SW1210502_C-DOC-1901780-Supplemental EZ-2021-05-12_20210519

SUPPLEMENT-EZ COVER PAGE
FORMS LOADED
:CT INFORMATION
Project Name _
Project Area ac
Coastal Wetland Area
Surface Water Area fa
5 Its this project High or Low Densi ? High f
6 Does this project use an off -site SCM? No
COMPLIANCE WITH 02H .1003(4)
7
Width of vegetated setbacks erovided feet
30 feet
8
Will the vegetated setback remain vegetated?
Yes
9
If BUA is proposed in the setback, does it meet NCAC 02H.1003 4 c-d ?
N/A
10
Is streambank stabilization proposed on this project?
No
NUMBER AND TYPE OF SCMs:
11
Infiltration System
8
12
Bioretention Cell
13
Wet Pond
14
Stormwater Wetland
15
Permeable Pavement
16
Sand Filter
17
Rainwater Harvesting RWH
18
Green Roof
19
Level Spreader -Filter Strip LS-FS
20
Disconnected Impervious Surface DIS
21
Treatment Swale
22
Dry Pond
23
StormFilter
24
Silva Cell
25
Bayfliter
7
26
Filterra
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DESIGNER CERTIFICATION
27
Name and Title:
Leon W. Bakely, III PE Senior Project Manager
28
Organization:
BL Companies
29
Street address:
3420 Torin don Way, Suite 210
30
City, State, Zip:
Charlotte NC 28277
31
Phone numbers :
704 565-7071
[e-mail]
32
Email:
�kllriotign atem n :
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.
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SEAL
27405
111114 BA
Signature of Designer
Date

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