Stormwater Maintenance Plan 10222025 4920 5008 39592

PART V - Inspection Checklist / Maintenance Actions Checklist (circle one): Quarterly / Annual / Monthly / Special Event Inspection Checklist No. Inspection Date: Preventative Maintenance Date of most recent rain event: Frequency Circle One Quarterly Annual Rain Event Rain Condition (circle one): Drizzle / Shower / Downpour / Other Ground Condition (circle one): Dry / Moist / Ponding / Submerged / Snow accumulation For Inspector For Maintenance Crew ere? Inspectionitem and inapected | Matntarance ketoneInspection Item No. Name Comments Structures broken or in Y 1 | disrepair, sediment, water present after 72 hours. N Y__ 2 Sediment and standing water observed after 72 N hours. Storm Sewer Collection system Excessive sediment or Y 3 | debris present in the inspection port N Y_ 4 Little or no flow into the system N