SW6200204_O&M Agreement_20200303

Operation & Maintenance Agreement
Project Name:
Project Location:
Midway Plaza
8100 U.S. Highway 401, Raeford, NC 28376
_ Cover Page
Maintenance records shall be kept on the following BMP(s). This maintenance record shall be kept in a log in a known set location.
Any deficient BMP 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 BMP(s).
The BMP(s) on this project include (check all that apply & corresponding O&M tables will
Bioretention Cell Quantity:
Dry Detention Basin Quantity:
Grassed Swale Quantity.
Green Roof Quantity:
Infiltration Basin Quantity:
Infiltration Trench Quantity:
Level SpreaderNFS Quantity:
Permeable Pavement Quantity:
Proprietary System Quantity:
Rainwater Harvesting Quantity:
Sand Filter Quantity:
Stormwater Wetland Quantity:
Wet Detention Basin Quantity:
Disconnected Impervious Area Present:
User Defined BMP Present:
Location(s)
Location(s)
Location(s)
Location(s).
Location(s)
Location(s)
Locations)
Location(s)
Location(s)
Location(s)
Location(s)
Location(s)
Location(s)
Location(s)
Location(s)
1
0
No
No
De aaaea autom
NC
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any changes to
the system or responsible party.
" Responsible Party: Ed Shultz
Title & Organization: Property owner, Shultz Rentals 1, LLC
Street address: 4780 Shavano Drive
City, state, zip: Windsor, CO 80550
Phone number(s): 910-476-8468
Email: I [e-mail]
Signature: Date: 31
I, tAil—, �r S , a Notary Public for the State of
County of to1 15::3 do hearby certify that e6 C✓i
personally appeared before me this day of and
acknowledge the due execution oo eration d Maintenance Agreeme
Witness my hand and official ea
KRISTINA RAE WE
NOTARY PUBLI
STATE OF COLOR.
NOTARY ID 201440.
COMMISSION EXPIRES DEC
11, 2022
My commission expires / 0/ # / "7-V 2~-Z--
STORM-EZ 1 /30/2020
Version 1.4 O&M Manual Page 1 of 3