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HomeMy WebLinkAboutContract 50066 234 RE'CEIveo DEC 2 p 2011 �j -` CITY SECRETARY C17Y OF FORT VV0f�{ " CON'TRACT NO. C[TYSECRMRI�UOE,#, STORMWATER FACILITY MAINTENANCE AGREEMENT THIS AGREEMENT, made and entered into this day of lb >-Mm� 2017, by and between 820/30 Holdings, LLC, general partner of 820/30 Interchange, Ltd. acting by and through Mark Foster, Manager, 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 12.03 acre tract located in the BUFFALO BAYOU, BRAZOS & COLORADO RAILROAD COMP. Survey, Abstract 219, JAMES W. OXFORD Survey, Abstract 1201 and the GEORGE WHITE Survey Abstract 1751, Tarrant County, Texas according to the deed recorded in Volume 388-54, Page 8,Deed 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 PALLADIUM FORT WORTH 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 KF7T. L RECORD CRETARY STORMWATER FACILITY MAINTENANCE AGREEMENT RTH,TX I Rev.11/17/2018 WHEREAS, the City requires that on-site Stormwater Management Facilities ("Facility") as shown on the Plan be constructed and adequately maintained by the 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 "U', 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. STORMWATER FACILITY MAINTENANCE AGREEMENT 2 Rev.11/17/2018 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 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 STORMWATER FACILITY MAINTENANCE AGREEMENT 3 Rev.11/17/2018 ANY LIABILITY IN THE EVENT THE FACILITY FAILS TO OPERATE PROPERLY. LANDOWNER COVENANT AND AGREE AND DOES HEREBY INDEMNIFY,HOLD HARMLESS AND DEFEND 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 easement 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. STORMWATER FACILITY MAINTENANCE AGREEMENT 4 Rev 11/17/2o18 [SIGNATURE PAGE FOLLOWS] Executed this V'-'day of 2017 820/30 Interchange,Ltd By: 820/30 Holdings, LLC a texas limited liability company it's general partner City of Fort Worth Name: Mark Foster Jesus J. Chapa Assistant City Manager Title: Manager Approved as to Form and Legality 14 U 0 all Assistant City Attorney A T AA&C: /Z FORT o ity Secretary OFFICIAL.RECORD CITY SECRETARY F7. lPYORTH,TX STORMWATER FACILITY MAINTENANCE AGREEMENT CJ Rev.11/17/2016 STATE OF TEXAS § COUNTY OF TARRANT § This instrument was acknowledged before me on 7) -LD1 x017 by Jesus J. Chapa, Assistant City Manager of the City of Fort Worth, on behalf of the City of Fort Worth. LINDA M, HIRRLINGER t Notary Public,State of Texas N,:' l.•;, Comm. Expires 02-02-2018Notary Public, State of Texas %vrF•..tip+. °;,,�•`` Notary ID 12414474-6 STATE OF TEXAS § COUNTY OF -f l-a✓1 § Befor me, the undersigned authority on this _ day of 2017, personally appeared Mark Foster, Manager of 82673-6 Holdings, LLC, general partner of 820/30 Interchange,Ltd.,known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that the same is the act of 820/30 Interchange, Ltd, and that he executed the same as its Manager and as the act of such 820/30 Interchange, Ltd. and for the purposes and consideration expressed in the fro^e�oi n trument. LL l...pV'�i, MATTHEW DENNIS KARKOS jNotary Public,State of TexasComm. Expires 05-09-2020�����„�.