SW3220901_Supplement-EZ Form_20220914

SUPPLEMENT-EZ COVER PAGE
FORMS LOADED
PROJECT INFORMATION
1 Project Name Blythe Mill Townhomes
2
Project Area ac
17.357
3
Coastal Wetland Area ac
0
4
Surface Water Area ac
0
5
Is thisproject 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
8
Will the vegetated setback remain vegetated?
9
If BUA is proposed in the setback, does it meet NCAC 02H.1003 4 c-d ?
10
Is streambank stabilization proposed on this project?
No
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
IStormFilter
24
Silva Cell
25
Bayfilter
26
Filterra
FORMS LOADED
DESIGNER CERTIFICATION
27
Name and Title:
Blake Estridge, Project Engineer
28
Organization:
American Engineering Associates
29
Street address:
8008 Corporate Center Dr. Suite 110
30
City, State, Zip:
Charlotte, NC 28226
31
Phone numbers :
704-375-2438
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
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Date