SW4080701_Annual Compliance Report_20210326

City of Winston-Salem Stormwater Division — Stormwater Post Construction Permit
Annual Compliance Report
General
Development Name: 20 Permit No: L fO 0 p 7 J(
Contact Person: Ccv.i. s cLu--) Phone Number: �- (o(ol - Ct99?
Inspection Year(e.g.June 2019-May 2020): 1201'l — 3 I2_v2 f
Location
Development Address: ef-,- , o,0•.1 tV,A 4.1. S44-4�
Permit Information
Stormwater Management System Addresses (circle one): Water Quality Water Quantity Both
Stormwater Control Measures (SCM's)Inspected in the past year applicable to this site (insert number of each):
Wet Ponds _ Infiltration Basins Infiltration Trenches Swales Stormwater Wetland
Dry Ponds pe--Bioretention Cells Permeable Pavement Sand filters (circle one)—Open/Closed
Underground Cistern/Piping Detention System Level Spreader/Filter Strip Bay Filters Contech Filters
Other(sped type and number on site):
File Review -Notification of Changes etc. Yes No N/A
1. Is the development still consistent with the approved set of as-built records?(Have additions been made to
the site which have increased the impervious area for example but for which the City Stormwater Division
was not notified)
2. In the case of a HOA has the contact person for the HOA changed since the time of the recorded O&M �.
Agreement?If so please provide the new contact for the HOA in a later section of this report
3. Has the ownership of the system changed since the O&M Agreement was recorded? l/
4. Has the City of Winston-Salem Stormwater Division been notified of any owner changes and have the
appropriate procedures been followed for such change in ownership per the O&M Agreement
requirements?
Built Upon Area (BUA) Yes No N/A
5. Is the BUA still consistent with the permitted design or have other construction activities occurred
without the Stormwater Divisions knowledge?
6. Is the BUA(as permitted)graded such that the runoff drains to the system?
7. Is the drainage area still consistent with the permit?(i.e.no unpermitted drainage to the SCMs)
8. Is the drainage area stabilized?(to reduce risk of sedimentation to the SCM's) ✓
Stormwater SCM's -General Yes No N/A
9. Are the SCM(s)still located per the approved plans?
10. Are the SCM(s)specifications still matching the permitted plans? 1�
11. Have any unpermitted changes or modifications been made to the SCM(s)?
12. Are the Riparian buffers recorded during permitting(if applicable)free of disturbance&built upon area?
Stormwater SCM(s) -Operation and Maintenance Yes No N/A
13. Are the recorded Stormwater Access and Maintenance Easements,or general access to the site and the
system in the case of a blanket easement,clear and well maintained?
14. Are the SCM(s)been operated and maintained per the permit/recorded O&M Agreement requirements?
15. Have all of the SCM(s)inspections carried out in the past year been carried out per the required frequency �.
as stated in the O&M Agreement and copies of those inspections provided here with this annual report?
16. If the inspections necessitated any maintenance of the SCM(s)has all such documentation of maintenance
been provided here as in what the issue was,who carried out the maintenance/repairs,when was it done ✓r
along with photographic evidence of before and after repairs? NC Department of
Environmental Quality
Received
City of Winston-Salem Stormwater Division—Stormwater SCM(s)Annual Compliance Report MAR 2 6 2021
Page I of 2
Winston-Salem s
Regional Office

City of Winston-Salem Stormwater Division —Stormwater Post Construction Permit
Annual Compliance Report
SCM(s)Inspectors Yes No N/A
17. Have all of the past years inspections of the SCM(s)been carried out by a suitable qualified professional
such as a Registered Engineer or Landscape Architect in the State of North Carolina,or an individual who
has attained certification to inspect SCM(s)through North Carolina State University's SCM Inspection
course?Documentation of such credentials.must be included with the annual inspection records submitted , f
with this report and should include the name,their contact address and phone number and proof of their i�
qualifications to carry out such inspections such as seals attached to the inspections or photocopies of
their NC State certification.
Inspection Photographs—**Required to be submitted:with annual inspection reports** Yes No N/A
18. Are all relevant photographs taken during the individual inspections and if applicable,maintenance
activities,included here in with this report submittal and do all these photographs have date stamps?
Comments-Please list or include below any other comments that you may see as relevant to this submittal of records.
Please add and attach additional sheets to the back of this report if more room is necessary:
Ownership Information—Provide the latest owner and/or HOA contact person name, address and phone number below.
Please note that if changes to ownership were made without the City Stormwater Division been made aware of it,then the
original owner and the new owner must immediately address and comply with the O&M Agreement item that details transfer
of ownership and request that the Stormwater Division reissue the permit to the new owner. Please state if this is the case
also below and when the Stormwater Division can expect to be notified.
Financial Statement of Escrowed Funds—If a HOA is involved in the ownership of this Stormwater management system
then this means there was an escrow account established at the time of permitting.The HOA is obliged to add funds to this
account per the Post Construction Stormwater Management ordinance and O&M Agreement/Escrow Agreement
requirements and to maintain such funds in this account.A most recent financial statement of escrowed funds should be
attached here to this report
Financial Statement Attached ❑ Yes ❑ No (If no explain why not and when this statement will be provided)
Compliance Status e Compliant ❑ Non-Compliant
If non-compliant with any aspect of the permit and its O&M Agreement please provide additional documentation, plan of
action etc. of how and when the non-compliant issues will be addressed.
Inspector Name and Signature:@ar(ri) S %I (2 — Date: 3- 17-- Za 2-(
Inspector Qualifications: $C... :A S tc) - 12ty
(State NC License Number and attach sealgto this report or include a copy of NC State SCM Inspector Qualifications)
City of Winston-Salem Stormwater Division—Stormwater SCM(s)Annual Compliance Report
Page 2 of 2

