24-058 STORMWATER MANAGEMENT FACILITIES OPERATION, AND MAINTENANCE & EASEMENT AGREEMENT, 20860 McClellan Road, Cupertino, CA 95014 APN 359-20-030RECORDING REQUESTED BY:
City of Cupertino
WHEN RECORDED, MAIL TO:
City Clerk's Office
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
NO FEE IN ACCORDANCE
WITH GOV. CODE 27383
25650653
Regina Alcomendras
Santa Clara County - Clerk -Recorder
06/14/2024 03:40 PM
Titles: 1 Pages: 22
Fees: 0.00
Taxes: 0
Total: 10.00
to 91
(SPACE ABOVE THIS LINE FOR RECORDER'S USE)
STORMWATER MANAGEMENT FACILITIES OPERATION, AND
MAINTENANCE & EASEMENT AGREEMENT
20860 McClellan Road, Cupertino, CA 95014
APN 316-06-058 & 359-20-030
O Original
13 Conformed Copy
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:
City of Cupertino
City Clerk's Office
10300 Torre Avenue
Cupertino, CA 95014-3202
EXEMPT FROM RECORDING FEES PER
GOVERNMENT CODE §6103
Space above this line for Recorder's use.
STORMWATER MANAGEMENT FACILITIES
OPERATION, MAINTENANCE AND EASEMENT AGREEMENT
20860 McClellan Road, Cupertino, CA 95014
APN 359-20-030
This STORMWATER MANAGEMENT FACILITIES OPERATION, MAINTENANCE
AND EASEMENT AGREEMENT ("Agreement") is made and entered into this 2-2- day of
,dan Ra-t , 202*, by AlphaMcClellan LLC, a California limited liability company,
("CovenAtor") and the City of Cupertino, a municipal corporation ("City"). Covenantor and
City are referred to collectively herein as the "Parties" and each individually as a "Party."
RECITALS:
This Agreement is made and entered into with reference to the following facts:
A. The City is authorized and required to regulate and control the disposition of storm and
surface waters as set forth in the City's Stormwater Pollution Prevention and Watershed
Protection Ordinance, Ordinance No. 1571, effective October 15, 2003 (as currently in effect and
as it may hereafter be amended, the "Ordinance").
B. The Covenantor is the owner of a certain tract or parcel of land designated as APN 359-
20-030 and more particularly described in Exhibit A attached hereto ("Property").
C. The Covenantor desires to construct certain improvements on the Property that may alter
existing stormwater conditions on both the Property and adjacent lands.
D. To minimize adverse impacts due to these anticipated changes in existing storm and
surface water flow conditions, the Covenantor is required by the City to build and maintain, at
Covenantor's expense, stormwater management and trash capture facilities ("Facilities") as
more particularly described and shown in the Sto>mwater Management Plan prepared by MH
Engineering Co. and dated September 8, 2023, which plan, together with any and all
amendments, including future amendments, thereto (collectively, the "SWNW"), are on file with
the Public Works Department of the City of Cupertino, California, and are hereby incorporated
by reference.
E. The City has reviewed the SWMP, and subject to execution of this Agreement, has
approved the S W MP.
AGREEMENT:
NOW, THEREFORE, in consideration of the benefits received and to be received by the
Covenantor, its successors and assigns, as a result of the City's approval of the SWMP, the
Parties hereby agree as follows:
1. Covenants Running With the Land; Property Subject to Agreement. All of the Property
shall be subject to this Agreement. The Parties intend that this Agreement shall run with the
land, shall be binding on Covenantor, its successors and assigns, and all parties having or
acquiring any right, title or interest in the Property or any portion thereof, and their respective
successors and assigns, andshall inure to the benefit of the City and its successors and assigns
regardless of whether City.has any ownership interest in the Property or any portion thereof or
any property adjacent thereto. Every limitation, easement, obligation, covenant, condition, and
restriction contained herein shall be deemed to be, and shall be construed as a covenant running
with the land, and in addition; shall be construed as an equitable servitude, enforceable by any
owner of any portion of the Property against any other owner, tenant or occupant of the Property
or any portion thereof. Subject to the provisions of Section 9 below, each reference in this
Agreement to Covenantor shall mean Covenantor and its successors in interest to the Property or
any portion thereof.
