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2. Date*
   Date
3. Type of Basin*
   -- Select One --Dry Detention BasinWet Detention BasinStorm WaterWetlandRain Garden/Bioretention
5. Detention Basin Location #1*
7. Detention Basin Location #2

   If more than (1) on the Maintenance Agreement

9. Detention Basin Location #3

   If more than (2) on the Maintenance Agreement

11. Contact First Name*
12. Last Name
14. City
15. State
16. Zip Code
18. Mailing Address*
20. City*
21. State*
22. Zip Code*
24. Phone Number*
25. Email Address*
27. Photos of Current Condition
28. Request

    1. Copy of Approved Stormwater Maintenance Agreement
    2. Location Map(s)
    3. On-site Inspection with City Inspector
30. Land Development Code Stormwater Control
    Stormwater Control Ordinance
32. Land Development Code - Division 3 - Stormwater Control - 1201.0 - Inspections

    Routine Inspections: all privately owned drainage systems shall be inspected by representatives of the city not less often than once per year. A written report shall be filed of the results of any inspection and a copy sent to the property owner detailing any problems which need correction.

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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field