HomeMy WebLinkAboutContract 49271 9�
CITY SECRETARY
RECEIVED CONTRACT NO. q47Z
a JUL102017
SOUTHLAND BUSINESS PA CITY OF FORT WORTH
SWM-2017-0084 CITY SECRETARY
w
STORMWATER FACILITY
MAINTENANCE AGREEMENT
THIS AGREEMENT, made and entered into thi3'day of y
by and between Fort Worth Everman/Risinger Development, LLC, acting by and through
Edward P. Roski, Jr., hereinafter referred to as "Landowner", and the City of Fort Worth,
hereinafter referred to as "City".
WITNESSETH
WHEREAS, the Landowner is the owner of certain real property described as an
approximately 5.9614-acre tract located in James J. Scott Survey, Abstract 1449, Tarrant
County, Texas according to the deed recorded in Instrument No. Q217118440, Official
Public Records, Tarrant County, Texas, hereinafter called the "Property".
WHEREAS, the Landowner is proceeding to build on and develop the Property
according to the Site Plan/Subdivision Plan known as Southland Business Park hereinafter
called the "Plan", which is expressly made a part hereof, as approved or to be approved by
the City and the Landowner provides for management of Stormwater within the confines
of the Property; and
WHEREAS, the City and the Landowner, and their successors and assigns, agree
that the health, safety and welfare of the residents of the City of Fort Worth, Texas require
that on-site Stormwater Management Facilities be constructed and maintained on a portion
of the Property; and
WHEREAS, the City requires that on-site Stormwater Management Facilities
("Facility") as shown on the Plan be constructed and adequately maintained by the
STORMWATER FACILITY MAINTENANCE AGREEMENT OFFICIAL RECORD 1
Rev.11/17/2016
CITY SECRETARY
FT.WORTH,TX
Landowner, its successors and assigns, the location and dimensions of which is shown and
more particularly described by metes and bounds in the attached Exhibit "A" ("Facility
Property"); and
NOW, THEREFORE, in consideration of the foregoing premises, the mutual
covenants contained herein, and the following terms and conditions, the parties hereto
agree as follows:
1. The Landowner, its successors and assigns, shall adequately construct and
maintain the on-site Stormwater Management Facility ("Facility") at no
expense to the City of Fort Worth in accordance with the design specifications
for the Facility, attached as Exhibit"B", and the current standards then in force
and effect in the City of Fort Worth and with the Operations and Maintenance
Plan attached to this Agreement as Exhibit "C". The Stormwater Facility
includes all pipes, channels or other conveyances built to convey Stormwater
to the facility, as well as all structures, improvements, and vegetation provided
to control the quantity and quality of the Stormwater. Adequate maintenance is
herein defined as good working condition so that these facilities are performing
their design functions. The Stormwater Structural Control Maintenance
Checklists, attached to this Agreement as Exhibit "D", are to be used to
establish what good working condition is acceptable to the City.
2. The Landowner, its successors and assigns, shall inspect the Facility and
submit an inspection report to the City annually. The purpose of the inspection
is to assure safe and proper functioning of the Facility. The inspection shall
cover the entire Facility, berms, outlet structure, pond areas, access roads, etc.
Components of the Facility, which need maintenance or replacement to
perform their design function, shall be noted in the inspection report along with
the corrective actions to be taken.
3. The Landowner, its successors and assigns, hereby grant permission to the
City, its authorized agents and employees, to enter upon the Property and to
inspect the Facility Property whenever the City deems necessary. The purpose
STORMWATER FACILITY MAINTENANCE AGREEMENT 2
Rev.11/17/2016
of inspection is to follow-up on reported deficiencies and/or to respond to
citizen complaints. The City shall provide the Landowner, its successors and
assigns, copies of the inspection findings and a directive to commence with the
repairs if necessary.
4. In the event the Landowner, its successors and assigns, fails to maintain the
Facility in good working condition as specified herein, the City, its authorized
agents and employees, may enter upon the Facility Property and take whatever
steps necessary to correct deficiencies identified in the inspection report and to
charge the costs of such repairs to the Landowner, its successors and assigns.
It is expressly understood and agreed that the City is under no obligation
to routinely maintain or repair said Facility, and in no event shall this
Agreement be construed to impose any such obligation on the City, such
obligation is Landowner's.
