HomeMy Public PortalAboutRainwater Harvesting 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
Inflow points (e.g. downspouts, inlets)
provide stable conveyance?0 1 2 3 N/A
Excessive trash/debris/sediment accumulation (in gutters, etc.)?0 1 2 3 N/A
Filters are clogged or full?0 1 2 3 N/A
Maintenance access to facility?0 1 2 3 N/A
Informational signs present? (if applicable)0 1 2 3 N/A
First flush diverter/filter/overflow device full or clogged?0 1 2 3 N/A
Excessive trash/debris/sediment accumulation?0 1 2 3 N/A
Evidence of leakage?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
Is outlet clogged?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.
Owner Phone Number: ______________________________________________________
Site Conditions: ___________________________________________________________________________________________________________________________________________
Circle Type: Cistern Dry Well Rain Barrel
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.
D. OVERFLOW/OUTLET STRUCTURE
E. HAZARDS
C. FACILITY
STORMWATER MANAGEMENT FACILITY MAINTENANCE INSPECTION CHECKLIST
RAINWATER HARVESTING
P Job Number: ____________________________________________________________
Inspector: ________________________________________________________________
Date of Inspection: _________________________________________________________
Overall Drainage Area Conditions:
NOTE TO INSPECTOR: All personnel entering any confined spaces must take appropriate safety measures and follow applicable OSHA regulations.
A. INFLOW POINTS (i.e. downspouts, inlets, etc.)
F. CORRECTIVE ACTIONS*
G. PHOTOGRAPHS
MSD BMP Inspection Checklist Form. Rev 8/1/2016