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POST CONSTRUCTION STORMWATER BMP ANNUAL MAINTENANCE REPORT
Post-Construction Inspection and Maintenance Report Form
Per MSD Rules and Regulations and Engineering Design Requirements for Sanitary Sewer and Stormwater Drainage Facilities (Section 4.060.08) a Maintenance Agreement is executed by BMP
owners prior to plan approval and an annual maintenance report is required to be submitted to MSD. This completed form and attachments should be submitted annually, no later than March
31st of the year following the reporting year, to: Metropolitan St. Louis Sewer District – Division of Environmental Compliance, c/o Phase II Stormwater Management Program, 10 E. Grand
Avenue, St. Louis, MO 63147.
For consistency and for your convenience, MSD is providing this Annual BMP Maintenance Report Form for optional use by BMP owners. This report form and the inspection checklists are
not mandatory for use and are being provided as templates to ensure compliance with minimal maintenance requirements. Use of this form and/or the referenced inspection checklists developed
by MSD will not exempt BMP owners from the design and maintenance requirements specified in the Stormwater Management Facilities Report.
GENERAL INFORMATION. Please fill out only one report form per site. (Fill out ALL information)
DATE: REPORT YEAR:
MSD Project Number (e.g. P001234500 or 18MSD-12345):
Project Name (i.e. Subdivision Name, Store Name):
Physical Address/Location of BMP:
Property Owner Name:
Is this a new owner? (YES) (NO)
Property Owner Mailing Address:
Property Owner E-mail Address:
Property Owner Telephone Number:
()
Owner’s Designated Contact (Person or Company responsible for inspections/maintenance/reporting):
Owner Designated Contact’s Telephone Number:
()
Owner Designated Contact’s E-mail address:
BMP Annual Maintenance Report Form Rev. 2020
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MSD Project Number:
INSPECTION CHECKLIST & BMP SUMMARY TABLE. Please attach a copy of the most recent inspection form/checklist. If the system is a proprietary system, the manufacturer’s inspection checklist
should be obtained from the manufacturer for use.
Fill-in the actual number of BMP devices on the table below. Attach color photos as appropriate, to show condition of each BMP.
Inspection checklists can be found online at
http://www.stlmsd.com/what-we-do/stormwater-management/bmp-toolbox/maintenance-responsibilitieswww.stlmsd.com/what-we-do/stormwater-management/bmp-toolbox/maintenance-responsibilities.
These inspection checklists are provided for convenience to ensure compliance with minimal maintenance requirements. Use of these inspection checklists does not exempt BMP owners from
design and maintenance requirements specified in the SWMFR.
BMP Device Type
Number per Site
BMP Device Type
Number per Site
Bioretention/Raingarden
Filter (Specify)
Porous Pavement
Amended Soils
Detention/Retention Basin or Pond
Hydrodynamic Separator
Open Channel (Swales)
Other (Specify)
MAJOR MAINTENANCE & CORRECTIVE ACTIONS SUMMARY. Please complete the table below summarizing major maintenance activities conducted and any corrective actions taken.
Date Completed
Deficiency Observed Needing Correction
Corrective Action/Maintenance Activity Completed
SITE PHOTOGRAPHS. Please attach photographs showing current condition of BMPs on site. One panoramic view of the site and one close-up photo of each area are sufficient.
BMP Annual Maintenance Report Form Rev. 2020
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