Fillable Project Closeout Packet

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Project Closeout Packet

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City of Chamblee | Planning and Development Department
5576 Peachtree Rd, Ste 102 | Chamblee, GA 30341
770-986-5010 | chambleedevelopment@chambleega.gov| www.chambleega.gov
ProjectCloseoutPacket
TheFollowingInformationisIncludedinthisPacket:
1. ProjectCloseoutFlowChart
2. Certificate of Occupancy Checklist
3. DocumentRequirementsSheet
4. PerformanceBond(incompleteroads,sidewalks,andlandscape)
5. MaintenanceBond(roads,sidewalks,andlandscape)
6. StormwaterMaintenanceAgreementandBond(detentionponds)
7. StormwaterAs‐builtChecklist(detentionponds)
8. GISMappingForm(finalplats)
ProjectCloseoutProcess
FinalInspections
Onceconstructionisnearingcompletion,an
applicantshallcontacttheCityforschedulea
finalsiteinspection(scheduleinspectionsonline).
CityofChambleefinalinspections
1. Planningandzoning
2. Erosion
3. Arborist
4. Building
InspectionComments
1.
Receivefinalinspectioncomments
fromstaffbasedoncomparisonof
approvedsiteplanandconditions
towhatisconstructedonsite.
2.
Correctionsshallbemadepriorto
finalsiteinspectionapproval.
Questions?
Justask.ContactthePlanningand
DevelopmentDepartmentat770‐986‐5010or
chambleedevelopment@chambleega.gov
ProjectCloseout
1. Submitexternalinspectionapprovals.
2. Submitdigitalcopyofplansetwithinspection
signatures(TIFFfileformat)–asdeterminednecessary
bytheCBO.
3. Submitrecordedpublicaccesseasements,asrequired.
4. PayGreenbuildingcertificationfee(allbuildingsover
20,000sf).Feeforbuildings20,000‐50,000sfis
$0.26/sf;feeforbuildingsover50,000sfis$17,500. Fee
isrefundeduponsubmittaloffinaldocumentation of
greenbuildingcertification.
5. PerformanceBond(incompleteroads,sidewalks,
landscape)—150%.
6. MaintenanceBond(roads,sidewalks,landscape)—60%
7. StormwaterMaintenanceAgreementexecuted
(detentionponds).
a. MaintenanceBond(detentionponds)‐‐
$5.00/cubicfootofstorage.
b. Maintenanceagreementtoberecordedafter
approvalbyCityCouncil(finalplats).
8. StormwaterAs‐builts, in .pdf file format,reviewedand
approvedbyCity Engineer(detentionponds)‐10
businessdayreviewprocess.
9. Stormwater As-builts, in .dwg file format, for our MS4
inventory (detention ponds).
10. Itemizedcostsjustifybondamounts.
CERTIFICATE OF OCCUPANCY CHECKLIST
The following must be received prior to issuance of a C.O.
□ Fees have been paid
□ Planning & Zoning final site inspection
□ Have all required easements been recorded?
□ Are there other requirements to satisfy zoning conditions?
□ Site/ Arborist Final Inspection
□ Building final inspection
□ Building final inspection affidavits received, (if applicable):
□ Electrical affidavit
□ Plumbing affidavit
□ Mechanical affidavit
□ Building plans/permit card with Building Inspector signatures received, (if applicable)
□ External Agency inspections, based on use type:
□ DeKalb County Fire Marshal – Signature on card
□ DeKalb Watershed Management FOG (Any project with a grease trap)
□ DeKalb Dept. of Health (Restaurant, hotel/motel, public swimming pools)
□ Georgia Dept. of Agriculture (Bakery, Butcher, Grocery, Nursery or Plant Sales, Convenience
Store)
□ Georgia Dept. of Agriculture Weights and Measures (Fuel station)
□ Georgia Dept. of Transportation (Work within State ROW)
□ Guarantees and Sureties received
□ Performance Bond (incomplete roads, sidewalks, landscape) – 150%.
□ Itemized costs to justify bond amount.
□ Original hard copy of bond.
□ Maintenance Bond (roads, sidewalks, landscape) – 60%
□ Itemized to costs justify bond amount.
□ Original hard copy of bond.
□ Stormwater Maintenance Requirements (detention ponds).
□ Stormwater As-Builts approved by City Engineer, or received before maintenance bond
can be released.
□ Stormwater As-builts, in .dwg file format, for our MS4
□ inventory.
□ Maintenance Agreement has been recorded
□ Maintenance Bond - $5.00/cubic foot of storage
□ LEED or Green Globes (new buildings >20,000 only) – Fees paid (20,000-50,000 sf is
$0.26/sf; buildings over 50,000 sf is $17,500). Account code is 100-121103. Provide Finance
Director with copy of receipt. Fee is refunded upon submittal of documentation of green
building certification
DOCUMENT REQUIREMENTS – CITY OF CHAMBLEE
The Erosion Control Bond is due prior to the issuance of a Land Disturbance Permit. All other bonds and
paperwork are due prior to project closeout/issuance of Certificate of Occupancy.
