HomeMy Public PortalAboutHDSU - Facility ChecklistNOTE: This checklist is not mandated for use by MSD and does not exempt BMP owners from design and maintenance requirements specified in the SWMFR.
Location: ________________________________________________
Owner Change since last inspection? Yes No
Owner Name:________________________________________________
Owner Address: _____________________________________________
INSPECTION ITEMS RATING COMMENTS
Excessive trash/debris?0 1 2 3 N/A
Bare/exposed soil?0 1 2 3 N/A
Evidence of erosion?0 1 2 3 N/A
Excessive landscape waste/yard clippings?0 1 2 3 N/A
Provide stable conveyance into facility?0 1 2 3 N/A
Excessive trash/debris/sediment accumulation?0 1 2 3 N/A
Evidence of erosion?0 1 2 3 N/A
Influent Manhole (if applicable)
Excessive trash/debris/sediment accumulation?0 1 2 3 N/A
Diversion Structure (if applicable)
Excessive trash/debris/sediment accumulation?0 1 2 3 N/A
Swirl Chamber
Sediment storage status 0 1 2 3 N/A
Depth of sediment ___________inches
Floatable layer thickness 0 1 2 3 N/A
Floatable Chamber (if applicable)
Excessive trash/debris/sediment accumulation?0 1 2 3 N/A
Outlet Chamber (if applicable)
Excessive trash/debris/sediment accumulation?0 1 2 3 N/A
Effluent Manhole/Outlet
Excessive trash/debris/sediment accumulation?0 1 2 3 N/A
Stable conveyance out of facility provided?0 1 2 3 N/A
Complaints from local residents? (describe if any)0 1 2 3 N/A
Any public hazards observed? (describe if any)0 1 2 3 N/A
*If any 2-3 ratings are given in Sections A-E of this checklist, list corrective actions recommended or completed during inspection.
CORRECTIVE ACTIONS
RECOMMENDED TO
OWNER COMPLETED AT TIME OF INSPECTION
Please attach photographs, with descriptions, showing current condition of the system and any defeciencies noted in this inspection.
NOTE TO INSPECTOR: All personnel entering any confined spaces must take appropriate safety measures and follow applicable OSHA regulations.
Overall Drainage Area Conditions:
A. CONTRIBUTING DRAINAGE AREA
B. INLETS
C. FACILITY
HDSU Make/Model:
STORMWATER MANAGEMENT FACILITY MAINTENANCE INSPECTION CHECKLIST
HYDRODYNAMIC SEPARATOR UNIT (HDSU)
INSPECTION RATING SYSTEM
0 = Good condition. Well maintained, no action required. Satisfactory Performance.
1 = Moderate condition. Should monitor. Satisfactory Performance.
2 = Degraded condition. Routine maintenance and repair needed. Unsatisfactory Performance.
3 = Serious condition. Immediate need for repair or replacement. Unsatisfactory Performance.
P Job Number: ____________________________________________________________
Inspector: ________________________________________________________________
Date of Inspection: _________________________________________________________
Owner Phone Number: ______________________________________________________
Site Conditions: ___________________________________________________________________________________________________________________________________________
D. HAZARDS
E. CORRECTIVE ACTIONS*
F. PHOTOGRAPHS
MSD BMP Inspection Checklist Form. Rev 8/1/2016