SW1221101_Supplement-EZ Form_20221110

SUPPLEMENT-EZ COVER PAGE
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PROJECT INFORMATION
1 Project Name JONAS RIDGE CONVENIENCE CENTER AND PARK PRASE 1
2 Project Area ac _ 25.11
3 Coastal Wetland Area ac
4 ISurface Water Area fact 0.29
Does this project use an off -site
:OMPLIANCE WITH 02H .1003(4)
_7_ Width of vegetated se�rovided (feet} 30
8 Will the vegetated setback remainvegetated? Yes
9 If BUA is proposed in the setback, does it meet NCAC 02H.1003 4 c d ? NIA
10 Is streambank stabilization proposed on this project? No
NUMBER AND TYPE OF SCMS:
11
Infiltration System
12
Bioretention Cell
13
Wet Pond
14
Stormwater Wetland
1
15
Permeable Pavement
16
ISand Filter
17
Rainwater Harvesting RWH
IS
Green Roof
19
Level Spreader -Filter Strip LS-FS
20
Disconnected Impervious Surface DIS
21
Treatment Swale
22
Dry Pond
23
StormFllter
24
Silva Cell
25
Bayfilter
26
Filterra
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DESIGNER CERTIFICATION _
27 Name and Title: David Tu
Environmental
Certification Statement;
I certify, under penalty of law that this Supplement-EZ form and all supponing 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 wnsislent with the information provided here.
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Signature of
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Date

DRAINAGE AREAS
1
Is this a hicih density project?
Yes
2
If so, number of drainage areaslSGMs
1
3
Does this project have low densi areas?
No
4
If so, number of tow density drainage areas
D
5
Is aillpart of this project subject to previous rule
versions?
No
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