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BIORETENTION CELL: 0 & M Inspection Checklist
YES NO (ALA
INLET and PERIMETER
1. Inlet and Perimeter are free of erosive gullies and bare soil areas: Er ❑ ❑
2. Inlet device (swale, pipe, stone verge) is free of erosion, damage or clogs: Er ❑ ❑
3. Weir heights appear to match approved plans: L I ❑ ❑
PRETREATMENT/FOREBAY
4. Flow is entering pretreatment area (not being bypassed): Er ❑ ❑
5. Pretreatment area is free of erosion: ❑� ❑ ❑
6. Level Spreader (if applicable) is structurally sound and remains level: ❑ ❑ E
7. Pretreatment area is free of excessive sediment or clogs: ❑ ❑
8. Energy Dissipaters (rip rap aprons/plunge pools) are correct size and functioning: Er ❑ ❑
9. Pretreatment area is free of trash and other debris: ❑ ❑
MAIN=TREATMENT AREA
10. Vegetated side slopes are no steeper than 3:1: E, ❑ ❑
11. The under drain system is free flowing and free of clogs (if applicable): lJ ❑ ❑
12. Main treatment area is free of sediment: LIl ❑ ❑
13. Cleanout(s) and cap is provided for the under drain as per the approved plans: [r ❑ ❑
14. Cleanouts(s) and caps free of damage potentially caused by mowing/maintenance: lEr ❑ ❑
15. Heavy equipment has not been driven into the cell: E( ❑ ❑
16.The"Do Not Fertilize"signs are still in place and visible for sodded cells: �❑ ❑ k
17. Surface is free of piles of heavy materials (piles of mulch, etc): I ❑ ❑
18. Ponding depth is 9-12 inches after rain: Er ❑ ❑
19. All dimensions are >=10ft.: 12 . ❑ ❑
20. Main treatment area is free of trash and other debris: �L� ❑ ❑
21. Access easement is being maintained: LJ ❑ ❑
SOIL/MULCH/SOD and VEGETATION
22. Plants are healthy and being maintained: Er ❑ ❑
23. The proper amount and type of vegetation/plantings is present in the cell: ► r ❑ ❑
24. Mulch (if applicable) is in good condition (has not broken down or floated/migrated towards the outlet):
❑ ❑ LY
25. Surface if free of excessive sediment and clogs: e. ❑ ❑
26. Sod (if applicable) is in good condition and free of weeds and bare spots Er ❑ ❑
27. Trees are free of stakes/wires > 6 months after planting: ❑ ❑

28. Ponded volume drains completely into the soil layer within 12 hours: 1E1" ❑ ❑
29. Ponded volume drains completely from the device within 48 hours: E ❑ ❑
30.The annual soil test shows the proper pH and absence of heavy metal accumulation: ❑ ❑
OUTLET
31. Outlet is free of evidence of improper drainage (no standing water, cattails, etc.): Er ❑ ❑
32. Outlet device (drop inlet, weir, etc.) is free of damage or clogs: Q1"' ❑ ❑
33. Orifice size matches approved plans: ,l ❑ ❑
34. Outlet is free of damage, clogs, or erosion: EI 1 ❑ ❑
35. Outlet Energy dissipater is correct size and functioning (if applicable): / ❑ ❑
36. Relative elevations match approved plans: E ❑ ❑
Note: If there is more than 1 bio-retention cell on the property then a separate inspection checklist must be completed for
each bio-cell. The inspector should note on each checklist which cell the inspection form refers to and describe its location on
the property
Date of Inspection
DG/1,7a �gn GW
Name of Inspector(Please type)
Sign re of Inspector
Qualification of Inspector (Please describe your credentials/qualifications to carry out this inspection below)
5 collK a lz-a‘f

I- u AA _
BIORETENTION CELL: 0 & M Inspection Checklist
YES NO LILA
INLET and PERIMETER
1. Inlet and Perimeter are free of erosive gullies and bare soil areas: Er ❑ ❑
2. Inlet device (swale, pipe, stone verge) is free of erosion, damage or clogs: Er ❑ ❑
3. Weir heights appear to match approved plans: EK ❑ ❑
PRETREATMENT/FOREBAY Zr4. Flow is entering pretreatment area (not being bypassed): LJ ❑ ❑
5. Pretreatment area is free of erosion: ITI ❑ ❑
6. Level Spreader (if applicable) is structurally sound and remains level: ❑ ❑
7. Pretreatment area is free of excessive sediment or clogs: Er ❑ ❑
8. Energy Dissipaters (rip rap aprons/plunge pools) are correct size and functioning: Er ❑ ❑
9. Pretreatment area is free of trash and other debris: ❑ ❑
MAIN TREATMENT AREA
10. Vegetated side slopes are no steeper than 3:1: � ❑ ❑
11.The under drain system is free flowing and free of clogs (if applicable): 27'
❑ ❑
12. Main treatment area is free of sediment: Z. ❑ ❑
13. Cleanout(s) and cap is provided for the under drain as per the approved plans: e ❑ ❑
14. Cleanouts(s) and caps free of damage potentially caused by mowing/maintenance: B ❑ ❑
15. Heavy equipment has not been driven into the cell: Er ❑ ❑
16.The"Do Not Fertilize"signs are still in place and visible for sodded cells: ❑ ❑ t�
17. Surface is free of piles of heavy materials (piles of mulch, etc): ❑ ❑
18. Ponding depth is 9-12 inches after rain: Q� ❑ ❑
19. All dimensions are >=10ft.: 27' ❑ ❑
20. Main treatment area is free of trash and other debris: [''r ❑ ❑
21. Access easement is being maintained: [r ❑ ❑
SOIL/MULCH/SOD and VEGETATION
22. Plants are healthy and being maintained: Er ❑ ❑
23. The proper amount and type of vegetation/plantings is present in the cell: 2 ❑ ❑
24. Mulch (if applicable) is in good condition (has not broken down or floated/migrated towards the outlet):
❑ ❑ Er
25. Surface if free of excessive sediment and clogs: [� ❑ ❑
26. Sod (if applicable) is in good condition and free of weeds and bare spots 21 ❑ ❑
27. Trees are free of stakes/wires > 6 months after planting: ❑ ❑

28. Ponded volume drains completely into the soil layer within 12 hours: ['- ❑ ❑
29. Ponded volume drains completely from the device within 48 hours: UQ ❑ ❑
30. The annual soil test shows the proper pH and absence of heavy metal accumulation: ❑ ❑ []�
OUTLET
31. Outlet is free of evidence of improper drainage (no standing water, cattails, etc.): Er ❑ ❑
32. Outlet device (drop inlet, weir, etc.) is free of damage or clogs: ❑ ❑
33. Orifice size matches approved plans: [g'' ❑ ❑
34. Outlet is free of damage, clogs, or erosion: E I" ❑ ❑
35. Outlet Energy dissipater is correct size and functioning (if applicable): ,❑ ❑ 0�
36. Relative elevations match approved plans: L� ❑ ❑
Note: If there is more than 1 bio-retention cell on the property then a separate inspection checklist must be completed for
each bio-cell. The inspector should note on each checklist which cell the inspection form refers to and describe its location on
the property
-4_ILQ-?0 2(
Date of Inspection
Name of Inspe Please type)
(7::71'(
Signature-Of Inspector
Qualificationc of Inspector (Please describe your credentials/qualifications to carry out this inspection below)
JC_A.A. c-^C`✓s f 2-,

