SWA000075_O&M Agreement/Plan_20231130

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Project Name: Atlantic & Southern (formerly Pinnacle Cranes)
Project Location: 14211 Slatebrooks Drive
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Maintenance records shall be kept on the following SCM(s). This maintenan e' ard�sh ll b=`kept in a log in a known set location.
Any deficient SCM elements noted in the inspection will be corrected, repaireor replaced Immediately. These deficiencies can
affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the SCM(s).
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The SCM(s) on this project include (check all that apply&corresponding 004191 sheets will be added automatically):
Infiltration Basin Quantity: 0 Location(s):
Infiltration Trench Quantity: 0 Location(s)' '
Bioretention Cell Quantity: 0 Location(s):
Wet Pond Quantity: 0 rtlacationksy.
Stormwater Wetland Quantity: 0 Location(s):
Permeable Pavement Quantity: 0 Location(s):
Sand Filter Quantity: 1 Location(s): Northing 538856, Easting 1547728
Rainwater Harvesting Quantity: 0 Location(s):
Green Roof Quantity: 0 Location(s):
Level Spreader- Filter Strip Quantity: 0 Location(s):
Proprietary System Quantity: 0 Location(s):
Treatment Swale Quantity: 1 Location(s): Northing 538672, Easting 1547205
Dry Pond Quantity: 0 Location(s):
Disconnected Impervious Surface Present: No Location(s):
User Defined SCM Present: No Location(s): 1
Low Density Present: No Type:
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 i
the system or responsible party. i
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Responsible Party: Steve Evans
Title &Organization: President Atlantic & Southern Equipment, LLC
Street address: 14211 Slatebrooks Drive
City, state, zip: Midland, NC 28107
Phone number(s): 704 731 7272
Email: [e-mail]
Signature: < �e s ° '6 Cx"'^'---1--1 Date: 9/11/2023
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1, ll11L Gc, 1) 1,n,S , a Notary Public for the State of \J CA,/,- X
County of rci.t .`L\I , do hereby certify that ° $'--eV-e, 1,\[v c
personally appeared before me this ) ) day of c-e.i))--p/lN-\•>j-�(� and
acknowledge the due execution of the 0 e ations and Maintena ce Agreement ..
Witness my hand and official seal, - .
IIISIDNEY A COI.LIN'
Notary Public- Not'h C•rolina
Stanly County
My Commission Expires rna 16, WZI
Seal My commission expires '\ 4t O_-O�
STORM-EZ 9/8/2023
Version 1.5 O&M Agreement Page 1 of 4