HomeMy Public PortalAboutAnnual BMP Maintenance Report Form (2)
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BMP Annual Maintenance Report Form. Rev 2014
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 4.080.08) 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.
A. GENERAL INFORMATION. Please fill out only one report form per site. (Fill out ALL information)
DATE ____________ REPORTING YEAR: _______________ MSD P-Job #: P _ _ _ _ _ _ _ - _ _
Town of Cary, North Carolina
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:
( )
Maintenance Contact Person/Inspector Name: Maintenance Contact/Inspector Telephone Number:
( )
Maintenance Contact/Inspector E-mail address:
MSD P-Job #: P _ _ _ _ _ _ _ - _ _
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BMP Annual Maintenance Report Form. Rev 2014
B. 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
www.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 Filter
Porous Pavement Infiltration Basin/Trench
Detention/Retention Basin or Pond Other (Specify)
Open Channel (Swales) Other (Specify)
C. 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
D. 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.