Erosion Control Bond
Prior to issua
nce of the Land Disturbance Permit, the applicant shall post a bond in the form of government security,
cash, irrevocable letter of credit, or any combination thereof, of $3,000.00 per acre or fraction thereof of the proposed
land-disturbing activity. The bond must be issued by a licensed surety with power of attorney in the state. The bond
shall be in force until the developer can demonstrate that all disturbed areas are stabilized and covered with one
season's growth of permanent vegetation per inspection by the City’s authorized erosion control agent.
Green Building Certification Fee
T
he applicant of a building 20,000 sf or greater shall pay a fee to ensure successful completion of the green building
certification as set forth in the code. Upon certification, the fee paid shall be refunded to the applicant. The fee for
buildings 20,000-50,000 sf is $0.26/sf; the fee for buildings over 50,000 sf is $17,500.
Performance Bond (incomplete roads, sidewalks, and landscape)
Prior to appr
oval of a final plat or issuance of a certificate of occupancy, the developer or owner shall provide As-Built
Drawings and, if necessary, post a performance bond or cash escrow guaranteeing installation of all site
development infrastructure such as streets, sidewalks, landscaping and streetscape that may not be complete prior to
approval of a final plat or certificate of occupancy. The bond will be in the amount of 150 percent of the estimated
cost of all unfinished work and materials required by City Ordinances and the approved site development and
construction plans. Bond submittal shall be accompanied by a calculation of all required improvements to
justify bond amount. Following a notice of completion by the owner or developer, the City Manager or his/her
designee shall make an inspection and notify the owner or developer and the bond company of final acceptance or
require any corrections to be made prior to bond release.
Maintenance Bond (roads, sidewalks, and landscape)
Prior to issua
nce of a certificate of occupancy, the developer or owner shall post a maintenance bond or cash escrow
guaranteeing all roads, sidewalks, and landscaping materials and work for a period of 24 months after approval or
acceptance thereof by the City. The bond will be in the amount of 60 percent of the estimated cost of replacing all
of the roads, sidewalks, and landscaping required by code. Bond submittal shall be accompanied by a
calculation of all required improvements to justify bond amount. At the end of 24 months, the City Manager
shall make an inspection and notify the owner or developer and the bond company of acceptance or any corrections
to be made prior to bond release.
Stormwater Maintenance Bond (detention ponds)
Prior to issua
nce of a certificate of occupancy, the developer or owner shall post a maintenance/performance bond
for the project’s stormwater management measures in the amount of five dollars ($5) per cubic foot of storage
provided shall be required for a 24-month period. Bond submittal shall be accompanied by a calculation of
storage to justify bond amount. This bond shall be presented to the City along with a stormwater maintenance
agreement. At the end of 24 months, the City Manager shall make an inspection and notify the owner or developer
and the bond company of acceptance or any corrections to be made prior to bond release.
Recorded Stormwater Maintenance Agreement (detention ponds)
Prior to issua
nce of a certificate of occupancy, the developer or owner shall complete a Stormwater Maintenance
Agreement for the project’s stormwater management measures. The draft agreement shall be modified to reflect the
designs of the subject project and shall include all required signatures. Once approved, the Agreement shall be
recorded at DeKalb Superior Court and returned to the City.
Stormwater As-builts (detention ponds)
One sign
ed and sealed PDF copy of the Stormwater as-built drawing (plan and profile) for storm water drainage
structures and piping shall be submitted for review by the City Engineer. The drawings shall be approved by the City
Engineer prior to issuance of a certificate of occupancy.
Confirmation of recorded easements
An
y easements required per the UDO or other development procedures shall be recorded and one TIFF electronic
copy submitted to the City prior to issuance of certificate of occupancy or project closeout.
Street, Sidewalk, Landscape and Streetscape Performance Bond
City of Chamblee, GA
Bond No. Amount: $
KNOW ALL
MEN BY THESE PRESENTS, That (Contractor/Developer, address)
(Hereafter called the “Principal”), as Principal, and (Insurance company , a
corporation duly organized under the laws of the State of And duly licensed to
transact business in the State of Georgia (herein called the “Surety”), as Surety, are held and firmly bound
unto City of Chamblee, Georgia in the sum of for the payment of which
sum well and truly to be made, we the said Principal and the said Surety, bind ourselves, our heirs,
executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
SEALED with our seals and dated this day of , 20 .
WHEREAS,
the City of Chamblee, Georgia requires a development within the City of Chamblee,
Georgia to conform with the requirements of the City of Chamblee Tree Preservation Ordinance,
Streetscape Design Guidelines, Subdivision Regulations, and Zoning Ordinance and portions of the
required streets, sidewalk, landscape, and streetscape improvements are incomplete, pending further
design and construction approval of the Georgia Department of Transportation and the City of Chamblee,
as applicable.
WHEREAS, City of Chamblee, Georgia requires prior to issuance of a Certificate of Occupancy, that the
Principal shall post a Performance Bond in the amount of 150% of the estimated cost of installing the
above-required street, sidewalk, landscaping, and streetscape improvements, and said Bond shall
guarantee installation of all materials and workmanship prior to issuance of a Certificate of Occupancy by
the City of Chamblee for the PROJECT NAME AND ADDRESS.
