19970694 Ver 1_Stormwater Info_20020520

05/20/2002 ROT 13:29 FAX [phone] JOHN R MCADAMS
IV. General
A. All components of the sand filter system must be kept in good
working order.
I acknowledge and agree by my signature below that I am responsible for the performance
of the above maintenance procedures. 7 agree to notify DWQ of any problems with the
system or changes in the nwne of the project, responsible party, or address.
Print Name: how??1L. (???
Address: PO Box 1472 Cary NC 27512
Phone: [phone]
Title: P,
Signature:
Date: 3- 2- 02
5 a Notary Public for the to of? nlti
County of
bj(i do hereby ce that 12 AX, A
Personally appeared before me this _? ay of W 6L- . 19`, end
acknowledge the due execution of the forgoing water quality pond system maintenance
requirements. Witness my hand and official seal,
SEAL
to 003/003
My commission empires