AFTER RECORDING, RETURN TO:Operations & Maintenance Agreement • April 5th, 2023
Contract Type FiledApril 5th, 2023FORM O&M: Operations & Maintenance Agreement for Best Management Practices Permit Application #: Project #: BOX 1 Owner’s Name: Phone Number: ( ) - Mailing Address: Site Address: Site Legal Description: BOX 2 Type of Practices. Check all that apply: ☐ Wet Pond ☐ Extended Wet Pond ☐ Dry Detention Facility☐ Cluster Development ☐ Tree Protection ☐ Tree Planting ☐ Depaving and/or Restored Soils ☐ Contained Planter ☐Vegetated Roof ☐ Porous Pavement (Type: ) ☐ Rain Garden ☐ Stormwater Planter ☐ LID Swale ☐ Soakage Trench ☐ Drywell ☐ WQ Conveyance Swale ☐ Dispersion BMP ☐ Level Spreader BOX 3 Party Responsible for maintenance of Best Management Practice (BMP). Check One:☐ Property Owner ☐ Homeowner’s Association ☐ Other (describe) Contact Information (only if other than owner) Maintenance Contact Name: Phone Number: ( ) - Maintenance Contact Address: Estimated Date of Installation (mm/yyyy): Prepared By: BOX 4 Insert site plan here or attach separate sheet. The practices located on this site