SW3230303_Supplement-EZ Form_20230613

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I car*, 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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26432
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S Mum of Designer
Date
Date

--17 Is this a hi h densit r � �.._ mITITmmm�� .._.
t o'ect? ...,�... No
2 If so, number of drainage areas/SCMs 0
3 Does this project have low densittyareas? Yes
4 If so, number of low densit d� rainag m r s. _.
Is all/part of this project subject to previous rule
b versions _........ No
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