HomeMy Public PortalAbout476684NOTE: 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 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.
INSPECTION ITEMS RATING COMMENTS/CORRECTIVE ACTIONS NEEDED
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
Excessive trash/debris?0 1 2 3 N/A
Excessive Sediment ? If >50% of volume is excessive.0 1 2 3 N/A
Evidence of clogging?0 1 2 3 N/A
Dead vegetation/exposed soil?0 1 2 3 N/A
Evidence of erosion?0 1 2 3 N/A
Maintenance access to facility?0 1 2 3 N/A
Condition of structural components?0 1 2 3 N/A
Excessive trash/debris?0 1 2 3 N/A
Excessive Sediment ? If >50% of volume is excessive.0 1 2 3 N/A
Low orifice trash/debris accumulation causing blockage 0 1 2 3 N/A
Berms/Embankments, overall condition 0 1 2 3 N/A
Cattails removed?0 1 2 3 N/A
Check all issues observed: Evidence of erosion Cracking, bulging or sloughing
Presence of woody vegetation Evidence of animal burrows
Outlets provide stable conveyance out of facility?0 1 2 3 N/A
Excessive trash/debris/sediment accumlation 0 1 2 3 N/A
Evidence of erosion at/around?0 1 2 3 N/A
Complaints from local residents?0 1 2 3 N/A
Any public hazards observed (desribe 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 system and any defeciencies noted in this inspections
Site Conditions: ___________________________________________________________________________________________________________________________________________
INSPECTION CHECKLIST – STORMWATER PONDS
Circle Type: P-1 Micropool ED Pond P-2 Wet Pond P-3 Wet ED Pond P-4 Multiple Pond System P-5 Pocket Pond DET - Detention
P Job Number: ____________________________________________________________
Inspector: ________________________________________________________________
Date of Inspection: _________________________________________________________
Owner Phone Number: ______________________________________________________
Overall Drainage Area Conditions:
NOTE TO INSPECTOR: All personnel entering any confined spaces must take appropriate safety measures and follow applicable OSHA regulations.
G. PHOTOGRAPHS
A. INLETS (If not piped, identify as overland flow)
B. PRETREATMENT (if applicable)
C. FACILITY
D. OVERFLOW/OUTLET STRUCTURE
E. HAZARDS
F. CORRECTIVE ACTIONS*
MSD BMP Inspection Checklist Form. Rev 2013