Title Page
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Site conducted
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BMP ID
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Project
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Conducted on
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Start Time
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Stop Time
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Inspector
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Address
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Inspection Status Codes:
S = Satisfactory
D = Deficient
* = Refer to Form B (Specials) and/or Form C (Notes). -
Are there any special conditions and/or maintenance requirements noted for BMP(s)?
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If Yes, attach Form B for Project. See 2nd Page
Drainage
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Drawdown - Drainage - Vector Risk - Pump OutBlockage
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D1 Evidence of standing or ponding of water in the BMP area after 72 hours of dry weather?
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D2 Does the high flow bypass function as designed?
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D3 Is there sediment acumination in or around BMP?
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D4 Has water been observed flowing in the pervious concrete section during a low intensity storm?
Erosion
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Hydraulic Function - Failure - Sediment Clogging
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E1 Is there under cutting or washouts along the sidewalks and/or curbs abutting the planter area?
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E2 Is there channelization (gully) forming along the length of the planter area?
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E3 Is there accumulation of sediment (sand, dirt, mud) in the planter area ?
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E4 Observed or potential transport of mulch to drainage system?
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E5 Are there voids or holes present in the BMP?
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E6 Is there evidence of animal activity?
Vegetation
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Excessive Mowing - Herbicide Overuse - Health of Desired Vegetation -
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V1 Is the vegetation clogging the inlet or flow path?<br>
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V2 Evidence of Excessive Mowing and/or Herbicide Overuse?
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V3 Are there dead or dry plants or excessive weeds?
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V4 Is there an absence of correct vegetation?
General
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Trash and Debris - Improper Modifications - Damage
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G1 Is there debris/trash accumulation in the BMP or high flow by pass?
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G2 Missing or damage structural features? (Grates, pipes, walls, curbs, etc.)
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G4 Evidence of improper modifications or removal of BMP?
Special Features
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See Additional Special Conditions or Features Check List Requirement Form B. Tap NEXT >>>
Special Feature or Conditions
- Special Feature or Conditions
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Additional Special Maintenance Inspection Criterial
Form C
- BMP
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BMP ID
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Reference Code
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Notes
Sign Off
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Office Use: Complete
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Issues Corrective Action
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Re-Inspection Required:
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Prepared by