HomeMy WebLinkAboutStormwater Management/Soda CreekCITY OF OSHKOSH
LEGAL DEPARTMENT
215 CHURCH AVENUE, P.O. BOX 1130, OSHKOSH, WI 54903-1130
PHONE: (920) 236-5115 FAX (920) 236-5106
LETTER OF TRANSMITTAL
To: Premier Soda Creek LLC
(electronic copy from Econ. Dev.)
Attn:
Please find: � Attached
❑ Copy of Letter
❑ Meeting Notes
❑ Specifications
� Agreement
❑ Photos
❑ Estimates
Date: August 4, 2015
Pro�ect: N/A
From: Carol Marchant, Admin. Assistant
Re: Stormwater Management Facility
Maintenance Agreement
❑ Under Separate Cover
❑ Amendment
❑ Mylars
❑ Diskette
❑ Report
❑ Change Order
❑ Zip Disk
❑ Agenda
❑ Plans
❑ Other
Quantit Description
1 Electronic co of Stormwater Mana ement Facilit Maintenance A reement
between Cit of Oshkosh and Soda Creek LLC
These are being transmitted as indicated below:
❑ For Approval � For Your Use ❑ As Requested ❑ For Review & Comment
Remarks:
cc: City Clerk (original)
Public Works, Engineering (copy)
City Attorney (copy)
Economic Development (electronic copy)
CITY OF OSHKOSH
STORMWATER MANAGEMENT FACILITY
MAINTENANCE AGREEMENT
Dowmen[ Title
The City of Oshkosh, the Goveming Body, and Premier Soda Creek, LLC, the Property
owner, along wi[h their successors and assigns, are the parties to this Agreement. The
purpose of this Agreement is to ensure adequate storm water drainage facilities for the
Property described in this Agreement in co�nection with the surrounding public stortn
water facilities. The consideration for this Agreeme�t includes the City's approval of
proposed development on the Proper[y. Additional consideration includes the Property
owner's clearer understanding of storm water drainage obli�ations for the Proper[y, and
the Goveming Body's assurance that [he storm water drainage issues relating to the
property can be more easily achieved through this Agreement.
CURREIVT PROPERTY OWNERS SUBJECT TO THIS AGREEMENT:
Premier Soda Creek, LLC
19105 W. Capital Drive, Suite 200
Brookfield, WI53045
GOVERNINGBODY: CiryofOshkosh
PROPERTY SUBJECT TO THIS AGREEMENT
The Property subject to this Agreemen[ is located in the City of Oshkosh, Winnebago
County, and is more par[icularly described as follows:
Lot 1 of Certified Survey Map No. 6984
Recorded in the Winnebago Counry Register of Deeds
On July 29, 2015 as Document I693496
[Identified in Exhibit A, attached]
GRADINC AND DRAINAGE PLAiY
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az3os,2
Tx:416S950
1693642
REGISTER'S OFFICE
WINNEBAGO COUNTY, WI
RECORDED ON
07/30/2U15 3:22 PM
7ULIE PAGEL
REGISTER OFDEEDS
RECORDING FEE 30.00
PAGES: 12
Recording A�ea
Name & Re[um Address
Oshkosh City Attorney's OTfice
215 E. Church Avenue
PO Box 1130 �
Oshkosh, WI 54902-1130 G
�I�ax Parcel Numbers:
91536224000
The Property must always comply with the grading and drainage plan approved by the City. The approved grading and drainage plan may
be ame�ded or modified from time to time after co�sultation with the Properry owner. Compliance will be evaluated according to the
most curcent approved plan. A small scale version of the current grading and drainage plan is attached as Exhibit "B" for identification
and reference purposes. The full scale grading and drai�a�e plan is on file for review with the City Department of Public Works, and will
be used [o provide grading and drainage criteria and to govem compliance and any disputes.