PERODIC BMP SITE INSPECTION.OPERATION.&MAINTENANCE RECORD
Recorded by I Date General Observations or comments
16244.-4 . , . _____ .
b c 4 'ri ?ram
Location: jIui4 V c ., j 'lftM.e.- i -EFJV).-;
A. Any adverse observations YES 0 N/A
B. Plant life compromised or needing attention YES NO. N/A
C. Inlet/outlet clogged YES N/A
D. Vegetation growing in rip-rap or emergency spillway YES 0 N/A
E. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation/cattails present YES . N/A
a Bare soil erosion observed,slopes or embankments YES I N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES .e N/A
I. Animal interference or damage YES N/A
J. Sediment accumulation YES tVi N/A
K. Signifioagt algae 1i6wth YES ‘Zr_) N/A .
L. In need of mowing or string trimming YES qD N/A
M. Trees present on dam as applies to site YES NO
N. Observation Well Levels(Speas ES Only) A B -•
Describe maintenance activities performed or planned for'YES'answers above:
c-es o f IL t rvi.m.t.L ,RnAk 14' 1`bCL ' -ii
h-e y c.,Ckenv40 b ur c,c'less & it g 2 j
If more than one BMP on site,denote the location of issue:

PERODIC EMP SITE INSPECTION OPERATION&1V .INIENANCE RECORD
Recorded by Date General Observations or comments
gie....... '1- !I- 11 froit,
Location: e-A."AKA/ -.. ------7
A. Any adverse observations YES 01 N/A
B. Plant life compromised or needing attention YES 0 N/A
C. Inlet/outlet clogged YES V N/A
D. Vegetation growing in rip-rap or emergency spillway YES 0 N/A
E. Trash accumulation YES 0 N/A
F. Noxious weeds,invasive vegetation/cattails present YES 0 N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES ® N/A
I•. Animal interference or damage YES N/A
J. Sediment accumulation YES NO C
K. Significant algae growth YES NO .
L. In need of mowing or string trimming YES N/A
M. Trees present on darn as applies to site YES NO e!1;
N. Observation Well Levels(Speas ES Only) A B -•
Describe maintenance activities performed or planned for'YES'answers above:
?0& -K--sc. St�3 IAc�e— Lce1 f rA4
kin ' 4/1 revS,
If more than one BMP on site,denote the location of issue:
2t iry aeu

PERODIC BMP SITE INSPECTION.OPERATION,&MANIFjANCE RECORD
�;
•
Recorded by Date General Obvert/aliens-or comments
Pi2tARA; '1,,- /-1- 1-7 friro--t
Location: 11104 - ` 7/1/"" I r14 o a
A. Any adverse observations 'YES NO N/A
B. Plant life compromised or needing attention YES ( N/A
C. Inlet/outlet clogged YES 6) N/A
D. Vegetation growing in rip-rap or emergency spillway YES () N/A
E. Trash accumulation YES NO N/A
F. Noxious weeds,invasive vegetation/cattails present YES N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES -4 N/A
I. Animal interference or damage YES a N/A
J.- Sediment accumulation YES NO /A
K. Significant algae giovrth YES NO OP
L. In need of mowing or string trimming NO N/A
M. Trees present on dam.as applies to site YES NO 6-14
N. Observation Well Levels(Speas ES Only) A B
Describe maintenance activities performed or planned for'YES'answers above:
+v ml ) t l.A1) So c
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTXON OPERATION&MA.IN�'E LANCE RECORD
Recorded by Date General Observations or comments
Ktiew-) Get
Location: .--'I/W Vet Gt.. NYC. r. 0---(O cJL
A. Any adverse observations YES 0 N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES () N/A
D. Vegetation growing in rip-rap or emergency spillway YES OP N/A
E. Trash accumulation YES `-P, N/A
F. Noxious weeds,invasive vegetation/cattails present YBS • I N/A
G. Bare soil erosion observed,slopes or embankments YES to N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES kij N/A
I, Animal interference or damage YES () N/A
J. Sediment accumulation YES NO
K. Significant algae growth YES NO (3QTA�
L. In need of mowing or string trimming YES 0 N/A
M.M. Trees present on darn as applies to site YES NO AUA
N. Observation Well Levels(Speas ES Only) A. B
Describe maintenance activities performed or planned for'YES'answers above:
5'i-fie, I cot tpltkr/ ` Soct
If more than one BMP on site,denote the location of issue:

