PRIVATE DRAINAGE EASEMENT AGREEMENT THIS AGREEMENT AND DEED OF EASEMENT made this day of 20___ by and between Grantor(s) and Grantee, whose address is ________________________________________________________. WITNESSETH: That in consideration of the sum of One ($1.00) Dollar, the receipt of which is hereby acknowledged, and for other good and valuable considerations, the Grantor(s) hereby grants to the Grantee, its successors and assigns, the perpetual right to construct, operate and maintain a drainage ditch or structure upon and across the lands and property of the Grantor(s), including the right of egress & ingress to same. Said drainage ditch, or structure is located in the ________________________ Borough of the City of Chesapeake, Virginia, and identified as “Drainage Easement” on the attached sketch entitled, “_______________________ _______________________________________________________________________,” said sketch marked “Exhibit A.” The drainage easement is located on the same property conveyed to the Grantor(s) by deed from ___________________________________, dated ____________________________ and recorded in the Clerk’s Office of the Circuit Court of the City of Chesapeake, Virginia, in Deed Book _____, at page _____. TAX ID This document was prepared by ______________________________ __________________________________________ July 2010 Page 1 Private Drainage Easement IT IS AGREED between the parties hereto that the Grantee shall have the right to inspect the said drainage ditch or structure and to cut and clear all undergrowth and other obstructions in and along the said drainage ditch or adjacent thereto that may in any way endanger or interfere with the proper use of the same. PRIVATE DRAINAGE EASEMENTS are for the purpose of conveying storm water drainage from upstream and adjacent lots. Maintenance shall be the responsibility of the Grantor(s) unless the City expressly accepts the easement for public use. WITNESS the following signatures and seals: (SEAL) (SEAL) (SEAL) COMMONWEALTH OF VIRGINIA CITY OF CHESAPEAKE, to-wit: I, the undersigned, a Notary Public in and for the Commonwealth of Virginia, do hereby certify that , whose name(s) is/are signed to the foregoing deed, dated the me this of , 20_____, have acknowledged before day of , 20 ___. (SEAL) Notary Public My commission expires: July 2010 _____ Registration No: _______________________ Page 2 Private Drainage Easement Agreement