HomeMy WebLinkAboutContract 62516Date Received: 12/23/2024 Permit No.: SWFMA-24-0046
Time Received: 2:11 p.m. City Secretary No.: 62516
STORMWATER FACILITY
MAINTENANCE AGREEMENT
THIS AGREEMENT, made and entered into this 23rd day of December ,
20 24 , by and between Michael F. Olson, S.T.D., Bishop of the Catholic Diocese of
Fort Worth, 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 a
tract of land situated in the Z.D. Davis Survey, Abstract No. 1888, Tarrant County, Texas
according to the deed recorded in Document No. D204380251. Deed Records, Tarrant
County, Texas and the plat recorded as Document No. D207111122, 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 St. Teresa of Calcutta Catholic
Church 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 storm water
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 1
Rev. 03/01/2022 BN
OFFICIAL RECORD
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. 03/01/2022 BN
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. 03/01/2022 BN
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 FACILITY 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 boundaries of the Property in which the Facility is located as
outlined on Exhibit "A" but this paragraph shall not preclude construction of
other improvements within the boundaries of the Property in which the Facility
is located, which do not impede drainage. Landowner covenants and agrees
that no habitable building shall be erected on the above property abutting such
boundaries of the Property in which is Facility is located, 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 owner's association.
STORMWATER FACILITY MAINTENANCE AGREEMENT 4
Rev. 03/01/2022 BN
Executed this 23rd day of December
CITY OF FORT WORTH
Dana Burghdoff (Dec ;,2024 CST)
Dana Burghdoff
Assistant City Manager
City of Fort Worth
Date: Dec 23, 2024
Approved as to Form and Legality:
Matthew Murray
Senior Assistant City Attorney
City Attorney's Office
Date: Dec 20, 2024
ATTEST:
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Secretarynette
City
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Date: Dec 23, 2024
20 24
LANDOWNER
M ► e F.�� . D.
Michae F. Olson, S.T.D., is op of the
Catholic Diocese of Fort Worth
By: ephen M. Becht
Its: ttomey-in-Fact for Michael F.
Olson, S.T.D., Bishop
Date: p - / b `..P, 0 a 4
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.
Rebecca Owen7bec 20, 2024 08:31 CST)
Rebecca Owen
Planning Manager
Date: Dec 20, 2024
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
STORMWATER FACILITY MAINTENANCE AGREEMENT 5
Rev. 03/01/2022 BN
STATE OF TEXAS
COUNTY OF TARRANT §
This instrument was acknowledged before me on December 23rd, 2024 by
Dana Burghdoff, Assistant City Manager of the City of Fort Worth, on behalf of the City
of Fort Worth.
k a�
o�PRYn�e' KATHLEEN BRADFORD notary Public, State of Texas
a Notary Public
• • STATE OF TEXAS
GV y Notary I.D. 12197197
9�oF My Comm. Exp. Apr. 12, 2027 '
LANDOWNER
STATE OF -�e )C CL 5 §
COUNTY OF §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of
Te KA-5 , on this day personally appeared Stepp eh, , N _15f G Lni Nat)rv1N l n -
(name), �oLcj' ebie- I`,dmLolson�5 D--Z3isVop (title), known to me to be the
person whose name is subscribed to the foregoing instrument, and acknowledged to me
that he/she executed the same for the purposes and consideration therein expressed, as the
act and deed of CaAv\ % G rji oC. e S E A foxy N J b zA-t-\ (entity), a
Nonf-pRaviT `1�e�lgiau5 (entity type) and in the capacity therein
stated. �3
GIVEN UNDER MY HAND AND SEAL OF OFFICE this l b� day
of
THERE5A SCHABOW No ary Public, State of
`?SyY Fj/ y
'' = Notary Public, State of Texas
�' : .',Z: Comm. Expires 04-24-2026
Notary ID 129796121
ennu
l
STORMWATER FACILITY MAINTENANCE AGREEMENT 6
Rev, 03/01/2022 BN
EXHIBIT "A"