PERODIC DMP SITE INSPEC.rION,OPERATION&MAINTENANCE RECORD,
Recorded by Date General Observations ar comments
IZ12-` 1(9" 3- 1
Location: vW l 'fir
A. Any adverse observations YES Np N/A
B. Plant life compromised or needing attention YES NC�. N/A
C. Inlet/outlet clogged YES I 0 N/A
D. Vegetation growing in rip-rap or emergency spillway YES hL:P N/A
E. Trash accumulation YES ( ' N/A
F. Noxious weeds,invasive vegetation/cattails present YES 0 N/A
G. Bare soil erosion observed,slopes or embankments YES S9 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES gi> N/A
I. Animal interference or damage YES (5) N/A
J.• Sediment accumulation YES .NO
K. Signii"teant algae growth YES NO Z .
L. In need of mowing or string trimming YES 6t) N/A
M. Trees present on dam as applies to site YES NO
N. Observation Well Levels(Speas ES Only) A B
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP INSPECTION.OPERATION.&MAINTENANCE RECORD
Recorded by Date General Obserciadom Orr comments
I 13 a ( 1,-,i-,
e7, ----
Location: 16144/1‘4_,
{�'F
A. Any adverse observations YES 0 N/A
B. Plant life compromised or needing attention YES 4ST. N/A
C. InIet/outlet clogged YES 0 N/A
D. Vegetation growing in rip-rap or emergency spillway YBS 0 N/A
E. Trash accumulation YES (g N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO. W
G. Bare soil erosion observed,slopes or embankments YES 0 N/A
N. Vegetation shorter than 8-12"in height(as applicable) YES •Nd !A
I. Animal interference or damage YES `Y N/A
J. Sediment accumulation YES Nth 1!
K. Signifioatit algae growth YES NO ( .
L. In need of mowing or string trimming YES 0 N/A
M. Trees present on dam as applies to site YES NO 41il'
N. Observation Well Levels(Speas ES Only) A B - •
Describe maintenance activities performed or planned for'YES'answers above:
s t4e /
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION OPERATION&MAIN NCE RECORD
Recorded by Date General Obserdatiuus or c meats
I ,g— ,2�3�1' (7_,firt,.
Location: *`" f'"` p` U
dk/
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention YES (RA N/A
C. Inlet/outlet clogged YES NO 1�TT
D. Vegetation growing in rip-rap or emergency spillway YES NO SI
E. Trash accumulation YES 0 N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO
G. Bare soil erosion observed,slopes or embankments YES Q. N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES N/A
L Animal interference or damage YES CM N/A
J. Sediment accumulation YES NO
K. Set algae girowth YES NO
L. In need of mowing or siring trimming YES OD N/A
M. Trees present on dam as applies to site YES (9 N/A
N. Observation Well Levels(Speas ES Only) A B
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION,OPERATION&MAIINANCE RECORD
Recorded by Date /--- General Observations moments
k' /(2-.---- I 14 z l � G�l
Location: '-' `6 6 •/
A. Any adverse observations YES `) N/A
B. Plant life compromised or needing attention YES C9. N/A
C. InIet/outlet clogged YES 107 N/A
D. Vegetation growing in rip-rap or emergency spillway YES a N/A
E. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation I cattails present YES 0 N/A
G. Bare soil erosion observed,slopes or embankments YES fa N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES N/A
I. Animal interference or damage YES N/A
J. Sediment accumulation YES .NO all
K. Signiioant algae growth YES NO
L. In need of mowing or string trimming YES 6i N/A
M. Trees present on darn as applies to site YES NO
N. Observation Well Levels(Speas ES Only) A B -.
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC EMP SITE INSPECI'ION,QPERATTON&I$4,01ENANCE RECORD
•
Recorded 6 Date General Observations or comments
RK"-- 3 - • 1 oirlit
Location: i% 1/"I Vke4A i.P/4" ' "
A. Any adverse observations YES CIS N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES S N/A
D. Vegetation growing in rip-rap or emergency spillway YES61N/A
E. Trash accumulation YES O. N/A
F. Noxious weeds,invasive vegetation/cattails present YES t9 N/A
G. Bare soil erosion observed,slopes or embankments YES le' N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES •M N/A
17 Animal interference or damage YES ATN/A
J.• Sediment accumulation YES NO
K. Significant algae growth YES NO alp
L. In need of mowing or string trimming YES (19N/A
M. Trees present on dam as applies to site YES NO /)F/
N. Observation Well Levels(Speas ES Only) A B �/
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION&PERATION&MADITEIVANCE RECORD .
Recorded by Date �" General Observations or comments
, . V- I ,,,„..(5)___
Location: e-'1/"Na- �� u1�/ .•
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention YES O N/A
C. Inlet/outlet clogged YES e N/A
D. Vegetation growing in rip-rap or emergency spillway YES t j N/A
E. Trash accumulation YES ! N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO.
G. Bare soil erosion observed,slopes or embankments YES V N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES .0) N/A
I•. Animal interference or damage YES D N/A
J. Sediment accumulation YES N6 �A
K. Signifioant algae growth YES NO40
L. In need of mowing or string trimming YES119N/A
M. Trees present on dam as applies to site YES NO N/A
N. Observation Well Levels(Speas ES Only) A B -
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION OPERATION&MAINTENANCE RECORD
Recorded by Date General Observations ar comments
K Airy 5J l i ' (1 Card
i,
Location: riVt.'1/VIA 10tA
A. Any adverse observations YES () N/A
B. Plant life compromised or needing attention YES 'p N/A
C. Inlet/outlet clogged YES 0 N/A
D. Vegetation growing in rip-rap or emergency spillway YES 0 N/A
E. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation/cattails present YES \fa N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES e N/A
L. Animal interference or damage YES ( N/A
J. Sediment accumulation YES NO
K. Significant algae gzowth YES NO /A
L. In need of mowing or string trimming YES 09 N/A
M. Trees present on dam as applies to site YES NO /A
N. Observation Well Levels(Speas ES Only) A B -.
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION.OPERATION&MAINTENANCE RECORD
Recorded by Date General Observatiorrs or comments
OP
l� I - iv ��
Location: J
�-4/1
-
A. Any adverse observations YES 111 N/A
B. Plant life compromised or needing attention YESnoN/A
C. Inlet/outlet clogged YES ita N/A
D. Vegetation growing in rip-rap or emergency spillway YES 0 N/A
E. Trash accumulation YES 1p N/A
F. Noxious weeds,invasive vegetation/cattails present YES i0 N/A
G. Bare soil erosion observed,slopes or embankments YES 0 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES 6 N/A
I, Animal interference or damage YES � N/A
J. Sediment accumulation YES NO40
K. Significant algae growth YES NO '.A
L. In need of mowing or string trimming kt, NO N/A
M. Trees present on dam as applies to site YES NO ell
N. Observation Well Levels(Speas ES Only) A B - .
Describe maintenance activities performed or planned for'YES'answers above:
.
Crl-v1 "c2) Ci.e/i CCTIV(-1-12tz'L49 I/A-0 Ur—
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION.OPERATION&MA VIEENANCE RECORD
Recorded by Date General Observatio or comments
ments
ea„, i1 -
Location: {
A. Any adverse observations YES 10 N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES N/A
D. Vegetation growing in rip-rap or emergency spillway YES "V N/A
E. Trash accumulation YES ql • N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO•
G. Bare soil erosion observed,slopes or embankments YES 1:0' N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES . N/A
L Animal interference or damage YES 5) N/A
J. Sediment accumulation YES .NO
K. Signifioant algae growth YES NO 41411 .
L. In need of mowing or siring trimming YES & N/A
M. Trees present on dam as applies to site YES NO N/
N. Observation Well Levels(Speas ES Only) A_ B -•
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION.OPERATION&MAINTENANCE RECORD
Recorded by Date General Obserdatiom or comments •
(lit-- 1 g -I -I% Civiri
Location: tW% .Zlnn/�
A. Any adverse observations YES M N/A
B. Plant life compromised or needing attention YES l N/A
C. Inlet/outlet clogged YES IV N/A
D. Vegetation growing in rip-rap or emergency spillway YES 't% N/A
E. Trash accumulation YES I N/A
F. Noxious weeds,invasive vegetation I cattails present YES e N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES • N/A
I. Animal interference or damage YES CO N/A
J.- Sediment accumulation YES .NO
K. Significant allae groviih YES NO
L. In need of mowing or string trimming YES 0 N/A
M. Trees present on dam as applies to site YES i@ N/A
N. Observation Well Levels(Speas ES Only) A B -•
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE n1TSPEC 'ION OPERATION&ItiEI LANCE RECORD
Recorded by Date General Ohsmrdations ar 4romments
2,te,,,, clic- iv cn--p-k
Location: i`-'14411"11
A. Any adverse observations YES e N/A
B. Plant life compromised or needing attention YES itT9 N/A
C. Inlet/outlet clogged YES Q@ N/A
D. Vegetation growing in rip-rap or emergency spillway YES 0 N/A
E. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation/cattails present YES 010 N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES .,90 N/A
L Animal interference or damage YES N/A
J. Sediment accumulation YES NO
K. Siiiainint aigae growth YES NO ClA
L. In need of mowing or string trimming YES ED N/A
M. Trees present on dam as applies to site YES NO
N. Observation Well Levels(Speas ES Only) A B .. .
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC IMP SITE IN_LEP C ION.OP.ERAT.ION&MAINTENANCE RECORD
Recorded Date General Obscrdations or comments
g, tolq ilf Crrr4--
Location: VG' ""
,V_ V 4
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention YES Z N/A
C. Inlet/outlet clogged YES CO N/A
D. Vegetation growing in rip-rap or emergency spillway YES IJ) N/A
E. Trash accumulation YES Cli0 N/A
F. Noxious weeds,invasive vegetation/cattails present YES 0. N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES N/A
I. Animal interference or damage YES & N/A
J.- Sediment accumulation YES NO
K. Significant algae giowth YES NO
L. In need of mowing or string trimming YES Vr N/A
M. Trees present on dam as applies to site YES NO ` ;
N. Observation Well Levels(Speas ES Only) A B
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECI'IOpP.ERATION&1VIAINIENANCE RECORD
Recorded bye Date General Observations or comments
- tf- Tig/ G-r-0-4-
Location:
ILtivt•
A. Any adverse observations YES kQ N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES l N/A
D. Vegetation growing in rip-rap or emergency spillway YES (� N/A
E. Trash accumulation YES 0 N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO. ca
G. Bare soil erosion observed,slopes or embankments YES ( N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES N/A
L Animal interference or damage YESInN/A
J.- Sediment accumulation YES .NC qS
K. Sieoiftoant arise grovrth YES NO
L. In need of mowing or string trimming YES N/A
M. Trees present on dam as applies to site YES NO CD
N. Observation Well Levels(Speas ES Only) A B -
Describe aintenance activities performed or planned for'YES'answers above:
- t,'S cS Gray 5
If more than one BMP on site,denote the location of issue:

PERODIC RMP Six'E 1NSPEC9l'YO,LAtERATIOIY&1VIAINIENANCE RECORD
Recorded bit) Date General Obsetrvatlonm or comments
C rii"--- .(Z6311K (nr4
Location: i -jVtdyteL I)A i 14+ r0
A. Any adverse observations YES M) N/A
B. Plant life compromised or needing attention YES • N/A
C. Inlet/outlet clogged
YES 0 N/A
D. Vegetation growing in rip-rap or emergency spillway YBS 6) N/A
E. Trash accumulation YES IZ.0 N/A
F. Noxious weeds,invasive vegetation/cattails present YES
CO N/A
G. Bare soil erosion observed,slopes or embankments YES 0 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES .04' N/A
I. Animal interference or damage YES i I N/A
J. Sediment accumulation YES NO
K. Sint algae growth YES NO ,-A
L. In need of mowing or string trimming YES
® N/A
M. Trees present on darn as applies to site YES NO
N. Observation Well Levels(Speas ES Only) A B
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC EMP SITE.INSPECTION O RATIO &MIME ANCE RECORD
Recorded Date General Qlrscti•ns or comments
i (ls( l
C/irl-°
Location: ." ► .. -• O- �PLO- t--
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES lgN/A
D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accumulation YES lIti, N/A
F. Noxious weeds,invasive vegetation/cattails present YES 14117 N/A
G. Bare soil erosion observed,slopes or embanlanents YES X6 NIA
H. Vegetation shorter than 8-12"in height(as applicable) YES •11 N/A
L Animal interference or damage YES N/A
J. Sediment accumulation YES .NO
K. Siini'Boant aline giowth YES NO
L. In need of mowing or string trimming YES 6 N/A
M. Trees present on dam as applies to site YES NO i1
N. Observation Well Levels(Speas ES Only) A B
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SJT! INSPECTION,OPJ RATIO�MAIl_'x,FINANCE RECORD
Recorded by Date General Observations or comments
(Z/ 3 / cirv-2
Location: VIM.
-, "v4--ct MIAL .&fr4 fa/
A. Any adverse observations YES 140 N/A
B. Plant life compromised or needing attention YES 0 N/A
C. Inlet/outlet clogged YES N/A
D. Vegetation growing in rip-rap or emergency spillway YES oCtl N/A
E. Trash accumulation YES N/A .
F. Noxious weeds,invasive vegetation/cattails present YES NO. Cgo
G. Bare soil erosion observed,slopes or embankments YES . N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES •kQ7 N/A
I. Animal interference or damage YES 0 N/A
J. Sediment accumulation YES NO GO
K. Si�iificant algae growth YES NO iilf,
L. In need of mowing or string trimming YES V9 N/A
M. Trees present on dam as applies to site YES NO AP
N. Observation Well Levels(Speas ES Only) A. B - •
Describe maintenance activities
s-performed or planned for
'YES'answers above:
Sl t l 5 CA Civil h t t/1i‘r5
5
If more than one BMP on site,denote the location of issue:

PERODIC BMVIP SITE INSPECTION.OP1T)<ON di:141AIl�TENANCE RECORD
Recorded b, Date General Ohservatlo or comments
f .," qlot
Location:
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention YES �I�1 ) N/A
C. Inlet/outlet clogged YES N/A
D. Vegetation growing in rip-rap or emergency spillway YES 0 N/A
E. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation/cattails present YES N/A
G. Bare soil erosion observed,slopes or embankments YES Q N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES 1 N/A
Animal interference or damage YES 6 N/A
J. Sediment accumulation YES NO CO
K. Significant aigae growth YES NO VA
L. In need of mowing or string trimming YES & N/A
M. Trees present on dam as applies to site YES NO OP
N. Observation Well Levels(Speas ES Only) A B
Describe maintenance activities performed or planned for'YES'answers above:
If more than one IMP on site,denote the location of issue:

PERODIC BHP SITE INSPECTION OPERATION&MAINTENANCE RECORD .
Recorded by Date General Observations or comments
1C, IN/V1? C- 1 - ( ?. (r1r7A-
Location: ICJ I Pv\MAL °' '
A. Any adverse observations YES _ N/A
B. Plant life compromised or needing attention YES 4T; N/A
C. Inlet/outlet clogged YES N/A
D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accumulation YES gi. N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO. /
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES - O N/A
L Animal interference or damage YES N/A
J. Sediment accumulation YES NO
K. Sig iiiioatit algae growth YES NO .
L. In need of mowing or string trimming YES () N/A
M. Trees present on darn as applies to site YES NO e9
N. Observation Well Levels(Speas ES Only) A B -
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION,431P.ERAT)ION.&It/JAINTENANCE RECORD .
•
Recorded Date General Ohscriations or comments
(9'.;- 19 birii
Location: f.lM•M.t1' PCOVPPlir4- V
A. Any adverse observations YES NN N/A
B. Plant life compromised or needing attention s YES l4� N/A
C. Inlet/outlet clogged YES j 0 N/A
D. Vegetation growing in rip-rap or emergency spillway YES ATP N/A
E. Trash accumulation YES (5. N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO'
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES .' N/A
I.. Animal interference or damage YES (5). N/A
J.• Sediment accumulation YES NO
K. Significant algae giowth YES NO es
TA
L. In need of mowing or string trimming NO N/A
M. Trees present on dam as applies to site YES N/A
N. Observation Well Levels(Speas ES Only) A B . •
Describe maintenance activities performed or planned for'YES' answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BNIP SITE INSPECTION.OPERATION&MAINTENANCE RECORD
Record.,b Date General ObsBrvatlons or comments
L
-7' 2 . I, U-V7)--L
Location: , p • e_, 1A v ` �
•
A. Any adverse observations YES CSN/A
B. Plant life compromised or needing attention YES O ' N/A
C. InIet/outlet clogged YES N/A
D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accumulation YES hT/A
F. Noxious weeds,invasive vegetation/cattails present YES tf j►'• N/A
G. Bare soil erosion observed,slopes or embankments YES (9 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES • f� N/A
L Animal interference or damage YES N/A
J.• Sediment accumulation YES .NO
K. Signifcarit algae growth YES NO ()
L. In need of mowing or string trimming YES N/A
M. Trees present on dam as applies to site YES NO 1/
N. Observation Well Levels(Spear ES Only) A B - •
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC HNeP SITE INSPECTION OPERAT:tO &YAM E .ANCE RECORD
Recorded by Date - • • .
General Ob'sordations or comments
12%----' q - t- 1 )
67/74
Location: J•-t 14'/N4),
A. Any adverse observations YES CI N/A
B. Plant life compromised or needing attention YES itp N/A
C. Inlet/outlet clogged YES qrit.. N/A
D. Vegetation growing in rip-rap or emergency spillway 'YBS )„ N/A
E. Trash accumulation YES 0 N/A
F. Noxious weeds,invasive vegetation/cattails present YES N/A
G. Bare soil erosion observed,slopes or embankments YES
N� N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES Q.. N/A
I. Animal interference or damage YES ¢ N/A
J. Sediment accumulation YES NO 0`
K. g1gnifioant algae growth YES NO /A
L. In need of mowing or string trimming YES f N/A
M. Trees present on dam as applies to site YES NO
Ql:
N. Observation Well Levels(Spear ES Only) A
B— _
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC 131 P SITE iivexeriolv OPERA O
&ll?AINA VG'E RECORD
Recur Date General ObsrvatloAs or comments
•
KKwJo/z
117 (rii--k
•
Location: '-R• Jiig1r
•
A. Any adverse observations
YES �i�lt NIA
B. Plant life compromised or needing attention YES �` N/A
C. Inlet/outlet clogged YES 10 N/A
D. Vegetation growing in rip-rap or emergency spillway YES a N/A
E. Trash accumulation YES 10N/A
F. Noxious weeds,invasive vegetation/cattails gesem YES Z j N/A
G. Bare soil erosion observed,slopes or embankments YES 0 NIA
H. Vegetation shorter than 8-12"in height(as applicable) YES . N/A
I Animal interference or damage YES 0 N/A
J.• Sediment accumulation YES 0 N/A
K. SigniSoant algae gioe�itit YES is N/A
L. In need of mowing or string trimming YES @ N/A
M. Trees present on dam as applies to site YES ,,r N/A
N. Observation Well Levels(Speas ES Only) A
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC SMP SITE INSPECTION OrifRATION&MAINTENANCE RECORD
Recorded by Rfieiosrienir�lLjt614
Location: Z--INv ►4 OW- t/ di
A. Any adverse observations YES NIA
B. Plant life compromised or needing attention Y 0 N/A
C. Infet/out1et clogged YES Qiik N/A
• D. Vegetation growing in rip-rap or emergency spillway YES 0 N/A
E. Trash accurhufation YES IVY N/A
F. Noxious weeds,invasive vegetation/cattails present YES WO. 0 .
G. Bare soil erosion observed,slopes or embankments YES Ci N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES • 1� . N/A
I. Animal interference or damage YES ,+p N/A
J- Sediment accumulation YES NO
St
K. Significant aigae gxowth YES NU
L. In need of mowing or string trimming YES 07 N/A
M. Trees present on dam as applies to site YES NO
' N. Observation Well Levels(Spear ES Only) A B Ot
.
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BAR SITE INSPECTION OPERATION&1 'FgNA E RECORD
Recordedas„,, Date General Observations or foments
(2---J r/I tZ li
, _ .
Location: ./W
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES N/A
D. Vegetation growing in rip-rap or emergency spillway YES 4 N/A
B. - Trash accumulation YES
CO‘
N/A
F. Noxious weeds,invasive vegetation/cattails present YES PO'
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES .6 . N/A
-I. Animal interference or damage 'YESreWA
I- Sediment accumulation YES .NO tial .
R. 'Sig iifcant algae growth YES NO
L. In need of mowing or string trimming YES 491N/A -
M. Trees present on dam as applies to site YES 1� N/A
' N. Observation Well Levels(Spear ES Only) A B
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the!ovation of issue:

xzxunic 13 SITE INSPECTION OPERATION&NIAINSWANCE RECORD
Recorded 1+3' Date
Generral OlgetMir crcommis
l ' IQ--A-- ' li . w birr-rX".
Location: `' (--2;v11\
A, Any adverse observations • YES p• N/A
B. Plant life compromised or needing attention YES • N/A
C. Inlet/outlet clogged YES NO NIA
• D. Vegetation growing in rip-rap or emergency spiliway YES NO N/A
E. Trash accuiaufation YES N0 WA
F. Noxious weeds,invasive vegetation/cattails sweat YES PO' N/A
G. Mare soil erosion observed,slopes or embankments YES NO
N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES •TdO • . NIA
•
Animal interference or damage v s .i NIA
.i;' Sediment accumulation YES . • r t .
I{. Signifiean#algae giiolvth YES Nf1
L. In need of mowing or string trimming YES N/A
M. Trees present on dam as applies to site YES N N/A
' N. Observation Well Levels(Speas ES Only) A
Describe maintenance activities performed or planned for`YES'answers above;
If more than one BMP on site,denote the location of issue: .

P+RODIC BIV2P SITE pvSp'B O i �______ i&I��ANCE RECORD
Recorded by Date General 06 hb orettmments
R s � � �Z�
Location: ,fr_-l •
A. Any adverse observations - YES ,1 N/A
B. Plant life compromised or needing attention YES - p- N/A
C. Inlet/outlet clogged YES i 0 N/A
D. Vegetation growing in rip-rap or emergency spillway YES t) N/A
E. Trash accwhufation YES 0' N/A
F. Noxious weeds,invasive vegetation/cattails present YES .0 N/A
G. Bare soil erosion observed,slopes or embankments YES 1.i N/A
H. Vegetation shorter than 8-12"in Height(as applicable) YES • P • . N/A
-f. Animal interference or damage us I N/A
J.- Sediment accumulation YES -.. I N/A
R, Signiffoarit algae iniviih YES r i 1 N/A .
L. In need of mowing or siring trimming YES i N/A
M. Trees present on dam as applies to site YES 'f N/A
' N. Observation Well Levels(Spear ES Only) A— B
Describe maintenance activities performed or planned for`YES'answers above:
•
If more than one EMP on site,denote the location of issue:

a 111W1J14 miter at IV;,�[.a7P�{ ....._1Y OPERATION.,__ __t_ 1Y��NCE RECORD
•
Recorded by1
Dater (0 General Ob'scirva�tm- arc nests
eic-- e ` C.) 07r0-6(, ' 1
)r o <w l `�
cation:
A. Any adverse observations YES a N/A
B. Plant life compromised or needing attention y _NC)" N/A
C. Inlet/outlet clogged YES NO' NIA
- D. Vegetation growing in rip-rap or emergency spillway YES NO N/A
E. Trash accumulation YES O. N/A
F. Noxious weeds,invasive vegetation/cattails pl'esent YES r t)' N/A
G. Bare soil erosion observed,slopes or embankments YES d N/A
FL Vegetation shorter than 8.12"in height(as applicable) YES NO . N/A
I, Animal interference or damage YES NO N/A
.T.- Sediment accumulation YES Nt) N/A .
K, Sigaifcant algae growth YES NU N/A
L. In need of mowing or string trimming YES p N/A
•
M. Trees present on dam as applies to site YES ; + N/A
' N. Observation Well Levels(Specs ES Only) A________ B
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue:

rc tcu.u.t isi lY,�ITE IIVSPr+,C3'i(Q?I�T tD ;i ,, &M UP NANCE RECORD
Recorded 0 I Date
GeneralObset'deffons meufs •
fl ' 141 .L°
Location: '' '''it°1'41Q -V411/v-- • -
A. Any adverse observations • YES2 N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES ®• N/A
D. Vegetation growing in rip-rap or emergency spillway 'yyS ® N/A
B. Trash accw elation YES t. . NIA
F. Noxious weeds,invasive vegetation/cattails psent YES 00
, N/A
G. Bare soil erosion observed,slopes or embankments YES p NIA
H. Vegetation shorter than 8-12"in height(as applicable) YESV'' • . N/A
, Animal interference or damage YES N/A
3;• Sediment accumulation YES .NO W' .
K. Significant algae growth YES Nil .
•
• L. In need of mowing or string trimming YES Z
N/A
M, Trees present on dam as applies to site YES N/A
' N. Observation Well Levels(Spear ES Only) A li
•
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC B SITE INSPECT QDli1 QDP. ar___I0111'& ,AATCE RICO
Recorded by Date General Obseirvaitons or Mime"
R S • q-Zo
Cry
Location:
A. Any adverse observations YES IV N/A
B. Plant life compromised or needing attention YES CID N/A
C. Inlet/outlet clogged YES CIO- N/A
D. Vegetation growing in rip-rap or emergency spillway Y S ® N/A
E. Trash accuiiiulation YE$ D N/A
F. Noxious weeds,invasive vegetation I cattails present YES ¢{i N/A
G. Bare soil erosion observed,slopes or embankments YES g N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES (�y�D► . N/A
I. Animal interference or damage YES 0 N/A
T. Sediment accumulation YES No
K. Signi-aint algae growth YES NO
•
L. In need of mowing or string trimming YES 6.0N/A
M. Trees present on dam as applies to site
YES Cp N/A
N. Observation Well Levels(Speas ES Only) A` B
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue:

