SW4211201_O&M Agreement/Plan_20220113

Operation & Maintenance Agreement
Project Name:
Project Location:
The Grove Subdivsion Access Road
Belews Township, Forsyth County, 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 & 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:
g O&M sheets will
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:
ae aaaea automaticai
lVegetated swales/roadside ditches
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
Richard Stockett
Agent / Developer
901-F Paverstone Drive
Raleigh, NC 27615
[phone]
[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
12/2/2021
Page 1 of 4

Low Density Maintenance Requirements
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.
section activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element:
Potential problem:
How to remediate the problem:
Maintain grassed vegetation such that the swale or
Vegetation is too short
Vegetation
vegetated area does not erode during the peak flow
or too long.
from the 10-year storm
Remove the trash/debris.
Areas of bare soil
-Regracle the soil if necessary to remove the gully, an
then re -sod (or plant with other appropriate species)
and/or erosive gullies
Vegetated receiving
and water until established. Provide lime and a one -
have formed.
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
egra e the soil if necessary to remove the gully, an
then re -sod (or plant with other appropriate species)
and/or erosive gullies
and water until established. Provide lime and a one-
have formed.
time fertilizer application.
Sediment covers the
Remove sediment and dispose in an area that will not
grass at the bottom of
Vegetated
impact streams or SCMs. Re -sod if necessary.
conveyances /
the swale.
The side slope is
Regrade the slopes to the permitted configuration per
swales / roadside
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.
rees an 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
Ishown on the approved plans.

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