SW6240701_Supplement-EZ Form_20241008

SUPPLEMENT-EZ COVER PAGE
FORMS LOADED
PROJECT INFORMATION
1 Project Name McDonald's Hoke Landing
2 Project Area(ac) 1.33
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? Yes
COMPLIANCE WITH 02H.1003(4)
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 0
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
FORMS LOADED
DESIGNER CERTIFICATION
27 Name and Title: W.Brian Burchett-Professional Engineer
28 Organization: Sambatek NC PC
29 Street address: 8312 Creedmoor Rd
30 City,State,Zip: Raleigh,NC 27613
31 Phone number(s): 919-848-6121
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 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
DRAINAGE AREA INFORMATION Entire Site 1
4 Type of SCM Off-Site
5 Total drainage area(sq ft) 57748 sf 57748 sf
6 Onsite drainage area(sq ft) 57748 sf 57748 sf
7 Offsite drainage area(sq ft) 0 0
8 Total BUA in project(sq ft) 37666 sf 37666 sf
New BUA on subdivided lots(subject to
9 permitting)(sq ft) 37666 sf 37666 sf
New BUA not on subdivided lots(subject to
10 permitting)(sf)
11 Offsite BUA(sq ft)
12 Breakdown of new BUA not on subdivided lots:
-Parking(sq ft) _ 32,302 sf 32,302 sf
-Sidewalk(sq ft) 1,672 sf 1,672 sf
-Roof(sq ft) 3,692 sf 3,692 sf
-Roadway(sq ft) 0 sf 0 sf
-Future(sq ft) 14,294 sf 14,294 sf
-Other,please specify in the comment box
below(sq ft)
New infiltrating permeable pavement on
13 subdivided lots(sq ft) _ 0 sf 0 sf
New infiltrating permeable pavement not on
14 subdivided lots(sq ft) 0 sf 0 sf
Existing BUA that will remain(not subject to
15 permitting)(sq ft) 0 sf _ 0 sf
16 Existing BUA that is already permitted(sq ft) 0 sf 0 sf
17 Existing BUA that will be removed(sq ft) 0 sf 0 sf
18 Percent BUA 65% 65%
19 Design storm(inches)
20 Design volume of SCM(cu ft)
21 Calculation method for design volume
ADDITIONAL INFORMATION LPlease use this space to provide any additional information about the
22 drainage area(s):

OFF-SITE SCM
THE DRAINAGE AREA
1 Drainage area number for this project 1
2 Master permit number SW 6190901
3 Drainage area number from the master permit 1
4 Lot or outparcel number 3A
5 BUA allocated by Master Permit 51960 sf
INFORMATION ABOUT THE OFF-SITE SCM
6 Type of off-site SCM Wet Pond
7 Available treatment capacity in the off-site SCM (cu ft) 228200 cf
8 Have deed restrictions limiting the BUA on the site been recorded? Yes
9 Has an Engineer's Certification for the off-site SCM been submitted to DEQ? Yes
10 Are there any Notices of Violation for the off-site system? No
11 Has the off-site SCM been maintained in accordance with its O&M Plan? Yes
12 Will the collection system be maintained in its design state and kept clean?
ADDITIONAL INFORMATION
13 Please use this space to provide any additional information about the off-site SCM(s):