SW6190508_Supplement EZ Form (Cover)_20190822

SUPPLEMENT-EZ COVER PAGE
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PROJECT INFORMATION
1
Project Name
SOF Battalion Administration Facility
2
Project Area (ac)
9.55
3
Coastal Wetland Area (ac)
N/A
4
Surface Water Area (ac)
NIA
5
Is this project High or Low Density?
High
6
Does this project use an off -site SCM?
No
COMPLIANCE WITH 02H .1003(4)
7
Width of vegetated setbacks provided (feet)
N/A
8
Will the vegetated setback remain vegetated?
No
9
Is BUA other that as listed in .1003(4)(c-d) out of the setback?
Yes
1 o
Is streambank stabilization proposed on this project?
No
NUMBER AND TYPE OF SCMS:
11
Infiltration System
0
12
Bioretention Cell
4
13
Wet Pond
0
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
Dry Pond
0
23
StormFilter
0
24
Silva Cell
0
25
Bayfilter
0
26
Filterra
0
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DESIGNER CERTIFICATION
27
Name and Title:
Robert L. Day, PE Principal
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Organization:
Cyntergy
29
Street address:
810 S. Cincinnati Second Floor
30
City, State, Zip:
Tulsa, OK 74119
31
Phone number(s):
918.877.6000
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.
Signature of
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08-6(n.
Date