SW1210802_As-Built - Certification_20231107

Post-Construction Stormwater Management
Permit No. SW1210802
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 #?
Check here if this is part of a Fast Track As-built Package ittl.
Printed Name Johnna Reed Signature i
g-'2--'4
I, a n jha e,Al , a Notary Public in th State of NO4 CV-0lrv-
County of 1461 Cl(<, , do hereby certify that Inking 1C,2
personally appeared before me this 61 44‘ day of ja �u��uuNu , 20 L 3
and acknowledge the due execution of this as-built certification. �� .,SI EAL) -it
Witness my hand and official seal W O,cp,RY
, y,141,4„.7a:CiOn,e.r
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PUS
My commission expires $ IZ?. )1 -Po Ss... °J �
Permittee's Certification NCAC .1042(4) ontionNN pieced/ N/A
Provided
A. DEED RESTRICTIONS/ BUA RECORDS
1. The deed restrictions and protective covenants have been recorded Y or N
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 Y or N
has been provided to the Division. i(
3. Records which track the BUA on each lot are being kept. (See Note Y or N k
1)
B. MAINTENANCE ACCESS
1. The SCMs are accessible for inspection, maintenance and repair. 0 or N
2. The access is a minimum of 10 feet wide. 0 or N
3. The access extends to the nearest public right-of-way. or N
C. EASEMENTS
1. The SCMs and the components of the runoff collection /conveyance N
system are located in recorded drainage easements. Coed Qiovndek
2. A copy of the recorded plat(s) is provided. a or N
D. SINGLE FAMILY RESIDENTIAL LOTS - Plats for residential lots that Y or N K
have an SCM include the following:
1. The specific location of the SCM on the lot. Y or N x
2. A typical detail for the SCM. Y or N
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 k
NCGS 143 Article 21 if the SCM is removed, relocated or altered
without prior approval.
E. OPERATION AND MAINTENANCE AGREEMENT lOor N
1. The O&M Agreement is referenced on the final recorded plat. Y or (V
2. The O&M Agreement is recorded with the Register of Deeds and Oor N
appears in the chain of title.
F. OPERATION AND MAINTENANCE PLAN— maintenance records are
being kept in a known set location for each SCM and are available for Q or N
review.
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Post-Construction Stormwater Management
Permit No. SW1210802
G. DESIGNER'S CERTIFICATION FORM — has been provided to the or N
Division.
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.
Page 2 of 6

Post-Construction Stormwater Management
Permit No. SW1210802
AS-BUILT DESIGNER'S CERTIFICATION 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 the below listed General MDC found in 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 statutes has been preserved.
_ Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is a part of a Fast-Track As-Built Package Submittal per .1044(3).
_ Check here if the designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
PrintedPjak--
Name Jared L. DeRidder Signature AiL
NC Registration
Number 041349 Date 1/24/Z0 23
SEAL: N‘v CA��Jf��i Consultant's Mailing Address:
.��� 'si•• ''• 724 5th Avenue West
•4 SEAL r: City/State/ZIP Henersonville, NC 28739
041349
'•�'-'y, '•:''VC)NegQ• �4.%:::. Phone Number 828-687-7177 x 306
if°, d O.CP‘‘ Consultant's Email address:
[e-mail]
@ Circle N if the as-built value differs from the Plan. If N is circled, provide an explanation on Page 2.
OO N/E = not evaluated (provide explanation on page 2) OO N/A = not applicable to this SCM or project.
Consultant's Certification NCAC .1003((3) & General MDC OAs-built OO N/E ON/A
.1050
A. TREATMENT REQUIREMENTS
1. The SCM achieves runoff treatment. QY or N
2. The SCM achieves runoff volume match. Y or 6)
3. Runoff from offsite areas and/or existing BUA is U or N
bypassed.
4. Runoff from offsite areas and/or existing BUA is directed Y or
into the permitted SCM and is accounted for at the full
build-out potential.
5. The project controls runoff through an offsite permitted Y or c)
SCM that meets the requirements of the MDC.
6. The net area of new BUA increase for an existing project c9 or N
has been accounted for at the appropriate design storm
level.
7. The SCM(s) meets all the specific minimum design or N
criteria.
B. VEGETATED SETBACKS / BUA
1. The width of the vegetated setback has been measured c) or N
from the normal pool of impounded waters, the MHW
line of tidal waters, or the top of bank of each side of
rivers or streams.
2. The vegetated setback is maintained in grass or other or N
vegetation.
3. BUA that meets the requirements of NCGS 143-214.7 Y or
(b2)(2) is located in the setback.
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Post-Construction Stormwater Management
Permit No. SW1210802
4. BUA that does not meet the requirements of NCGS 143- Y or D
214.7 (b2)(2) is located within the setback and is limited
to:
a. Publicly funded linear projects (road, greenway
sidewalk)
b. Water-dependent structures
c. Minimal footprint uses (utility poles, signs, security
lighting and appurtenances)
5. Stormwater that is not treated in an SCM is released at Y or N
the edge of the setback and allowed to flow through the
setback as dispersed flow.
@As-built OO N/E OO N/A
C. STORMWATER OUTLETS—the outlet handles the peak or N
flow from the 10 year storm with no downslope erosion.
D. VARIATIONS
1. A variation (alternative) from the stormwater rule Y or
provisions has been implemented.
2. The variation provides equal or better stormwater control Y or N
and equal or better protection of surface waters.
