SW3170303_As-Built - Certification_20240701 (2)

Post-Construction Stormwater Management
Permit No. SW (regional office#&permit#1
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 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 #? WET POND #1__
❑ Check here if.this is part of a Fast Track As-built Package Submittal.
Printed Name RAMSEY AI-LEN Signature ---
I, ±daVeLtain)V___LI a Notary Public in the State of - C —
County of S� '(� 'RAN), do hereby certify that �h� ,�-e ty. t_- _
personally appeared before me this _ ,$ n day of _JU -e 20 ,24
o
o`t ttiills...EY' �f�+i'/i
and acknowledge the due execution of this as-built certification. `�.`‘ �` m�i TO,ii
Witness my hand and offici eal = '\\ N f:
:o(A2 railAill ::: >: 4 -63: —
,,eLIG
My commission expires '.�9�5;�4-2025•;` • .`�
"i, CoUN `%•‘
"011isq'�ompleted—1(—
Permittee's Certification NCAC .1042(4) Provided ! N/A
A. DEED RESTRICTIONS / BUA RECORDS
1. The deed restrictions and protective covenants have been recorded 0 or N i
• and contain the necessary language to ensure that the project is
maintained consistent with the stormwater regulations and with the
permit conditions. _
2. A copy of the recorded deed restrictions and protective covenants `:J or N
has been provided to the Division.
3. Records which track the BUA on each lot are being kept. (See Note 0 or N
1)
B. MAINTENANCE ACCESS
1. The SCMs are accessible for inspection, maintenance and repair. or N
2. The access is a minimum of 10 feet wide. or N
_ 3. The access extends to the nearest public right-of-way. _ or N
C. EASEMENTS T 1
1. The SCMs and the components of the runoff collection /conveyance
system are located in recorded drainage easements. Y or N Not yet
2. A copy of the recorded plat(s) is provided. Y or N Not yet
D. SINGLE FAMILY RESIDENTIAL LOTS Plats for residential lots that Y or N
nave an SCM include the following:
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 Y or N N/A
NCGS 143 Article 21 if the SCM is removed, relocated or altered
without prior approval.
E. OPERATION AND MAINTENANCE AGREEMENT Y or N
1. The O&M Agreement is referenced on the final recorded plat. Y or N Not yet
2. The O&M Agreement is recorded with the Register of Deeds and or N Y
appears in the chain of title. O
F. OPERATION AND MAINTENANCE PLAN maintenance records are
being kept in a known set location for each SCM and are available for Y or N Not yet
review.
G. DESIGNER'S CERTIFICATION FORM— has been provided to the or N
Division. _
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Post-Construction Stormwater Management
Permit No. SW (regional office# & permit #)
Note 1-Acceptable records include ARC approvals, as-built surveys, and county tax records.
Provide an explanation for every requirement that was not met, and for every "N/A" below. Attach
additional sheets as needed.
EVERY "N/A" AND EVERY REQUIREMENT THAT 15 NOT YET MET HAS THE SAME
EXPLANATION:
THIS PROJECT 15 NOT YET FULLY BUILT THE PERMANENT 5CM IS STILL A
TEMPORARY SEDIMENT BASIN• THE FINAL EASEMENTS NAVE NOT BEEN
RECORDED, AND THE PROJECT IS NOT YET FINISHED• THIS INTERIM SUBMITTAL
15 A MODIFICATION TO CONSTRUCT THE 2nd PHASE OF THE PROJECT AND TO
ADD ANOTHER 5CM (i•e• "WET POND #2")•
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