5. The Landowner, its successors and assigns, will perform the work necessary to
keep the Facility in good working order as appropriate. In the event the City
pursuant to this Agreement,performs work of any nature, or expends any funds
in performance of said work for labor, use of equipment, supplies, materials,
and the like, the Landowner, its successors and assigns, shall reimburse the
City upon demand, within thirty (30) days of receipt thereof for all actual costs
incurred by the City hereunder. In the event that Landowner or its successors
or assigns fail to pay the City for the costs incurred under this section, the City
shall impress a lien for the costs of such work upon other lots owned by the
Landowner. Such lien shall be perfected by filing in the office of the County
Clerk of Tarrant County, Texas an affidavit identifying the property to be
charged with such lien, stating the amount thereof, and making reference to
this Agreement.
6. This Agreement imposes no liability of any kind whatsoever on the City. THE
LANDOWNER AGREES TO HOLD THE CITY HARMLESS FROM
ANY LIABILITY IN THE EVENT THE FACILITY FAILS TO
OPERATE PROPERLY. LANDOWNER COVENANT AND AGREE
AND DOES HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND
STORMWATER FACILITY MAINTENANCE AGREEMENT 3
Rev.1111712016
THE CITY OF FORT WORTH, ITS AGENTS, SERVANTS AND
EMPLOYEES FROM AND AGAINST ALL COSTS, EXPENSES,
LOSSES, DAMAGES, CLAIMS OR CAUSES OF ACTION
WHATSOEVER ARISING, OR WHICH MIGHT ARISE, FROM THE
FAILURE OF LANDOWNER OR ANY FUTURE OWNERS OF THE
ABOVE FACILITITY PROPERTY TO MAINTAIN THE FACILITY,
INCLUDING, BUT NOT LIMITED TO THE BED AND BANKS OF
THE DETENTION POND; ANY DAMAGES CAUSED TO PERSON OR
PROPERTY DUE TO (1) FLOODING OF THE POND AND ITS
BANKS, (2) SLOPE FAILURE OF THE BANKS OF THE POND, OR (3)
FAILURE OF THE POND OR ITS BANKS TO OPERATE IN A
MANNER CONSISTENT WITH CITY OF FORT WORTH CRITERIA
TO PERFORM ANY OTHER DUTIES OR OBLIGATIONS
HEREUNDER.
7. Landowner covenants and agrees that no habitable building shall be erected
within the drainage casement outlined on Exhibit "A" but this paragraph shall
not preclude construction of other improvements within the drainage easement,
which do not impede drainage. Landowner covenants and agrees that no
habitable building shall be erected on the above property abutting such
easement which shall have a finished floor at an elevation less than two feet
above the maximum depth of water in the detention pond which would occur
during a 100 year frequency flood.
8. This Agreement shall be recorded among the land records of Tarrant County,
Texas, shall constitute a covenant running with the land, and shall be binding
on the Landowner, its administrators, executors, assigns, heirs and any other
successors in interests, including any property owners association.
[SIGNATURE PAGE FOLLOWS]
STORMWATER FACILITY MAINTENANCE AGREEMENT 4
Rev.11/17/2016
Executed this C�—day of n 2017.
FORT WORTH EVERMAN/RISINGER
DEVELOPMENT, LLC City
a Texas limited Partnership City of Fort Worth
By: Majestic—Everman Investor, LLC,
a Delaware limited liability company,
its Managing Member
By: Majestic Realty Co.,
a California corporation,
Manager's Agent
a e: Mwvard P. Roski, Jr. Jesus J. Chapa
Assistant City Manager
Title: EDWARD p ROSKI, JR.
i'rosidant and Cheirmn of the Board Approved as to Form and Legality
s 'istant City Attorney
ATTEST
O�FQRT G1i0
%
A.
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SPS
OFFICIAL RECORD
STORMWATER FACILITY MAINTENANCE AGREEMENT CIT ■ SECRETARY5
FT.WORTHo
Rev.11/17/2016
TX
STATE OF TEXAS §
COUNTY OF TARRANT §
This instrument was acknowledged before me on ( by
Jesus J. Chapa, Assistant City Manager of the City of Fort Wordi, on behalf of the City of
Fort Worth.
MARIA S SANCHEZ ?,
My e c mbar 19, Expires Not Public, State of Texas
December 19, 2017
STATE OF CALIFORNIA §
COUNTY OF §
Before me, the undersigned authority on this day of
2017, personally appeared
known
to me to be the person whose name is subscr' d to the foregoing instrument and
acknowledged to me that the saftte, is the act of
and that executed the same as its
and as the act of such and for the purposes and
consideration expressed in the foregoing instrument.