2. Responsibility for Installation, Operation and Maintenance. At its sole expense, the
Covenantor shall construct,. operate and perpetually maintain the Facilities in strict accordance
with: (a) the Ordinance, (b) manufacturer's recommendations where applicable, (c) the SWMP
and any amendments thereto that have been approved by the City, and (d) all other applicable
federal, state and local laws, ordinances and regulations. Covenantor, on an annual basis, shall
prepare and deliver to the City Public Works Director, a Maintenance Inspection Report in the
form attached hereto as'Exhibit C or such other form as may be required by City from time to
time. The annual Maintenance Inspection Report shall identify all completed inspection and
maintenance tasks for the reporting period and shall be submitted to the City in order to verify
.that inspection and maintenance of the Facilities have been conducted as required by this
Agreement. The annual report shall be submitted no later than October 15 of each year, under
penalty of perjury, to the City Public Works Director or such other member of the City staff as
directed by the Public Works Director. Covenantor shall provide in the annual report a record of
the volume of all accumulated sediment removed as a result of the treatment measure(s).
Covenantor shall conduct a minimum of one annual inspection of the Facilities before the rainy
season; this inspection shall occur between August 1 st and September 30 each year. More
frequent inspections may be required to comply with the maintenance standards. The results of .
inspections shall be recorded on the Maintenance Inspection Report.
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3. Facility Modifications. At its sole expense, the Covenantor shall make such changes or
modifications to the Facilities as the City Engineer may reasonably determine to be necessary or
desirable to ensure that the Facilities continue to operate as originally designed and approved.
Any changes or modifications to the Facilities may be made only with prior written authorization
by the City Engineer or his or her designee.
4. Grant•of Easement. Covenantor hereby grants to City a nonexclusive, access and
maintenance. easement ("Easement") over the Facilities as depicted and described in Exhibit B
attached hereto and incorporated herein ("Stormwater Facilities Area") for the purpose of
permitting the City, and its employees, agents, contractors, consultants, to inspect, monitor,
maintain, repair and replace the Facilities. Covenantor grants to the City the nonexclusive right
of ingress and egress to the: Stormwater Facilities Area, from the existing streets adjoining the
Property, over the existing: drives, walkways and parking areas located on the Property, for
purposes connected with any right under this Agreement or the performance of any obligations
required by this Agreement.
5. Facility Inspections by the City. At reasonable times, after not less than forty-eight (48) .
hours' prior written notice, except in the event of an immediate threat to public health and safety
in which case no prior notice shall be required, and in a reasonable manner as.provided in the
Ordinance, the City, its agents, employees, contractors, and consultants shall have the right of
ingress and egress to the Stormwater Facilities Area for the purpose of inspecting the Facilities .
to ensure that the Facilities are being properly maintained, are continuing to.perform in an
adequate manner (as reasonably.determined by the City Engineer or his or her designee), and are'
_.. in compliance with the Ordinance, the S WMP and any amendments thereto approved by the City
and all other applicable laws.
6. No Barriers. While this Agreement is in effect, Covenantor shall not erect, nor permit to
be erected, any building -or structure of any kind within the Stormwater Facilities Area, nor shall
Covenantor fill or excavate within the Stonnwater Facilities Area without City's prior written
consent which shall not be unreasonably withheld, but may be conditioned upon such
requirements as City Engineer determines are reasonably necessary or desirable to ensure proper
functioning of the Facilities.
7. Default and Remedies. If following delivery of written notice from City and the
expiration of a thirty (30) day cure period (except in the event of an immediate threat to public
health and safety in which case Covenantor shall commence and complete corrective action as
soon as possible following receipt of notice from the City), Covenantor fails to correct any defect
in the Facilities in accordance with the approved design standards, the SWMP, the Ordinance,
and all other applicable state, .federal, and local laws, rules, and regulations, or Covenantor
otherwise fails to comply with the maintenance and repair obligations set forth in the SWMP and
this Agreement, the .City .shall have the right upon delivery of forty-eight (48) hours' prior
written notice (except .in the event of an immediate threat to public health and safety in which
case no notice shall be required). to enter the Stormwater Facilities Area for the purposes of
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maintaining and repairing the Facilities at Covenantor's expense, and Covenantor shall be
obligated to reimburse City for the cost of all such work, including, without limitation, the cost
of City staff time, within thirty (30) days following City's delivery of an invoice therefor,
together with documentation of City's costs and expenses incurred in connection with the
performance of such work. If such costs are not paid within the prescribed time period, the City
may assess Covenantor the cost of the work, and said assessment shall be a lien against the
Property or may be placed on the property tax bill and collected as ordinary taxes by the City. In
addition to the foregoing, the City may pursue any other remedies provided under law or in
equity, including without limitation, ex parte applications for temporary restraining orders,
preliminary injunctions and permanent injunctions enjoining any such violation or attempted
violation or default, an order for specific performance, civil and criminal penalties, and the
remedies set forth in Sections 9.18.190, 9.18.230 and 9.18.250 of the Ordinance. All such
remedies shall be cumulative and not alternative.
