SW3170303_O&M Agreement/Plan_20240701

Project Name: ALLEN STORAGE
Project Location: 11777 Allen Storage Road, Midland, NC 28107
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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: 2 Location(s): North corner of site
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: 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
the system or responsible party.
Responsible Party: Ramsey Allen
Title&Organization: Member,ASC Midland, LLC
Street address: 411 North Central Avenue
City,state, zip: Locust, NC 28097
Phone number(s): 704-361-6786
Email: ASC. [e-mail]
Signature: agtI\ Date: "'— 17
I, v ' kt ( ,a Notary Public for the State of N„--' CP.ILS1,n a\ _
County of c4A,,Ay , do hereby certify that -7,6l A ..u. / Al& e
personally appeared before me this 11 day of .5..N¢,, l 2621( and
acknowledge the due execution of the Operations Maint ance Agreement.
Witness my hand and official seal, •
BRENT MILLER
NOTARY PUBLIC
STANLY COUNTY,NC
MT COMMISSION EXPIRES MARCH 20,2f 26
Seal My commission expires 674 tot 202-te
R TIIRKA_F7 41/21/2ii9.1