SW6240102_Supplement-EZ Form_20240507

SUPPLEMENT-EZ COVER PAGE
FORMS LOADED
'ROJECT INFORMATION
1 Project Name Raeford Vass Road Dollar General
2 i Project Area(ac) _ 1 68
3 Coastal Wetland Area ac)
4 Surface Water AreaAlic
5 Is this ro'ect High or Low Density'? High
6 Does this project use an off-site SCM? No
:OMPLIANCE WITH 02H.1003(4)
7_ Width of vegetated setbacks provided(feet) _ 30'
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)?
10 Is streambank stabilization proposed on this project?
(UMBER AND TYPE OF SCMa:
11 Infiltration System 1
12 Bioretention Cell
13 Wet Pond
14 _Stormwater Wetland
15 Permeable Pavement
16 Sand Fitter
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 StormFitter
24 Silva Cell
25 Bayfilter
26 Filterra
FORMS LOADED
)ESIGNER CERTIFICATION
27 'Name and Title: C.Scott Brown,PE-Vice President
28 Organization: 4D Site Solutions,Inc
29 Street address: _ 409 Chicago Drive,Suite 112
30 'City State,Zip: Fayetteville,NC 28306
31 Phone numbers) 910-426-6777
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
``,,,i,,,,,,,,
N,�N CAR04z i,,
F7444,_E IQ 9'
Q W� -) 4yv\A,,_
Signature of Designer
\ SEAL
027452 -
C1 '•. /VG 11•1'. A4 r. r
i, sCory. e'c' .,'''jj ,�� '-3
'Ste11l�"'' 7, Date

DRAINAGE AREAS
1 Is this a high density project? Yes
2 If so,number of drainage areas/SCMs _ 1
3 Does this project have low density areas? No
4 If so,number of low density drainage areas 0
Is all/part of this project subject to previous rule
5 versions? No
FORMS LOADED
IRAINAGE AREA INFORMATION Entire Site 1
4 Type of SCM Infiltration basin
5 Total drainage area(sq ft) 73,356 73356
6 Onsite drainage area(sq ft) 63,459 63459
7 Offsite drainage area(sq ft) 9,897 9897
8 Total BUA in project(sq ft) 47958 sf 47958 sf
New BUA on subdivided lots(subject to
9 permitting)(sq ft)
New BUA not on subdivided lots(subject to
10 permitting)(sf) 38061 sf 38061 sf
11 Offsite BUA(sq ft) 9897 sf 9897 sf
12 Breakdown of new BUA not on subdivided lots:
-Parking(sq ft) 27230 sf 27230 sf
-Sidewalk(sq ft)
-Roof(sq ft) 10831 sf 10831 sf
-Roadway(sq ft)
-Future(sq ft)
-Other,please specify in the comment box
below(sq ft)
New infiltrating permeable pavement on
13 subdivided lots(sq ft)
New infiltrating permeable pavement not on
14 subdivided lots(sq ft)
Existing BUA that will remain(not subject to
15 permitting)(sq ft) 9897 sf 9897 sf
16 Existing BUA that is already permitted(sq ft)
17 Existing BUA that will be removed(sq ft)
18 Percent BUA 66% 66%
19 Design storm(inches) 1.0 in 1.0 in
20 Design volume of SCM(cu ft) 3903 cf
21 Calculation method for design volume simple
ADDITIONAL INFORMATION
Please use this space to provide any additional information about the
22 drainage area(s). _

INFILTRATION SYSTEM
1 Drainage area number 1 I
2 Minimum required treatment volume(Cu ft) 3903 cf
GENERAL MDC FROM 02H.1050
3 ,Is the SCM sized to treat the SW from all surfaces at build-out? Yes
1 4 Is the SCM located away from contaminated soils? Yes
5 What are the side slopes of the SCM(H:V or enter"Vertical for
trenches)? 3:1
6 Does the SCM have retaining walls,gabion walls or other
engineered side slopes? No
7 Are the inlets,outlets,and receiving stream protected from erosion
(10-year storm)? Yes
8 Is there an overflow or bypass for inflow volume in excess of the
design volume? Yes
9 What is the method for dewatering the SCM for maintenance? Pump(preferred)
10 If applicable,will the SCM be cleaned out after construction? Yes
11 Does the maintenance access comply with General MDC(8)? Yes
12 Does the drainage easement comply with General MDC(9)? Yes
13 If the SCM is on a single family lot,does(will?)the plat comply with
General MDC(10)? N/A
14 Is there an O&M Agreement that complies with General MDC(11)? Yes
15 Is there an O&M Plan that complies with General MDC(12)? Yes
16 Does the SCM follow the device specific MDC? Yes
17 Was the SCM designed by an NC licensed professional? Yes
IINFIL TION SYSTEM MDC FROM 02H.1051
18 Proposed slope of the subgrade surface(%) 0%
19 Are terraces or baffles provided? No
20 Type of pretreatment. _ Forebay
Soh Date
21 Was the soil investigated in the footprint and at the elevation of the
infiltration system? Yes
22 SHWT elevation(fmsl) 229.83
23 !Depth to SHWT per soils report(in) 50.00
24 Ground elevation at boring in soils report(fmsl) 234.00
25 Is a detailed hydrogeologic study attached if the separation is
between 1 and 2 feet? WA
26 Soil infiltration rate(in/hr) 3.11
27 Factor of safety(FS) (2 is recommended): 2.00
Elevations
29 Bottom elevation(fmsl) 232 ft
30 Storage elevation(fmsl) 233.6 ft
31 Bypass elevation(fmsl) l 234 ft
For Basins Only
32 Bottom surface area(1t2) 2924 ft
33 Storage elevation surface area(ft2) 4068.ft
For Trenches Only
34 Length(ft)
35 Width(ft)
36 Perforated pipe diameter,if applicable(inches)
37 Number of laterals
38 Total length of perforated piping
39 Stone type,if applicable
40 Stone porosity(%)
41 Is stone free of fines?
42 Is the stone wrapped in geotextile fabric?
43 Has at least one inspection port been provided?
Volumes/Drawdown
44 'Design volume of SCM(cu ft) 5230 cf
45 Time to draw down hours 8 hrs
ADDITIONAL INFORMATION
'Please use this space to provide any additional information about
the infiltration system(s)•
Infiltration 1 6:12 PM 12/18/2023