Notary Public, State of California
STORMWATER FACILITY MAINTENANCE AGREEMENT 6
Rev.11/17/2016
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Los Angeles
On June 9th, 2017 before me, Daniella Noel Garcia, Notary Public
(insert name and title of the officer)
personally appeared Edward P. Roski Jr.
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal. DAMERA
NotarP bNOECaEL Aorn a
Los Angeles County i
Z • D
Commission #2160178
/
My Comm.Expires Jul 17,2020
Signature (Seal)
EXHIBIT "A"
INSERT LEGAL DESCRIPTION
STORMWATER FACILITY MAINTENANCE AGREEMENT 7
Rev.11/17/2016
LEGAL DESCRIPTION
BEING a tract of land situated in the JAMES J. SCOTT SURVEY,Abstract Number 1449,City of Fort Worth,Tarrant County,
Texas;embracing a portion of a called 112.3316 acre tract of land described in deed to Fort Worth Evennan/Risinger
Development, LLC,as recorded in Instrument No.D217118440 of the Official Records of Tarrant County,Texas and being more
particularly described by metes and bounds as follows;
COMMENCING at a 1/2•iron rod found at a reentrant corner of said 112.3316 acre tract and being at the southwest comer of
called 6.3580 acre tract described in deed to Lynn Smith as recorded in Volume 15346,Page 157 of the Deed Records of
Tarrant County,Texas;
THENCE South 30°56'34'West,over and across said 112.3316 acre tract,a distance of 24.67 feet to the POINT OF
BEGINNING of easement being described,-
THENCE
escribed;THENCE over and across said 112.3316 acre tract the following:
South 89026'22"East,a distance of 115.55 feet to a point at the beginning of a non-tangent curve to the right from which a
5/8'iron rod with cap stamped•KHAe recovered at a northeast comer of said 112.3316 acre tract and on the south line of
said 6.3580 acre tract bears North;
In a southeasterly direction,with said curve to the right having a central angle of 89°27'19",a radius of 26.60 feet,an arc
distance of 41.53 feet and a chord bearing and distance of South 45°3907"East,37.44 feet to a point for comer,
South 2"04'56"East,a distance of 101.54 feet to a point for corner,
South 1.50'52"East,a distance of 557.42 feet to a point for corner from which a 5/8'iron rod with cap stamped
'KHA'recovered at a reentrant comer of said 112.3316 acre tract bears North 4'1900'East,over and across said
112.3316 acre tract a distance of 7.11 feet;
North 89"51'55"East,a distance of 50,20 feet to a point for comer from which a 5/8'iron rod with cap stamped
'KHA'recovered at a northeast comer of said 112.3316 acre tract bears North 27'01'04'East,over and across said
112.3316 acre tract,a distance of 8.19 feet;
South 0°36'59"East,a distance of 507.22 feet to a point for corner,
South 88'1447"West,a distance of 211.44 feet to a point at the beginning of a non-tangent curve to the right;
In a northwesterly direction,with said curve to the right having a central angle of 90"01'40",a radius of 47.00 feet,an arc
distance of 73,85 feet and a chord bearing and distance of North 45°43'51"West,66.48 feet to a point for comer,
North 1°30'25"West,a distance of 158.85 feet to a point for corner;
North 0.57'20"East,a distance of 265.10 feet to a point for corner,
North 0.37'41"East,a distance of 598.41 feet to a point for corner,
North 0°29'54"West,a distance of 96.89 feet to a point at the beginning of a non-tangent curve to the right;
In a northeasterly direction,with said curve to the right having a central angle of 45.08'47",a radius of 29.00 feet,an arc
distance of 22.85 feet and a chord bearing and distance of North 21°58'46"East,22.26 feet to a point for comer,
North 44°33'09"East, a distance of 6.50 feet to a point at the beginning of a tangent curve to the right;
in a northeasterly direction,with said curve to the right having a central angle of 45'02'40",a radius of 29.00 feet,an arc
distance of 22.80 feet and a chord bearing and distance of North 67°0430"East,22.22 feet to the POINT OF BEGINNING
and containing 5.9614 acres or 259,680 square feet of land.
�EoFr DRAINAGE EASEMENT
GIs y:p� s moo•; part of JAMES J. SCOTT SURVEY,
.
.... .
