SW6231204_O&M Agreement/Plan_20240117

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Project Name: Starz Gas Station
Project Location: Hoke County, North Carolina
Cover Pa e
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&corresponding O&M sheets will be added automatically):
Infiltration Basin Quantity: Location(s):
Infiltration Trench Quantity: Location(s):
Bioretention Cell Quantity: Location(s):
Wet Pond Quantity: Location(s):
Stormwater Wetland Quantity: Location(s):
Permeable Pavement Quantity: Location(s):
Sand Filter Quantity: Location(s):
Rainwater Harvesting Quantity: Location(s):
Green Roof Quantity: Location(s):
Level Spreader- Filter Strip Quantity: Location(s):
Proprietary System Quantity: Location(s):
Treatment Swale Quantity: Location(s):
Dry Pond Quantity: Location(s):
Disconnected Impervious Surface Present: No Location(s):
User Defined SCM Present: No Location(s):
Low Density Present: Yes Type: Curb outlet system
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: Munawar Shahbain
Title &Organization: Manager-Johnson Mill Shops, LLC
Street address: 645 Laurinburg Highway
City, state, zip: Raeford, NC 28376
Phone number(s):,910-638-6102
Email: jamalGjkgc-us.com
Sinr,an, __ '-Q.,__._ _z Date: j 0-a 3-o3 3
, �GWUU3 14rmen4 - , a Notary Public for the State of fl/'Ui414 004,011'0A
County of '14 , do hereby certify that Mt,i tnitw a v 111Ji bz v
personally appeared before me this a3Yd day of D(1 UV/ , aOD 3 and
acknowledge the due execution of the Operations and Maintenance Agreement .
Witness mX,hand 4r)d official seal, IJG.WI , ,,yu vzt ti
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Seal My commission expires c I
STORM-EZ 10/19/2023
Version 1.5 O&M Agreement Page 1 of 1

Low Dens Maintenance Re•uirements
Important maintenance procedures:
The drainage area to the vegetated conveyance or vegetated receiving area will be
carefully managed to reduce the sediment load to the vegetated conveyance or
After the initial fertilization to establish the grass in the vegetated conveyance or the
vegetated receiving area,fertilizer will not be applied to the vegetated receiving
The vegetated conveyance or vegetated receiving area will be inspected quarterly. Records of
operation and maintenance will be kept in a known set location and will be available upon request.
'ection activities shall be performed as follows.Any problems that are found shall be repaired immediately.
SCM element: Potential problem: How to remediate the problem:
Vegetation is too short
Maintain grassed vegetation such that the swale or
Vegetation or too long. vegetated area does not erode during the peak flow
from the 10-year storm
1 IGJI UUCIJI lb lb
Remove the trash/debris.
Areas of bare soil Regrade the soil if necessary to remove the gully, and
and/or erosive gullies then re-sod (or plant with other appropriate species)
Vegetated receiving have formed. and water until established. Provide lime and a one-
areas time fertilizer application.
Trees and/or other Remove the trees and woody vegetation from the
woody vegetation are swale, regrade the swale if necessary and re-establish
present in the swale. grass as shown on the approved plans.
Trash/debris is
Remove the trash/debris.
present.
Areas of bare soil Regrade the soil if necessary to remove the gully, and
and/or erosive gullies
then re-sod (or plant with other appropriate species)
formed.
and water until established. Provide lime and a one-
have
time fertilizer application.
Sediment covers the Remove sediment and dispose in an area that will not
grass at the bottom of
Vegetated the swale. impact streams or SCMs. Re-sod if necessary.
conveyances/
swales/roadside The side slope is Regrade the slopes to the permitted configuration per
ditches (other than steeper than the the approved plan and reestablish vegetation. If as-
curb outlet swales) approved built or existing conditions do not allow the slopes to
configuration. be regraded, contact the applicable permitting
Determine the source of the problem: soils,
Grass is dead, hydrology, disease, etc. Remedy the problem and
diseased or dying. replace plants. Provide a one-time fertilizer
application to establish the ground cover if necessary.
1 rees and/or other Remove the trees and woody vegetation from the
woody vegetation are vegetated conveyance, regrade the vegetated
present in the conveyance if necessary and re-establish grass as
vegetated shown on the approved plans.

The longitudinal Regrade to meet the permitted longitudinal slope as
slope exceeds 5%. shown on the approved plans.
The swale profile does
Curb outlet swales or not match the Regrade the swale to the approved profile as shown
vegetated areas on the approved plans.
approved detail.
I Ile ICI ILy.tI I UI LI IC LALCI IU LI IC JVVdIC LU did IICVC 1.1 IC I UU'IUUL MUM III111IIUI I I
swale or vegetated length. If as-built or existing conditions do not allow
area is less than 100 the slopes to be regraded, contact the applicable
fcct nc rmittinh �ncnry

Clogging has Clean out the outlet device. Dispose of the sediment
occurred. off-site.
The outlet device (if
applicable)
The outlet device is
damaged Repair or replace the outlet device.
Erosion or other signs
of damage have Repair the damage and improve the flow dissipation
occurred at the outlet.
structure.
The receiving water Discharges from the
site are causing
erosion or Contact the local NCDEQ Regional Office.
sedimentation in the
receiving water.