PURPOSE
The three (4) primary purposes of this Agreement:
1) Notify [he Property owner, as well as anyone interested in or connected to the Proper[y that the Property is subject [o this Agreement
and Chapter 14 of the Oshkosh Municipal Code, as amended, and that any owner of the Property assumes these obligations; and,
2) Ide�tify specific storm water facilities that curre�tly exist on the Property, or may be constructed or installed in the future; and,
3) Describe the minimum responsibilities for maintaining the Property's approved storm water management facilities and grading and
drainage plan.
4) Acknowled�e that the Property owner has granted the Ciry public drainage Easements that will be more fully described througtt other
documents that reflect the fact that storm water will drain into and through these facilities in addition to storm water drainage from the
Property itself.
�
June I5, 2015 � �
CITY OF OSHKOSH
STORI4I�VATER MAYAGEhIE�T FACILITY
MAINTENANCE AGREE�[ENT
The Properry must ahvays confonn to its most current grading and drainage plan approved by tlie City. The Property is also subject to all
aspects of the Municipal Code, including stomi water management requirements, as may be amended, which are currentiy located in
Chapter 14 of �he Municipa] Code. The srorm water management requirements of the Municipal Code change from time to timc, with the
Property o�mer receiving public notice as required by la�v. Changes may be made to Ihe grading and drainage plan for the Property if
requested by ihe Property owner and after review of any changed circumstances on the Property. The approved grading and drainage plan
for the Property will be ou file in the City of Oshkosh DepaRmen[ of Public Works and is fully incorporated by reference in Ihis
Agreement.
RESPONSIBLC PARTIES
Each o�vner of tlie Property,jointly and severally, as well ns their heirs, successors, and assigns, is responsible for mnintaining the �
Property in the manner described in this AgreemenL The Property owner's responsibilities include mnintaining approved vegetation,
grading drninage, and stomt �vater facililies on the Propeity.
STORM �VATER FACILTT[ES
The Property's stonn water facilities consist oF.
1. Storm �Vater basin; and
2. Stonn Sewar,
3. Swales; and
4. Inlet and manhote covers.
EASEM EIVTS
The Property o�mer GrTnls, and the City accepls, drainage Enseme��ts over and ihrough cerlain pipes, swales, ponds, and similar facilities
to allow public stonn water drainnge over, upon, and through tlie Proper[y. These Fasements will be more fiilly described in separate
documents to be recorded with the Winnebago County Register of Deeds.
INSPECTION AND MA[NTEM1ANCE
All stonn �valer facilities anct components of the stonn �vater system shail be inspected nt least semiammally, with one inspection occurriug
in early spring and one inspeclion occutting in early autumn. The Property's stom� water drainage system must also be inspected aRer
major sronn events. TLe stonn water facilities and grading and drainage scheme must be maintaineA as designed in order ro achieve the
desired storm water drninage objectives. Therefore, maintennnce and replus must be performed espeditiously when system deficiencies
are identified. The existence of soil erosion, cbgged or dlmaged inlets 1ncVor pipes, sedimentatiott of the basin and/or biofilter, rilling of
side slopes, and other damaged features of the stonnwater system are examples of items requiring maintenance or repnir wwk. Material
removed from tlie bnsin or biofilter may require special handling dependent upon current Wisconsin Departmenl of Natural Resources
disposal prnctices.
if n biofilter is instnllecUconstmcted, then biofilter maintenance activities include: remove coarse and gravel sediment Ihat has
accumulnted; maintaining proper level of mulch; vispecting surface mid repair eroded areas; inspect filter strip rip-rap and repair as
needed; inspect energy dissipator rock or grnss inlet areas; inspeet overflow stivch�res; replace filter bed; inspect perforated pipe under
drnin; remove litter �nd debris; wa�er pl�nts; raplace dying plants; and replace vegetation when necessary. Biofilter inspection anA
maintenauce requirements applicable to the Property �vill change as the rules enforced by the Governin� BoAy change.