8. Indemnity. To the fullest extent allowed by law, Covenantor shall indemnify and hold
harmless CITY, its City Council, boards and commissions, officers, officials, agents, employees,
servants, consultants and volunteers (hereinafter, "Indemnitees") from and against any liability,
loss, damage, expense, and cost (including reasonable legal fees and costs of litigation or
arbitration), resulting from injury to or death of any person, damage to property, or liability for
other claims, stop notices, demands, causes of actions and actions, arising out of or in any way
related to the ownership, operation, use of the area, maintenance, or failure to maintain, the
Facilities, or the Covenantor's performance or nonperformance of his/her duties under this
Agreement, or from negligent acts or omissions or willful misconduct of Covenantor, its agents,
employees, contractors, or subcontractors. Covenantor shall, at his/her own cost and expense,
defend any and all claims, actions, suits or legal proceedings that may be brought against the
City or any of the Indemnitees (with council acceptable to City) in connection with this
Agreement or arising out of Covenantor's performance or nonperformance of his/her duties and
obligations hereunder, except to the extent any of the foregoing is caused by the negligence or
willful misconduct of the CITY or the CITY'S agents, employees and independent contractors.
9. Obligations and Responsibilities of Covenantor. Initially, the Covenantor named above
shall be solely responsible for the performance of the obligations required under this Agreement
and for the payment of any and all fees, fines, and penalties associated with such performance or
failure to perform under this Agreement. Notwithstanding any provisions of this Agreement to
the contrary, upon the recordation of a deed or other instrument of sale, transfer or other
conveyance of fee simple title to the Property or any portion thereof (a "Transfer") to a third
party, the Covenantor shall be released of its obligations and responsibilities under this
Agreement accruing after the date of such Transfer to the extent such obligations and
responsibilities are applicable to that portion of the Property included in such Transfer.
10. Property Transfer.. Nothing herein shall be construed to prohibit a transfer of the
Property or any part thereof by the Covenantor to subsequent owners and assigns.
11. Termination and Release of Agreement. In the event that the City determines, in the
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exercise of its sole discretion, at any future time that the Facilities are no longer required, then it
promptly shall so notify the Covenantor or its successors and/or assigns in writing, and at the
written request of the Covenantor, the City shall execute a termination and release of this
Agreement which the Covenantor shall cause to be recorded in the Official Records at
Covenantor's sole expense.
12. Miscellaneous.
12.1 Notices. Except as otherwise specified herein, all notices, demands, requests or
approvals to be sent pursuant to this Agreement shall be made in writing, and sent to the Parties at
their respective addresses specified below or to such other address as a Party may designate by
written notice delivered to the other Party in accordance with this Section. All such notices shall
be sent by: (a) personal delivery, in which case notice is effective upon delivery; (b) certified or
registered mail, return receipt .requested, in which case notice shall be deemed delivered upon
receipt if delivery is confirmed by a return receipt; (c) nationally recognized overnight courier,
with charges prepaid or charged to the sender's account, in which case notice is effective on
delivery if delivery is confirmed by the delivery service; or (d) postage prepaid registered or
certified mail, in which case notice shall be deemed delivered on the second business day after the
deposit thereof with the U.S. Postal Service.
City:
City of Cupertino
10300 Torre Ave
Cupertino CA 95014
Attention: Public Works Director
With copy to:
City of Cupertino
10300 Torre Ave
Cupertino CA 95014
Attention: City Attorney
Covenantor:
AlphaMcClellan LLC
97 Boston Avenue
San Jose, CA 95128
Attention: Chun Yi
12.2 Attorneys' Fees_ In the event that either Party institutes legal action or arbitration
against the other to interpret or enforce this Agreement, or to obtain damages for any alleged
breach hereof, the prevailing Parry in such action or arbitration shall be entitled to reasonable
-5-
attorneys' or arbitrators' fees in addition to all other recoverable costs, expenses and damages.