INSERT LEGAL DESCRIPTION
STORMWATER FACILITY MAINTENANCE AGREEMENT
Rev. 03/0112022 BN
EXHIBIT "A"
VARIABLE WIDTH PRIVATE DRAINAGE EASEMENT
SITUATED IN THE Z.D. DAVIS SURVEY, ABSTRACT No. 1888
CITY OF FORT WORTH, TARRANT COUNTY, TEXAS
BEING a 0.779 acre tract of land situated in the Z.D. Davis Survey, Abstract No. 1888, Tarrant
County, Texas, being a portion of Lot 1, Block 1, Our Lady of Grace Addition, an addition to the
City of Fort Worth, Tarrant County, Texas, as recorded in County Clerk's File No. D207111122,
Official Public Records, Tarrant County, Texas (OPRTCT), and being more particularly described
by metes and bounds as follows;
COMMENCING at 5/8" capped iron rod set (GRID N:7,039,524.14, E:2,341,011.50) for the west
corner of said Lot 1, in the southeasterly right-of-way line of Westport Parkway, a 110.00 foot
wide right-of-way, as described in County Clerk's File No. D208027115, OPRTCT;
THENCE with the northwesterly line of said Lot 1 and the southeasterly right-of-way line of said
Westport Parkway, the following courses and distances:
North 43°34'32" East, a distance of 301.65 feet, to the POINT OF BEGINNING;
North 43°34'32" East, a distance of 96.61 feet, to a 5/8" iron rod found (disturbed)
for the beginning of a curve to the right, having a radius of 936.27 feet and a chord
which bears North 46°28'18" East, a distance of 94.61 feet;
In a northeasterly direction with said curve to the right, through a central angle of
05'47'31", an arc length of 94.65 feet to a 5/8" capped iron rod stamped
"DUNAWAY&ASSOC" found for the beginning of reverse curve to the left, having
a radius of 1,054.95 feet and a chord which bears North 46'25'36" East, a distance
of 104.95 feet;
In a northeasterly direction with said reverse curve to the left through a central
angle of 05°42'08", an arc length of 104.99 feet to a point for the end of said
reverse curve to the left;
North 43°34'13" East, a distance of 2.00 feet to a point for the beginning of a curve
to the right, having a radius of 20.01 feet and a chord which bears North 88"31'18"
East, a distance of 28.27 feet;
In a northeasterly direction with said curve to the right through a central angle of
89°54'10", an arc length of 31.39 feet to a point for the end of said curve to the
right, in the southwesterly right-of-way line of Alta Vista Drive, a 60 foot wide
right-of-way;
THENCE South 46°25'47" East, with the northeasterly line of said Lot 1 and the southwesterly
right-of-way line of said Alta Vista Drive, a distance of 46.34 feet to a point for corner;
P:\3788-00-01\500 Land Surveying\506 Easements\Drainage Easement
1of4
EXHIBIT "A"
VARIABLE WIDTH PRIVATE DRAINAGE EASEMENT
S1TUATED IN THE Z.D. DA t'1S SUR VEY, ABSTRACT No. 1888
CITY OF FORT WORTH, TARRANT COUNTS ; TEXAS
THENCE over and across said Lot 1, the following courses and distances:
South 43°34'13"
West, a distance of 39.60 feet to a point for corner, -
South 54°23'08"
East, a distance of 14.20 feet to a point for corner;
North 43°51'10"
East, a distance of 22.64 feet to a point for corner;
South 46`25'47"
East, a distance of 209.99 feet to a point for corner;
South 43°38'43"
West, a distance of 64.68 feet to a point for corner;
North 46`28'45"
West, a distance of 210.23 feet to a point for corner;
North 43'51'10"
East, a distance of 27.07 feet to a point for corner;
North 54023'08"
West, a distance of 14.13 feet to a point for corner;
South 43'34'13"
West, a distance of 84.15 feet to a point for corner;
South 55°28'54"
West, a distance of 88,63 feet to a point for corner;
South 43°34'32"
West, a distance of 54.19 feet to a point for corner;
South 69°39'30"
West, a distance of 42.43 feet to a point for corner;
North 46`25'28"
West, a distance of 39.39 feet to the POINT OF BEGINNING and
containing 33,929 Square Feet or 0.779 Acres of Land, more or less.
