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HomeMy Public PortalAboutInfiltration Trench-Basin - 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 Is vegetation overgrown with invasive species?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 standing water? (Ponding, Noticeable Odors, Water Stains, Algae)0 1 2 3 N/A Underdrain system (if equipped) broken/clogged?0 1 2 3 N/A Presence of the invasive species/seeds?0 1 2 3 N/A Dead vegetation/exposed soil?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. F. CORRECTIVE ACTIONS* G. PHOTOGRAPHS E. HAZARDS D. OVERFLOW/OUTLET STRUCTURE NOTE TO INSPECTOR: All personnel entering any confined spaces must take appropriate safety measures and follow applicable OSHA regulations. Overall Drainage Area Conditions: A. INLETS (If not piped, identify as overland flow) B. PRETREATMENT (if applicable) C. FACILITY STORMWATER MANAGEMENT FACILITY MAINTENANCE INSPECTION CHECKLIST INFILTRATION Circle Type: I-1: Infiltration Trench I-2: Infiltration Basin 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: ___________________________________________________________________________________________________________________________________________ MSD BMP Inspection Checklist Form. Rev 8/1/2016