SW1210902_O&M Agreement/Plan_20210930

Operation & Maintenance Agreement
Project Name:
Project Location:
Broadponte Industrial Facility for Minkles Broadpointe II, LLC.
684 Broadpointe Drive, Mills River, NC 28759
Cover Page
Maintenance records shall be kept on the following SCM(s). This maintenance record shall be kept in a log in a known set location.
Any deficient SCM elements noted in the inspection will be corrected, repaired, or replaced immediately. These deficiencies can
affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the SCM(s).
The SCM(s) on this project include (check all that apply & corres
Infiltration Basin
Quantity:
Infiltration Trench
Quantity:
Bioretention Cell
Quantity:
Wet Pond
Quantity:
Stormwater Wetland
Quantity:
Permeable Pavement
Quantity:
Sand Filter
Quantity:
Rainwater Harvesting
Quantity:
Green Roof
Quantity:
Level Spreader - Filter Strip
Quantity:
Proprietary System
Quantity:
Treatment Swale
Quantity:
Dry Pond
Quantity:
Disconnected Impervious Surface
Present. -
User Defined SCM
Present:
I
Low Density
Present:
ti
ding O&M sheets will
Locations)
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s).-
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Type:
be added automatically):
Ve etated swales/roadside ditches
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acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
3ach SCM above, and attached O&M tables. I agree to notify NCDEQ of any problems with the system or prior to any changes to
he system or responsible party.
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
David Gibbons
Manager - Minkles Broadpointe 11 LLC.
7 Parliament Place
Dallas, TX, 75225
2146160652
[e-mail]
Signature: t. (L- ��� Date: (8 -1-7 - Z�
a Notary Public for the State of
:ounty of CyS do hereby certify that vti u'22r
ersonally appeared before me this day of a ` and
acknowledge the due execution of th9vpperations nd Waintenancy Ayreement .
11 11 � IIII �
Vitness my hand and official seal,
rs'er °us^ JAVIER AVILES RODRIGUEZ
Notary ID #132979810
y My Commission Expires
orb March 77, 2025
My commission expires OAC� 1 ai � a S
eat
ORM-EZ
rsion 1.5
O&M Agreement
8/27/2021
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