Ripon, CA · San Joaquin County
Operation and Maintenance Plan Self-Certification Form
Property owners or authorized parties use this form to certify annual inspection and maintenance of stormwater treatment features on their property.
What this form is
This form certifies that a property's stormwater Treatment Control Measures have been inspected and maintained and are in effective operational condition. The document says it must be completed and submitted each January 1 after the measures are installed. It asks for the owner's name, project address, parcel number, treatment measures, maintenance details, and the owner's or operator's signature and date.
Who needs it
Property owners or authorized parties with installed stormwater Treatment Control Measures use this form to certify inspections and maintenance each year.
How to submit it
Return the signed form by January 1 to the City of Ripon Engineering Department at 259 N. Wilma Avenue, Ripon, CA 95366, or email it to [email protected].
About notarization
This form is signed without a notary; it asks the owner or operator to sign and date, with no sworn attachment identified.
How to submit this form
- 1
Download The Form
Download the Operation and Maintenance Plan Self-Certification Form.
- 2
Complete The Form
Enter the property and Treatment Control Measure details, answer the maintenance questions, and sign and date the certification.
- 3
Gather Attachments
The form does not identify any required attachments.
- 4
Submit To The City
Return the signed form by January 1 to the Engineering Department by mail or email.
Frequently asked questions
- Who uses the O&M Plan Self-Certification Form?
- Property owners or other authorized parties use it to certify inspection and maintenance of installed stormwater Treatment Control Measures.
- When does Ripon require this form?
- The form says to complete and submit it by January 1 each year after the Treatment Control Measures have been installed.
- Do I need a notary for the O&M Plan Self-Certification Form?
- No. The form asks the owner or operator to sign and date it; it identifies no sworn attachment. Other documents you may have could require a commissioned online notary.
- How do I submit the O&M Plan Self-Certification Form?
- Return the signed form by January 1 to the City of Ripon Engineering Department at 259 N. Wilma Avenue, Ripon, CA 95366, or email it to [email protected].
Need something notarized?
This Operation and Maintenance Plan Self-Certification Form doesn’t need a notary — but if you have another Ripon form that does, a commissioned online notary can help.