NOW, THER
EFORE, THE CONDITION ON THIS OBLIGATION IS SUCH if said improvements shall
meet the code requirements of the City of Chamblee and shall be complete and free from defects of
workmanship and materials, then this obligation shall be released and found to be null and void;
otherwise to remain in full force and effect.
( )
By:
Witness to Principal (Principal)
( )
By:
Witness to Surety (Surety)
Street, Sidewalk, Landscape and Streetscape Maintenance Bond
City of Chamblee, GA
Bond No. Amount: $
KNOW ALL
MEN BY THESE PRESENTS, That (Contractor/Developer, address)
(Hereafter called the “Principal”), as Principal, and (Insurance company , a
corporation duly organized under the laws of the State of And duly licensed to
transact business in the State of Georgia (herein called the “Surety”), as Surety, are held and firmly bound
unto City of Chamblee, Georgia in the sum of for the payment of which
sum well and truly to be made, we the said Principal and the said Surety, bind ourselves, our heirs,
executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
SEALED with our seals and dated this day of , 20 .
WHEREAS,
the City of Chamblee, Georgia requires a development within the City of Chamblee,
Georgia to conform with the requirements of the City of Chamblee Tree Preservation Ordinance,
Streetscape Design Guidelines, Subdivision Regulations, and Unified Development Ordinance and
portions of the required streets, sidewalk, landscape, and streetscape improvements.
WHEREAS, City of Chamblee, Georgia requires prior to issuance of a Certificate of Occupancy, that the
Principal shall post a Maintenance Bond in the amount of 60% of the estimated cost of installing the
above-required street, sidewalk, landscaping, and streetscape improvements, and said Bond shall
guarantee installation of all materials and workmanship prior to issuance of a Certificate of Occupancy by
the City of Chamblee for the PROJECT NAME AND ADDRESS for a period of 24 months.
NOW, THER
EFORE, THE CONDITION ON THIS OBLIGATION IS SUCH if said improvements shall
meet the code requirements of the City of Chamblee and shall be complete and free from defects of
workmanship and materials, then this obligation shall be released and found to be null and void;
otherwise to remain in full force and effect.
( )
By:
Witness to Principal (Principal)
( )
By:
Witness to Surety (Surety)
STATE OF GEORGA CITY OF CHAMBLEE
STORMWATER BMP MAINTENANCE AGREEMENT
WHE
REAS, the Property Owner____________________________________________
recognizes that the wet or extended detention facility or facilities (hereinafter referred to as “the
facility” or “facilities”) and all other structural or non-structural facilities designed to meet the
requirements of the City of Chamblee’s stormwater management requirements must be
maintained for the development called, ____________________________________, located in
Land Lot(s) _____, District(s) _____, of the City of Chamblee, DeKalb County, Georgia; and,
WHEREAS, the Property Owner is the owner of real property more particularly
described on the plat attached as Exhibit A, and,
WHEREAS, the City of Chamblee (hereinafter referred to as “the City”) and the
Property Owner, or its administrators, executors, successors, heirs, or assigns, agree that the
health, safety and welfare of the citizens of the City require that the facilities be constructed and
maintained on the property, and,
WHEREAS, Appendix A, Unified Development Ordinance, requires that facility or
facilities as shown on the approved development plans and specifications be constructed and
maintained by the Property Owner, its administrators, executors, successors, heirs, or assigns.
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:
SECTION 1
The facility or facilities shall be constructed by the Property Owner in accordance with
the plans and specifications for the development.
SECTION 2
The Property Owner, its administrators, executors, successors, heirs or assigns shall
maintain the facility or facilities in good working condition acceptable to the City and in
accordance with the schedule of long term maintenance activities agreed hereto and attached as
Exhibit B. For purposes of this Agreement, Property Owner is defined as the
_______________________________________________________, as well as each subsequent
individual lot owner in the subdivision known as _____________________________________,
which lots are shown on _______________________________________________, as recorded
in the Superior Court of DeKalb County.
SECTI
ON 3
The Property Owner, its administrators, executors, successors, heirs or assigns hereby
grants permission to the City, its authorized agents and employees, to enter upon the property and
to inspect the facilities whenever the City deems necessary. Whenever possible, the City shall
provide notice prior to entry. The Property Owner shall execute an access easement in favor of
the City of Chamblee to allow the City to inspect, observe, maintain, and repair the facility as
deemed necessary. A fully executed original easement is attached to this Agreement as Exhibit C
and by reference made a part hereof.
SECTION 4
In the event the Property Owner, its administrators, executors, successors, heirs or assigns
fails to maintain the facility or facilities as shown on the approved plans and specifications in
good working order acceptable to the City and in accordance with the maintenance schedule
incorporated in the Agreement, the City, with due notice, may enter the property and take
whatever steps it deems necessary to return the facility or facilities to good working order. This
provision shall not be construed to allow the City to erect any structure of a permanent nature on
the property. It is expressly understood and agreed that the City is under no obligation to
maintain or repair the facility or facilities and in no event shall this Agreement be construed to
impose any such obligation on the City.
