13_Inspection Reports for SCMs at W.A. Foster Center

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City of Goldsboro
Control Number:
Operation, Maintenance, and
Management
Inspection Checklist
For Ponds
INSPECTION FORMS FOR STORMWATER MANAGEMENT SYSTEMS
Inspector Name: John M. Heath
BMP:1 Dry Pond
Inspection Date: 3/10/20
Owner/Operator: City of Goldsboro
Date BMP Put Into Service: June 2016
Address:
Site Plan: WA Foster
Location: 235 House St
Phone #:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
I. Pond components
A. Embankment and
emergency spillway
1. Vegetation and ground
cover adequate
X
X
2. Embankment erosion
X
X
3. Animal burrows
X
X
4. Unauthorized plantings
X
X
5. Cracking, bulging, or
sliding of dam
RP
RP
a. Upstream face
X
X
b. Downstream face
X
X
c. At or beyond toe
Upstream
X
X
Downstream
X
X
d. Emergency spillway
X
X
6. Pond, toe & chimney
drains clear and functioning
X
X
7. Seeps/leaks on
downstream face
X
X
8. Slope protection or riprap
failures
X
X
9. Vertical and horizontal
alignment of top of dam as
per "As -Built" plans
X
X
10. Emergency spillway
clear of obstructions and
debris
X
X
1/4

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
11. Other (specify)
N/A
B. Riser and principal
spillway
Type:
Reinforced concrete X
Corrugated pipe
Masonry _ _
1. Low flow orifice
obstructed
X
X
2. Low flow trash rack
a. Debris removal
necessary
X
b. Corrosion control
X
X
3. Weir trash rack
maintenance
a. Debris removal
necessary
X
X
b. Corrosion control
X
X
4. Excessive sediment
accumulation inside riser
X
X
5. Concrete/Masonry
condition
Riser and barrels
a. Cracks or displacement
"
b. Minor spalling (<1")
"
c. Major spalling (rebars
exposed)
"
d. Joint failures
"
e. Water tightness
"
6. Metal pipe condition
N/A
7. Control valve
N/A
a. Operational/exercised
"
b. Chained and locked
"
8. Pond drain valve
N/A
a. Operational/exercised
"
b. Chained and locked
"
9. Outfall channels
functioning
"
10. Other (specify)
"
cc
C. Permanent pool (wet
ponds)
N/A
1. Undesirable vegetative
growth
"
2. Floating or floatable
debris removal required
"
3. Visible pollution
"
4. Shoreline problems
"
5. Other (specify)
"
2/4

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
D. Sediment forebays
N/A
1. Sedimentation noted
"
2. Sediment cleanout when
depth < 50% design depth
"
E. Dry pond areas
1. Vegetation adequate
X
X
2. Undesirable vegetative
growth
X
X
3. Undesirable woody
vegetation
X
X
4. Low flow channels clear
of obstructions
X
X
5. Standing water or wet
spots
X
X
6. Sediment and/or trash
accumulation
X
X
Remove Trash from site
7. Other (specify)
X
X
X
X
F. Condition of outfalls into
pond
1. Riprap failures
X
X
2. Slope erosion
X
X
3. Storm drain pipes
X
X
4. Endwalls/headwalls
X
X
5. Other (specify)
G. Other
1. Encroachments on pond
or easement area
X
X
2. Complaints from
residents (describe on
back)
X
X
3. Aesthetics
a. grass mowing required
X
X
b. graffiti removal needed
N/A
c. Other (specify)
X
X
4. Any public hazards
(specify)
X
X
5. Maintenance access
X
X
X
X
H. Constructed wetland areas
N/A
1. Vegetation healthy and
growing
"
2. Evidence of invasive
species
"
3. Excessive sedimentation
in wetland area
"
3/4

