02H.1042(4)and the
terms, conditions and provisions listed in the permit documents,plans and specifications on file with or provided
to the Division.
❑ Check here if this is a partial certification. Section/phase/SCM#
❑ Check here if this is part of a Fast-Track As-Built Package Submittal per 15A C.0 .1 4 (3).
Cambridge Commons Holdings,
Printed Name LLC/Tadd M.Miller,Manager Sign
I, SI(U 5-1;r--1 . , a Notary Public in the St e of N Di P\--/-J A
k
County of 1 v ik 1 0 , do hereby certify that
n plrn C M NA. ‘l-L(�
personally appeared before me this 2T' day of P<C Ivn Aca_c_Ai , 20 2�{
` Yos `
and acknowledge the due execution of this as-built certification. ,ogY'‘,,S,, AL KRISTIN D. SMITH
ago✓• ' '.4:es Notary Public,State of Indiana
Witn h 8n official's al =2 SEAL;"= Commission Number NP0719286
,j,• .- p ` My Commission Expires
'O °�.;;�r March 19,2027
My commission expires 3 . . 1.--"1
Permittee's Certification 15A NCAC 02H.1042(4)
DEED RESTRICTIONS/BUA RECORDS Completed/ N/A
Provided
1. The deed restrictions and protective covenants have been recorded and Y or N
contain the necessary language to ensure that the project is maintained N/A
consistent with the stormwater regulations and with the permit conditions.
2. A copy of the recorded deed restrictions and protective covenants has been Y or N N/A
provided to the Division.
3. Records which track the BUA on each lot are being kept.(See Note 1) Y or N N/A
MAINTENANCE ACCESS Completed/ N/A
Provided
or N
1. The SCMs are accessible for inspection,maintenance and repair.
2. The access is a minimum of 10-feet wide.
Uor N
3. The access extends to the nearest public right-of-way.
U or N
NCDEQ 2/9/2018

Project Name Permit#SW8
EASEMENTS Completed/
Provided
1. The SCMs and the components of the runoff collection/conveyance system O or N
are located in recorded drainage easements.
2. A copy of the recorded plat(s)is provided. O or N
SINGLE-FAMILY RESIDENTIAL LOTS Completed/
Plats for residential lots that have an SCM include the following: Provided
1. The specific location of the SCM on the lot. Y or N N/A
2. A typical detail for the SCM. Y or N N/A
3. A note that the SCM is required to meet stormwater regulations and that the
lot owner is subject to enforcement action as set forth in NCGS 143 Article Y or N N/A
21 if the SCM is removed,relocated or altered without prior approval.
OPERATION AND MAINTENANCE AGREEMENT Completed/
Provided
1. The O&M Agreement is referenced on the final recorded plat. 0 or N
2. The O&M Agreement is recorded with the Register of Deeds and appears in 0 or N
the chain of title.
OPERATION AND MAINTENANCE PLAN Completed/
Provided
1. Maintenance records are being kept in a known, set location for each SCM Oy or N
and are available for review.
DESIGNER'S CERTIFICATION FORM Completed/
Provided
1. A completed designer's certification form has been provided to the 0 or N
Division.
Provide an explanation below for every requirement that was not met, and for every item marked "N/A."
Attach additional pages as needed.
DEED RESTRICTIONS AND BUA:
1-3: LOTS ARE NOT BEING SUB DIVIDED
SINGLE-FAMILY RESIDENTIAL LOTS:
1-3: LOTS ARE NOT A SINGLE-FAMILY
NCDEQ 2/9/2018

Project Name CAMBRIDGE VILAGE MULTIFAMILY Permit# SW3191101
AS-BUILT DESIGNER'S CERTIFICATION FOR
GENERAL MDC
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I have observed
the construction of the project named above to the best of my abilities with all due care and diligence, and that the
project meets all of the below listed General MDC found in 15A NCAC 02H.1050, in accordance with the permit
documents, plans and specifications on file with or provided to the Division, except as noted on the "AS-BUILT"
drawings, such that the intent of the stormwater rules and the general statutes has been preserved.
❑ Check here if this is a partial certification. Section/phase/SCM#
❑x Check here if this is part of a Fast-Track As-Built Package Submittal per 15A NCAC 02H .1044(3).
❑ Check here if the Designer did not observe the construction but is certifying the project.
[' Check here if pictures of the SCMs are provided. .�
Printed Name ALLEN MCDOWELL Signature f�
/1/
NC Registration Number 046878 Date 3/12/23
Consultant's Mailing Address:
SEAL:
' CAROt 1927 S. TRYON STREET, SUITE 310
o. ; City: CHARLOTTE State: NC Zip: 28203
SEAL =
= 046878
_ ,.a =
/VG i NE�� Phone:(980) 272-3400
' �• �° '`` Consultant's Email address: [e-mail]
O Circle N if the as-built value differs from the Plan/permit. If N is circled, provide an explanation on page 3.
O N/E = Not Evaluated (provide explanation on page 2). OO N/A= Not Applicable to this project or SCM.
Consultant's Certification 15A NCAC 02H .1003(3) &General MDC 15A NCAC 02H .1050
TREATMENT REQUIREMENTSOAs-built ON/E OO N/A
QY or N
1. The SCM achieves runoff treatment.
Y or N
2. The SCM achieves runoff volume match. N/A
®Y or N
3. Runoff from offsite areas and/or existing BUA is bypassed.
4. Runoff from offsite areas and/or existing BUA is directed into Q or N
the permitted SCM and is accounted for at the full build-out
potential. _
5. The project controls runoff through an offsite permitted SCM Y or N
that meets the requirements of the MDC.
6. The net area of new BUA increase for an existing project has ® or N
been accounted for at the appropriate design storm level.
NCDEQ 2/9/2018

