Monitoring Report Submittal Form

Financial Guarantee Reports Submittal Form
Name*

First NameLast Name
Email Address*
example@example.com
Permit/Project Number*
Date of Monitoring Report*

MonthDayYear
Type of Financial Guarantee*

Critical Areas MitigationPW Restoration/PerformanceLandscaping PerformancePW Intital Maintenance & DefectsTree Protection & MaintenancePW Final Maintenance & DefectsPlanning Maintenance & DefectsSubdivision Improvements

Financial Guarantee Monitoring Year: *

	Year 1	Year 2	Year 3	Year 4	Year 5
Financial Guarantee Year

Link to online repository of files (monitoring reports): *
Dropbox, Hightail, Google Drive, OneDrive
Initial Documents Required for M&D*

Final Corrected Technical Information Report (TIR)Update Bond Quantity WorksheetStormwater Facility FormStormwater BMP and Facility Certification Letter (if applicable)Final Geotechnical ReportSpecial Inspection Reports (if applicable)CCTV Pipe Inspection VideoAs-built draft plan set (22” x 34” PDF)Proof Receipt of Cleaning/Jetting
Final Documents Required for M&D*

Final Corrected Technical Information Report (TIR)Final Geotechnical ReportAs-built final plan set (22” x 34” Mylar's)
The final documents for Public Works Maintenance and Defects must be submitted in person only on Wednesday and Thursday at the Front Counter. Please coordinate your submittal time with the city development review engineer.
Financial Guarantee Agreement*

Upload
To obtain a copy of your financial guarantee agreement, please contact Christiana Salley (CSalley@sammamish.us). Please allow 5 business days for a response. Cancelof
Are you requesting a release of your financial guarantee?*

YesNo
Please keep in mind that monitoring reports are required each year. The bond cannot be released/converted to M&D until all required annual monitoring reports have been received by the city in timely manner.*

Yes, I undertsand.
Should be Empty:

Financial Guarantee Reports Submittal Form