O-M-EZ-20201215-2.1--3-_v1The SCM(s) on this project include (check all that apply & corresponding O&M sheets will be added automatically):
Quantity: Location(s):
Quantity: Location(s):
Quantity:Location(s):
Quantity: Location(s):
Quantity: Location(s):
Quantity:Location(s):
Quantity: Location(s):
Quantity: Location(s):
Quantity: Location(s):
Quantity:Location(s):
Quantity: 1 Location(s):
Quantity: Location(s):
Quantity: 1 Location(s):
Present: No Location(s):
Present: No Location(s):
Present: No
I, , a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this day of and
acknowledge the due execution of the Operations and Maintenance Agreement .
Witness my hand and official seal, _____________________________________________.
Seal
Operation & Maintenance Agreement
Project Name:
Project Location:
Castle Hayne Fire Station
4860 Castle Hayne Road, Castle Hayne, NC 28429
Infiltration Basin
Date:
Sand Filter
Responsible Party:
Title & Organization:
CLICK TO UPDATE O&M MANUAL
Low Density Type:
New Hanover County - Facilities Management
Kevin Caison - New Hanover County Facilities Management
kcaison@nhcgov.com
Stormwater Wetland
Wet Pond
Proprietary System
Disconnected Impervious Surface
Phone number(s):
Email:
Green Roof
Rainwater Harvesting
City, state, zip:
Treatment Swale
Permeable Pavement
Level Spreader - Filter Strip
East of the dry pond on the pond outlet
Wilmington, NC 28401
(910) 798-4338
200 Division Drive
My commission expires
User Defined SCM
Southern portion of property
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.
Dry Pond
Signature:
Street address:
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).
Bioretention Cell
Cover Page
Infiltration Trench
STORM-EZ
Version 1.5 O&M Agreement
4/11/2024
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