V3 RESUBMiSSION Stormwater Maintenance Manual

SWM Inspection List Name of Facility: : Table 4-5 Inspection Checklist for Stormwater Management Facilities Page { of 3 Location: Date: Facility tem 1. Embankments and Side Slopes Weather: OK" Routine? Urgent? Comments* LA. Vegetation B. Linings. C, Erosion Settlement Sioughino E, Trash ans Debris G. Seepage H. Aesthetics _ \_ Other: 2 Bottoms (Detention and Infitrationy | A. Vegetation B. Erosion _. ©. Standing Weter D. Settlement E. Trash and Debris F. Sediment G. Aesthetics H_Other: 3. Low Flow Channels (Detention) Av tion B. Linings C. Erosion D, Settlement E Standing Water F, Trash and Debris G Sediment H_Other:

‘SWM Inspection List ox! Routine? Urgent” Comments* Page2of3 8. Shoreline Erosion C. Aeration Equipment O. Trash & Debris E. Sediment F_ Waler Quality G. Other: a » Inlet Structure ‘A. Condition of Structure B. Ension : C. Trash & Debris D, Sediment E Aesthetics F, Other: 6, Oullet Structure (Detention & Retention) A. Condition of Structure B, Erosion C. Trash & Debris CD. Sediment E. Mechanical Components F. Aesthetics G. Other: é

‘SWM Inspection List Page 3 of 3 Facility tem OK" Routine Urgent? Gomments* 10. Miscellaneous A. Effectiveness of Exist. Maint. Program B, Dam Inspections _ . Potential Mosquito Habitats D. Mosquitoes E E 6. "The item checked is in good condition, and the maintenance program is adequate. 2 The tem checked requires attention, but does not present an immediate threat to the faciity function or other facility components. 5 The item checked requites immediate attention to keep the facilty operalfonal orto prevent damage to olher facdity components. “ Provide explanation atid details if columns 2 or Sare checked. semarks (Referto Item No., If Applicable}: Inspector:

SWM inspecz<a ieg Name of Facility: Table 4-6 Inspection Log for: Stormwater Management Facilities Page 1of3 Location: Fecilty em 1. Embahkmenis and Side Slopes Indicate Condition (Le. 1,201 3) A Vecesation BL Uness C. Eressn 2: Bottoms Detention and Infittration) A Necetalion 8. Ession* ing Water F. Ssciment G, Assthetics: H. Gren: 3, Low Fiow Channels (Detention) A vaselatien rosion Sending Water F. “esh ase Debris | &. C. Es D. Sedlernent —E F. G. fi

‘SWM Inspection Log Facity fem 4, Ponds (Retention) Page 2 of 3 A_ Vegetation B. Shoreline Erosion . Aeration Equipment D. Trash & Debris E. Sediment F. Water Quality Other: 5. Inlet Structure A. Condition of Stucture 8. Exosion C. Trash & Debis D. Sediment E Aesthetics F. Other: 6, Outlet Structure (Detention & Retention) “A. Condition of Stucture B, Erosion C. Trash & Debris D. Sediment E Mechanical Components F. Aesthetics &. Other: 7. Emergency Spitiway _ A_Vegetation B. Lining - C. Erosion D. Trash & Debris E Other: 8. Perimeter A. Vegetation B. Erosion C. Trash & Debris D. Fences & Gales E Aesthetics F. Other: 9. Access Roads A_Vegetation B. Road Surface

SWM Inspection Log . Page 30f3 Facity tem 10. Miscellaneous A. Effectiveness of Exist. Maint. Program 8. Dam Inspections G. Potential Mosquito Habitats D. Mosquitoes E FE G. 1 The item checked is in good condition, cind the maintenance program is adequate. 2 ‘Thetem checked requires attention, but does not present an immediate threat to the faciity function or other facility components. 3 The tem checked requires immediate attention to keep the facility operational orto prevent damage to other facility components. ‘Remarks (Relerto ttem No., If Applicable):

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