Stormwater Bmp Owner Inspection Form

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Owner's BMP Inspection Form
This would be the base form that the Engineer would use to add the specific items per the BMP Inspection lists
for the Owner's maintenance personnel to fill out. All BMP's would have the BMP's in General section.
Stormwater BMP Owner Inspection Form
Address:
<Engineer to insert address>
Owner:
<Engineer to insert owner name>
Legal:
<Engineer to insert legal description (Plat/Lot)>
Date:
_____________
Engineer: _________________
Phone #: (
)
-
I.
REASON FOR INSPECTION
II.
BMP'S AND INSPECTION RESULTS
Item
Inspection Results*
BMP's in General
Apparent
problems
No problems
1
BMP does not appear to be well maintained
BMP observed to have significant design flaws which
Design flaws
No flaws
2
lessens its effectiveness.
Unauthorized
BMP has unauthorized modifications that reduce its
3
modifications
No modifications
effectiveness
BMP removed
BMP Present
4
BMP has been destroyed or removed from the property
Trash and debris has accumulated on/in BMP. Yard
5
Trash
No trash
waste in BMP.
Evidence of oil, gasoline, contaminants or other
6
Contaminated
Uncontaminated
pollutants.
Smells
Doesn't smell
7
Unpleasant odors from the BMP
Engineer to insert specific BMP inspection data below. An example for bioretention is shown.
Item
Inspection Results
BMP: Bioretention
Flow spreader uneven or clogged so flows are not
1
Clogged
Not clogged
uniformly distributed across BMP.
Sediment depth exceeds 2 inches on more than 10% of
Sediment
No accumulated
the vegetated treatment area or interferes with BMP
2
accumulated
sediment
performance.
Erosion or
No erosion or
Eroded or scoured areas (including spillway) due to flow
3
scouring
scouring
channelization, higher flows, wind or water.
Planted vegetation is sparse or bare or eroded patches
Proper
occur in more than 10% of the BMP. Vegetation is not
4
Poor vegetation
vegetation
higher than ponding depth.
Planted vegetation is excessively tall; nuisance weeds,
Proper
invasive or noxious vegetation are overgrown; vegetation
Nuisance plants
vegetation
5
reduces free movement of water through BMP.
Proper
Growth of brush and trees does not allow for proper
6
Brush/trees
vegetation
maintenance.
Water is observed within the BMP (between storms) and
appears not to drain freely or soil is excessively soggy.
No standing
Excessive ponding of water within vegetated swale or
Standing water
water
7
other BMP.
Inlet/outlet clogged or obstructed with sediment and/or
Clogged
Not clogged
8
debris.
Small quantities of water flow through the BMP, even
when it has been dry for weeks, and an eroded, muddy
9
Flow
No flow
channel has formed in the bottom.
Owner's BMP Inspection Form
This would be the base form that the Engineer would use to add the specific items per the BMP Inspection lists
for the Owner's maintenance personnel to fill out. All BMP's would have the BMP's in General section.
Stormwater BMP Owner Inspection Form
Address:
<Engineer to insert address>
Owner:
<Engineer to insert owner name>
Legal:
<Engineer to insert legal description (Plat/Lot)>
Date:
_____________
Engineer: _________________
Phone #: (
)
-
I.
REASON FOR INSPECTION
II.
BMP'S AND INSPECTION RESULTS
Item
Inspection Results*
BMP's in General
Apparent
problems
No problems
1
BMP does not appear to be well maintained
BMP observed to have significant design flaws which
Design flaws
No flaws
2
lessens its effectiveness.
Unauthorized
BMP has unauthorized modifications that reduce its
3
modifications
No modifications
effectiveness
BMP removed
BMP Present
4
BMP has been destroyed or removed from the property
Trash and debris has accumulated on/in BMP. Yard
5
Trash
No trash
waste in BMP.
Evidence of oil, gasoline, contaminants or other
6
Contaminated
Uncontaminated
pollutants.
Smells
Doesn't smell
7
Unpleasant odors from the BMP
Engineer to insert specific BMP inspection data below. An example for bioretention is shown.
Item
Inspection Results
BMP: Bioretention
Flow spreader uneven or clogged so flows are not
1
Clogged
Not clogged
uniformly distributed across BMP.
Sediment depth exceeds 2 inches on more than 10% of
Sediment
No accumulated
the vegetated treatment area or interferes with BMP
2
accumulated
sediment
performance.
Erosion or
No erosion or
Eroded or scoured areas (including spillway) due to flow
3
scouring
scouring
channelization, higher flows, wind or water.
Planted vegetation is sparse or bare or eroded patches
Proper
occur in more than 10% of the BMP. Vegetation is not
4
Poor vegetation
vegetation
higher than ponding depth.
Planted vegetation is excessively tall; nuisance weeds,
Proper
invasive or noxious vegetation are overgrown; vegetation
Nuisance plants
vegetation
5
reduces free movement of water through BMP.
Proper
Growth of brush and trees does not allow for proper
6
Brush/trees
vegetation
maintenance.
Water is observed within the BMP (between storms) and
appears not to drain freely or soil is excessively soggy.
No standing
Excessive ponding of water within vegetated swale or
Standing water
water
7
other BMP.
Inlet/outlet clogged or obstructed with sediment and/or
Clogged
Not clogged
8
debris.
Small quantities of water flow through the BMP, even
when it has been dry for weeks, and an eroded, muddy
9
Flow
No flow
channel has formed in the bottom.
Overflow clogged or obstructed with sediment and/or
10
Clogged
Not clogged
debris.
Stone diaphragm obstructed or covered with weeds or
Obstructed
Open
11
sediment.