E. COMPLIANCE WITH OTHER REGULATORY PROGRAMS or N
has been met. lJ
F. SIZING -the volume of the SCM takes the runoff from all
surfaces into account and is sufficient to handle the required V or N
storm depth.
G. CONTAMINATED SOILS — infiltrating SCM's are not V or N
located in or on areas with contaminated soils.
H. SIDE SLOPES
1. Vegetated side slopes are no steeper than 3H:1V. cY�or N
2. Side slopes include retaining walls, gabion walls, or ``�� or NQ
other surfaces that are steeper than 3H:1 V.
3. Vegetated side slopes are steeper than 3H:1V (provide Y or N
supporting documents for soils and vegetation).
I. EROSION PROTECTION
1. The inlets do not cause erosion in the SCM. S or N
2. The outlet does not cause erosion downslope of the or N
discharge point during the peak flow from the 10 year
storm.
J. EXCESS FLOWS—An overflow/ bypass has been or N
provided.
K. DEWATERING —A method to drawdown standing water has Otor N
been provided to facilitate maintenance and inspection.
L. CLEANOUT AFTER CONSTRUCTION—the SCM has been 0 or N
cleaned out and converted to its approved design state.
M. MAINTENANCE ACCESS
1. The SCM is accessible for maintenance and repair. Y or N
2. The access does not include lateral or incline slopes Y or N
>3:1.
N. DESIGNER QUALIFICATIONS (FAST-TRACK PERMIT) —
The designer is licensed under Chapters 89A, 89C, 89E, or Y or N X
89F of the General Statutes.
Provide an explanation for every MDC that was not met, and for every item marked "N/A" or "N/E",
below. Attach additional pages as needed:
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Post-Construction Stormwater Management
Permit No. SW1210802
AS-BUILT DESIGNER'S CERTIFICATION FOR BIORETENTION CELL PROJECT
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 MDC found in NCAC 02H.1052, 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 #?
_ Check here if this is part of a Fast-Track As-Built Package Submittal per .1044(3).
_ Check here if the Designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed Name Jared L. DeRidder Signature L
NC Registration Number 041349 Date I/24 2p23
Consultant's Mailing Address:
SEAL: `\‘'���CA
'' ,.•g•. •.. 724 5th Avenue West
=•a SEAL �'� City/State/ZIP Hendersonville. NC 28739
041349 '" Phone Number 828-687-7177 x 306
r:, o'• . . O Consultant's Email address:
/��0 L. D� � <`�
i � [e-mail]
O Circle N if the as-built value differs from the Plan/permit. If N is circled, provide an explanation on
page 2
OO N/E = not evaluated (provide explanation on page 2) OO N/A = not applicable to this project or SCM.
This Certification must be completed in conjunction with the General MDC certification under NCAC
02H.1050
Consultant's Certification (MDC .1052) @As-built OON/E OO N/A
A. Volume/ Elevations
1. The lowest point of the bioretention cell is a minimum of two or N
feet above the SHWT.
2. If separation from the SHWT is between one and two feet, a
hydrogeological evaluation has been prepared by a licensed Y or N �(
professional.
3. The surface area and depth of the bioretention cell is or N
consistent with the approved plans.
4. The planting surface elevation of the bioretention cell is or N
consistent with the approved plans.
5. The ponding depth for the design volume is consistent with or N
the approved plans and a maximum of 12 inches above the
planting surface.
6. If applicable, the ponding depth for the peak attenuation or N
volume is consistent with the approved plans and a
maximum of 24 inches above the planting surface.
7. If applicable, the peak attenuation outlet invert is consistent C'J or N
with the approved plans and a maximum of 18 inches above
the planting surface.
8. Bioretention cell with IWS —An underdrain system with IWS
has been provided. The top of the IWS zone is consistentCD or N
with the approved plans and a minimum of 18 inches below
the planting surface.
9. Bioretention cell without IWS —The in-situ soil infiltration rate
is at least two inches per hour immediately prior to the initial Y or N �(
placement of media.
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Post-Construction Stormwater Management
Permit No. SW1210802
10. At least one capped clean-out pipe has been provided at the ()or N
low point of each underdrain.
B. Media
1. The depth of the media is consistent with the approved plans
and specs and is a minimum of...
- 36 inches for cells with trees & shrubs. 0 or N
A30 inches for cells without trees & shrubs and IWS.
- 24 inches for cells without frees & shrubs and no IWS.
2. The media is consistent with the approved plans and specs
and is a homogeneous soil mixture consisting of...
- 75 —85 percent by volume medium to coarse washed sand. 0 or N
- 8— 15 percent by volume fines.
- 5— 15 percent by volume organic matter.
3. The media has a phosphorous index (P-index) that does not
exceed... or N Y
- 30 in Nutrient Sensitive Waters (NSW). 0
- 50 elsewhere.
4. The media has not been mechanically compacted. 0 or N
5. The media provides a minimum drawdown of one inch per O or N
hour at the planting surface.
C. Landscape/Planting Plan
1. Bioretention cell with sod —The sod is a non-clumping, deep- O or N
rooted species.
2. Bioretention cell with vegetation other than sod —The Y or N X
approved landscaping plan has been followed.
3. Bioretention cell with vegetation other than sod —Triple
shredded hardwood mulch is placed two to four inches deep Y or N )C
in the portion of the bioretention cell that will be inundated.
Provide an explanation for every MDC that was not met, or for every deviation from the permitted
condition below:
Page 6 of 6