If 1 wet bTSin is installecllcons[ructed, then dredging operntions �re required to remove the excess sedune��t �vhen the depth of water in the
wet detention bnsin diminislies below tliree feet causing the etiiciency of the detention basin to decrease. The srorm ivater detention
basin(s) must retain the safety shelf after dredging. Damage to tBe s�fety shelf or detention basin liner must be repnired to preserve the
safery m�d operation of die facilities.
June 15, 2015
Cir�� or Osexosx
STOR�I�VATER NIANAGEl11ENT FACILITY
MAiNTENANCE AGREEMEN'f
Docnment Title
If a dry basin and/or swale is installecUconstnwted, Nien dry basin and stvale m�intenance incfudes removal of trash and debris, repairing
erosion, maintainu�g vegerntion, a�id dredging when necessary.
The examples of maintenance activities that are identified above are no[ intended to be complete. The muiimum infonnation required to
be viewed as a guideline for potential maintenance or repair activities is identified in the Inspection and Maintenance Logs attached ns
Exhibit C. The Property owner shall, upon requast, make available for inspeclion all maintenance records to ihe City's Department of
Public Works, or any agen[ of the City, during tl�e life of the syslem.
Mowing in buffer �reas, detention basin banks aiid dr�inage ways shall be minimized in order to maximize filtration of runoff. If
occasionnl mowing is necessary, the mowing height must not be less fhan six inches. Applications of fertilizers, Lerbicides, pesticide or
other chemical applications nre prohibited in buffer areas, on detention basin banks nnd along drainage ways.
COMPLIANCE
The Property benefits &om a properly maintnined grading and drainage plan ns tvell as properly maintained stonn water £acilities. in Ihe
event the Prope�Ty owner fails [o perfortn any obligation relateA to this Agreement, the City of Oshkosli shall have the nuthority �o enter
the private Property to inspect, maintain, repair, reconstruct, and/or modify any component of the approved grading znd drainaae pinn or
stonn water facility. The City hTS no duty to take such action but may do so nt its discretion. The ability to enter the Property �nd take
such action is not an esclusive remedy, and the City may take any lawful action to enforce this Agreement ancl/or the Ntunicipal Code.
The Prope�Ty o�mer grnnts to the City of Oshkosh a limited, nonesclusive easeme�t in perpetuity over the Prope�Ty for the purpose of
addressing grading end dr:tinage deficiencies, as well as providing reasonable nnd necessary access to any stonn �va[er facility thnt is
located on or within the Property. The City of Oshkosh sLall use only ih�t p�rt of the PropeiTy reasonably necessary to allow Ihe
inspection, maintenance, and/or repair of [he approved grading and drainage plan or any storm wnter facility. If the City elects to perfonn
maintenance or repairs on the PropeiTy, then ell associnted cosis for perfonning this work and enforcing this Agreement mxVor stonn
water management requiremen[s of Chapter t4 of the Municipal Code, as may be amended from time to time, are subject to
reimbursemenl &om Property o�vners, jointly a��d severalty, or through enc�mbrances on the Property itsel('. Reimbursement remedies
include pl�cing an encnmbrance against the Properry as a Special Charge for Current Services pursuant to Sec. 6G9627 Wisconsin
S�atutes, as amended, or Ihrough other melhods �o collect directly from the Property owner ns nllowed by I�w at the City's discretion. Any
Special Charge for Current Services shall be a lien on �he Property and shall be coliected with the real estate taxes. The Property owner
affinnTtively waives notice requirements for Special Charges, and this provision shall constimte the Properq� owner's, nnd any respec[ive
IoUparcel owner(s) if npplic�ble, �vaiver of notice of hearing othenvise required by Sections 6G.0627 or GG.0703 of the Wisconsin Stntutes.
The stonn wnter management facilities si�all be for the benefit of the City of Oshkosh and the Property as described in ihis Agreement.
This Agreement is not in[ended to benefit third parties and ihere shall be no third party beneficiaries. .
RCCORD I NG
This agreement shall be recorded �vith the land records of tlie Winnebago County, Wisconsin, Register of Deeds. Premier Soda Creek,
LLC, shall bear the cost of recording this document.
