Loading...
HomeMy WebLinkAboutSW1220301_Supplement-EZ Form (Cover Page)_20220610"ll nPLEMENT-EZ COVER PAGE FORMS LOADED PROJECT INFORMATION _ 1 Project Name �.- 2 Project Area (ac) 3 Coastal Wetland Area (ac) 4 Surface Water Area (ac) 5 Is this project High or Low Density? 6 Does this project use an off -site SCM? Terminal Expansion Project -contractor Staging Area 1.85 -O - -0 High - No ,OMPLIANCE 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 Is streambank stabilization proposed on this project? No VUMBER AND TYPE OF SCMs: 11 Infiltration System 12 Bioretention Cell 1 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 Storm Filter 24 Silva Cell 25 113ayfilter 26 IFilterra FORMS LOADED )ESIGNER CERTIFICATION 27 Name and Title: 29 Street address: 30 City, State, Zip: 31 Phone number( 32 Email: Dave Skurky, Chief Stormwater f Aulick Engineering, LLC 600 Park Offices Dr. Durham, INC, 27709 919-819-4242 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. Designer \��p11111111I11/Iq NGINE`�` ............. � ....,� Seal �S Signa ure of Designer uate 31Tlzt