HomeMy Public PortalAboutPermeable Pavement - 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
B. FACILITY
Signs of clogging or standing water present?0 1 2 3 N/A
Excessive trash/debris/sediment accumulation?0 1 2 3 N/A
Evidence of deterioration?0 1 2 3 N/A
Spalling or cracking of pavement observed?0 1 2 3 N/A
Collapsing areas of paver system?0 1 2 3 N/A
Other (describe)?0 1 2 3 N/A
Stable conveyance out of facility provided?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
D. HAZARDS
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.
Overall Drainage Area Conditions:
A. CONTRIBUTING DRAINAGE AREA
C. OVERFLOW/OUTLET STRUCTURE
E. CORRECTIVE ACTIONS*
F. PHOTOGRAPHS
STORMWATER MANAGEMENT FACILITY MAINTENANCE INSPECTION CHECKLIST
PERMEABLE PAVEMENT
Circle Type: PPAS: Porous Asphalt PPCO: Pervious Concrete PPBK: Permeable Paver Blocks PPGR: Gravel
NOTE TO INSPECTOR: All personnel entering any confined spaces must take appropriate safety measures and follow applicable OSHA regulations.
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