20072160 Ver 1_More Info Received_20080618

Permit Number: 01 - I I to O
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Improve Runway 15-33 Safety Area
BMP drainage area number:
Print name: Mr. Chris Veal
Title: Deputy Airport Director Smith Reynolds Airport
Address: 3801 North Liberty Street Winston-Salem NC 27105
Phon
Signa
Date:
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
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I,ra n CYo ?j , a Notary Public for the State of
Nar I-h f?Gc?'7j„??c County of t_Ss TL!=' , do hereby certify that
c h rt S V'4 _ af / personally appeared before me this 4-k-
day of Jur"71t. , fl2 Do V, and acknowledge the due execution of the
forgoing dry detention basin maintenance requirements. Witness my hand and official
seal,
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My Cort6ssion Expire
My commission expires /4? e_ob of i
JUN 1 8 2008
DFNK - `NATER QUAUTY
WFTLANDS .AND S tORMWATER BRANCH
Form SW401-Dry Detention O&M-Rev.3 Page 4 of 4
Permit Number: 01 ` o-• 1 b 0
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Improve Runway 15-33 Safety Area
BMP drainage area number:
Print name: Mr. Chris Veal
Title: Deputy Airport Director Smith Reynolds Airport
Address: 3801 North Liberty Street Winston-Salem NC 27105
Phon
Signa
Date:
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
Ira,-> J Cry 6
Norm e"41,
forgoing dry detention basin maintenance requirements. Witness my hand and official
seal,
- , a Notary Public for the State of
Trio County of r-s do hereby certify that
Cshrf S V a GL I personally appeared before me this ?"
day of Ju?? , a Cto 5,?, and acknowledge the due execution of the
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SXWINTY OF
My Commission Expire
My commission expires /A t o `?
Form SW401-Dry Detention O&M-Rev.3 Page 4 of 4
Permit Number: '01 - ;).-I LO V
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Improve Runway 15-33 Safety Area
BMP drainage area number:
Print name: Mr. Chris Veal
Title: Deputy Airport Director Smith Reynolds Airport
Address: 3801 North Liberty Street Winston-Salem NC 27105
Phor
Sign,
Date
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
Ira?'i J Cr'6 ?j
Norm eay?j, ,,,iC? ,County of do hereby certify that
forgoing dry detention basin maintenance requirements. Witness my hand and official
seal,
?b , a Notary Public for the State of
C hrt S Veal personally appeared before me this le
'?
day of J ? ?'?? !10 Y, and acknowledge the due execution of the
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CM14TY OF
My Commission Expire
My commission expires 14%2 (.o /;c of j
Form S W401-Dry Detention O&M-Rev.3 Page 4 of 4
Permit Number: 01 - a. I to O
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Improve Runway 15-33 Safety Area
BMP drainage area number:
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
._?3 -I -
I rQ,-i J ??' n b ?j a Notary Public for the State of
forgoing dry detention basin maintenance requirements. Witness my hand and official
seal,
• ,
i?ar-?-h eccrelr roc. ,County of r5 s? , do hereby certify that
C Art S Ve ?- l personally appeared before me this 4,11
day of J"?? , fl2 po S, and acknowledge the due execution of the
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J
EMNTY OF
My Cw6ssw Expire
My commission expires 11/02 1,o h of j
Form SW401-Dry Detention O&M-Rev.3 Page 4 of 4
Print name: Mr. Chris Veal
Title: Deputy Airport Director Smith Reynolds Airport
Address: 3801 North Liberty Street Winston-Salem NC 27105