Project Name CAMBRIDGE VILAGE MULTIFAMILY Permit# SW3191101
w or N
7. The SCM(s)meets all the specific minimum design criteria.
VEGETATED SETBACKS/BUAOAs-built ON/E OO N/A
1. The width of the vegetated setback has been measured from Y or N
the normal pool of impounded waters,the MHW line of tidal N/A
waters, or the top of bank of each side of rivers or streams.
2. The vegetated setback is maintained in grass or other Y or N N/A
vegetation.
3. BUA that meets the requirements of NCGS 143-214.7 (b2)(2) Y or IN N/A
is located in the setback.
4. BUA that does not meet the requirements of NCGS 143-214.7 Y or N
(b2)(2) is located within the setback and is limited to:
• Publicly funded linear projects(road,greenway sidewalk) N/A
• Water-dependent structures
• Minimal footprint uses(utility poles, signs, security
lighting and appurtenances)
5. Stormwater that is not treated in an SCM is released at the Y or N
edge of the setback and allowed to flow through the setback as N/A
dispersed flow.
STORMWATER OUTLETS @As-built ON/E OO N/A
1. the outlet handles the peak flow from the 10-year storm with © or N
no downslope erosion.
VARIATIONS OAs-built ON/E ON/A
1. A variation(alternative)from the stormwater rule provisions y or N N/A
has been implemented.
2. The variation provides equal or better stormwater control and y or N N/A
equal or better protection of surface waters.
COMPLIANCE WITH OTHER REGULATORY PROGRAMS OAs-built ON/E ON/A
1. The project is compliant with other applicable regulatory or N
programs.
SIZING OAs-built ON/E ON/A
1. The volume of the SCM takes the runoff from all surfaces into 0 or N
account and is sufficient to handle the required storm depth.
CONTAMINATED SOILS @As-built ON/E OO N/A
1. Infiltrating SCM's are not located in or on areas with © or N
contaminated soils.
SIDE SLOPES OAs-built ON/E OO N/A
or N
1. Vegetated side slopes are no steeper than 3H:1 V.
NCDEQ 2/9/2018

Project Name CAMBRIDGE VILAGE MULTIFAMILY Permit# SW3191101
2. Side slopes include retaining walls,gabion walls, or other ® or N
surfaces that are steeper than 3H:1 V.
3. Vegetated side slopes are steeper than 3H:1 V(provide Y or N
supporting documents for soils and vegetation). N/A
EROSION PROTECTION OAs-built ON/E OO N/A
1. The inlets do not cause erosion in the SCM.
w or N
2. The outlet does not cause erosion downslope of the discharge 0 or N
point during the peak flow from the 10-year storm.
EXCESS FLOWS OAs-built ON/E OO N/A
1. An overflow/bypass has been provided. © or N
DEWATERING OAs-built ON/E ON/A
1. A method to drawdown standing water has been provided to ® or N
facilitate maintenance and inspection.
CLEANOUT AFTER CONSTRUCTION @As-built ON/E ON/A
1. The SCM has been cleaned out and converted to its approved or N
design state.
MAINTENANCE ACCESS OAs-built ON/E ON/A
(Y or N
1. The SCM is accessible for maintenance and repair.
2. The access does not include lateral or incline slopes>3:1.
w or N
DESIGNER QUALIFICATIONS (FAST-TRACK PERMIT) ®As-built ON/E ON/A
1. The designer is licensed under Chapters 89A, 89C, 89E, or or N
89F of the General Statutes.
Provide an explanation below for every MDC that was not met, and for every item marked "N/A" or"N/E."
Attach additional pages as needed.
TREATMENT REQUIRMENTS:
THIS SITE UTILIZES RUNOFF TREATMENT
VEGETATED SETBACKS/BUA:
THIS SITE DOES NOT HAVE VEGETATED SETBACKS FROM SURFACE WATERS.
VARIATIONS:
1-2: NO VARIATIONS HAVE BEEN IMPLIMENTED
SIDE SLOPES:
3: VEGETATED SIDE SLOPES ARE NOT STEEPER THAT 3H:1V NCDEQ 2/9/2018