AMENDMENTS
This Agreement may be amended '¢� �vhole or in part at any time by the o�mer of the Property, provided: 1) the nmendment(s) are
approved in writing by tlie o�vners of a majority of the lots within the PropeiTy as recorded �vitli the Register of Deeds, Winnebago County,
1Uisconsin; and, 2) tlie amenclment(s) are �pproved in �vriting by tlie City of Osltkosh Board of Public Works. This Agreement shall be a
pennanent covennnt that shall, as provided by law, nm with the land and any amendment to this Agreemenl shall be subject to the prior
npproval by the City of Ostilcosh.
This document was drafted by:
David 1. Praska
Assistan[ City Attorney
Oslilcosh, WI54903-1130
June I5,2015
For tli
Dnte:
CITY OF OSHICOSH
STOR�I�VATCR NIANAGEDiENT FACILITY
MAINTENANCE AGREED1GNT
� SS.
Wnukesha County )
Personnlly came before me on this �� day ofcl l.lrl.L. , 2015, the above named, Joe A. Goldberger, to me
kno�m to be the person �vhom executed Uie foregoing inst ent and ackno� , dged the s�me. �
/, `sf l , ^
`"1/ r
"'•., ��% Notary Public, State of Wi onsin
�,�s ``.5,9 '•. 4� = My commission expires: fo �l — � Co
Fm• the Cily of Oshlcosh
L :O_
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�fBLIG ;°��
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Date: ��2-�"2���.�
�'c� /�%�J�!✓1� � ;,::,
M� A. Rohlofl; City Manager
State of Wisconsin
Winnebago County
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) ss.
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� Date: L �
Pamela R. Ubrig, City Clerk
Personally came before me on this �°day of I�. 2015, the �bove n�med, Mark A. Rohloff and Pamela
R. Ubrig, to me known to be the persons who execute�egoing instrumenl anA acknowledged the smne.
i�<'Lci�[� i. �'.�^
Notaiy Public, State of Wisconsin '
My commission expires: /G� 3�
Approved as to fonn:
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CERTIFIED SURVEY MAP
RETRACEMENT OF LOT 1 OF CSM #6956
A REfRACEMENT OF ALL OF L0T 1 Of CFRTIPIED SURVEY MAP N0. 6956, RECORDED ON JUNE 23, 201
IN VOLUME 7 OF CERTIFIED SURVEY MAPS, PAGE 6956, AS DOCUMENT N0. 1690487,
RECORDED IN THE REGISTER OF DEEDS OFFlCE, IN AND FOR, WINNEBAGO COUNN, WISCONSIN.
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SURVEVOR'S CERTIFICAiE
I, DENNIS CHRISTIE, REGISTERED LAND SURVEYOR DO HEREBV CERTIFYTHAT I
HAVESURVEYEDANDMAPPEO ALLOFL0T10PCERTIFIF➢SURVEVMAPN0.6956
RECORDED ON JUNE 23. 2�151N VOLUME 7 OF CERTIFIFD SURVEY MAPS, PAGE fi956,
AS DOCUMENT N0.1690487, RECORDE� IN THE REGISTER OF DEEDS OFFlCE, IN ANO
FOR, WINNEBAGO COUNTV, WISCONSIN. SAID LANDS ARE LOCATED IN PAf7TOFTHE
NW 1/4 OF THE NW 1/4 AN� THE SW 1f4 OF THE NW 114 OF SECTION 36, TOWNSHIP 19
NORTH, RNNGE 1fi EAST,tST}i WARD, CITY OF OSHKOSH, WINNEBAGO COlIN7Y,
WISCO IN,MOREFULLY SCRIBEDONSHEET2.
