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HomeMy WebLinkAboutSW3240304_Supplement-EZ Form_20240311 SUPPLEMENT-EZ COVER PAGE LOAD SUPPLEMENT FORMS PROJECT INFORMATION ` 1 ;Project Name ( Waffle House-Lowesville ' 2 jProject Area(ac) 1.01 3 Coastal Wetland Area(ac) 0 4 Surface Water Area(ac) ( 0 5 ils this project High or Low Density? High 6 Does this project use an off-site SCM? j Yes COMPLIANCE WITH 02H.1003(4) 7 Width of vegetated setbacks provided(feet) { N/A 8 Will the vegetated setback remain vegetated? 1 N/A 9 If BUA is proposed in the setback,does it meet NCAC 02H.1003(4)(c-d)? 1 N/A 10 Is streambank stabilization proposed on this project? No NUMBER AND TYPE OF SCMs: 1 11 Infiltration System 0 12 Bioretention Cell 1 13 1 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 LOAD SUPPLEMENT FORMS DESIGNER CERTIFICATION 1 a 27 Name and Title: Ron T.Crump,Principal 28 Organization: Contineo Group 29 Street address: 755 Commerce Drive' 30 City,State,Zip: Decatur,GA 30030 31 Phone number(s): 770.335.9403 32 Email: ronc@thecontineogroup.com Certification Statement: i-y `: ... 3 0 ...^. 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 rn the form is,to the best of my knowledge and belief true accurate,and complete;and that the engineering plans, ce agreemen q ,., '''''',are consistent with the information provided here. Designer � err, �Q� -0‘‘,FESSip „/ - ature of Designer SEAL 037214 II /`./ /2- / -, ,Q....IN �P,e 3 A' $QQ` t,,,,t t,,,�i T. C ial„so `,, Date DRAINAGE AREAS 1 Is this a high density project? j Yes 2 If so,number of drainage areas/SCMs 9 2 3 Does this project have low density areas? j No 4 If so,number of low density drainage areas 1 0 Is all/part of this project subject to previous rule 5 versions? No j CLICK TO LOAD FORM