HomeMy Public PortalAboutFilters - 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
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/sediment accumulation?0 1 2 3 N/A
Evidence of standing water?
(Ponding, Noticeable Odors, Water Stains, Algae)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/sediment accumulation?0 1 2 3 N/A
Evidence of erosion?0 1 2 3 N/A
Evidence of oil/chemical/accumulation?0 1 2 3 N/A
Evidence of standing water?
(Ponding, Noticeable Odors, Water Stains, Algae)0 1 2 3 N/A
Underdrain system (if equipped) functioning?0 1 2 3 N/A
Mulch layer, pea gravel, or turf grass in good condition?0 1 2 3 N/A
Outlets provide stable conveyance out of facility?0 1 2 3 N/A
Excessive trash/debris/sediment accumulation?0 1 2 3 N/A
Evidence of erosion at/around?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.
STORMWATER MANAGEMENT FACILITY MAINTENANCE INSPECTION CHECKLIST
FILTERS
Circle Type: F-1: Surface Sand Filter F-2: Underground Sand Filter F-3: Perimeter Sand Filter F-4: Organic Filter F-5: Pocket Sand Filter F-PR: Proprietary Filter
INSPECTION RATING SYSTEM
P Job Number: ____________________________________________________________
Inspector: ________________________________________________________________
Date of Inspection: _________________________________________________________
Owner Phone Number: ______________________________________________________
Site Conditions: ___________________________________________________________________________________________________________________________________________
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.
B. PRETREATMENT (if applicable)
F. CORRECTIVE ACTIONS*
G. PHOTOGRAPHS
C. FACILITY
D. OVERFLOW/OUTLET STRUCTURE
E. HAZARDS
Overall Drainage Area Conditions:
NOTE TO INSPECTOR: All personnel entering any confined spaces must take appropriate safety measures and follow applicable OSHA regulations.
A. INLETS (If not piped, identify as overland flow)
MSD BMP Inspection Checklist Form. Rev 8/1/2016