SW3200202_Supplement-EZ Form_20200218

SUPPLEMENT-EZ COVER PAGE
FORMS LOADED 7771
PROJECT INFORMATION
1
Project Name
Heritage Subdivision
2
Project Area ac
Coastal Wetland Area ac
86.84
3
N / A
4
Surface Water Area ac
N / A
5
Is this project High or Low Density?
High
6
1 Does this project use an off -site SCM?
No
COMPLIANCE WITH 02H .1003(4
7
Width of vegetated setbacks provided feet
30
8
Will the vegetated setback remain vegetated?
Yes
9
Is BUA other that as listed in .1003(4)Ld out of the setback?
Yes
10
Is streambank stabilization proposed on this project?
No
NUMBER AND TYPE OF SCMs:
11
Infiltration System
0
12
Bioretention Cell
0
13
Wet Pond
1
14
Stormwater Wetland
0
15
Permeable Pavement
0
16
Sand Filter
0
17
Rainwater Harvesting RWH..
0
18
Green Roof
0
19
Level Spreader -Filter Strip (LS-FS
0
20
Disconnected Impervious Surface (DIS)
0
21
Treatment Swale
0
22
1 Dry Pond
0
23
24
StormFilter
Silva Cell
0
0
25
Ba ilter
0
26
Filterra
0
FORMS LOADED
DESIGNER CERTIFICATION
27
Name and Title:
Stuart Woodard PE - Project Engineer
28
Or anization:
McAdams
29
Street address:
3430 Torin don Way, Suite 110
30
City, State, Zip:
Charlotte NC 28277
31
Phone numbers :
704-527-0800
32
Email:
[e-mail]
Certification Statement:
I certify, under penalty of law that this Supplement-EZ form and all supporting information were prepared under my direction or
supervision; that the information provided in the form is, to the best of my knowledge and belief, true, accurate, and complete; and
that the engineering plans, specifications, operation and maintenance agreements and other supporting information are consistent
with the information provided here.
Designer
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Signature of D�esigner
Date