*(If an item in the left column is checked, corrective maintenance is required)
1. Is maintenance needed at this time?
2. Are mosquitoes or mosquito larvae present?
3. Comments/Notes: _______________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
III.
FOLLOW-UP
1. Describe corrective actions needed: _________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
2. Date corrected:
_________________
Stormwater BMP Owner Inspection Form
Address:
Owner:
Legal:
Date:
_____________
Engineer: _________________
Phone #: (
)
-
I.
REASON FOR INSPECTION
II.
BMP'S AND INSPECTION RESULTS
Item
Inspection Results*
BMP's in General
Apparent
1
problems
No problems
BMP does not appear to be well maintained.
BMP observed to have significant design flaws which
2
Design flaws
No flaws
lessens its effectiveness.
Unauthorized
BMP has unauthorized modifications that reduce its
modifications
No modifications
3
effectiveness.
BMP removed
BMP Present
4
BMP has been destroyed or removed from the property
Trash and debris has accumulated on/in BMP. Yard
5
Trash
No trash
waste in BMP.
Evidence of oil, gasoline, contaminants or other
6
Contaminated
Uncontaminated
pollutants.
Smells
Doesn't smell
7
Unpleasant odors from the BMP.
Item
Inspection Results
BMP: Vegetated Swale (Wet/Dry) or Channel
Flow spreader uneven or clogged so flows are not
1
Clogged
Not clogged
uniformly distributed across BMP.
Sediment
No accumulated
Forebay sediment depth exceeds 50% of design
2
accumulated
sediment
capacity.
Sediment depth exceeds 2 inches on more than 10% of
Sediment
No accumulated
the vegetated treatment area or interferes with BMP
accumulated
sediment
3
performance.
Erosion or
No erosion or
Eroded or scoured areas due to flow channelization,
scouring
scouring
4
higher flows, wind or water.
Proper
Planted vegetation is sparse or bare or eroded patches
Poor vegetation
vegetation
5
occur in more than 10% of the BMP.
Planted vegetation is excessively tall; nuisance weeds,
Proper
invasive or noxious vegetation are overgrown; vegetation
6
Nuisance plants
vegetation
reduces free movement of water through BMP.
Proper
Growth of brush and trees does not allow for proper
7
Brush/trees
vegetation
maintenance.
Water is observed within the BMP (between storms) and
appears not to drain freely or soil is excessively soggy.
No standing
Excessive ponding of water within vegetated swale or
8
Standing water
water
other BMP.
Inlet/outlet clogged or obstructed with sediment and/or
Clogged
Not clogged
9
debris
Small quantities of water flow through the vegetated
swale, even when it has been dry for weeks, and an
Flow
No flow
10
eroded, muddy channel has formed in the swale bottom.
Plant stress
No stress
11
Plant stress evident from inadequate watering.
Needs mowing
Grass mowed
12
Grass is overgrown.
*(If an item in the left column is checked, corrective maintenance is required)
1. Is maintenance needed at this time?
2. Are mosquitoes or mosquito larvae present?
3. Comments/Notes: _______________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
III.
FOLLOW-UP
1. Describe corrective actions needed: _________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
2. Date corrected:
_________________
Stormwater BMP Owner Inspection Form
Address:
Owner:
Legal:
Date:
_____________
Engineer: _________________
Phone #: (
)
-
I.
REASON FOR INSPECTION
II.
BMP'S AND INSPECTION RESULTS
Item
Inspection Results*
BMP's in General
Apparent
1
problems
No problems
BMP does not appear to be well maintained.
BMP observed to have significant design flaws which
2
Design flaws
No flaws
lessens its effectiveness.
Unauthorized
BMP has unauthorized modifications that reduce its
modifications
No modifications
3
effectiveness.
BMP removed
BMP Present
4
BMP has been destroyed or removed from the property
Trash and debris has accumulated on/in BMP. Yard
5
Trash
No trash
waste in BMP.
Evidence of oil, gasoline, contaminants or other
6
Contaminated
Uncontaminated
pollutants.
Smells
Doesn't smell
7
Unpleasant odors from the BMP.
Item
Inspection Results
BMP: Filter Strip
Flow spreader uneven or clogged so flows are not
1
Clogged
Not clogged
uniformly distributed across BMP.
Sediment depth exceeds 2 inches on more than 10% of
Sediment
No accumulated
the vegetated treatment area or interferes with BMP
accumulated
sediment
2
performance.
Erosion or
No erosion or
Eroded or scoured areas due to flow channelization,
scouring
scouring
3
higher flows, wind or water.
Planted vegetation is sparse or bare or eroded patches
Poor vegetation
Thick vegetation
4
occur in more than 10% of the BMP.
Planted vegetation is excessively tall; nuisance weeds,
Proper
invasive or noxious vegetation are overgrown; vegetation
5
Nuisance plants
vegetation
reduces free movement of water through BMP.
Proper
Growth of brush and trees does not allow for proper
Brush/trees
vegetation
6
maintenance.
Water is observed within the BMP (between storms) and
appears not to drain freely or soil is excessively soggy.
No standing
Excessive ponding of water within vegetated swale or
7
Standing water
water
other BMP.
Inlet/outlet clogged or obstructed with sediment and/or
Clogged
Not clogged
8
debris.
Small quantities of water flow through the vegetated
swale, even when it has been dry for weeks, and an
Flow
No flow
9
eroded, muddy channel has formed in the swale bottom.
Plant stress
No stress
10
Plant stress evident from inadequate watering.
Needs mowing
Grass mowed
11
Grass is overgrown.
*(If an item in the left column is checked, corrective maintenance is required)
1. Is maintenance needed at this time?
2. Are mosquitoes or mosquito larvae present?

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