SW6211001_O&M Agreement_Plan_20220210

Operation & Maintenance Agreement
Project Name:
Project Location:
South Pointe at Wayside
Hoke County
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 & cc
Infiltration Basin Quantity:
Infiltration Trench Quantity:
Bioretention Cell Quantity:
Wet Pond
Stormwater Wetland
Permeable Pavement
Sand Filter
Rainwater Harvesting
Green Roof
Level Spreader - Filter Strip
Proprietary System
Treatment Swale
Dry Pond
Disconnected Impervious Surface
User Defined SCM
Low Density
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Present:
Present:
Present:
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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):
Location(s):
Type:
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INorth side of property I
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each SCM above, and attached O&M tables. I agree to notify NCDEQ of any problems with the system or prior to any changes to
the system or responsible party.
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
Signature
County of
personally appeared before me this
Barry D Hackett
President - Hackett Properties, Inc
1152 Kearns Hackett Road
Pleasant Garden, NC 27313
336-362-2041
[e-mail]
, a Notary Public for the State of
, do hereby certify that
day of
acknowledge the due execution of the Operations and Maintenance Agreement .
Witness my hand and official seal,
Date:
and
Seal
STORM-EZ
Version 1.5
My commission expires
O&M Agreement
10/14/2021
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