� t4otary ID 130653050 otary Public, State of Texas STORMWATER FACILITY MAINTENANCE AGREEMENT 6 Rev.11117/2018 Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including 7 e uring all performance and reporting requirements. U La4+ Janie S. Morales Development Manager JOHN B.FOSTER (;� VOL. 15662,PG.414 D.R.T.C.T. GRAPHIC SCALE 1*=60' POINT OF BEGINNING Ml 30 0 30 60 N:6956905.60 E:2280434,55 POINT OF COMMENCING NAD 83, ZONE 4202 (GRID) N:6956906.83 E:2281157.15 NAD 83, ZONE 4202 (GRID) N89054'08"E S0005'52"E S89*5408"W 63.29' 15.00' _ 722.60' — — _89°54'08'_E_149.37 — — lu 112'CAPPED IRON ROD FOUND 1 N STAMPED'JBI"AT THE N NORTHWEST CORNER OF to A 48002'46" LO 4 o WYNHAVEN AT W STPOINT R 298.18' I cn CAB.A,SLIDE 12389 P.R.T.C.T L 250.04 T 132.90 Ch B NO2057'22"E Ch L 242.78' / 820130 INTERCHANGE,LTD. VARIABLE WIDTH Go� PROPOSED LOT 1 INST.NO.D204389104 I DRAINAGE EASEMENT SIENNA HILLS(PENDING) TRACT THREE,49.747 ACRES .37 AC. 12.03 AC. �. C.C.R.T.C.T. 0 5021'54" (59530 S.F.) / R 701.82' N L 65.72 / S1 052'49"W T 32.88 Ch B N24°17'48"E ¢ F-45.76' Ch L N240 / JAMES W. OXFORD SURVEY' ABSTRACT N0, 1201 S4040'48"W TARRANT COUNTY, TEXAS /^'45.54' !S89°54'08% 246.60' �; . t / CI�.f EES F ST Fir.,': ., ..�•, :�C; PROPOSED LOT 2 4 L J SIENNA HILLS(PENDING) 3.46 AC. Exhibit"A" PAN=No32D-OW 1�armn'sr .k`sw STORM WATER FACILITY MAINTENANCE AGREEMENT -r.�. OIf1E 11/13/17 .':''}::.:^a•c F,-w rd,suiH,°o. Situated in the tE't Fr 8 78132 9,9 4 JAMES W.OXFORD SURVEY,ABSTRACT NO. 1201 1 //� n 2;®r�7s�e,a� 1 O F L �n:��,.;c.-..F-,�rxy rrla4 c•_rci "`'ftI Tarrant County,Texas STORM WATER FACILITY MAINTENANCE AGREEMENT BEING a 1.37 acre tract for Storm Water Facility Maintenance Agreement,situated in the JAMES W,OXFORD SURVEY,Abstract No.1241, Tarrant County,Texas,being over,under and across a portion of that certain tract of land described in deed as Tract Three to 820/30 Interchange,LTD, recorded in Instrument No.D204389104,County Clerk's Records,Tarrant County,Texas,said Variable Width Drainage Easement being more particularly described,as follows: COMMENCING at a 1/2"capped iron rod found Stamped"JBI"in the north line of said 820/30 Interchange,LTD,being the south line of that certain tract of land described in deed to JohnB.Foster,recorded in Volume 15662,Page 414,Deed Records,Tarrant County,Texas,said 1/2"capped iron rod found being the northwest corner of Block 1,Lot 1,WYNHAVEN AT WESTPOINT,an addition to the City of Fort Worth,Tarrant County,Texas, according to the Plat recorded in Cabinet A,Slide 12389,Plat Records,Tarrant County,Texas,said COMMENCING point having a NAD 83,State Plain,Zone 4202(Grid)coordinate value of NORTH:6956906.83 and EAST:2281157.15,for reference; THENCE S 89054'08"W,along the common line of said Tract Three and said James B.Foster tract,a distance of 722.60 feet to a point at the POINT OF BEGINNING of the herein described Variable Width Drainage Easement,said BEGINNING point having a NAD 83,State Plain,Zone 4202 (Grid)coordinate value of NORTH:6956905.60 and EAST:2280434.55,for reference; THENCE S 00005'52"E,leaving the common line of said Tract Three and said James B.Foster tract,a distance of 15.00 feet to a point; THENCE N 89054'08"E,being a distance of 15.00 feet south of and parallel to the common line of said Tract Three and said James B.Foster tract,a distance of 149.37 feet feet to a point at the northeast comer of the herein described Variable Width Drainage Easement; THENCE along the east line of the herein described Variable Width Drainage Easement,as follows: S 00°05'52"E,a distance of 64.25 feet to a point; S 14054'08"W,a distance of 69.74 feet to a point; S 15°05'52"E,a distance of 66.81 feet to a point; S 01°52'49"W,a distance of 45.76 feet to a point; S 04°40'48"W,a distance of 45.54 feet to a point