SW6240205_Supplement-EZ Form_20240223

SUPPLEMENT-EZ COVER PAGE
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PROJECT INFORMATION
1 Project Name Hoke County High School Replacement
2 Project Area(ac) 18.52
3 Coastal Wetland Area(ac) 0
4 Surface Water Area(ac) 0
5 Is this project High or Low Density? High
6 Does this project use an off-site SCM? No
COMPLIANCE WITH 02H.1003(4) r
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
NUMBER AND TYPE OF SCMs:
11 Infiltration System 0
12 Bioretention Cell 2
13 Wet Pond 0
14 Stormwater Wetland 0
15 Permeable Pavement 0
16 Sand Filter 0
17 Rainwater Harvesting(RWH) 0
18 Green Roof 0
19 Level Spreader-Filter Strip(LS-FS) 0
20 Disconnected Impervious Surface(DIS) 0
21 Treatment Swale 0
22 Dry Pond 0
23 StormFilter 0
24 Silva Cell 0
25 Bayfilter 0
26 Filterra 0
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DESIGNER CERTIFICATION
27 Name and Title: Kevin Lindsay,PE
28 Organization: Crawford Design Company
29 Street address: 230 W.Pennsylvania Ave.
30 City,State,Zip: Southern Pines,NC 28387
31 Phone number(s): [phone]
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.
Designer
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SEAL _ Signature of Designer
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