Instructions For Filing Modification To Covenant And Agreement Forms (Page 2 of 2) in pdf

Recording requested by and mail to:

Name:

____________________________________

Address:

____________________________________

************************************** Space Above This Line For Recorder's Use *******************************************

SUPPLEMENTAL 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

On _____________________, 20____, a certain Master Covenant and Agreement was recorded against the Property as Instrument No.

________________________________ (“Master Covenant”). I (we) acknowledge that the Master Covenant is in full force and effect and runs

with the Property. As required and contemplated in the Master Covenant, a change to any portion of the on-site stormwater Best

Management Practices (BMPs) specified in the Master Covenant shall be reflected in a recorded Supplemental Covenant and Agreement.

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 BMPs per approved plans. This Supplemental Covenant Agreement modifies the specific on-site stormwater BMPs set forth in

the Master Covenant by replacing such specific description with the following description (and the O&M Plan attached to the Master

Covenant shall be replaced with the modified O&M Plan that is attached hereto as Attachment 1):

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 Supplemental Covenant and Agreement supplements the Master Covenant and shall run with the Property and 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)

_________________________________________

________________________________________

(Signature of Property Owner)

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)

Instructions For Filing Modification To Covenant And Agreement Forms Page 2

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