at the southeast corner of the herein described Variable Width Drainage Easement; THENCE S 89054'08"W,a distance of 246.60 feet to a point at the southwest corner of the herein described Variable Width Drainage Easement,said point being the beginning of a curve to the right,whose radius is 701.82 feet and whose long chord bears N 24°17'48"E,a chord distance of 65.69 feet; THENCE along the west line of the herein described Variable Width Drainage Easement,as follows: Along said curve in a northeasterly direction,through a central angle of 05°21'54",an arc distance of 65.72 feet to a point at the beginning of a curve to the left,whose radius is 298.18 feet and whose long chord bears N 02°57'22"E,a chord distance of 242.78 feet; Along said curve in a northeasterly direction,through a central angle of 48°02'46",an arc distance of 250.04 feet to a point at the northwest corner of the herein described Variable Width Drainage Easement,in the common line of said Tract Three and said James B.Foster tract: THENCE N 89054'08"E,along the common line of said Tract Three and said James B.Foster tract,a distance of 63.29 feet to the POINT OF BEGINNING and containing 1.37 acres(56,530 square feet),more or less. 1P�E OT FT f t9 NOTES: moi,•4G 90 1.)BEARINGS&COORDINATES SHOWN HEREON ARE •CHARLES F. STt RK REFERENCED TO THE TEXAS STATE PLANE -•••• COORDINATE SYSTEM,N.A.Q.83 DATUM(TEXAS5Q$a, NORTH CENTRAL ZONE 4202)DERIVED FROM '90� Cyt; RESOLVED OPUS SOLUTIONS. 9jy0 lJ 0 Exhibit"A" PRgJE(T Na. 370-93Bfi BaSTORM WATER FACILITY MAINTENANCE AGREEMENTWE P 3 7 15221 Sw thwv,aouw—d,$„x,100 Situated in the �r Foe worm, TeFj 3i70132 4 JAMES W.OXFORD SURVEY,ABSTRACT NO. 1201 T R 281 6 E �R1 E17.231.� ^ O /1 Team Repsrereo Enpiroenrq.FYm.F-rosea L L Teas Rppiytgr�p SurveY gn.,F-Y015R W Tarrant COUn Texas w n nns[a�k cam 4LTlWTE �YR _ SS \ PRELIM ISWM FEMA ` o ZtNJE "A' � r/l, sp AC SS OAD \12'ROCK— /w 748.0 1 IP-RAP 1 'TNICK P�OPOSED T/W, 'y EM DRAIN 6/ly 7 �Q 752 '(OUTFALL) t J PROP I f P.RCP ( PR /S STORM DRAIN PIP , 33' 2A 7 FLOODPLAIN 0 R B LTIMATE YR1 P>RAP PRELIM ISYIM 1 'THICK I°D Z2 +n a 04 LO - q f B — 11 vj� M PROP�FD RETAININ WALL d — EkIST E1kER ,� (q/ TO BE NED LINED SLOPES (TYP) , p ss,0 DETENTION / 0 POND c° -� 100 YR WSE=757.9' f (HMS ANALYSIS) I �� J! PROPOSED INLET I ! r / f PROPOSED STORM DRAIN PIPE / le ROCK � I RIP-RAP _ S9D1 16 H.W.L=758.5' r T 1+00 f 2+00 OF re 65 SS SS ez SSI SS / CHARLES F. STARK j .... 57357 ......�. GRAPHICSCALE 20 0 20 40 / nli0 BY CROLE F.STARK,F.E 7-5i.-Ill NHQRID 6T CRARLES F. 5735P.E. R RAT N 7 7 Exhibit"B" sm"n" to STORM WATER FACILITY MAINTENANCE AGREEMENT E�No. 3 _a, DATE, NN.I017 FU21on Worth. a.ulxaro.Su.;{e,�Q Situated in the Fon wo31' Teas 's'a2 JAMES W.OXFORD SURVEY,ABSTRACT NO. 1201 ` {O)tl17,231.tl9 QQ (FJ 917.27,.R14e Texas 11egatered ErpUre 1%F7,Texas Regisleeare"Co Suerlwa y Fl0'lZ'Z 1 O F 4Tarant County,Texas STORM G TOP POND 759.0 760 -� 760 100YR W.S.E.757.90 - - - - - - - - - - - - BOTTOM POND l 6"CONCRETE RIP-RAP 750 emotion=0+85.13 750 TAPER RCP END AT 15.0% 4'X41 CONC BOX SLOPE W/ 27° DIA. ORIFICE J100 YR W.S.E. 746.04 / FL ORIFICE-752.00 EXIST� UND � TOP=757.90 �� 81 LF 27" RCP @ 1.00% Station=0+83.13 Station=0+00.00 FL =746.03 FL=745.20 740 740 L 18"THICK STONE RIP-RAP SCALE SEE PLAN VIEW FOR WIDTH VER. 1" = 4' 735 HOR. 1" = 40' 735 0+00 1+00 �E OF TF .:...........I..........:.... CHARLES F. STARK ....I............................ 57357�0;�F Fs• STE�. .