12.3 Governing Law, Venue. This Agreement shall, in all respects, be governed,
construed, applied, and enforced in accordance with the laws of the State of California without
reference to its choice of laws provisions. Any dispute related to the interpretation or
enforcement of this Agreement shall be heard in courts having jurisdiction in Santa Clara
County, California.
12.4 Further Assurances. City and Covenantor shall each execute, acknowledge and
deliver to the other such other documents and instruments, and take such other actions, as either
shall reasonably request as may be necessary to fully effectuate the terms and provisions of this
Agreement.
12.5 Entire Agreement. This Agreement, together with the SWMP, constitutes the
entire agreement of the Parties with respect to the subject matter contained herein and supersedes
all prior written or oral agreements with respect thereto.
12.6 Severability. in the event any part or provision of this Agreement shall be
determined to be invalid or unenforceable under the laws of the State of California, the
remaining portions of this Agreement that can be separated from the invalid or, unenforceable
provisions shall, nevertheless, continue in frill force and effect.
12.7 No Waiver. Any waiver by City of any term or provision of this Agreement must
be in writing. No waiver shall. be implied from any delay or failure by City to take action on
any breach or default hereunder or to pursue any remedy allowed under this Agreement or
applicable law. No failure or delay by City at any time to require strict performance by
Covenantor of any provision of this Agreement or to exercise any election contained herein or
any right, power or remedy hereunder shall be construed as a waiver of any other provision or
any succeeding breach of the. same or any other provision hereof or a relinquishment for the
future of such election.
12.8 Recordation; Amendments. City, at Covenantor's expense, shall cause this.
.Agreement to be recorded in the Official Records of Santa Clara County, California ("Official
Records") promptly following execution hereof. This Agreement may be amended in whole or
in part only by mutual written agreement. Any such amendment shall be recorded in the Official
Records.
12.9 Relationship of Parties. Neither Covenantor nor any of its contractors, employees
or agents shall be deemed to be agents of City in connection with the performance of
Covenantor's obligations under this Agreement. Nothing in this Agreement is intended to or
shall establish the Parties as partners, co -venturers, or principal and agent with one another. City
neither undertakes nor assumes any responsibility or duty to Covenantor (except as expressly
provided in this Agreement) or to any third party with respect to the Facilities.
!�
12.10 Headings; Construction; Statutory References. The headings of the sections and
paragraphs of this Agreement are for convenience only and shall not be used to interpret this
Agreement. This Agreement is the product of negotiation between the Parties. The language of
this Agreement shall be construed as a whole according to its fair meaning and not strictly for or
against any Party. Any rule of construction to the effect that ambiguities are to be resolved
against the drafting party shall not apply in interpreting this Agreement. All references in this
Agreement to particular statutes, regulations, ordinances or resolutions of the United States, the
State of California, or the City of Cupertino shall be deemed to include the same statute,
regulation, ordinance or resolution as hereafter amended or renumbered, or if repealed, to such
other provisions as may thereafter govern the same subject. The recitals above and exhibits
attached hereto are a substantive part of this Agreement and are hereby incorporated herein.
12.11 Permits and Licenses; Compliance with Law. Covenantor, at its expense, shall
comply with all applicable legal requirements, including all federal, state, and local laws and
regulations (including City ordinances, regulations and resolutions, and requirements of other
agencies with. j urisdiction), whether or not said laws or regulations are expressly stated in this
Agreement, and obtain and maintain all necessary permits and licenses required in order to own,
operate and maintain the Facilities.
12.12 Liens. Covenantor shall pay, when due, all persons furnishing labor or materials in
connection with any work to be performed by or on behalf of Covenantor related to the Facilities,
and shall keep City's interests in the Stonnwater Facilities Area free and clear of any related
mechanics' liens.
12.13 Joint and Several Liability. If Covenantor consists of more than one person or
entity, the obligations of such persons and entities shall be joint and several.
12.14 Counterparts. This Agreement may be executed in one or more counterparts, each
of which shall be deemed to be an original, and all of which taken together shall constitute one and
the same instrument.