SECTION 5
In the event the City, pursuant to the Agreement, performs work of any nature, or
expends any funds in the performance of said work for labor, use of equipment, supplies,
materials, and the like, the Property Owner shall reimburse the City, or shall forfeit any required
bond upon demand within thirty (30) days of receipt thereof for all the costs incurred by the City
hereunder. If not paid within the prescribed time period, the City shall secure a lien against the
real property, or real properties of said Property Owner in the amount of such costs. The actions
described in this section are in addition to and not in lieu of any and all legal remedies available
to the City as a result of the Property Owner’s failure to maintain the facility or facilities.
SECTION 6
It is the intent of this agreement to insure the proper maintenance of the facility or
facilities by the Property Owner; provided, however, that this Agreement shall not be deemed to
create or effect any additional liability of any party for damage alleged to result from or caused
by storm water runoff.
SECTION 7
Sediment accumulation resulting from the normal operation of the facility or facilities
will be catered for. The Property Owner will make accommodation for the removal and disposal
of accumulated sediments. Disposal will be provided onsite in a reserved area(s) or will be
removed from the site. Reserved area(s) shall be sufficient to accommodate for a minimum of
two dredging cycles.
SECTI
ON 8
The Property Owner shall provide the City with a bond or a letter of credit providing for
the maintenance of the facility or facilities pursuant to the City’s Development Regulations
concerning Maintenance Agreements.
SECTION 9
The Property Owner shall use the standard BMP Operation and Maintenance Inspection
Report attached to this agreement as Exhibit D and by this reference said report shall be made a
part hereof for the purpose of a minimal annual inspection of the facility or facilities by a
qualified inspector.
SECTION 10
The Property Owner, its administrators, executors, successors, heirs and assigns hereby
indemnifies and holds harmless the City and its authorized agents and employees for any and all
damages, accidents, casualties, occurrences or claims which might arise or be asserted against the
City from the construction, presence, existence or maintenance of the facility or facilities by the
Property Owner or the City. In the event a claim is asserted against the City, its authorized agents
or employees, the City shall promptly notify the Property Owner and the Property Owner shall
defend at its own expense any suit based on such claim. If any judgement or claims against the
City, its authorized agents or employees shall be allowed, the Property Owner shall pay for all
costs and expenses in connection herewith.
SECTION 11
This Agreement shall be recorded among the deed records of the Clerk of Superior Court
of DeKalb County and shall constitute a covenant running with the land and shall be binding on
the Property Owner, its administrators, executors, heirs, assigns and any other successors in
interest.
SECTION 12
This Agreement may be enforced by proceedings at law or in equity by or against the
parties hereto and their respective successors in interest.
SECTION 13
Invalidation of any one of the provisions of this Agreement shall in no way effect any
other provisions and all other provisions shall remain in full force and effect.
MAINTENANCE AGREEMENT
SO AGREE
D this __________________day of __________________________, 20___.
PROPERTY OWNER
CORPORATION
________________________________________________________________________
Name of Corporation:
,
A Georgia Corporation
By
: ________________________________ Attest:
Title: ______________________________
Title:
(President or Vice President) (Corporate Secretary or
Corporate Secretary Assistant)
(CORPORATE SEAL)
CITY OF CHAMBLEE, GEORGIA
Attest: ______________________________ By:
City Clerk Mayor, City of Chamblee
(SEAL)
Attach
ments: Exhibit A (Plat and Legal Description)
Exhibit B (Maintenance and Inspection Schedule)
Exhibit C (Access Easement)
Exhibit D (Standard BMP Operation and Maintenance Inspection Report)
MAINTENANCE AGREEMENT
SO AGREE
D this __________________day of __________________________, 20___.
PROPERTY OWNER
PARTNERSHIP
________________________________________________________________________
Name of Partnership:
,
A Georgia General Partnership Corporation
By: ____________________________(Seal) Attest:
Witness
Title: ____________________________________
(Seal)
General Partner Notary Public
CITY OF CHAMBLEE, GEORGIA
Attest: ______________________________ By:
City Clerk Mayor, City of Chamblee
(SEAL)
Attach
ments: Exhibit A (Plat and Legal Description)
Exhibit B (Maintenance and Inspection Schedule)
Exhibit C (Access Easement)
Exhibit D (Standard BMP Operation and Maintenance Inspection Report)
MAINTENANCE AGREEMENT
SO AGREE
D this __________________day of __________________________, 20___.
PROPERTY OWNER
LIMITED LIABILITY CORPORATION
________________________________________________________________________
Name of LLC:
,
By
: _________________________________ Attest:
Witness
Title: ____________________________________
(Seal)
Managing Person Notary Public
CITY OF CHAMBLEE, GEORGIA
Attest: ______________________________ By:
City Clerk Mayor, City of Chamblee
(SEAL)
Attachments: Exhibit A (Plat and Legal Description)
Exhibit B (Maintenance and Inspection Schedule)
Exhibit C (Access Easement)
Exhibit D (Standard BMP Operation and Maintenance Inspection Report)
MAINTENANCE AGREEMENT
SO AGREE
D this __________________day of __________________________, 20___.