...s . . ..s. .
JAMES PAUL WARD ..... Abstract No. 1449
REGISTERED PROFESSIONAL .�f. PAUL WARD•
f City of Fort Worth, Tarrant County, Texas
LAND SURVEYOR NO. 5606 f- : ;:'�!
801 CHERRY STREET,UNIT 11
SUITE 950 SUM Kim1qy* Horn
FORT WORTH, TEXAS 76102 801 Cherry Street,Unit 11, Tel.No.(817)335-6511
PH. 817-335-6511 Fon Worth,Texas 76102 FIRM a 10194040 w Ajrntey-hornxom
)1�7Stele I Drawn by I Checked by De1ePmiect No, I Sheet No.
16 paul.ward@kimley-horn.com fJ �a 's r3/. w N/A FCN JPW 03/J1@017 051282600 1 OF4
NANCE,FORREST 5/31/20171:47 PM K:\FT VEY10612826001-MAJESTIC SOUTH FREEWAY\DWG\EASEMENT EXHIBITS\061282600-SOUTHLAND13USIt4ESSPARK ADDITION ONSITE
POND EASEMENT.DWG
LINE TABLE
NORTH NO, BEARING LENGTH
Li S30'56'34W 24.67'
0 250 500
L2 N89°26'22W 115.55'
GRAPHIC SCALE IN FEET L3 N62'15'37'E 49.81'
CURVE TABLE L4 502'04'56'E 101.54'
NO. DELTA RADIUS LENGTH CHORD BEARING CHORD L5 S01'50'52'E 557.42'
C1 89°27'19' 26.60' 41.53' S45'3W07'E 37.44 L6 889'51155"W 50.20'
C2 90'01'40" 47.00' 73.85' N45'43'51'W 66.48' L7 S00'36'59"E 507.22-
C3 45°08'47" 29.00' 22.85' N21'5846'E 22.26' LB S88'14'47W 211.44-
C4 45'02'40" 29.00' 22.80' N67'0430'E 721.84' L9 N01'30'25°W 158.85'
- - - - - - � L10 NQO°57'20'E 265.10'
L11 N00'37'41'E 598.41'
L12 N00'2954"W 96.89' M�
L13 N44'33'09"E 6.50'
1 L14 N04'10'00'E 7.11'
L15 N27°01'04"E BAA
112.3316 ACRE TRACT
FORT WORTH EVERMAN/RISINGER
` DEVELOPMENT,LLC
INSTRUMENT NO.D217118440 r n
OPRTCT V_
2
W
DRAINAGE EASEMENT /-
5.9614 ACRES �
259,680 SQ. FT.
l.l..l
z
DRAINAGE EASEMENT
part of JAMES J. SCOTT SURVEY,
LINE TYPE LEGEND Abstract No. 1449
BOUNDARY LINE City of Fort Worth, Tarrant County, Texas
EASEMENT LINE Ki!plpy
NOTES >>> Horn
B01 Cherry Sl , 1, Tel.No.(817)335.6511
For(Worlh,Texas 76102 FIRM Y 10194040 w kimley-hom.com
Bearing system based on the Texas Coordinate System of 1983,
North Central Zone(4202),North American Datum of 1983. s_0 orFCNawn by Checked 6v Dale 061Pru28!60 Sheet No
1"=500' FCN JPW 05/31/2017 061282600 20F4
NANCE,FORREST 5/31120171;47 PM K1FTW_SURVEY1061282606_1-MAJESTIC SOUTH FRE EWAYIDVJGIEASEMENT EXHIBITS5061282600-SOUTHLAND BUSINESS PARK ADDITION-ONSITE
POND EASEMENT.DVoG
I CALLED 6.3580 ACRES
NORTH n s 0.