SIGNATURES ON FOLLOWING PAGE(S)
ere
IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date first
above written.
ATTEST:
Kirsten Squar 'a, City Clerk
AS TO/FORM:
Christopher D.
City Attorney
COVENANTOR:
A1phaMcClellan LLC, a California limited liability
company
By: AlphaX RE C pital Inc., a California corporation
Chun Yi
Manager & Authorized Signatory
(Notary acknowledgment to be attached).
CITY:
CITY OF CUPERTIN , a municipal corporation
By._ —
Name: CNAo oSLa<r
Title: P1?C(%0X oG is ySt-IC 0ad? lL_s
(Notaw acknowledgment to be attached)
DERACHELLE NASCIMENT 1
Notary Public • California
T
Santa Clara County >
Z ° Commission # 246016'
My Comm. Expires Aug 21, 2027
-8-
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
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 1
County of �"J n��
Onbefore me, a� �__1 ���'t f� �-ey�A" T,�LI►�VI C�
Date Here Insert Name and Title of the Officer
personally appeared
of Signer(s)
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.
4yEt� OF TF �
DEBRA RAC ELLE NASCIMENTO I certify under PENALTY OF PERJURY under the
Notary Public California laws of the State of California that the foregoing
J Santa Clara County paragraph is true and correct.
Commission # 2460168 f
WITNESS my hand and official seal.
Signature:_
Place Notary Seal and/or Stamp Above Signature of Notary Public
/11"ITI/1\I A t
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:\
Document Date. Nu
Signer(s) Other T `an Named Abov
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
02019 National Notary Association
Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF 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 SRr4lA CL42QA
On ��14 ZZ, 202`y before me, Ada Shockley, Notary Public,
personally appeared dhfµ % lI
who proved to me on the basis of satisfactory evidence to be the person/) whose
name(s) is/( subscribed to the within instrument and acknowledged to me that
1y4/she/th,'y executed the same in lets/her/th/r authorized capacity(), and that
by hA/her/t4eir signature(,�l) on the instrument the person(, or the entity upon
behalf of which t!ne person(( 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.
Signature M
•
DESCRIPTION OF ATTACHED DOCUMENT:
ADA SHOCKLEY
=�F COMM. #2399975 Z
=•
on ," My
Notary Public California o
Santa Clara County
Comm. Expires May 2, 2026
(Seal)
Exhibit A
PROPERTY
EXHIBIT A►
The land referred to is situated in the County of Santa Clara, City of Cupertino, State of
California, and is described as follows:
Beginning at a point in the center line of McClellan Road, distant thereon South 89 deg. 57"
West 300 feet from an iron pipe at the Northeast corner of that certain 10.56 acre tract of land
conveyed by Thomas Kerwin, et ux, to Karl A. Friedrich, by Deed dated January 25, 1909 and
recorded January 27, 1909 in Book 337 of Deeds, Page 460, Santa Clara County Records;
thence along the centerline of McClellan Road, South 89 deg. 57' West 140 feet to a railroad
spike; then South 419.80 feet to an iron pipe on the Northerly line of that certain 14 acre tract
of land conveyed by Thomas Kerwin, et ux, to Mario Galdassini by Deed dated November 8,
1905 and recorded November 8, 1905, in Book 300 of Deeds, Page 84, Santa Clara County
Records, said Northerly line of said 14 acre tract of land also being the Southerly line of said
10.56 acre tract of land thence along the Southerly line of said 10.56 acre tract of land North 89
deg. 56' Fast 140 feet; thence North 419.75 feet to the point of beginning, and being a portion
of said 10.56 acre tract of land in the Northwest one -quarter of Section 24, Township 7, South,
Range 2, West M.D.E. & M.
APN : 359-20-030
Exhibit B
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Exhibit C
FORM OF MAINTENANCE INSPECTION REPORT
MCI en2ineerini! Co.
Facility Name
Location:
Begin Date:
16075 Vineyard Blvd. Morgan Hill, CA
Annual Stormwater SCM Inspection & Maintenance Log
End Date:
1 MH engineering Co.
WHJ 16075 Vineyard Blvd. Morgan Hill, CA 95037 - (408) 779-7381
Instructions: Instructions: Record all inspections and maintenance for all treatment SCMs on this form. Use additional log
sheets and/or attach extended comments or documentation as necessary. Submit a copy of the completed log with the annual
independent inspectors' report to the City, and start a new log at that time.
