Printed Name Signature (Owner or Owner’s Agent) Title Date Legislation/Regulations/Permitting/Guidelines: • Fairfax County Codified Ordinances – Chapters 104, 112, 118 124 • Fairfax County Public Facilities Manual (PFM), Chapter 6: Storm Drainage • Virginia Stormwater Management Program (VSMP) (§9VAC25-870) • Virginia Chesapeake Bay Preservation Act (§9VAC25-830) • Federal Clean Water Act/Section 402-(P) enabling the National Pollution Discharge Elimination System under which Fairfax County is required to meet Federal mandates as required by the Municipal Separate Storm Sewer System (MS4) Permit : VA0088587 Description of Work Completed Attach any invoices, photos or other information relative to maintenance performed or planned Form MAR Date Completed Cost Rev..
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