City of Goldsboro
Control Number:
II. Summary
1. Inspector's Remarks:
Remove trash from site. Remove baffles from aond
This is past due
2. Overall condition of Facility (Check one)
Acceptable, Performing as Designed
X Needs Some Maintenance, Performing as Designed/May Fail Before Next
Inspection
Unacceptable, Not Performing as Designed
3. Action to be taken:
If the overall condition of the facility is Unacceptable, a time frame shall be established
for correction or repair.
No action necessary. Continue routine inspections
Correct noted deficiencies before next inspection
Correct noted facility deficiencies by
jrl
(initials)
JH (initials)
(date/initials)
Facility repairs were completed. Site is ready for re -inspection to verify corrections.
Date
Signature of Owner/Operator
Name of Owner/Operator
Initials
Site reinspection accomplished on:
Site reinspection was satisfactory. Month of January 2021
Next routine inspection is scheduled for:
John M. Heath
Signature of Inspector
Marty Anderson
Signature of City Engineer
4/4

City of Goldsboro
Control Number:
Operation, Maintenance, and
Management
Inspection Checklist
For Ponds
INSPECTION FORMS FOR STORMWATER MANAGEMENT SYSTEMS
Inspector Name: John M. Heath
BMP:1 Dry Pond
Inspection Date: March 20, 2019
Owner/Operator: City of Goldsboro
Date BMP Put Into Service: June 2016
Address:
Site Plan: WA Foster
Location: 235 House St
Phone #:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
I. Pond components
A. Embankment and
emergency spillway
1. Vegetation and ground
cover adequate
X
X
2. Embankment erosion
X
X
3. Animal burrows
X
X
4. Unauthorized plantings
X
X
5. Cracking, bulging, or
sliding of dam
RP
RP
a. Upstream face
X
X
b. Downstream face
X
X
c. At or beyond toe
Upstream
X
X
Downstream
X
X
d. Emergency spillway
X
X
6. Pond, toe & chimney
drains clear and functioning
X
X
7. Seeps/leaks on
downstream face
X
X
8. Slope protection or riprap
failures
X
X
9. Vertical and horizontal
alignment of top of dam as
per "As -Built" plans
X
X
10. Emergency spillway
clear of obstructions and
debris
X
X
1/4

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
11. Other (specify)
N/A
B. Riser and principal
spillway
Type:
Reinforced concrete X
Corrugated pipe
Masonry _ _
1. Low flow orifice
obstructed
X
X
2. Low flow trash rack
a. Debris removal
necessary
X
X
b. Corrosion control
X
X
3. Weir trash rack
maintenance
a. Debris removal
necessary
X
X
b. Corrosion control
X
X
4. Excessive sediment
accumulation inside riser
X
X
5. Concrete/Masonry
condition
Riser and barrels
a. Cracks or displacement
"
b. Minor spalling (<1")
"
c. Major spalling (rebars
exposed)
"
d. Joint failures
"
e. Water tightness
"
6. Metal pipe condition
N/A
7. Control valve
N/A
a. Operational/exercised
"
b. Chained and locked
"
8. Pond drain valve
N/A
a. Operational/exercised
"
b. Chained and locked
"
9. Outfall channels
functioning
"
10. Other (specify)
"
cc
C. Permanent pool (wet
ponds)
N/A
1. Undesirable vegetative
growth
"
2. Floating or floatable
debris removal required
"
3. Visible pollution
"
4. Shoreline problems
"
5. Other (specify)
"
2/4

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
D. Sediment forebays
N/A
1. Sedimentation noted
"
2. Sediment cleanout when
depth < 50% design depth
"
E. Dry pond areas
1. Vegetation adequate
X
X
2. Undesirable vegetative
growth
X
X
3. Undesirable woody
vegetation
X
X
4. Low flow channels clear
of obstructions
X
X
5. Standing water or wet
spots
X
X
6. Sediment and/or trash
accumulation
X
X
Remove Trash from site
7. Other (specify)
X
X
X
X
F. Condition of outfalls into
pond
1. Riprap failures
X
X
2. Slope erosion
X
X
3. Storm drain pipes
X
X
4. Endwalls/headwalls
X
X
5. Other (specify)
G. Other
1. Encroachments on pond
or easement area
X
X
2. Complaints from
residents (describe on
back)
X
X
3. Aesthetics
a. grass mowing required
X
X
b. graffiti removal needed
N/A
c. Other (specify)
X
X
4. Any public hazards
(specify)
X
X
5. Maintenance access
X
X
X
X
H. Constructed wetland areas
N/A
1. Vegetation healthy and
growing
"
2. Evidence of invasive
species
"
3. Excessive sedimentation
in wetland area
"
3/4

City of Goldsboro
Control Number:
II. Summary
1. Inspector's Remarks:
Remove trash from site. Remove baffles from aond
This is past due
2. Overall condition of Facility (Check one)
X Acceptable, Performing as Designed
Needs Some Maintenance, Performing as Designed/May Fail Before Next
Inspection
Unacceptable, Not Performing as Designed
3. Action to be taken:
If the overall condition of the facility is Unacceptable, a time frame shall be established
for correction or repair.
No action necessary. Continue routine inspections
Correct noted deficiencies before next inspection
Correct noted facility deficiencies by
jrl
(initials)
_JH (initials)
(date/initials)
Facility repairs were completed. Site is ready for re -inspection to verify corrections.
Date
Signature of Owner/Operator
Name of Owner/Operator
Initials
Site reinspection accomplished on:
Site reinspection was satisfactory. Month of January 2020
Next routine inspection is scheduled for:
John M. Heath
Signature of Inspector
Marty Anderson
Signature of City Engineer
4/4

City of Goldsboro
Control Number:
Operation, Maintenance, and
Management
Inspection Checklist
For Ponds
INSPECTION FORMS FOR STORMWATER MANAGEMENT SYSTEMS
Inspector Name: David Ratliff
BMP:1 Dry Pond
Inspection Date: Sept. 24, 2017
Owner/Operator: City of Goldsboro
Date BMP Put Into Service: June 2016
Address:
Site Plan: WA Foster
Location: 235 House St
Phone #:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
I. Pond components
A. Embankment and
emergency spillway
1. Vegetation and ground
cover adequate
X
X
2. Embankment erosion
X
X
3. Animal burrows
X
X
4. Unauthorized plantings
X
X
5. Cracking, bulging, or
sliding of dam
RP
RP
a. Upstream face
X
X
b. Downstream face
X
X
c. At or beyond toe
Upstream
X
X
Downstream
X
X
d. Emergency spillway
X
X
6. Pond, toe & chimney
drains clear and functioning
X
X
7. Seeps/leaks on
downstream face
X
X
8. Slope protection or riprap
failures
X
X
9. Vertical and horizontal
alignment of top of dam as
per "As -Built" plans
X
X
10. Emergency spillway
clear of obstructions and
debris
X
X
1/4

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
11. Other (specify)
N/A
B. Riser and principal
spillway
Type:
Reinforced concrete X
Corrugated pipe
Masonry _ _
1. Low flow orifice
obstructed
X
X
2. Low flow trash rack
a. Debris removal
necessary
X
X
b. Corrosion control
X
X
3. Weir trash rack
maintenance
a. Debris removal
necessary
X
X
b. Corrosion control
X
X
4. Excessive sediment
accumulation inside riser
X
X
5. Concrete/Masonry
condition
Riser and barrels
a. Cracks or displacement
"
b. Minor spalling (<1")
"
c. Major spalling (rebars
exposed)
"
d. Joint failures
"
e. Water tightness
"
6. Metal pipe condition
N/A
7. Control valve
N/A
a. Operational/exercised
"
b. Chained and locked
"
8. Pond drain valve
N/A
a. Operational/exercised
"
b. Chained and locked
"
9. Outfall channels
functioning
"
10. Other (specify)
"
cc
C. Permanent pool (wet
ponds)
N/A
1. Undesirable vegetative
growth
"
2. Floating or floatable
debris removal required
"
3. Visible pollution
"
4. Shoreline problems
"
5. Other (specify)
"
2/4

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
D. Sediment forebays
N/A
1. Sedimentation noted
"
2. Sediment cleanout when
depth < 50% design depth
"
E. Dry pond areas
1. Vegetation adequate
X
X
2. Undesirable vegetative
growth
X
X
3. Undesirable woody
vegetation
X
X
4. Low flow channels clear
of obstructions
X
X
5. Standing water or wet
spots
X
X
6. Sediment and/or trash
accumulation
X
X
Remove Trash from site
7. Other (specify)
X
X
X
X
F. Condition of outfalls into
pond
1. Riprap failures
X
X
2. Slope erosion
X
X
3. Storm drain pipes
X
X
4. Endwalls/headwalls
X
X
5. Other (specify)
G. Other
1. Encroachments on pond
or easement area
X
X
2. Complaints from
residents (describe on
back)
X
X
3. Aesthetics
a. grass mowing required
X
X
b. graffiti removal needed
N/A
c. Other (specify)
X
X
4. Any public hazards
(specify)
X
X
5. Maintenance access
X
X
X
X
H. Constructed wetland areas
N/A
1. Vegetation healthy and
growing
"
2. Evidence of invasive
species
"
3. Excessive sedimentation
in wetland area
"
3/4

City of Goldsboro
Control Number:
II. Summary
1. Inspector's Remarks:
Remove trash from site. Remove baffles from aond
2. Overall condition of Facility (Check one)
X Acceptable, Performing as Designed
Needs Some Maintenance, Performing as Designed/May Fail Before Next
Inspection
Unacceptable, Not Performing as Designed
3. Action to be taken:
If the overall condition of the facility is Unacceptable, a time frame shall be established
for correction or repair.
No action necessary. Continue routine inspections
Correct noted deficiencies before next inspection
Correct noted facility deficiencies by
DR (initials)
(initials)
(date/initials)
4. Facility repairs were completed. Site is ready for re -inspection to verify corrections.
Date
Signature of Owner/Operator
Name of Owner/Operator
Initials
Site reinspection accomplished on:
Site reinspection was satisfactory.
Next routine inspection is scheduled for:
Month of Sept. 2018
David Ratliff
Signature of Inspector
Marty Anderson
Signature of City Engineer
4/4

City of Goldsboro
Control Number:
Operation, Maintenance, and
Management
Inspection Checklists
For Infiltration Practices:
Basins, Trenches, Dry Wells,
Paving, and Swales
INSPECTION FORMS FOR STORMWATER MANAGEMENT SYSTEMS
Inspector Name: John M. Heath
BMPA Swale
Inspection Date: 3/10/20
Owner/Operator: City of Goldsboro
Date BMP Put Into Service: June 2016
Address:
Site Plan: WA Foster Rec Center
Location: 235 House St
Phone #:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
I. Basins
A. Debris cleanout
1. Basin bottom clear of
debris
X
X
2. Inlet clear of debris
X
X
3. Outlet clear of debris
X
X
4. Emergency spillway clear
of debris
N/A
B. Sediment traps or forebays
N/A
1. Obviously trapping
sediment
"
2. Greater than 50% of
storage volume remaining
"
C. Vegetation
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
D. Dewatering
N/A
1. Basin dewaters between
storms
"
E. Sediment cleanout of basin
N/A
1. No evidence of
sedimentation in basin
"
2. Sediment accumulation
does not require cleanout
"
115

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
F.Inlets
N/A
1. Good condition
"
2. No evidence of erosion
"
G. Outlets/overflow spillway
N/A
1. Good condition, no need
for repair
"
2. No evidence of erosion
"
H. Structural repairs
N/A
1. Embankment in good
repair
"
2. Side slopes are stable
"
3. No evidence of erosion
"
I. Fences/access repairs
N/A
1. Fences in good condition
"
2. No damage which would
allow undesired entry
"
3. Access point in good
condition
"
4. Locks and gate function
adequate
"
II. Infiltration Trench
N/A
A. Debris cleanout
"
1. Satisfactory
Unsatisfactory
"
2. Trench surface clear of
debris
"
3. Inlet areas clear of debris
"
4. Inflow pipes clear of
debris
"
5. Overflow spillway clear of
debris
"
B. Sediment traps, forebays,
or pretreatment swales
N/A
1. Obviously trapping
sediment
"
2. Greater than 50% of
storage volume remaining
"
C. Vegetation
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
D. Dewatering
N/A
1. Trench dewaters between
storms
"
E. Sediment cleanout of
trench
N/A
1. No evidence of
sedimentation in trench
"
2/5

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
2. Sediment accumulation
does not yet require
cleanout
N/A
F.Inlets
N/A
1. Good condition
"
2. No evidence of erosion
"
G. Outlets/overflow spillway
N/A
1. Good condition, no need
for repair
"
2. No evidence of erosion
"
H. Aggregate repairs
N/A
1. Surface of aggregate
clean
"
2. Top layer of stone does
not need replacement
"
3. Trench does not need
rehabilitation
"
I. Vegetated surface
N/A
1. No evidence of erosion
"
2. Perforated inlet
functioning adequately
"
3. Water does not stand on
vegetative surface
"
4. Good vegetative cover
exists
"
III. Infiltration Dry Well
N/A
A. Debris cleanout
N/A
1. Satisfactory
Unsatisfactory
"
2. Roof drains and
downspouts clean
"
B. Vegetation on top of dry
well
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
C. Dewatering
N/A
1. Dry well dewaters
between storms
"
D. Inlets
N/A
1. Good condition of down
spouts
"
2. No evidence of
deterioration
"
3. Roof gutters drain
correctly into dry well
"
E. Outlets/overflow spillway
N/A
3/5

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
1. Good condition, no need
for repair
N/A
2. No evidence of erosion
"
IV. Infiltration Paving
N/A
A. Debris on infiltration paving
parking area
N/A
1. Paving area clean of
debris
"
B. Vegetation (any buffer
areas or pervious areas in
drainage area)
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
C. Dewatering
N/A
1. Infiltration paving
dewaters between storms
"
D. Sediments
N/A
1. Area clean of sediments
"
2. Area vacuum swept on a
periodic basis
"
E. Structural condition
N/A
1. No evidence of surface
deterioration
"
2. No evidence of rutting or
spalling
"
V. Infiltration Swale
A. Debris cleanout
1. Swales and contributing
areas clean of debris
X
X
B. Vegetation
1. Mowing done when
needed
X
X
2. Fertilized per
specifications
X
X
3. No evidence of erosion
X
X
4. Minimum mowing depth
not exceeded
X
X
C. Dewatering
1. Swale dewaters between
storms
X
X
D. Check dams or energy
dissipators
N/A
1. No evidence of flow going
around structures
"
2. No evidence of erosion at
downstream toe
"
4/5

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
E. Sediment deposition
1. Swale clean of sediments
X
X
F. Outlets/overflow spillway
1. Good condition, no need
for repair
X
X
2. No evidence of erosion
X
X
VI. Summary
1. Inspector's Remarks:
2. Overall condition of Facility (Check one)
X Acceptable, Performing as Designed
Needs Some Maintenance, Performing as Designed/May Fail Before Next
Inspection
Unacceptable, Not Performing as Designed
3. Action to be taken:
If the overall condition of the facility is Unacceptable, a time frame shall be established
for correction or repair.
No action necessary. Continue routine inspections JH (initials)
Correct noted deficiencies before next inspection (initials)
Correct noted facility deficiencies by (date/initials)
4. Facility repairs were completed. Site is ready for re -inspection to verify corrections.
Date
Signature of Owner/Operator
Name of Owner/Operator
Initials
Site reinspection accomplished on:
Site reinspection was satisfactory. Month of January 2021
Next routine inspection is scheduled for:
John M. Heath Marty Anderson
Signature of Inspector Signature of City Engineer
515

City of Goldsboro
Control Number:
Operation, Maintenance, and
Management
Inspection Checklists
For Infiltration Practices:
Basins, Trenches, Dry Wells,
Paving, and Swales
INSPECTION FORMS FOR STORMWATER MANAGEMENT SYSTEMS
Inspector Name: John M. Heath
BMPA Swale
Inspection Date: March 20, 2019
Owner/Operator: City of Goldsboro
Date BMP Put Into Service: June 2016
Address:
Site Plan: WA Foster Rec Center
Location: 235 House St
Phone #:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
I. Basins
A. Debris cleanout
1. Basin bottom clear of
debris
X
X
2. Inlet clear of debris
X
X
3. Outlet clear of debris
X
X
4. Emergency spillway clear
of debris
N/A
B. Sediment traps or forebays
N/A
1. Obviously trapping
sediment
"
2. Greater than 50% of
storage volume remaining
"
C. Vegetation
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
D. Dewatering
N/A
1. Basin dewaters between
storms
"
E. Sediment cleanout of basin
N/A
1. No evidence of
sedimentation in basin
"
2. Sediment accumulation
does not require cleanout
"
115

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
F.Inlets
N/A
1. Good condition
"
2. No evidence of erosion
"
G. Outlets/overflow spillway
N/A
1. Good condition, no need
for repair
"
2. No evidence of erosion
"
H. Structural repairs
N/A
1. Embankment in good
repair
"
2. Side slopes are stable
"
3. No evidence of erosion
"
I. Fences/access repairs
N/A
1. Fences in good condition
"
2. No damage which would
allow undesired entry
"
3. Access point in good
condition
"
4. Locks and gate function
adequate
"
II. Infiltration Trench
N/A
A. Debris cleanout
"
1. Satisfactory
Unsatisfactory
"
2. Trench surface clear of
debris
"
3. Inlet areas clear of debris
"
4. Inflow pipes clear of
debris
"
5. Overflow spillway clear of
debris
"
B. Sediment traps, forebays,
or pretreatment swales
N/A
1. Obviously trapping
sediment
"
2. Greater than 50% of
storage volume remaining
"
C. Vegetation
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
D. Dewatering
N/A
1. Trench dewaters between
storms
"
E. Sediment cleanout of
trench
N/A
1. No evidence of
sedimentation in trench
"
2/5

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
2. Sediment accumulation
does not yet require
cleanout
N/A
F.Inlets
N/A
1. Good condition
"
2. No evidence of erosion
"
G. Outlets/overflow spillway
N/A
1. Good condition, no need
for repair
"
2. No evidence of erosion
"
H. Aggregate repairs
N/A
1. Surface of aggregate
clean
"
2. Top layer of stone does
not need replacement
"
3. Trench does not need
rehabilitation
"
I. Vegetated surface
N/A
1. No evidence of erosion
"
2. Perforated inlet
functioning adequately
"
3. Water does not stand on
vegetative surface
"
4. Good vegetative cover
exists
"
III. Infiltration Dry Well
N/A
A. Debris cleanout
N/A
1. Satisfactory
Unsatisfactory
"
2. Roof drains and
downspouts clean
"
B. Vegetation on top of dry
well
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
C. Dewatering
N/A
1. Dry well dewaters
between storms
"
D. Inlets
N/A
1. Good condition of down
spouts
"
2. No evidence of
deterioration
"
3. Roof gutters drain
correctly into dry well
"
E. Outlets/overflow spillway
N/A
3/5

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
1. Good condition, no need
for repair
N/A
2. No evidence of erosion
"
IV. Infiltration Paving
N/A
A. Debris on infiltration paving
parking area
N/A
1. Paving area clean of
debris
"
B. Vegetation (any buffer
areas or pervious areas in
drainage area)
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
C. Dewatering
N/A
1. Infiltration paving
dewaters between storms
"
D. Sediments
N/A
1. Area clean of sediments
"
2. Area vacuum swept on a
periodic basis
"
E. Structural condition
N/A
1. No evidence of surface
deterioration
"
2. No evidence of rutting or
spalling
"
V. Infiltration Swale
A. Debris cleanout
1. Swales and contributing
areas clean of debris
X
X
B. Vegetation
1. Mowing done when
needed
X
X
2. Fertilized per
specifications
X
X
3. No evidence of erosion
X
X
4. Minimum mowing depth
not exceeded
X
X
C. Dewatering
1. Swale dewaters between
storms
X
X
D. Check dams or energy
dissipators
N/A
1. No evidence of flow going
around structures
"
2. No evidence of erosion at
downstream toe
"
4/5

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
E. Sediment deposition
1. Swale clean of sediments
X
X
F. Outlets/overflow spillway
1. Good condition, no need
for repair
X
X
2. No evidence of erosion
X
X
VI. Summary
1. Inspector's Remarks:
2. Overall condition of Facility (Check one)
Acceptable, Performing as Designed
X Needs Some Maintenance, Performing as Designed/May Fail Before Next
Inspection
Unacceptable, Not Performing as Designed
3. Action to be taken:
If the overall condition of the facility is Unacceptable, a time frame shall be established
for correction or repair.
No action necessary. Continue routine inspections (initials)
Correct noted deficiencies before next inspection JH (initials)
Correct noted facility deficiencies by (date/initials)
4. Facility repairs were completed. Site is ready for re -inspection to verify corrections.
Date
Signature of Owner/Operator
Name of Owner/Operator
Initials
Site reinspection accomplished on:
Site reinspection was satisfactory. Month of January 2020
Next routine inspection is scheduled for:
John M. Heath _ Marty Anderson
Signature of Inspector Signature of City Engineer
515

City of Goldsboro
Control Number:
Operation, Maintenance, and
Management
Inspection Checklists
For Infiltration Practices:
Basins, Trenches, Dry Wells,
Paving, and Swales
INSPECTION FORMS FOR STORMWATER MANAGEMENT SYSTEMS
Inspector Name: David Ratliff
BMPA Swale
Inspection Date: Sept. 24, 2017
Owner/Operator: City of Goldsboro
Date BMP Put Into Service: June 2016
Address:
Site Plan: WA Foster Rec Center
Location: 235 House St
Phone #:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
I. Basins
A. Debris cleanout
1. Basin bottom clear of
debris
X
X
2. Inlet clear of debris
X
X
3. Outlet clear of debris
X
X
4. Emergency spillway clear
of debris
N/A
B. Sediment traps or forebays
N/A
1. Obviously trapping
sediment
"
2. Greater than 50% of
storage volume remaining
"
C. Vegetation
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
D. Dewatering
N/A
1. Basin dewaters between
storms
"
E. Sediment cleanout of basin
N/A
1. No evidence of
sedimentation in basin
"
2. Sediment accumulation
does not require cleanout
"
115

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
F.Inlets
N/A
1. Good condition
"
2. No evidence of erosion
"
G. Outlets/overflow spillway
N/A
1. Good condition, no need
for repair
"
2. No evidence of erosion
"
H. Structural repairs
N/A
1. Embankment in good
repair
"
2. Side slopes are stable
"
3. No evidence of erosion
"
I. Fences/access repairs
N/A
1. Fences in good condition
"
2. No damage which would
allow undesired entry
"
3. Access point in good
condition
"
4. Locks and gate function
adequate
"
II. Infiltration Trench
N/A
A. Debris cleanout
"
1. Satisfactory
Unsatisfactory
"
2. Trench surface clear of
debris
"
3. Inlet areas clear of debris
"
4. Inflow pipes clear of
debris
"
5. Overflow spillway clear of
debris
"
B. Sediment traps, forebays,
or pretreatment swales
N/A
1. Obviously trapping
sediment
"
2. Greater than 50% of
storage volume remaining
"
C. Vegetation
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
D. Dewatering
N/A
1. Trench dewaters between
storms
"
E. Sediment cleanout of
trench
N/A
1. No evidence of
sedimentation in trench
"
2/5

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
2. Sediment accumulation
does not yet require
cleanout
N/A
F.Inlets
N/A
1. Good condition
"
2. No evidence of erosion
"
G. Outlets/overflow spillway
N/A
1. Good condition, no need
for repair
"
2. No evidence of erosion
"
H. Aggregate repairs
N/A
1. Surface of aggregate
clean
"
2. Top layer of stone does
not need replacement
"
3. Trench does not need
rehabilitation
"
I. Vegetated surface
N/A
1. No evidence of erosion
"
2. Perforated inlet
functioning adequately
"
3. Water does not stand on
vegetative surface
"
4. Good vegetative cover
exists
"
III. Infiltration Dry Well
N/A
A. Debris cleanout
N/A
1. Satisfactory
Unsatisfactory
"
2. Roof drains and
downspouts clean
"
B. Vegetation on top of dry
well
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
C. Dewatering
N/A
1. Dry well dewaters
between storms
"
D. Inlets
N/A
1. Good condition of down
spouts
"
2. No evidence of
deterioration
"
3. Roof gutters drain
correctly into dry well
"
E. Outlets/overflow spillway
N/A
3/5

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
1. Good condition, no need
for repair
N/A
2. No evidence of erosion
"
IV. Infiltration Paving
N/A
A. Debris on infiltration paving
parking area
N/A
1. Paving area clean of
debris
"
B. Vegetation (any buffer
areas or pervious areas in
drainage area)
N/A
1. Mowing done when
needed
"
2. Fertilized per
specifications
"
3. No evidence of erosion
"
C. Dewatering
N/A
1. Infiltration paving
dewaters between storms
"
D. Sediments
N/A
1. Area clean of sediments
"
2. Area vacuum swept on a
periodic basis
"
E. Structural condition
N/A
1. No evidence of surface
deterioration
"
2. No evidence of rutting or
spalling
"
V. Infiltration Swale
A. Debris cleanout
1. Swales and contributing
areas clean of debris
X
X
B. Vegetation
1. Mowing done when
needed
X
X
2. Fertilized per
specifications
X
X
3. No evidence of erosion
X
X
4. Minimum mowing depth
not exceeded
X
X
C. Dewatering
1. Swale dewaters between
storms
X
X
D. Check dams or energy
dissipators
N/A
1. No evidence of flow going
around structures
"
2. No evidence of erosion at
downstream toe
"
4/5

City of Goldsboro
Control Number:
Items inspected
Checked
Maintenance
Needed
Remarks
Yes
No
Yes
No
E. Sediment deposition
1. Swale clean of sediments
X
X
F. Outlets/overflow spillway
1. Good condition, no need
for repair
X
X
2. No evidence of erosion
X
X
VI. Summary
1. Inspector's Remarks:
Re -seed swale for around cover
2. Overall condition of Facility (Check one)
Acceptable, Performing as Designed
X Needs Some Maintenance, Performing as Designed/May Fail Before Next
Inspection
Unacceptable, Not Performing as Designed
3. Action to be taken:
If the overall condition of the facility is Unacceptable, a time frame shall be established
for correction or repair.
No action necessary. Continue routine inspections (initials)
Correct noted deficiencies before next inspection DR (initials)
Correct noted facility deficiencies by (date/initials)
4. Facility repairs were completed. Site is ready for re -inspection to verify corrections.
Date
Signature of Owner/Operator
Name of Owner/Operator
Initials
Site reinspection accomplished on:
Site reinspection was satisfactory. Month of September 2018
Next routine inspection is scheduled for:
David Ratliff Marty Anderson
Signature of Inspector Signature of City Engineer
515