• SCM ID# — Always use ID# from the Operation and Maintenance Manual.
■ Inspected by — Note all inspections and maintenance on this form, including the required independent annual inspection.
• Cause for inspection — Note if the inspection is routine, pre -rainy -season, post -storm, annual, or in response to a noted
problem or complaint.
■ Exceptions noted — Note any condition that requires correction or indicates a need for maintenance.
• Comments and actions taken — Describe any maintenance done and need for follow-up.
MH engineering Co.
•d Blvd. Morgan Hill, CA 95037 - (408) 779-
Storm Water SCM Annual Inspection Certification
This form is to be completed and submitted annually by September30 to the City of Morgan Hill Public
Works Director.
Project Information
Project Name
Property Address:
Owner/Developer
APN 4 :
Date of Inspection:
.SCM Description and !Number: (identify all that apply)
Bio-retention basin
Storage Tank
Permeable pavement
Sand Filter
Underground Storage Manifold
General Information Lor all SCMs:
Detention Basin
Filtration Basin
Proprietary Devices
Stormwater Wetlands
Other (Describe):
Vegetated (Bio) Swale
Riparian Buffer
Rooftop Runoff/Harvesting
Pump System
Yes No N/A
Has sediment accumulated in the inlet, outlet or forebay?
Are there signs of erosion or any denuded areas?
Is there trash or debris that needs to be removed? (esp. at outlet
structures)
Are algae, aquatic weeds or invasive plants (particularly cattails) present?
Is there evidence of cracks, separation or alignment problems with pipes?
Are rip -rap dissipater pads damaged, clogged with vegetation or insufficient?
For dry detention ponds, is there basin holding water longer than 5 days after a storm
event?
Is there evidence of muskrat activity?
Are vegetated slopes steeper than 3:1?
1VI�-I en�ineerin
16075 Vineyard Blvd. Morgan Hill, CA 4
Co.
Is there evidence of depressions in the soil surface over and around any pipes?
Are records of operation and maintenance available for inspections performed
quarterly (include copy)
Other problems not listed above (describe below)
Describe all problems in detail (use additional sheets if necessary):
Describe corrective actions needed (use additional sheets if necessary):
SC'M Condition (check one):
FAILED INSPECTION
Has MAJOR deficiencies and must be repaired in order to function properly and operate as designed. A
final inspection and certification must be performed and submitted after repair.
CONDroONAL APPROVAL
Has MINOR deficiencies but repair is needed in order to ensure system does not fail. Final Certification
can be issued with contingent upon corrective measures being addressed.
❑ FINAL CERTIFICATION
SCM has no deficiencies and a Final Certification will be issued.
MH engineering Co.
yard Blvd. Morgan Dill, CA 95037 - (408)
OwnerZ Representative Certi icgtion
I have read and understand the findings of this inspection. I understand that I am responsible for
correcting all deficiencies identified in this report by October 30th of this year.
Owner Signature:
Owner of Record:
Address:
Inspector Is Certification
Date:
Telephone:
Fax: Email:
As a duly registered Professional in the State of California, I hereby certify that the Stormwater SCM(s)
described in this report were inspected under my responsible charge, and this report accurately
identifies any deficiencies in the structure and function of the SCM(s).
Inspector Signature: Date:
Inspector Name: Telephone:
Company: Fax:
Address: Email:
Credentials:
Completed .5CM Maintenance & Inspection Certification? Yes No— Certification #:
1V H engineering Co.
16075 Vineyard Blvd. Morgan Hill. CA 95037
(408)779-7381
SCM- Inspection and Maintenance Checklist — Underground Pipe Manifold Storage systems and storm
drain conveyance structures
Property Address:
Property Owner:
Inspector(s):
Type of Inspection: Q Pre -Rainy Season Q Post -Rainy Season
(September 15) (May 15t)
Treatment Measure No.: Date of Inspection:
Q' Monthly Q Annual
1) Check if the inlet and outlet are free of debris and obstruction, if so the
area where poor drainage occurs may need new soil media.
2) Check if there is no standing water or poor vegetation within the swale.
3) Check for any erosion.
4) Check the inspection hand -hole for any debris or sediment within the
chambers designated sumps. If so the sumps must be flushed clean,
5) Check for the drainage structure integrity.
6) Check for infiltration functioning as designed.