HomeMy Public PortalAboutNatural Area Conservation Storm Credit Checklist - 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
Impervious area added?0 1 2 3 N/A
Evidence of excessive fertilization or yard chemicals?0 1 2 3 N/A
Maintenance access to area?0 1 2 3 N/A
Buffer/Conservation Area Signs presents? (if applicable)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
Vegetation 0 1 2 3 N/A
a. Disturbance to natural vegetation (e.g. mowing, tree cutting, etc.)?0 1 2 3 N/A
b. Presence of invasive species/weeds 0 1 2 3 N/A
c. Dead vegetation/exposed soil?0 1 2 3 N/A
d. Survival of restoration plantings? (if applicable)0 1 2 3 N/A
Excessive trash/debris/sediment accumulation in natural area?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
Encroachment on facility or easement by buildings or other structures?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
SCNA: NATURAL AREA CONSERVATION STORM CREDIT
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.
C. HAZARDS
B. FACILITY (NATURAL AREA)
D. CORRECTIVE ACTIONS*
E. PHOTOGRAPHS
P Job Number: ____________________________________________________________
Inspector: ________________________________________________________________
Date of Inspection: _________________________________________________________
Owner Phone Number: ______________________________________________________
Site Conditions: ___________________________________________________________________________________________________________________________________________
Overall Drainage Area Conditions:
NOTE TO INSPECTOR: All personnel entering any confined spaces must take appropriate safety measures and follow applicable OSHA regulations.
A. CONTRIBUTING DRAINAGE AREA
MSD BMP Inspection Checklist Form. Rev 8/1/2016