SW4091201_Designer's Certification_20100111

State Stormwater Permit
Permit No. SW4091201
Goodwill Mocksville
Stormwater Permit No. SW4091201
Davie Count
Designer's Certification
I CI . SC OTT M I L_L<EP- as a duly registered LANDSGArPE ARcA-►lreZ in the
State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
Cj ooDwlu- W tiusMI -5 o f Naf-n-twesr' NG moUcsvr LLl* STa 2�
(Project Name) .....'_....._ ...... .,
for G coDWMLL_ IPJDCLsTe-IFS Of NvJ r Ke— (Project Owner) Hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number 41-3
Date oC 23 2ojj
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SEAL

State Stormwater Permit
a4"
Permit No. SW4091201
Certification Requirements:
✓ 1. The drainage area to the system contains approximately the permitted.
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
✓4. All roof drains are located such that the runoff is directed into the system.
✓ 5. The outlet/bypass structure elevations are per the approved plan.
✓6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
✓8. All slopes are grassed with permanent vegetation, per the vegetation plan.
✓9. Vegetated slopes are no steeper than 3:1.
✓10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
✓ 11. The permitted amounts of surface area and/or volume have been
provided.
✓ 12. Required drawdown devices are correctly sized per the approved plans,
✓ 13. All required design depths are provided.
✓14. All required parts of the system are provided, such as a vegetated shelf,
/ and a forebay.
✓ 15, , The required system dimensions are provided per the approved plans.
cc: NCDENR-DWO Regional Office
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