SW3220305_Supplement-EZ Form_20220615

SUPPLEMENT-EZ COVER PAGE
FORMS LOADED
PROJECT INFORMATION
1 lProiect Name
Project Area (ac)
Coastal Wetland Area (ac)
Surface Water Area (ac)
Is this project High or Low Density?
Does this project use an off -site SCM?
River WWTP Phase 3
234.86
N/A
6.6
Low
No
COMPLIANCE WITH 02H .1003(4)
7
Width of vegetated setbacks provided feet
30ft(per 02H .1017
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
I Is streambank stabilization proposed on this project?
No
NUMBER AND TYPE OF SCMs:
11
Infiltration S stem
0
12
Bioretention Cell
0
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
JBayfilter
0
26
1 Filterra
0
FORMS LOADED
DESIGNER CERTIFICATION
27
Name and Title:
Kim Devendorf, PE
28
Or anization:
Brown and Caldwell
29
Street address:
309 East Morehead Street, Suite 160
30
City, State, Zip:
Charlotte, NC 28202
31
Phone numbers :
315 401-3634
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.
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Signature of Designer
Date
05/09/22 1:36 PM