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DEN J. CHRIST 51452 DATE
JMM CONSULTIN , LLC
040CHALLENGE DRNE-Sl11TE140
GREEN BAV. WI 56311
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=ommmcing az thc NW Comu of uid Sccfian 36, a PK nail touvd; Nence 5 00° 03' S3"E (recorded az S 00° 14' 64" R�, alovg @c WestLinc ofsaid
icetion 36, fi67 08 freq thmce N 84° 14' Z2" E, 4220 k.t m the Facrigh6of-way ("cfolw") Iroe of )ecluw Street (S.T.K"'16'�, beivg tLeNW Comu
of Lot 1 said CSM No. 5Y4S md Ne Poiot of3eg'uwng ("POB"); Ncoce confinuing N 89° 74' 22" P, 359.98 &ek �hence N 00° �9' 32" W aloog (he
Wcst Gne o(Anders PIeS 49.71 frcS �mce N H9° 16 03" E, 120 00 fcct ro ft�e Souih ngt[-o6way of thc vew Soda Cmck Road; Ncnce 125.66 feet alvog
hc Sooch rigLt-of-way ofthe �ew Soda CreekRoad and bang a vwvc io il�e Icfl having a adius of 80.00 &et and being sub¢ndcd by a 113.74 foot chord
bcaring S 45° 43' S7" E; thcoa N 89° Ifi' 03" e aloug tLe SouN ngLFOf-way of chc vew Soda Cmck Road , 200. W CccS �ena II5.66 fa[ elong the
South rigLtof-way of thc new Sodn Cr«¢ Aoad aad bcivg a curvc m thc Ieft havivg a rzdivs of 80.00 fret and bcing rvbkvded by a t 13.14 foot chord
ocaringN 44° 16' 03" E;lhcnccN 89° 1 B 03" E,12�.00 (cr{ tLrncc S 00° 09' 32" E, A9.42 Fcct, m✓nc NW Comcr olLot I of said CSM No. 5854;
Lmee N 89° I4' 22" E, 327.]0 &eS �ence S 00° I I' 13" E, 666.21 feet m tLe SE Comer o[Lot I otsaid CSM No. 5854; tLCnce S 89° 17' ST'W,
E22.11 &cq m ihc SE Comcr ofLot 2 said CSM No. 514Y, thcncc S 89° 70' S4"W, "l14.07 frc4 �mce N 00° 01' I�" W, 315.36 m Uvc SE Comcr ofLo[
i of sud CSM No.5Y45; tLcvcc 5 69° 12' 33" W, 348.63 fca m tAc Eazt do/w linc of Iackson Strcc[ (S.T.H. "76"); thrncc N 00° 00' 41"E, aloug said
aadoMlive,32636(�er,NCUCeNI]°07'72"E,elongsaid6ssedohvlmc,25.85f [bNcPOB.
� Svd PvcN conteivs 755,887 squarc frct (1'1.353 aacs), more m less, and is aIl ofParccl m No.
15314d-01-00 (Iet I CSM kb956�, in tLc Ciry of Oshkosh, Wimc6aga Counry, Wismusio.
I'6a[ f Lave made such map a coorect represmta8ov of alI of Ne e#crior bovvdaies of@rt Imd svrvrycd md u a
:ortec[ �ep�eu¢�aGOn of tLe pucels e�'aseme�ts of iccocd <on4ined witbin saidbovndaries.lLal1}�is cvti5e8
.urvcy map is uot e divisiou ofpmp¢ty but solcy e atraccwevt end dcpicmn of Ne Iend bowdades md
:azwen�s of mcord affecfing Lot 1 ofCSM # fi956, md recorded on Sone 23, 2015 �n Volume 1 of
:,cc¢ficd Svrvry Maps, Page 6956, az DocvmrntNo.169048�, recordcd in BmAcgisru otDadv 06ice, in
md for, Wwnebego County, Wisconsin TnatNe mep does noc crca¢ eddiCional loa that are not ofrtcord
Further rhal I made sucb survey and map at rLe d'uccnov o[the Ownert oCstid lands Gshd hereon. '@at I have
:ompficd witL tbe pravisions oE L1�aptv23b34 oi tLe W iscoasin Sbmtes avd ihe mq�vemeott of Ne Ciry of
Jshkosh md Wimcbago Counry, Wisconsiq wsurvrying and mapping thc same.
