J_2024 05 09_West Orange Stormwater Management Plan

Preventative Maintenance Record Corresponding Checklist No. ________ Component No._______, Inspection Item No.________ Work Logs Activities Sediment/debris removal Sediment removal should be taken place when the basin is thoroughly dry. Vegetation removal Components A1/A2/A3 – Pretreatment B – Basin Bed D – Bioretention System Embankment and Side Slopes E – Outlet Date Completed A1/A2/A3 – Pretreatment B – Basin Bed D – Basin Embankment and Side Slopes E – Outlet F – Emergency Spillway Vegetation is removed by _____________ (type of equipment) with minimum disruption to the remaining vegetation. All use of fertilizers, pesticides, mechanical treatments, and other means to ensure optimum vegetation health must not compromise the intended purpose of the stormwater management measure. The fertilizer applied is ____________ (type), and _________ (quantity per usage) is applied _____________ (frequency of use). Debris, sediment, and trash are handled (onsite / by ____________ (contractor name) to disposal site _________________). (See Part I: Maintenance Plan – Disposal Plan Section) Crew member:___________________/_________________ Date: _____________ (name/ signature) Supervisor:_____________________/__________________ Date: _____________ (name/ signature) File this Preventative Maintenance Record in the Maintenance Log after performing maintenance. April 2015 Bioretention System Page 44/49