PROPERTY OWNER
INDIVIDUAL OR PROPERTY OWNED JOINTLY BY SEVERAL INDIVIDUALS
________________________________________________________________________
By : ____________________________________ Attest: _______________________________
Signature of Owner Witness
____________________________________ _______________________________
Printed Name Printed Name
By: ____________________________________ Attest: _______________________________
Signature of Owner Witness
____________________________________ _______________________________
Printed Name Printed Name
By: ____________________________________ Attest: _______________________________
Signature of Owner Witness
____________________________________ _______________________________
Printed Name Printed Name
__________________________(Seal)
Notary Public
CITY OF CHAMBLEE, GEORGIA
Attest: ______________________________ By:
City Clerk Mayor, City of Chamblee
(SEAL)
Attach
ments: Exhibit A (Plat and Legal Description)
Exhibit B (Maintenance and Inspection Schedule)
Exhibit C (Access Easement)
Exhibit D (Standard BMP Operation and Maintenance Inspection Report)
EXHIBIT A
Plat and Legal Description
EXHIBIT “B”
BMP Maintenance and Inspection Schedule for Underground Pond Facilities
1. Detailed inspections to be performed annually by a qu
alified inspector.
2. Rem
ove any trash/ debris and sediment buildup in the underground vaults, tanks
or pipes
annuall
y.
3. Perform structural repairs to inlet and outlets as needed
, based on inspection.
4. Inspections are to follow th
e provided inspection report checklist. (See Exhibit
D “BMP
Operations and Maintenance Inspection Report for Underground Pond Facilities”).
EXHIBIT “C”
PERMANENT WATER QUALITY BMP AND ACCESS EASEMENT AGREEMENT
STATE OF
GEORGIA
CITY OF CHAMBLEE
THIS EASEMENT granted this day of , 20_____
between
the property owner
as
party
of the first part, hereinafter referred to as Grantor, and CITY OF CHAMBLEE, a political
subdivision of the State of Georgia, as party of the second part, hereinafter referred to as Grantee.
WITNESSETH THAT: Grantor, for and in consideration of the sum of ONE DOLLAR ($1.00)
in hand paid at and before the sealing and delivery of this easement and in consideration of the
agreements and covenants contained in this document and the Maintenance Agreement between
Grantor and Grantee, hereby grants unto the Grantee an easement in and to that portion of the
property shown on Exhibit “A” to the Maintenance Agreement, described by the legal description
attached hereto and as also shown and identified on the plat attached hereto as Exhibit “1”.
The purpose of this easement is to allow Grantee, or its agents, access for maintenance activities
to the Water Quality Best Management Practice (BMP) facility, and to prevent development of
the property within the easement following issuance of the Certificate of Occupancy or in the
case of a residential subdivision, the approval of the Final Plat, without written permission from
the City of Chamblee. This easement is required by the provisions of the Maintenance
Agreement executed by and between the Grantor and Grantee.
PERMANENT WATER QUALITY BMP AND ACCESS EASEMENT AGREEMENT
SO AGREE
D this __________________day of __________________________, 20___.
PROPERTY OWNER
CORPORATION
________________________________________________________________________
Name of Corporation:
,
A Georgia Corporation
By
: __________________________________ Attest: ______________________________
Title: ________________________________ Title: _______________________________
(President or Vice President) (Corporate Secretary or
Corporate Secretary Assistant)
(CORPORATE SEAL)
Attachments: Exhibit 1 (Plat and Legal Description of Easement)
PERMANENT WATER QUALITY BMP AND ACCESS EASEMENT AGREEMENT
SO AGREE
D this __________________day of __________________________, 20___.
PROPERTY OWNER
PARTNERSHIP
________________________________________________________________________
Name of Partnership:
,
A Georgia General Partnership Corporation
By: _______________________________(Seal) Attest: _______________________________
Witness
Title: _______________________________________ ___________________________(Seal)
General
Partner Notary Public
Attachments: Exhibit 1 (Plat and Legal Description Easement)
PERMANENT WATER QUALITY BMP AND ACCESS EASEMENT AGREEMENT
SO AGREE
D this __________________day of __________________________, 20___.
PROPERTY OWNER
LIMITED LIABILITY CORPORATION
________________________________________________________________________
Name of LLC:
,
By
: ____________________________________ Attest: _______________________________
Witness
Title: _______________________________________ ___________________________(Seal)
Managing Person Notary Public
Attachments: Exhibit 1 (Plat and Legal Description of Easement)
PERMANENT WATER QUALITY BMP AND ACCESS EASEMENT AGREEMENT
SO AGREE
D this __________________day of __________________________, 20___.