1, Lon E. Whitten, a Registered Professional Land Surveyor in the State of Texas, do hereby declare
that this survey is true and correct and was prepared from an actual survey conducted under my
supervision on the ground.
�Q,• S re •.+
LON •E, WNITTEN
Lon E. Whitten Date: May 06, 2024
.................
589 3
aF
Registered Professional Land Surveyor
roc'.• o
Texas Registration No. 5893
sou R11
P:\3788-00-01\500 Land Surveying\506 Ease men ts�Drainage Easement
2of4
Enimn "A"
VARIABLE WIDTH PRIVATE DRAINAGE EASEMENT
SITUATED IN THE Z.D. DAVIS SURVEY, ABSTRACT No. 1888 J
CITY OF FORT WORTH, TARRANT COUNTY, TEXAS 1
"ARCEt -1R1r•r+r-
1 EASEMENT
CCU D218203i5B ERMANENT PEDESTRIAN
PERMANENT PEDEST17fAN DPRTCT ACCESS EASEMENT
ACCESS EASEMENT CCg D21820321f \
O Q�7 CCy D2180444952 ^C3 T \ OPRrCT
10' TR1—CouNTY
IV <<� COOPERATIVE, )NC EASEMENT
CC#OPRTC641n1 \
n / ,X
5/8• CIRF
"OIJNAWAY&ASSOC."
L 11
�e'?' 518
(DISTURBED)
i Q/1/ 15' ELECTRIC EASEMENT 75' UVOTY EASEMENT X
POa CCy D207117122 TO BE ABANDONDED ,
�QC OPRTCT BY PLAT
VA.RL4BLE WIDTH lb
PRIVATE DRAINAGE PROPOSED
•3 L 15' UTILITY
G� EASEMENT
EASEMENT la. UT,UTrEAS DENT
0. 779 ACRES CC.# 02071 NW
u PW OPR TCT `
j s/s' crRs (33, 929 SQ. FT.)
NADBi (GRID) LOT 1, BLOCK 1
N: 7, 039, 524.14
E.-ZJ41,011.50 OUR LADY OF GRACE ADD177ON
CC# D207111122
CIS Sot 1668 OPRrcr ABEREZZ4ZZONS
0. POC POIN T OF COMMENCING
2 D • -pc N POB POINT OF BEGINNING
ABET \ IRF IRON ROD FOUND
CC# COUNTY CLERK'S
INSTRUMENT NUMBER
I, LON E. WHITTEN, A REGISTERED PROFESSIONAL LAND SURVEYOR IN THE DRTCT DEED RECORDS, TARRANT
STATE OF TEXAS, DO HEREBY DECLARE THAT THIS SURVEY IS TRUE AND COUNTY, TEXAS
CORRECT AND WAS PREPARED FROM AN ACTUAL SURVEY CONDUCTED OPRTCT OFFICIAL PUBLIC RECORDS,
UNDER MY SUPERVISION ON THE GROUND. TARRANT COUNTY, TEXAS
PRTCT PLAT RECORDS, TARRANT
OF . PF COUNTY, TEXAS
ESMT. EASEMENT
LON E. WHIT -TEN DATE. MAY 06, 2024 LON: •
EWRITTEN
•• m I m a
REGISTERED PROFESSIONAL LAND SURVEYOR •�� 5893 � LL�j
TEXAS REGISTRATION NO. 5893
E S EGIS q,�• , • E 5 5 dvfi &VIneering survalMg landscape arenttecaue plsmtnp
lbpNs registration number. f — 2759
lbpels registration/license number. 10688000
519 east border
i
� prl ingipn, texas 1601 f}
Bearings and coordinates are grid based on the "Texas Coordinate System of 81 7 — 4 6 9 — 1 6 71
1983, North Central Zone" as determined by GPS observations. The convergence fax : 8 1 7 — 2 7 4 — 5 7 5 7
angle at the Point of Commencing is 0.39'45". All distances have been adjusted w ■ w . m m a t e x a s , c o m
to surface using a combined scale factor of 1.000154642983.
