SW6220501_Supplement-EZ Form_20220825

SUPPLEMENT-EZ COVER PAGE
FORMS LOADED
PROJECT INFORMATION
1 Project Name Southview Park
2 Project Area ac 6.89
3 Coastal Wetland Area ac
4 Surface Water Area ac
5 Is this roiect High or Low Density? Both High and Low Density
6 Does this protect 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?
N/A
9
If BUA is proposed in the setback, does it meet NCAC 02H.1003 4 c-d ?
N/A
10
1 Is streambank stabilization proposed on this project?
N/A
NUMBER AND TYPE OF SCMs:
11
Infiltration System
12
Bioretention Cell
13
Wet Pond
1
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
Ba filter
IFilterra
26
FORMS LOADED
NER CERTIFICATION
Name and Title:
Organization:
Street address:
City, State, Zip:
Phone number(s):
Email:
C. Scott Brown, PE
4D Site Solutions Inc.
409 Chicago Dr. Ste.112
Fayetteville, NC 28306
910-426-6777
rown(&4dsitesolutions.com
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.
Seal
Signature of Designer
Date