YLr!lU.UL(:nag SITE INSP +IO AA I111r �(ANCE REMRD
Recorded by Date
General Obstilatioin or commenfs
oa.!,)
Location: •
A. Any adverse observations • 'YES N/A
B. Plant life compromised or needing attention YES
NIA
C. Inlet/outlet clogged YES N. N/A
D. Vegetation growing in rip-rap or emergency spillway 'YES N/A
B. Trash accumulation Y S N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO'
G. Bare soil erosion observed,slopes or embankments - YES i20 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES ( • . N/A
1. Animal interference or damage YES @ N/A
J• Sediment accumulation YES IktO
. S{gr cant algae giowth YES ND
Cyi
L. In need of mowing or string trimming YES NU N/A
M. Trees present on dam as applies to site YES
C A N/A
' N. Observation Well Levels(Specs ES Only) A_:__.__ B ..
Describe maintenance activities performed or planned for DYES'answers above:
•
•
If more than one BMP on site,denote the location of issue:

s.r..vyav a.riru lJi1.PJ LriarEMON •
RecoreiEerll+3' Date ._ ...
General Obswvathi V tannent9
it 57,0
Location:
A. Any adverse observations • YES Q WA
B. Plant life compromised or needing attention YES NO N/A
C. Inlet/outlet clogged YES • NO' NIA
D. Vegetation growing in rip-rap or emergency spillway Yl3S NO N/A
E. Trash accuthaiation YES NO' , N/A
F. Noxious weeds,invasive vegetation/cattails present YES N( ' N/A
G. Bare soil erosion observed,slopes or embankments • YES NO N/A
H. Vegetation shorter than 8.12"in height(as applicable) YES • 11i1 • N/A
Anklet interference or damage ' N/A
J.' Sediment accumulation YES . ; e O
, Sigt cant algae growth YES NO •
L. In need of mowing or string trimming YES N/A •
M. Trees present on dam as applies to site irzs N/A
N. Observation Well Levels(Speas ES Only) A F
Describe maintenance activities perfo need or planned for EYES'answers above:
If more than one BMP on site,denote the location ofisssue:

PEI2ODIC RIViP SIDE INSPECTION OPERATION&MAINTENANCE RECORD
Recorded by Date—` ... . . . � .
General Dlrst3irvafEons or commentsa...... I 0 Z 0 &11-1rk
Location: PYYV-e.0 •
A. Any adverse observations
YES N/A
B. Plant life compromised or needing attentiong.YES N/A
C. InIet/outlet clogged YES
( ' N/A
D. Vegetation growing in rip-rap or emergency spillway 'ES
6.0 N/A
E. Trash accumulation YES
F. Noxious weeds,invasive vegetation/cattails 1esent /A
P YES Nt)" /E
G. Bare soil erosion observed,slopes or embankments YES 0
N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES . p1
N/A
i~ Animal interference or damage YES 0 N/A
J.• Sediment accumulation YES N0 6
K, Significant algae giowtii
YES NO
L. In need of mowing or siring trimming YES
N/A
M. Trees present on dam as applies to site YES NO
N. Observation Well Levels(Specs ES Only) A B �
Describe maintenance activities performed or planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION, OPERATION & MAINTENANCE RECORD
Recorded by Date General Observations or comments
e_ 5 cm 6(1- / -/3 ._zozi �-
u;s c
Location: 1,4 l Anatti 1vrM (PI44- (Z,z jc_
A. Any adverse observations YES C.__� N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES 6d N/A
D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accumulation YES gO) N/A
F. Noxious weeds, invasive vegetation/cattails present YES (IV N/A
G. Bare soil erosion observed, slopes or embankments YES 66 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES XCP N/A
I. Animal interference or damage YES 1.() N/A
J. Sediment accumulation YES 4S3 N/A
K. Significant algae growth YES 60) N/A
L. In need of mowing or string trimming YES i10 N/A
M. Trees present on dam as applies to site YES ND N/A
N. Observation Well Levels (Speas ES Only) A B
Describe maintenance activities performed or planned for 'YES' answers above:
i(-1_.Ilk- _
If more than one BMP on site, denote the location of issue:

PERODIC BMP SITE INSPECTION, OPERATION & MAINTENANCE RECORD
Recorded by Date General Observations or comments
C- SSACUS, gi 4 tio2( t�„, c(
Location: F/ai �,..f� 4.,
- . .._. _. .- -- ..!fir
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES 1E) N/A
D. Vegetation growing in rip-rap or emergency spillway YES 01 N/A
E. Trash accumulation YES 0) N/A
F. Noxious weeds, invasive vegetation/cattails present YES 1V N/A
G. Bare soil erosion observed, slopes or embankments YES CO N/A
H. Vegetation shorter than 8-12" in height(as applicable) YES 0 N/A
I. Animal interference or damage YES ® N/A
J. Sediment accumulation YES 1 N/A •
K. Significant algae growth YES CO N/A
L. In need of mowing or string trimming YES ® N/A
M. Trees present on darn as applies to site YES 6) N/A
N. Observation Well Levels (Speas ES Only) A B
Describe maintenance activities performed or planned for 'YES' answers above:
A '" .
If more than one BMP on site, denote the location of issue:

PERODIC BMP SITE INSPECTION, OPERATION& MAINTENANCE RECORD
Recorded by Date General Observations or comments
t
2-0 2.-( La C(
Location
A. Any adverse observations YES eCP N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES N/A
D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accumulation YES 6' N/A
F. Noxious weeds, invasive vegetation/cattails present YES ISO N/A
G. Bare soil erosion observed, slopes or embankments YES Q� N/A
H. Vegetation shorter than 8-12" in height(as applicable) YES 6.0 N/A
I. Animal interference or damage YES 6 N/A
J. Sediment accumulation YES 0 N/A
K. Significant algae growth YES N/A
L. In need of mowing or string trimming YES 0 N/A
M. Trees present on dam as applies to site YES 6Z N/A
N. Observation Well Levels (Speas ES Only) A B
Describe maintenance activities performed or planned for 'YES' answers above:
aoite--
If more than one BMP on site, denote the location of issue: