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Operation & Maintenance Agreemlent <br /> Project Name . Efland EMS Station <br /> Project Location : 3800 US 70 W, Efland , NC 27243 <br /> Cover Page <br /> Maintenance records shall be kept on the following SCM (s ) . This maintenance record shall be kept in a log in a known set location . <br /> Any deficient SCM elements noted in the inspection will be corrected , repaired , or replaced immediately. These deficiencies can <br /> affect the integrity of structures , safety of the public, and the pollutant removal efficiency of the SCM (s ) . <br /> The SCM (s ) on this project include (check all that apply & corres onding O & M sheets will be added automatically) : <br /> Infiltration Basin Quantity: Location (s ) : <br /> Infiltration Trench Quantity: Location (s ) : <br /> Bioretention Cell Quantity: Location (s ) : <br /> Wet Pond Quantity: Location (s ) : <br /> Stormwater Wetland Quantity: Location (s ) : <br /> Permeable Pavement Quantity: Location (s ) : <br /> Sand Filter Quantity: Location (s ) : <br /> Rainwater Harvesting Quantity: Location (s ) : <br /> Green Roof Quantity: Location (s ) : <br /> Level Spreader - Filter Strip Quantity: Location (s ) : <br /> Proprietary System Quantity: Location (s ) : <br /> Treatment Swale Quantity: Location (s ) : <br /> Dry Pond Quantity: 1 Location (s ) : North end of site <br /> Disconnected Impervious Surface Present : No Location (s ) : <br /> User Defined SCM Present : No Location (s ) : <br /> Low Density Present : No Type : <br /> I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for <br /> 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 <br /> the system or responsible party. <br /> Responsible Party: Travis Myren , in his capacity as County Manager <br /> Title & Organization : Title & Org - County Manager, Orange County <br /> Street address : 300 West Tryon Street <br /> City, state , zip : Hillsborough , NC 27278 <br /> Phone number(s ) : 919 .245 .2308 <br /> Email : tmyren@orangecountync . gov <br /> Signature : Date : <br /> I , , a Notary Public for the State of <br /> County of , do hereby certify that <br /> personally appeared before me this day of and <br /> acknowledge the due execution of the Operations and Maintenance Agreement . <br /> Witness my hand and official seal , <br /> Seal My commission expires <br /> STORM- EZ 3/10/2025 <br /> Version 1 .5 O&M Agreement Page 1 of 1 <br />