Fill and Sign the Maryland Easement 497310434 Form

GRANT OF STORMWATER MANAGEMENT EASEMENT AND RIGHT-OF-WAY to                                                       County, MD Made this       day of                   , 20       , by and between                         , Grantor(s), and COUNTY, MARYLAND, hereinafter referred to as the County. WITNESSETH: That in consideration of the sum of                   ($1.00) paid by the County, the receipt of which is hereby acknowledged, the Grantor(s) do hereby grant and convey to the County, its successors and assigns, a stormwater management easement and right-of-way described as follows: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ TO HAVE AND TO HOLD said easement and right-of-way together with the rights and privileges pertinent to their proper use and benefits forever by the County, its successors and assigns. AND the Grantor(s), for themselves, their heirs and assigns, covenant and agree with the County, its successors and assigns, as follows: FIRST: That the Grantors(s) will never erect nor permit to be erected any building or structure of any nature whatsoever, nor fill or excavate, nor plant trees within said easement and right-of-way without the County's written consent; SECOND: That the County, its successors and assigns, shall at all times have a right to enter said easement and right-of-way for the purpose of installing, constructing, reconstructing, modifying, altering, maintaining, repairing, operating, monitoring and inspecting the stormwater management facility within said easement and right-of-way, the right of entry to be across said as necessary, along any and all driveways or pavement as may be constructed; and THIRD: The maintenance of the facility shall be in accordance with the maintenance covenant for this facility; and Department of Environmental Protection                         . FOURTH: That the Grantor(s) will warrant specially said easement and right-of-way, and shall execute such further assurances thereof as may be requisite. WITNESS:       (his) (their) hand(s) and seal(s) the day and year first hereinabove written. 1 By:                                                                   Signature Signature                               , WITNESS                                                                         Print Name Print Name Its:                         STATE OF                         ss:                   COUNTY OF :                               I hereby certify that on this       day of                   , 20       , before the subscriber, a Notary Public of the State of                         , and for the County of aforesaid personally appeared and did acknowledge the aforegoing instrument to be                   (his) (their) act. IN TESTIMONY WHEREOF , I have affixed my official seal. NOTARY PUBLIC My Commission Expires                   INFORMATION FOR RECORDING EASEMENT Parcel I.D. Number: Record Legal Description: Street Address of Parcel: Names and Addresses of Parties to Instrument and Their Interest COVENANTORS: County: 2