SW3191104_O&M EZ 071414_1.1 - iSeven LLC_11/19/2019

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Project Name: IThe Learning Experience
Project Location: Waxhaw, Union County ,NC
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 & cc
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:
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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):
I be added automatically):
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 0&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:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
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Signature: Date: /
a Notary Public for the State of)C� �ErIG`�L/(�1r
County of �(Jl2 ) do hearby certify that �l (s a: �._L1 A -
personally appeared before me this LJ 6 day of ��} ��i� �.LJ l �7 and
acknowledge the due execution of t e s d M ntenance Agreement.
Witness oAgilgl6i cial seal, z
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