Instructions For Filing Covenant And Agreement Forms Page 2

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Recording requested by and mail to:
Name:
____________________________________
Address:
____________________________________
____________________________________
____________________________________
************************************** Space Above This Line For Recorder's Use *******************************************
MASTER COVENANT AND AGREEMENT
REGARDING ON-SITE STORMWATER MITIGATION MEASURES AND MAINTENANCE
I (We), the undersigned, hereby certify that I am (we are) the owner(s) of the hereinafter legally described real property (“Property”) located in
the City of Los Angeles, County of Los Angeles, State of California (please give the legal description):
LEGAL DESCRIPTION
ASSESSOR’S ID# _________________________ TRACT NO. ___________________________ BLOCK NO. ____________ LOT NO ____________
Site Address __________________________________________________________________________________________________________
In consideration of the City of Los Angeles allowing _____________________________________development on said Property, I (we) do
hereby covenant and agree to install, operate and maintain in a good operable condition at all times, at my (our) sole cost, all on-site
stormwater Best Management Practices (BMPs) per approved plans. I (we) shall maintain, in accordance with the attached Operation &
Maintenance Plan (Attachment 1), the following on-site stormwater BMPs:
Rain Barrel (min 55 gal): # of barrels
________; ___________total gallons, with minimum of ________ Sq. Ft of vegetated landscaping
Rain Tank / Cistern: # of tanks / cistern ________; ___________total gallons, with minimum of ________ Sq. Ft of vegetated landscaping
Porous pavement/pavers: _______________ Sq. Ft (for incidental rainfall); and / or
________________ Sq. Ft. with _____ ft sub base
Rain Garden (lined): # of rain gardens
_______; ___________total Sq. Ft.
Dry Well: __________________ Cu. Ft.
Rain Garden (unlined): # of rain gardens _______; ___________total Sq. Ft.
Infiltration Trench: __________________ Cu. Ft.
Flow Thru Planter:
# of planters
_______; ___________total Sq. Ft.
Green Roof: _______________________ Sq. Ft.
Other: ___________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Owner further covenants and agrees that the above-described stormwater device(s) shall not be removed from the Subject Property unless a
revised Plan is approved by the Bureau of Sanitation In the event that any portion of the above-specified on-site stormwater pollution removal
device(s) or BMPs is modified, I (we) shall immediately provide the Bureau of Sanitation of the City of Los Angeles with a revised Plan for their
approval, and sign and record a Supplemental Covenant and Agreement, specifying all of the on-site stormwater pollution removal device(s)
and BMPs, as modified (along with a modified O&M Plan). No Supplemental Covenant and Agreement shall, in any way, limit or diminish my
(our) General Maintenance Obligation.
This Master Covenant and Agreement, and all obligations herein, shall run with the Property and shall be binding upon any future owners,
encumbrancers, their successors, heirs or assigns and shall continue in effect until the Bureau of Sanitation approves the termination hereof.
Owner further covenants and agrees that if Owner hereafter sells the Subject Property, Owner shall provide printed educational materials to
the buyer regarding the stormwater device(s) that are located on the Subject Property, including the type(s) and location(s) of all such devices,
and instructions for properly maintaining all such devices.
_________________________________________
________________________________________
(Print Name of Property Owner)
(Print Name of Property Owner)
_________________________________________
________________________________________
(Signature of Property Owner)
(Signature of Property Owner)
Dated this _________ day of ____________ 20____.
Dated this _________ day of ____________ 20____.
(PLEASE ATTACH NOTARY ACKNOWLEDGEMENT)
*************************************** Space Below This Line For Bureau Internal Use ***************************************
Permit No. __________________________________
Approved for recording by: Department of Public Works, Bureau of Sanitation
_________________________________
__________________________________
Date:
_____________________
(Print Name) Engineering Associate
(Signature)

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