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As Owocr of Parccl m No. 15-3244-01-00 (I.ot ] CSM R695�, I, Mr. Calviu hi Altiq am autLorized m:ign on
behalfof Remicr Soda Creck �-C, a Wiscovsia Limimd Liabiliry Coryorzeov, md Na[ I6creby cemfy Wat I
causcd the land dcsrnbed on tlila Certified Survry Map [o be surveyed avd mappcd az repmsrnmd herwa
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STATE OF WISCONSIN )
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Pe onalty wme be/o' 2n4 day of �1 �t'�f , 2015, fhe above named
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olary Public, State of Wsconsin �
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� i� GOLDBERGER
QTYOFOSHKOSNPL4NCOMMISSIONCERTIPICATEOFAPPROVAL: '�!�9j`
i'6rs Rcrtaccmrni otisn S ot CeniSed Survry Map No. 6956,1ocated in part of tDeNW '/. of Ne NW '/. md thelSVl�1.'0l
the NW '/. oCSec[ioo 36, i19N, R16E, ISth Werd Ciry oCOslJ�osh, Wimebago Cowry, Wiscrose, is hemby eppmved
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Dale O anning Commission RepresenWtive
DEHIFIf J.
CHRISTIE
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Graen 8or
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1693496
REGISTER'S OFFICE
WINNEBAGO COl1NTY� WI
RELORDED ON
07 )29 ( 29,t�.5 1:35 PMc,I
v�l]ULIE PAGEL9$ l
REG(57ER OF DEEDS
RECOROING FEE 30.00
PAGES: 4
SURVEYOR: OWNER
MR OENNIS d CHR4ST�E Si452 MR. CALVIN M. AKIN
JMM CONSULTING, LLC PREMIER SODA CREEK, LLC
840 CHALLENGER DRWE-SUITE 140 19105 W. CAPITAL pRNE-SUITE 200
GREEN BAV, WI SC311 BROOKFlEL�, WI53045
(920)592-9fi06
THIS INSTRUMEM ORAF�ED BV DENNIS d CHRISTIE, P.E I RLS., JMM CONSULTING, LLC.
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Name of Site:
Inspector (s}:
Parcel ID:
Inspection & Maintenance Log
Detention Basin
Inspection Year:
Address:
Company:
Phone:
• Faciliry o«mer responsible for inspecting, maintaining, and repairing facility compouents aru�ually at a minLnum.
Check any deficiencies noted and comment for maintenance actio�s taken, date of repair, and any aleds.
Inspection items with no ` should be completed by a qualified professional every five yeazs (or more frequently if
concems are noted).
• Municipality contact. Ciry of Oshl:osh Department ofPublic Works 920436-SObS
&Iaintenance
Checiced Maintenance
Tnspection Item (yes/No/NA) Needed Action Date
es/No/NA
Ponti
Bank Erosion * YeslNo/NA Yes/No/NA
Debris / Trasti Accumulation * Yes/No/NA YeslNo/NA
Visible pollution " Yes/No/NA Yes/No/NA
Abnormat water levels * Yes/No/NA Yes/No/NA
Sediment Accumulation " Yes/No/NA YeslNo/NA
Depressions, Wliirlpools, Sinkholes YeslNo/NA YeslNo/NA
Embanlcmeut
1. Upstreem Slope
Poor Grass Cover* Yes/No/NA Yes/No/NA