� S/ONAL at a12��9����7 POND OUTFALLUs E OF THIS ELECTRONIC SEAIfSIGNATURE AUTHORIZED BY CHARLES F.STARK, P.E. TEXAS REGISTRATION NO.57357 Exhibit"B" .01 -Swift STORM WATER FACILITY MAINTENANCE AGREEMENT PROJECT No. 320-9386 D Situated in the ATE: NOV. 2017 6221 Southwest Boulevard.Suite 100 SHEET Fort Worth. Texas 76132 OXFORD SURVEY s1F1 17.231.8100 817.231.8144 JAMES W. ,ABSTRACT NO. 1201 Tex 12 0 �F Texas Registered Engineering Firm F-70998 11 Texas Registered Survey Firm F-10158800 Tarrant County,Texas —.ber nstark. rn u z I 0 0 0 0 0 � I o 0 Lo� � o � � III a- N I' d II 0 w 1Nn ~ W O > ~ o� z Z m 0 z0 LL- U) a o m U > Ln Q M m Ovi II z co Z LLJ O m _O V) U z o H- H-- Z U rl�Ul)L LTJ o LU Lor- W QI 0 01 � ^ u II w- � in d^ o (n '" w w W C/) z N 00 Co to 0 U) fn NV) O W ^r,� 0 0 z 333 N u u H rrr U wl v t- W JJJ U L� U 333 Z N _ to tD OI— a0. =I o� o1n- a III= f.I. III- IIIIIr II 0 11= 0 III o m L PSE OF TES ;1 fit; .�• '.iY ............................. MOb _ __ CHARLES F. STARK ................................. 57357 a� FSS/ONAL 9 2011 C 12�1 USE aF THIS ELECTRONIC 5 SIGNATURE AUfHORIZEC BY CHARLES F.STMK,P.E. TEXAS REGISTRATION N0, 57357 D Exhibit "B" Fa✓,1JECT Wa. 320-9386 sa wm STORM WATER FACILITY MAINTENANCE AGREEMENT �4 A7: Situated Hbv'.2917 Situated in the 6221 5-0—aot g-d—N.Su11e 100 SHEET Fort17-2,111, Texise W.78,32 JAMES WOXFORD SURVEY ABSTRACT NO1201 (0)617.231.910U (F)&a 847.231.6141 . /'1 O T 7" EgvrMngFm F.,pBgO Tarrant COUnt},Texas 3 4 rmPe S'urw Firm F•IOi58880 www.6arrana .cnm 27.0' TOP OF WALL/POND=759' V HWL WSE=758.5' TOP OF WALL/POND=759'_ Y 100YRWSE=757.9' 2.0' N C14 130TTOM POND 752.0' OUTFALL PIPE & SPILLWAY ............. L yr WO yr 44.1 fS Peak inflow: 56.6 85.1 Peak Outflow: 22.7 34.2 100.0 cfs Inflow Vol: 3.1 5.7 11.9 ac-ft Discharge Vol: 3.1 5.6 11.7 ac-ft Peak Storage: 1.0 1.7 2.5 ac-ft Peak Elev: 755.1 756.4 757.9 ft TOP Elev: 759.0 759.0 759.0 ft CHARLES F. STARK ....................... b 57357 0 1 STOS USE OF THIS EUECTROMC SEAL/SIGNATURE AUTHORIZED BY CKARLFS F. TARK,P.E. TEXAS REGST.171C14 tiQ 51151 Exhibit"B" PRWECT No, 320—M B&rv0n-StWk-8wm STORM WATER FACILITY MAINTENANCE AGREEMENT 'yWe Situated in the DATE: NIX 2017 6221 SwIh�st SoWevvo,$vI*—100 0 c' SHEET Fom Woth. Tc.ao 76132 (0)61T23i.8iDD �F)917,231,0144 JAMES W. OXFORD SURVEY,ABSTRACT NO. 1201 T: Regi We dEngi—gFi"F-10M 40F4 Texas Fbgv—d Survey FM F-I 0159W Tarrant County,Texas —k--t-kstark. I 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 Rev. 1/17/2016 Exhibit "D" Stormwater Structural Maintenance CHECKLIST FREQUENT REPAIRS 11 REPAIRS INSPECTION DATE REQUIRED MADE NOTES Mewing __ Remove Trash and debris Inspect irrigation system operation_ Remove grass clippings Violations Noted MINOR INSPECTION Condition of Pond Amount of silt in ,pond Amount of silt in flume Amount of ponded water Amount of wetland ve etation Location of Erosion Percent of vegetation Condition of trash guard Location of Erosion MAJOR INSPECTIONS m Condition of Stormwater Quality Structure Type of Stormwater Quality Structure Structure type and Condition Condition of Rip- Ra STORMWATER FACILITY MAINTENANCE AGREEMENT 9Rev.11/17/2016 Condition of filtration system_ Berm or Embankment Settlement Location of erosion Evidence of Animals Evidence of Aquatic life __ Condition of Aeration Foundation STORMWATER FACILITY MAINTENANCE AGREEMENT 10 Rev.11/17/2016 FOR' WORTH FMW_:y a , INSPECTION CHECKLIST FOR SIMPLE DETENTION BASIN � h° 8^! er 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