PROPERTY OWNER
INDIVIDUAL OR PROPERTY OWNED JOINTLY BY SEVERAL INDIVIDUALS
________________________________________________________________________
By : ____________________________________ Attest: _______________________________
Signature of Owner Witness
____________________________________ _______________________________
Printed Name Printed
Name
By: ____________________________________ Attest: _______________________________
Signature of Owner Witness
____________________________________ _______________________________
Printed Name Printed Name
By: ____________________________________ Attest: _______________________________
Signature of Owner Witness
____________________________________ _______________________________
Printed Name Printed Name
____
_______________________ (Seal)
Notary Public
Attachments: Exhibit 1 (Plat and Legal Description of Easement)
EXHIBIT 1
Plat and Legal Description of Easement
STORMWATERMAINTENANCE/PERFORMANCE BOND
K
NOW ALL MEN BY THESE PRESENTS: That we _____________________________________of
___________________County, State of as Principal and
as Surety, are held and bound unto City of Chamblee, Georgia
in the sum of $___________________lawful money of the United States of America, for the payment
whereof well and truly to be made, we bind ourselves, our heirs, executors, successors and assigns, jointly
and severally, firmly by these presents.
The condition of the foregoing obligation is such that,
WHEREAS, the Principal will inspect and maintain the operational characteristics of any facility
constructed on their property for storm water detention or water quality such that the facility complies with
the requirements of the Development Regulations at the time the facility was approved by the City of
Chamblee as demonstrated in the Storm Water Management Report for the facility, and to maintain the
facility free of obstruction, silt or debris.
WHEREAS, Storm Water Management facilities are required to minimize the impact of
development on the storm water hydrology, hydraulics and water quality, under the terms that a bond is
required of said Principal and good and sufficient surety payable to the City of Chamblee and conditioned
that the Principal shall well and truly maintain all storm drainage facilities used for water quality and
quantity best management practices shown on the development plans for the property in accordance with
Section 34-904(e) of the City of Chamblee Code of Ordinances; and
WHEREAS, the Principal has entered into a Maintenance Agreement with the City of Chamblee,
dated the __________day of ________________, 20___, in which Principal agrees and warrants, that as a
condition precedent to approval of the development plans for the property of the Principal entitled
______________________________, all storm drainage facilities used for water quality and quantity best
management practices shall be maintained in accordance with the standards aforesaid for a period of 24
months;
WHEREAS, this agreement shall be governed by the laws of the State of Georgia.
NOW THEREFORE, if the Principal shall well and truly perform the terms and conditions of said
contract, then this obligation shall be void, otherwise, to remain in full force and effect. Upon failure of the
Principal in the performance of the terms and conditions of said contract, then the Surety shall be liable in
payment to the City of Chamblee of a sum not to exceed $__________ for the cost of completing the terms
and conditions set forth under the contract entered by the Principal with the City of Chamblee.
SIGNED, SEALED AND DELIVERED THIS _______day of ___________________, 20_____, in the
presence of:
ATTEST: BY: (SEAL)
Principal Signature
___________________________________
Corporate Secretary
Printed Name and Title
B
Y:
Printed Surety Name
ATTEST:
____________________________________(SEAL)
S
ignature
____________________________________
Corporate Secretary
Printed Name and Title
SURETY AGREEMENT FOR MAINTENANCE LETTER OF CREDIT
DATE: ____
_______________________________
SUBJECT: SURETY AGREEMENT FOR MAINTENANCE (LETTER OF CREDIT)
PROJECT NAME: ___________________________________________________
To Whom It May Concern:
This is to advise that , as Surety, is
holding at the request of , as Principal,
the amount of $__________________________ as an assignment that the subject facility will be
maintained in accordance with the City of Chamblee regulations and for a period of 24 months
this money will not be released until such time that we are notified in writing by the City of
Chamblee Department of Development that the work has been properly and satisfactorily
completed in accordance with the Maintenance Agreement for the project executed by the
Principal on ____________________________, 20 .
WHEREAS, the Principal
will inspect and maintain the operational characteristics of any
facility constructed on their property for storm water detention or water quality such that the
facility complies with requirements of the Development Regulations in effect at the time the
facility was approved by the City of Chamblee as demonstrated in the Storm Water Management
Report for the facility, and to maintain the facility free of obstructions, silt or debris.
This is also to advise that if the Principal should fail to perform as stipulated in the said
agreement, this party as Surety will reimburse the City of Chamblee the amount of the cost of the
needed repairs providing, however, the cost is not to exceed the amount held as an assignment.
Sincerely,
BANK BY
________________________________ ATTEST:____________________________
Typed Name of Issuer
Signature
____
____________________________ ____________________________
Signature
Typed
Name
________________________________ ____________________________
Typed Name
(Title)
Corporate Secretary
________________________________
Typed Title
CITY OF CHAMBLEE
(Exhibit D)
BMP Facility Operation and Maintenance Inspection Report for Pond Facilities
(THIS MAY BE USED AS A TEMPLATE FOR OTHER BMPs)
Inspector Name __________________________ Community____________________________
Inspection Date __________________________ Address _______________________________
Type of BMP __________________________________________________________________
Watershed ______________________________ Tax Map ______________________________
Date of Most Recent Rainfall____________________
ITEM INSPECTED CHECKED
Yes No
MAINTENANCE
Reqd. Not Reqd.
