SW6221103_O&M Agreement/Plan_20221128

Operation & Maintenance Agreement
Project Name:
Project Location:
Iron Man Self Storage
SR 1120 Harnett 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 & 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:
;pondi 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):
No Location(s):
No Location(s):
Yes Type:
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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:
Joseph T. Bowden, II
Owner
4016 Overhills Rd
Spring Lake, NC 28390
910-336-5551
[e-mail]
Date: Q- / q—a Z
I, "n A,v, t s,,r }, a Notary Public for the State of , na
County of do hereby certify that
personally appeared before me this day of,irrie� 2o2Z and
acknowledge the due execution of the Operations and Maintenance Agreement .
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seal, --
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Seal
STORM-EZ
Version 1.5
My commission expires
O&M Agreement
9/14/2022
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