Underground Infiltration Facilities

Maintenance Inspection Report

Date: ____________________________________________________________________

Inspector Name/Address/Phone Number: _______________________________________

Site Address: ______________________________________________________________

Owner Name/Address/Phone Number: _________________________________________

Inlets & Pretreatment Structures (Inspect in Spring and Fall)

  • Repair needed: _________________________________________________________________________
  • Debris & sediment removal required: _______________________________________________________
  • Erosion evident: _________________________________________________________________________
  • Water by-passing inlet: ___________________________________________________________________
  • Observations:

______________________________________________________________________________________ ______________________________________________________________________________________

Vaults/Chambers (Inspect after large storms for first two years, Inspect yearly in spring or per manufacturer recommendation)

  • Adequate drawdown/standing water: _______________________________________________________
  • General condition of the vault: _____________________________________________________________
  • Repair needed: _________________________________________________________________________
  • Debris/sediment removal required: _________________________________________________________
  • Observations:

______________________________________________________________________________________ ______________________________________________________________________________________

Outlet (Inspect in Spring and Fall)

  • Outlet type: ____________________________________________________________________________
  • Debris/sediment removal required: _________________________________________________________
  • Repair needed: _________________________________________________________________________
  • Observations:

______________________________________________________________________________________ ______________________________________________________________________________________

This page was last edited on 23 September 2016, at 21:23.

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