SW5220601_O&M Agreement/Plan_20220712

Operation & Maintenance Agreement
Project Name: Community Baptist Church
Project Location: 2575 Hamp Stone Rd, Slier City, 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:
g O&M sheets will be added automaticall :
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: Dispersed flow only
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: Community Baptist Church of Siler City, Inc.
Title & Organization: Lois Lynch - Registered Agent
Street address: 2575 Hamp Stone Road
City, state, zip: Slier City, NC 27344
Phone number(s):
Email:
Signature: V1Date: & 0!?I21-?
I, p"--h a Notary Public for the State of in
County of C4, do hereby certify that ��l )-S LW n(,L�)
personally appeared before me this .Le- day of m(, i zo Z-2— and
acknowledge the due execution of the Operations and Maintenance Agreement
Witness my hand and official seal, 2
LELA L PA TIN
Notary P bllc
Chatham C)unty
North Car Ilna
My CQMMISSlon Lxplrtt August 6, 2023
Seal My commission expires wz
STORM-EZ 5/19/2022
Version 1 5 O&M Agreement Page 1 of 1

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 vegetated receiving area.
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 areas.
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.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element:
Potential problem:
How to remediate the problem:
Vegetation is too short or
Maintain grassed vegetation such that the swale or vegetated
Vegetation
too long.
area does not erode during the peak flow from the 10-year storm
Trash/debris is present.
Remove the trash/debris.
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, and then re -
Vegetated receiving
areas
erosive gullies have
sod (or plant with other appropriate species) and water until
formed.
established. Provide lime and a one-time fertilizer application.
Clogging has occurred
Clean out the outlet device. Dispose of the sediment off -site.
The outlet device (if
applicable)
The outlet device is
Repair or replace the outlet device.
damaged
Erosion or other signs of
damage have occurred at
Repair the damage and improve the flow dissipation structure.
the outlet.
Discharges from the site
The receiving water
are causing erosion or
Contact the local NCDEQ Regional Office.
sedimentation in the
receiving water.