SW3240305_Supplement-EZ Form_20240912

FORMS tOAb
OJECT INFORMATION
I Project Name _ Blackwelder Retail 100kV Substation Project _
Project Area(ac) 9.64
3 Coastal Wetland Area(ac),_ _ 0 _
I Surface Water Area(aQ 0
i Is this project High or Low Density? _ LOW
; Does this project use an off-site 5C4? No
MPLIANCE WITH 02H.1003(4)
' Width of vegetated setbacks provided(feet _ 30
3 Will the vegetated setback remain vegetated? NIA
) If BUA is proposed in the setback,does it meet NCAC 02H,1003(4)(c-d)?
) Is streambank stabilization proposed on this project? No
MISER AND TYPE OF SCMs.
1_ _Infiltration System_ _ _ __ 0
' Bioretention Cell 0
3 Wet Pond 0
1 Stormwater Wetland _; _ 0
i Permeable Pavement 0
Sand Filler ' 0
' Rainwater Harvest ng IRWH) ' 0 _
3 Green Roof T 0
I Level Spreader-F Iter Strip(LS-FS) _ 0
Disconnected Impervious Surface(DIS) 0
Treatment Swale 0
Dry Pond - - -- -- - - 0..
3 StormFilter 0
t ;Silva Cell 0
i Bayfilter
3 Fillerra 0
--
FORMS LOADED
SIGNER CERTIFICATION
Name and Tetle: Jamie Golling
3 Organization- Jacobs
1 Street address; _ _ 111 Coming Rd STE 200
i City,State,Zip Call,NC 27518
I Phone number(sY 919-600-1163
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.
Desioner
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;4 SEAS. r.
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Is this a high densi ro ect? No
If so,number of drainage areaslSCMs� _ 0
Does this pr9ttct have low densit areas? Yes
If so,number of low density drainage areas f
Is all/part of this project subject to prey ous rule
versions? No
FORMS LOADED
AINAGE AREA INFORMATION Entire Site LD 1
Type of SCM NIA NIA
Total drainage area[sq ft 450,104 450,104
Onsite drainage area(sil ft 450,104 450,104
Offsite drainage area(sq ft _— 0 0
Total_BUA in project(sq ft)_ _ 5543 sf_ 5543 sf
New BUA on subdivided lots(subject to permitting)
�(sq ft) 5543 sf- 5543 sf
New BUA not on subdivided lots(subject to
>ermitting)(sf} 0 0
Offsite BUA;sq ft)_ 0 0
:Breakdown of new BUA not on subdivided lots:
-Parkin (sq ft) 0 0
Sidewalk 5q ft) 0 0
. _
-I Roof s ft _. _. _0 0
R
Roadwai�ft _ 0 D
Future ft 0_ 0_
Other,please specify in the comment box
below(sq ft) 5543 sf 5543 sf
New infiltrating permeable pavement on
subdivided lots sq ft) NIA NIA
New infiltrating permeable pavement not on
subdivided lots(sq ft)_ _ NIA _ NIA__
Existing BUA that will remain(not subject to
ermittin sft , 0 0_ -
Existing BUA that is alrejqt permitted(sq_ 0 0
Existin,q BUA that will be removed(sgftl - D 0
_Percent BUA 1% 1% _
Design storm finches) 1.0 in 1.0 in
_Design volume of SCM cu ft NIA NIA
Calculation method for design volume NIA NIA
DITIONAL INFORMATION
Please use this space to provide any additional nformation about the
drainage area(s):
ier-concrete foundations for equipment and concrete footings for steel
ce structures.Per NC Stormwater Manual stone can be considered
v,ous'f vehicular traffic is minimal.Expected site traffic to be 1-2 visits per
nth.Gravel on site to be considered pervious.