OBSERVATIONS & REMARKS
I. POND FACILITIES
A. Pond Dam Embankments and
Emergency Spillways
1. Vegetation and Ground Cover
Adequate
2. Surface Erosion
3. Animal Burrows
4. Unauthorized Planting
5. Cracking, Bulging, or Sliding
of Dam
a. Upstream Face
b. Downstream Face
c. At or Beyond Toe
Upstream
Downstream
d. Emergency Spillway
6. Pond, Toe & Chimney Drains
Clear & Functioning
7. Seeps/Leaks on Downstream
Face
8. Slope Protection or Riprap
Failures
9. Vertical and Horizontal
Alignment of Top of Dam
as
Per “
As-Build” Plans
10. Emergency Spillway Clear of
Obstructions and Debris
11. Other (Specify)
ITEM INSPECTED CHECKED
Yes No
MAINTENANCE
Reqd. Not Reqd.
OBSERVATIONS & REMARKS
B. Riser and Principal Spillway
Type: Reinforced Concrete _____
Corrugated _____
Masonry _____
*Indicates Dry Ponds Only
1.* Low Flow Orifice Obstructed
2.* Low Flow Trash Rack
a. Debris Removal
Necessary
b
. Corrosion Control
3. Weir Trash Rack Maintenance
a. Debris Removal
Necessary
b. Corrosion Control
4. Excessive Sediment
Ac
cumula
t
ion Inside Rise
r
5. Concrete/Masonry Condition
Riser & Barrels
a. Cracks & Displacement
b. Minor Spalling (<1”)
c. Major Spalling (Rebars
Exposed)
d. Joint Failures
e. Water Tightness
6. Metal Pipe Condition
7. Control Valve
a. Operational/Exercised
b. Chained and Locked
8. Pond Drain Valve
a. Operational/Exercised
b. Chained and Locked
9. Outfall Channels Functioning
10. Other (Specify)
C. Permanent Pool – Wet Ponds
1. Undesirable Vegetative
Growth
ITEM INSPECTED CHECKED
Yes No
MAINTENANCE
Reqd. Not Reqd.
OBSERVATIONS & REMARKS
2. Floating or Floatable Debris
Removal Require
d
3. Visible Pollution
4. Shoreline Problems
5. Other (Specify)
D. Dry Pool Areas – Dry Pond
1. Vegetation Adequate
2. Undesirable Vegetative
Growth
3. Undesirable Woody Growth
4. Low Flow Channels Clear of
Obstructions
5. Standing Water or Wet Spots
6. Sediment and/or Trash
Accu
mu
lation
7. Other (Specify)
E. Condition of Outfalls into Pond
Area
1. Rip Rap Failures
2. Slope Invert Erosion
3. Storm Drain Pipes
4. Endwalls/Headwalls
5. Other (Specify)
F. Water Quality Facilities
1. Vegetation Adequate
2. Undesirable Vegetation
3. Standing Water
4. High Water in observation
well
5. Drainage to Facility
obstructed
6. Drainage from erosion
7. Condition of outfall/overflow
8. Proprietary Structure
a. Apparent damage
b. Debris removal required
c. Water level appropriate
d. Maintenance record
available
G. Other
1. Encroachments on Pond or
Easement Ar
ea
(Be Specific)
2. Complaints from Local
Residents
(Describe on Back)
3. Aesthetics
a. Grass Mowing Reqd.
b. Graffiti Removal Reqd.
c. Other
4. Public Hazards
(Be Specific)
5. Maintenance Access
II. SUMMARY
I
nspector’s Remarks:
1. Overall Condition of
Facility (Check One) Acceptable ____________
_________
Unacceptable
___________________
2. Signed:
Printed
Name
:
Date:______
_________________________
Rev 10/15/19
City of Chamblee Planning and Development Department
5576 Peachtree Rd, Ste 102 • Chamblee, GA 30341 • 770-986-5010 • ch
ambleega.gov
As‐BuiltDrawingChecklist
PROJECT:_____________________________________ ADDRESS:______________________________________
DEVELOPER:__________________________________ PHONE: _______________________________________
DESIGNENGINEER:_____________________________ PHONE :________________________________________
IFTHISISARE‐SUBMITTAL:Returnthelastredlinedchecklistandredlinedcopyofplanswithnewsubmittalsetofplans
Forrevieweruseonly:
Reviewer:__________________________ Date:____________ IterationofReview(Initial,second,etc.):___________
Checklistmarkstobeinterpretedasfollows:
OKXRevisionRequired/ProvideN/ANotApplicable N/RNotRequired
?
AdditionalInformationRequired(###)indicatessectionreferencetoChambleeUnifiedDevelopmentOrdinance
CHECKLISTOVERVIEW
ThischecklistwascreatedtoassistapplicantsseekingprojectcloseoutandaCertificateofOccupancy(C.O.)fora
commercialproject.Thisincludespreparationand submittalofcompleteandcodecompliantrecorddrawingplansfor
recordreviewtotheCityofChamblee.Commercialprojectsinclude:retailorofficeprojects,single‐family subdivisions,
multi‐fa
milydevelopmentandgradingofonetenth(0.10)ofanacreorgreater.Afinalinspectionoflanddevelopment
activityandimprovementsinstalledshallberequiredandapprovedbytheCityEngineer,followingsubmissionand
reviewoftheas‐builtpackage.
Thispagesummarizesmajorcomponentsrequiredforfinalsubmittal,withaco
mprehensivechecklistcon t ainedinthe
pagesthatfollow.ThischecklistisspecifictoChambleecivilwork(siteplan,stormdrainage,etc.),andisnotinclusive
ofotherrelatedbuildingi nspections,submittals,reviews,etc.thatmayberequiredfrom otherCityde partmentsor
jurisdictions.Allworkmus thavebeencomplete
dinconformancewithanapprovedsiteplanand applicableCity
ordinances,codesandpolicies.
SubmittalRequirementsforRecordDrawingReview
1. _____Oneannotatedrecorddrawingreviewchecklist
2. _____Onesetofengineersignedandsealed,originalapprovedConstructionDrawings
3. _____Onesetofsurveyorsignedandsealed,recordConstructionDrawings
(NOTE:contractor’sredlinedfieldas‐builtsisNOTacceptable)
4. _____Record“as‐built”hydrologystudyorhydrologycertificationletterfromdesignengineer
5. _____RecordDrawingReviewFees
Rev 10/15/19
City of Chamblee Planning and Development Department
5576 Peachtree Rd, Ste 102 • Cha
mblee, GA 30341 • 770-986-5010 • chambleega.gov
6. _____Projectsoneacreormore;Submitnoticeoftermination(NOT)perNPDESpermitrequirements
7. _____Copyoffinalerosioncontrolinspectionreport
ENGINEERING:GeneralRequirementsforRecordConstructionDrawings
1. ProvideOriginalCity‐StampedApprovedConstructionDrawingsaccordingtothefollowing:
_____Plansatanacceptablescale:1"=20',1"=30',1"=40',1"=50',or1"=100'
_____PlansetshouldbeacopyofthecityapprovedconstructiondocumentswhichcontainstheCitystampandanyotheragency
stamps(similartofieldcopiesthatarerequiredonsiteduringconstruction)
2. ProvideaSealedSurvey,toscaleandinclude;
_____Dateofas‐builtsurvey;
_____Northarrow;
_____Propertylines,bearingsanddistances;
_____Existingstructures,wherenewworkconnects,notingtheirdisposition.
3. UtilityAs‐builts
_____IncludecopiesofallrecorddocumentssubmittedtoandapprovedbyDeKalbCounty
_____StormDrainageSystems:
_____Inert&topelevations
_____Pipesizes&slopes
4. StormwaterManagement
_____Topographyofabovegrounddetentionandwaterqualityfeatures
_____Surveyedlimitsofundergroundstoragefacilities
_____Certifiedsubmittaldocumentationforallinstalledproprietarysystems
5. AsbuiltHydrologyStudy
_____Routeallrequiredstormsutilizingasbuiltfacilityparameters
_____Provideresultsforroutedflows,waterquality&channelprotectionvolumes(discharge&watersurface)for
required,design&asbuiltconditions
_____Includemaintenanceschedule
MAP CHANGES Date:
Parcel I.D.
Dimension: Acres:
Situs Address:
NEW PARCEL
Parcel I.D.
Dimensions: Acres:
Situs Address:
PARENT PARCEL
Parcel I.D.
New Dimensions: Acres:
Situs Address:
By:
I hereby request and authorize the DeKalb County GIS Department, Property Mapping Division to:
( ) SEPARATE the following properties in accordance with the attached plat or deed.
( ) COMBINE the following properties. USAGE: Commercial or Residential
( ) REPARCEL in accordance with the attached plat, or survey or deed.
Parcel(s): ___________________________________________________________________
Parcel(s):____________________________________________________________________
Parcel(s): ____________________________________________________________________
NOTE: After separation of parcel, please indicate which parcel the structure should remain on.
Provide Sketch or plat showing building location if possible.
___________________________________________________________________________
___________________________________________________________________________
Do Not Write Below County Use Only:
FOR COUNTY USE ONLY:
Recv'd. by:_____________________
Date: _________________________
For Permit: YES or NO
Mapper: _______________________
DeKalb County GIS Department
330 Ponce de Leon Avenue
Suite 600
Decatur, Georgia 30030
ATTENTION: _________________________
PLEASE NOTE: This request is subject to all City Zoning & Building Requirements under the
jurisdiction of the CITY OF _______________________. If you have any further questions concerning
these City Zoning & Building Requirements, please contact the referenced City Officials for
clarification.
Signature of Owner(s)
or Authorized Agent: x_________________________ Print Name(s): x________________________
Date: x____________________________ Telephone Number: x__________________________
Email Address: x _____________________________________________
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Completed 14 July 2020

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