CITY OF ARROYO GRANDE OFFICE USE ONLY COMMUNITY DEVELOPMENT DEPARTMENT SWP ______Stormwater Infiltration Feature Inspection Form
Submit this form by June 1st each year Submit via email: Submit by mail: stormwater@arroyogrande.org Attn: City Engineer, Community Development 300 East Branch St Arroyo Grande, CA 93420
Inspection Date: Inspector Name: Inspection Details: BMP# Inspected:
BMP Type: ☐ Dry Basin ☐ Infiltration Feature/Basin
Inspection Type: ☐ Pre-Rain ☐ Monthly ☐ Semi-Annually ☐ Annually ☐ No standing water visible ☐ No standing water visible ☐ Standing water present Infiltration Rate: 24-hours following 0.50” 72 hours following 0.50” longer than 72 hours following storm event. storm event. 0.50” storm event.
☐ Clear of sediment and ☐ Some accumulation of ☐ Significant blockage with Visual Assessment of debris, no obstructions. No sediment or debris, minor sediment and debris. Inlets and Outlets: maintenance needed. maintenance needed. Maintenance required.
☐ Sediment/particulate ☐ Sediment/particulate ☐ Sediment/particulate Sediment or Particle accumulation less than 1.0”. accumulation less than 2.0”. accumulation greater than 2.0”. Accumulation No impacts to infiltration. Cleanout is required.
☐ No visible loss of ☐ Cover media requires ☐ Cover media (rock, gravel, Surface Layer cover/infiltration media infill or repair or minor etc.) requires replacement or Condition (rocks, gravel, etc.). No rill erosion is visible around repair. Rill erosion evident in erosion or scour observed media. BMP. Maintenance required. around cover media.
☐ No debris, litter, or ☐ Small amount of debris, ☐ Debris and litter present in Debris or Litter: evidence of illicit dumping. litter. Debris and litter significant quantities. Evidence removed at the time of of illicit dumping. Removal or inspection. repair required.
300 E. BRANCH STREET | ARROYO GRANDE, CALIFORNIA 93420 | (805) 473-5420 PAGE 1 OF 2 www.arroyogrande.org | [email protected]
UPDATED 11/30/2018 CITY OF ARROYO GRANDE OFFICE USE ONLY COMMUNITY DEVELOPMENT DEPARTMENT SWP ______Stormwater Infiltration Feature Inspection Form
Maintenance Records: Have any maintenance needs Date that maintenance will be completed: identified by this inspection been scheduled for repair?
☐ YES ☐ NO
Notes:
Photographs taken? ☐ YES ☐ NO Photographs submitted? ☐ YES ☐ NO
Please label/name photos with the BMP number for the photographed stormwater feature. Submission of photos is highly encouraged.
For City Use Only
Date Received: Staff Reviewer: SWP Case #:
300 E. BRANCH STREET | ARROYO GRANDE, CALIFORNIA 93420 | (805) 473-5420 PAGE 2 OF 2 www.arroyogrande.org | [email protected]
UPDATED 11/30/2018