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iv r ~ ~ ~ <br />Operation and Maintenance Information for <br />Stormwater Treatment Measures <br />Agency staff must complete and submit for NPDES permit reporting the following information for each new and <br />redevelopment project where treatment measures have been implemented since February 19, 2003. <br />Background Information <br />Location or Address: 2013 Farallon Drive <br />Type of Land Use: ^ Commercial ®Industrial ^ Residential ^ Public Agency <br />Property Owner's Name: The~Sfi~+~'~E ~~ ~~b~Foundation <br />Parcel/Tract No.: Lot No.: APN # 077B-851-48 & 34-2 <br />Owner's Information: Operator's Information <br />Contact: Sheldon Katzer <br />Name: The Gilbert <br />Foundation ~~ '~ - ~-f`°~'~' <br />Mailing Address: 2730 Wilshire Blvd, Suite 301, <br />Santa Monica, CA, 90403 <br />Phone: 310-449-4500 <br />Fax: <br />E-mail: skatzer@thegilbertfoundation <br />Contact: Danielle Padilla <br />Name: Padilla Landscaping <br />Mailing Address: 181 Sand Creek Road, Suite <br />B, Brentwood, CA 94513 <br />Phone: 925-513-3348 <br />Fax: 925-513-9353 <br />E-mail: <br />Does the stormwater treatment measure meet all local agency design standards? ®Yes ^No <br />More Detailed Information about Access Assurance and O&M Responsibilities: <br />Location on the property of each treatment measure. Describe below and attach map. <br />Vegetated Swale is located along the northwesterly property line of 2013 Farallon Drive <br />Describe how access permission is assured for O&M verification by public agencies or their representatives <br />(e.g. municipality, RWQCB, and Mosquito Abatement District) <br />O & M Agreement <br />Describe how responsibility for O&M is assured. Check all that apply. <br />® Signed statement from private entity accepting responsibility for O&M until responsibility is legally <br />transferred. <br />^ Signed statement from public entity assuming O&M. <br />® Written conditions in the sales or lease agreement requiring the buyer or lessee to assume O&M (in the <br />case of purchase and sale agreements, conditions shall survive the close of escrow). <br />^ Written text in project conditions, covenants and restrictions for residential properties assigning O&M <br />responsibilities to the Home Owners Association. Property Owners Association for industrial /commercial. <br />^ Any other legally enforceable agreement or mechanism that assigns responsibility as named below. <br />~~~ ~~ Nine ~~ ~ ~ ~ Signature ~ Date <br />G:\ LD\ Address\F1Farallon Dr 2013\0&M Data Form - 2013 Farallon Dr.docPage 1 of 2 <br />