C. � LYNN L.SMITH
r C. VOLUME 15346,PAGE 157
0 50 100 1/2`IRF DRTC7
5/13'IRRC
589'38'59"W 146.95'
GRAPHIC SCALE IN FEET P.O.B.VC4 L1�1 �,"— L3--•,.'`
L13 �+
C3� �
I
N
r
J
112.3316 ACRE TRACT
FORT WORTH EVERMANIRISINGER
DEVELOPMENT,LLC
INSTRUMENT No.D217118440
OPRTCT
�o
ti
DRAINAGE EASEMENCqT
5.9614 ACRES
259,680 SQ. FT. o REMAINDER OF
LOT 1R-1,BLOCK 1
LONE STAR SUBDIVISION
VOLUME 388-123, PAGE 58
PRTCT
J
I L5
MATCHLINE PAGE 3 /
REMAINDER OF
MATCHLINE PAGE 4LOT 1R-1,BLOCK 1
LONE STAR SUBDIVISION
VOLUME 38&123,PAGE 58
PRTCT
LINE TYPE LEGEND
BOUNDARY LINE
-- __— EASEMENT LINE
DRAINAGE EASEMENT
LEGEND part of JAMES J. SCOTT SURVEY,
P.O.B.=POINT OF BEGINNING Abstract No. 1449
CIRR=518"IRON ROD Wl"KHA"CAP RECOVERED City of Fort Worth, Tarrant County, Texas
IRF=IRON ROD FOUND
DRTCT=DEED RECORDS TARRANT COUNTY,TEXAS
PRTCT=PLAT RECORDS TARRANT COUNTY TEXAS
Kimlqy))) Horn
NOTES
801 Cherry Slaet,Unit 11, Tel.No.(817)335-6511
Fort Worth,Texas 76102 FIRM#10194040 v—.kimley-horn—
Bearing system based on the Texas Coordinate System of 1983, Scale Drawn by I Checked by ate P oiect No. 5 e e
North Central Zone(4202),North American Datum of 1983. r•=100• FCN JPW o5mvzon 06128360, 0 OF4
NANCE,FORREST 5131120171:47 PM KAFTW_SURVEY%061282600_1-MAJESTIC SOUTH FREEWAY87WG\EASEMENT EXHIBITS\061282600-SOUTHLAND BUSINESS PARK ADDITION-ONSITE
POND EASEMENT.DWG
MATCHLINE PAGE 3
--- —.• REMAINDER OF
NORTH MATCHLINE PAGE 4 LOT 1R-1,BLOCK 1
LONE STAR SUBDIVISION
VOLUME 388-123,PAGE 51
0 50 100 PRTCT
GRAPHIC SCALE IN FEET "- L5
j SEE DETAIL"A"
5/8"IRRC
5/8'[RRC
112.3316 ACRE TRACT —
FORT WORTH EVERMAN/RISINGER
DEVELOPMENT,LLC
INSTRUMENT NO.D217118440
OPRTCT
DRAINAGE EASEMENT
D 10 2.0
J� 5.9674 ACRES
DETAIL A r 259111680 SQ. FT.
GRAPHIC SCALE IN FEET
J
518"IRRC 518"IRRC
N89°38'49"E 53AO' _
;LIS v:
DRAINAGE EASEMENT
5.9614 ACRES
259,680 SQ. FT.
LINE TYPE LEGEND
BOUNDARYLINE
•� _��-- EASEMENT LINE DRAINAGE EASEMENT
LEGEND part of JAMES J. SCOTT SURVEY,
P.O.B.=POINT OF BEGINNING Abstract No. 1449
CIRR=518"IRON ROD W/"KHA"CAP RECOVERED City of Fort Worth, Tarrant County, Texas
IRF=IRON ROD FOUND
DRTCT=DEED RECORDS TARRANT COUNTY,TEXAS
PRTCT=PLAT RECORDS TARRANT COUNTY TEXAS
Kimley))) Ho
NOTES
rn
801 Cherry Slreel,Unit 11,#950 Tel.No,(811)335-6511
Fort Worth,Texas 75102 FIRM#10194040 w .kimley-hom.com
Bearing system based on the Texas Coordinate System of 1983, s__;_ie Drawn 6v Checked 6v Dale Pmiect No. heel No.
North Central Zone(4202),North American Datum of 1983. r=1m FCN JPW 05/3112017 1 061262600 4 OF4
NANCE,FORREST 5131120171:47 PM KaFTW SURVEYl061282600_1-MAJESTfC SOUTH FREEWAY0MrASEMENT EXHIBITSI061282600-SOLFfHLAND BUSINESS PARK ADDITION-ONSITE
PONDEASEMENT.DWG
EXHIBIT "B"
STORMWATER FACILITY MAINTENANCE AGREEMENT 8
Rev.11/1712016
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Exhibit "C"
CITY OF FORT WORTH STORMWATER FACILITY
OPERATION AND MAINTENANCE PLAN
The only responsibility the City of Fort Worth has in the operation and
maintenance of this Facility is inspection.
General Maintenance Procedures
The structural and functional integrity of the Facility shall be maintained at all
times by removing and preventing drainage interference, obstructions, blockages,
or other adverse effects into, through, or out of the system.
Periodic silt removal shall occur when standing water conditions occur or the
pond's storage volume is reduced by more than 10%. Silt shall be removed and
the pond/basin returned to original lines and grades shown on the approved
engineering plans. In addition, corrective measures are required any time a basin
does not drain completely within 72 hours of cessation of inflow. NO STANDING
WATER IS ALLOWED in basins designed for dry detention purposes.
Accumulated litter, sediment, and debris shall be removed every 6 months or as
necessary to maintain proper operation of the basin. Disposal shall be in
accordance with federal, state and local regulations.
Detention facilities shall be mowed monthly between the months of April and
October or anytime vegetation exceeds 12-inches in height.
To prevent debris from entering and clogging the downstream storm sewer
system a wire mesh screen or similar screening device shall be installed over the
outlet until final acceptance.
4. PREVENTIVE MAINTENANCE/INSPECTION
• Visual inspections of all components will be conducted every 6 months.
• A log shall be kept of maintenance actions, and inspections. The log
should document the condition of the detention system's primary
components, mowing, and silt, litter and debris removal dates. Document
aeration of the basin bottoms and replanting to prevent the sealing of the
basin bottom.
• Written maintenance and repair records shall be maintained by the
party or parties signing the attached Agreement and shall be provided
to the City upon request.
STORMWATER FACILITY MAINTENANCE AGREEMENT 9
Rev.11/17/2016
Exhibit "D"
Stormwater Structural Maintenance CHECKLIST
FREQUENT REPAIRS REPAIRS
INSPECTION DATE REQUIRED MADE NOTES
Mowing
Remove Trash and
debris
Inspect irrigation
system operation
Remove grass
clippings
Violations Noted
MINOR
INSPECTION
Condition of Pond
Amount of silt in
and
Amount of silt in
flume
Amount of ponded
water
Amount of wetland
vegetation
Location of Erosion
Percent of
vegetation
Condition of trash
guard
Location of Erosion
MAJOR
INSPECTIONS
Condition of
Stormwater Quality
Structure
Type of Stormwater
Quality Structure
Structure type and
Condition
Condition of Rip-
Ra
STORMWATER FACILITY MAINTENANCE AGREEMENT 10
Rev.11/17/2016
Condition of
filtrations stem
Berm or
Embankment
Settlement
Location of erosion
Evidence of
Animals
Evidence of Aquatic
life
Condition of
Aeration
Foundation
STORMWATER FACILITY MAINTENANCE AGREEMENT 11
Rev.11/17/2016
FORT WORTH °
Stormwater
INSPECTION CHECKLIST FOR SIMPLE DETENTION BASIN Management
Facility Name: Facility Agreement Number:
Basin/Pond Number: Inspected By: Date:
Type of Inspection:Annual_, Quarterly_, Monthly_, Routine_,or Storm Event_,(#days since event )
Basin Conditions:
1. Is there standing water or wet spots? Yes_No_Comments
2. Does sides or bottom show signs of erosion,settling,cracking,etc? Yes_No_Comments
3. Does dam or emergency spillway show signs of erosion,settling,
cracking,or other problems? Yes_No_Comments
4. Is there evidence of animal burrowing in dam? Yes_No_Comments
5. Is there evidence of changes in shape or volume of basin? Yes_No_Comments
6. Do vegetated areas need mowing? Yes_No_Comments
7. Are there trees or woody growth in dam? Yes_No_Comments
8. Are there areas that need to be re-vegetated? Yes_No_Comments
9. Is there any accumulation of silt,trash,debris or litter in the basin? Yes_No_Comments
10.Are there any other basin maintenance activities needed? Yes_No_Comments
Structural Components:
1. Are pipes,channels,trash racks,etc.free of obstructions? Yes_No_Comments
2. Are pipes,spillway or trash racks in need of repair? Yes_No_Comments
3. Is the low flow or trickle channel in need of repair? Yes_No_Comments
4. Is the outfall channel in need of repair? Yes_No_Comments
5. Are there any other structural maintenance activities needed? Yes_No_Comments
Plan for correcting deficiencies: Signature:
Owner's Representative
Date:
Form CFW-6
CFW-SEPTEMBER 2015 Appendix A A-17
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract,including
ensuring all performance +and reporting requirements.
Name of Employee
P5/c
Title