SW1210902_O&M Agreement/Plan_20211124

Operation: Maintenance Agreement
Project Name:
Project Location:
Broadpointe Industrial Facility
Mills River, NC
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 & co
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:
Low Density
Present:
onding O&M sheets will be added automatically):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
1 Location(s): east corner of developed area
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
No Location(s):
No Location(s):
No Type:
CLICK TO UPDATE O&M MANUAL
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:
David Gibbons
Manager, Minkles Broadpointe II
7 Parliament Place
Dallas, TX 75225
P146160652
[e-mail]
QA c k-,r-- cl /, c C_I C_
County of
Date: t r 11 � � "LI
a Notary Public for the State of _T
do hereby certify that c -J, i`-, , /3 cis
personally appeared before me this day of
iy C J,_ —\0 j_1 and
acknowledge the due execution of the Op7qtions and Maintt nce greeGeTenent .
Witness my hand and official seal, �"?`'"�•��
P"""'LA L FR PEMCK
�otary iD'13 '4-'b2'
My Commissio Exr.irt2s
March 19,1022
Seal
STORM-Ez
Version 1.5
M commission expires
Y p
O&M Agreement
11/19/2021
Page 1 of 1