CITY OF COLD SPRING STORMWATER PROGRAM
BEST MANAGEMENT PRACTICE (BMP)
ANNUAL MAINTENANCE AGREEMENT
DUE BY DECEMBER 31 FOR THE FOLLOWING YEAR
APPLICANT:
Name: ___________________________________________________________________________________________
Address: _________________________________________________________________________________________
City: _____________________________________ State: _________________ Zip: ____________________________
Phone: ( ) ____________________________________ Fax: ( ) ________________________________________
Email: ___________________________________________________________________________________________
PROJECT INFORMATION:
Name of project: ___________________________________________________________________________________
Location: _________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Type of BMP: ______________________________________________________________________________________
% Credit Received: __________ %
CERTIFICATION:
I certify that the above information is true and correct to the best of my knowledge and belief. I agree to maintain the above stated BMP to the prescribed criteria according to the City of Cold Spring regulations. I hereby release the city from any maintenance responsibility whatsoever on the above-identified BMP located on my property. I agree to provide corrected information should there be any change in the information provided herein. I agree to allow the city to inspect the BMP to assure proper working order.
________________________________________________ _______________________________________________
Name Title
________________________________________________ _______________________________________________
Signature Date
(Ord. 14-1003, passed 5-12-14)