DATE: 0410912024 SCALE: 1' = 80' DRAWN BY: CAB CHECKED BY: LEW JOB. NO.: 3788-00-01 PAGE 3 OF 4
.EXHIBIT 'A"
VARIABLE WIDTH PRIVATE DRAINAGE EASEMENT
SITUATED IN THE Z.D. DAVIS SURVEY, ABSTRACT No. 1888
CITY OF FORT WORTH, TARRANT COUNTY, TEXAS
LINE TABLE
LINE
BEARING
DISTANCE
L1
N 433432" E
96.61'
L2
N 4334'13" E
2.00'
L3
S 46 25'47" E
46.34'
fL4
S 4334'13" W
39.60'
L5
5 54 23'08" E
14.20' l
L6
N 43'51'10" E
22.64'
L 7
S 4625'4 7" E
209.99'
LB S 4338'43" W 64, 68'
LDVE TABLE
LINE
BEARING
DISTANCE
L9
N 4628'45" W
210.23'
L10
N 43'51'10" E
27.07'
L11
N 5423'08" W
14.13' 1
L 12
S 43 34'13" W
84.15'
Li3
S 552854" W
68.63'
L 14
S 43 3432" W
54.19'
L15
S 69 39'30" W
42.43'
L16
N 462528" W
39.39'
CURVE TABLE
CURVE I RADIUS ARC LENGTH DELTA ANGLE CHORD BEARING CHORD LENGTH
Cl
936.27'
94.65'
5' 47' 31"
N 46728'18" E
94.61'
C2
1054.95'
104.99'
5' 42' 08"
N 46 25'36" E
104.95'
C3
20.01'
31,39'
89' 54' 10"
N 8831'18" E
28.27'
Q
0
z
z
0
Bearinas and coordinates ore grid based on the "Texas Coordinate System of
1983, North Central Zone" as determined by GPS observations. The convergence
angle at the Point of Beginning is 0'40'07.8". All distances have been adjusted
to surface using a combined scale factor of 1.000136954982.
DATE: 0410912024 SCALE: 1" = 80' DRAWN BY: CAB CHECKED BY: LEW JOB, NO.: 3788-00-01
[0 mlma
I
W1 englneerfng surveA ng erd,nea um ph-bv
tbpels registration number. f — 2759
tbpels regiskration/license number. IDD8800D
519 east border
a r I i n g t a n, t e x a s 7 6 0 1 0
8 1 7 — 4 6 9 — 1 6 7 1
f a x! 8 1 7 2 7 4 8 7 5 7
w w w. m m o t e x a s. a o m
PAGE 4 OF 4
EXHIBIT "B"
DESIGN PLAN AND SPECIFICATIONS
STORMWATER FACILITY MAINTENANCE AGREEMENT
Rev. 03/01/2022 BN
EXHIBIT "B"
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GRADING PLAN
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EROSION CONTROL DETAILS
EXHIBIT "B"
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DRAINAGE AREA MAP
EXHIBIT "B"
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DRAINAGE CALCULATIONS
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STORM DRAIN PROFILES
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• I POND DETAILS
EXHIBIT "B"
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EXHIBIT "B"
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LANDSCAPE PLANS
EXHIBIT "B"
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1141illFORT WORTH, TEXAS
LANDSCAPE PLANS
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. 11117/2016
Exhibit "D"
Stormwater Structural Maintenance CHECKLIST
IFREQUENT
INSPECTION
Mowing
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
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 -Rap
Condition of filtration
system
REPAIRS REPAIRS
DATE REQUIRED MADE NOTES
STORMWATER FACILITY MAINTENANCE AGREEMENT 9
Rev. 11/17/2016
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
FORT WORTH OR,
INSPECTION CHECKLIST FOR SIMPLE DETENTION BASIN Starmwater
Facility Name:
BasinlPond Number: Inspected By:
Facility Agreement Number:
Date:
Type of Inspection: Annual , Quarterly , Monthly _ Routine
, or Storm Event , (# days since event j
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 or 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:
Date:
Owner's Representative
Form _CFW-6
CFW- SEPTEMBER 2015 Appendsx A A-17