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:
______________________________________________________________________________________
______________________________________________________________________________________