Erosion or Slides * Yes/No/NA Yes/No/NA
TreesBrush Growing on Slopes "` Yes/No/NA Yes/No/NA
Deficient Riprap Protection * Yes/No/NA Yes/No/NA
Animal Burrows * Yes/No/NA Yes/No/NA
Depressions or Bulges Yes/No/NA Yes(No/NA
Settlement Yes/No/NA Yes/No/NA
Longitudinal Cracks XesMo/NA YeslNo/NA
Transverse Cracks YeslNo/NA Yes(No/NA
2. Crest
Settlement * Yes/No/NA Yes/No/NA
Misafignment Yes/No1NA Yes/No/NA
Cracking Yes/No/NA Yes/No/NA
Page 7 of 3 Rev. 08/05l2014
��Chlbl� C I �p}
Inspection & Maintenance Log
Detention Basin
Maintenance
Checked Maiotenance
Inspection Item (yes/No/NA) Needed Action ��Ye
es/No/NA
3. DownsU�eam Slope
Poor Grass Cover' Yes/No/NA Yes/No/NA
Erosion or Slides * Yes/No/NA Yes/No/NA
Trees/Brush Grawing on Slopes * Yes/No/NA Yes/No/NA
Animal Burrows * Yes/No/NA Yes/No/NA
Excessive or Cloudy Seepage * Yes/No/NA Yes/No/NA
Longitudinaf Cracks Yes/No/NA YeslNo/NA
Transverse Cracks Yes/NolNA Yes/No/NA
Depressions or Bulges Yes/No/NA Yes/No/NA
Settlement Yes/No/NA Yes/No/NA
Seeps, leaks, or boils Yes/No/NA Yes/No/NA
4. �mergency Spilltiva}'
Erposed Fabric * Yes/[1o/NA Yes/No/NA
Overgrown Vegetation * Yes/No/NA Yes/No/NA
Erosion/Backcutting at berm ar road• Yes/No/NA Yes/NolNA
Rutting or pot-holes * Yes/No/NA Yes/No/NA
Obstructions or debris * Yes/No/NA Yes/No/NA
Inadequate Riprap/Amior * Yes/No/NA Yes/No/NA
Cracking Yes/No/NA Yes/No/NA
Slumping/SloughingofEmUanktnent Yes/No/NA Yes/No/NA
Settlement
Spillrvay Yes/No/NA Yes/No/NA
Eroding or Backcutting * Yes/No/NA Yes/No/NA
Overgrown Vegetation * Yes/No/NA Yes/No/NA
Obstructions with Debris * Yes(NolNA YesMo/I�TA
Excessive Siltation * Yes/No/NA Yes/No/NA
Slumping/Stoughing
CmiLrol Structm•e
1. Inlet - Debris in Conveyance Area * Yes/No/NA Yes/No/NA
Erosion or Undercutting * Yes/No/NA Yes/No/NA
Stop-log deterioration / leaking'� Yes{No/NA Yes/No/NA
Joint Separation Yes/AIo/NA Yes/No/NA
Cracks in Concrete Yes/No/NA Yes/No/NA
Deteriorated piping Yes/No/NA Yes/No/NA
Displacement of Slructure Yes/No/NA Yes/No/NA
Page 2 of 3 Rev. 08/05/2014
�xhibit � a°F;
Inspection & Maintenance Log
Detention Basin
Maintenance
Checked Maintenance
Inspection Item (yes/No/NA) Needecl Action Dnte
es/No/NA
2. Outlet
Erosion or Backcutting * Yes/No/NA Yes/No/NA
Debris in Culvert or Trash Rack * Yes/No/NA Yes/No/NA
Undennining/Scour * Yes/No/NA Yes/No/NA
Inoperabte control valve * Yes/No/NA Yes/No/NA
Inoperable flap gate * Yes/No/I�'A Yes/NolNA
Joint Separation Yes/No/NA Yes/No/NA
Cracks in Concrete Yes/No/NA Yes/NolNA
Downsh•eam Area
I. Erosion * Yes/No/NA Yes/No/NA
Debris / Obshvctions * Yes/No/NA Yes/NolNA
2. Bridge / Culvert Problems Yes/No/NA Yes/NoMA
Bui(dings Issues Yes/No/NA Yes/No/NA
Foundation Concerns Yes/No/NA Yes/No/NA
Page 3 of 3 Rev. 08/05/2014
�xhibit C o�3