SW4081201_Annual Compliance Report_20210326

Stormwater Post Construction Permit
Annual Compliance Report
General
Development Name: 84/A /1�1l Permit No: LA)8 /L (
Contact Person: Ct/I Es-4Ic1(er-) Phone Number: _ _ tpc,9 9
Inspection Year(e.g.June 2019-May 2020): — 3/2%12-
Location
Development Address: Z7 6.->I to N L 2 7 b(p
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 I/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 Chancres etc. Yes No NIA
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 V
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? ✓
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?
11. Have any unpermitted changes or modifications been made to the SCM(s)? r✓
12. Are the Riparian buffers recorded during permitting(if applicable)free of disturbance&built upon area? ---
Stormwater SCM(s) -Operation and Maintenance Yes No NIA
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 7
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
along with photographic evidence of before and after repairs? nl r n.,part.r__.
.ra pra��n�C�n ui
Environmental Quality
Received
City of Winston-Salem Stormwater Division—Stormwater SCM(s)Annual Compliance Report MAR 2 6 2021
Page 1 of 2
Winston-Salem
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
with this report and should include the name,their contact address and phone number and proof of their
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 V
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 El No (If no explain why not and when this statement will be provided)
Compliance Status Er 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:ectiiu, San A' 0 ,r,•--- Date: 3 ") € " Zvi—(
Inspector Qualifications: S c-AA -ns ..--- t . I214
(State NC License Number and attach seal to 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

�U--1 lull
BIORETENTION CELL: 0 & M Inspection Checklist
YES NO LA
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: [W ❑ ❑
3. Weir heights appear to match approved plans: 2 ❑ ❑
PRETREATMENT/FOREBAY
4. Flow is entering pretreatment area (not being bypassed): P/' ❑ ❑
5. Pretreatment area is free of erosion: 4d ❑ ❑
6. Level Spreader(if applicable) is structurally sound and remains level: ❑ ❑
7. Pretreatment area is free of excessive sediment or clogs: E2K ❑ ❑
8. Energy Dissipaters (rip rap aprons/plunge pools) are correct size and functioning: [� ❑ ❑
9. Pretreatment area is free of trash and other debris: ❑ ❑
MAIN TREATMENT.AREA
10. Vegetated side slopes are no steeper than 3:1: 2/ ❑ ❑
11. The under drain system is free flowing and free of clogs (if applicable): l/ ❑ ❑
12. Main treatment area is free of sediment: [/ ❑ ❑
13. Cleanout(s) and cap is provided for the under drain as per the approved plans: 27 ❑ ❑
14. Cleanouts(s) and caps free of damage potentially caused by mowing/maintenance: Er ❑ ❑
15. Heavy equipment has not been driven into the cell: ❑ ❑
16.The"Do Not Fertilize"signs are still in place and visible for sodded cells: ❑ ❑ [r
17. Surface is free of piles of heavy materials (piles of mulch, etc): Er ❑ ❑
18. Ponding depth is 9-12 inches after rain: ❑ ❑
19. All dimensions are >=10ft.: ❑ ❑
20. Main treatment area is free of trash and other debris: RV' ❑ ❑
21. Access easement is being maintained: ❑ ❑
SOIL/MULCH/SOD and VEGETATION
22. Plants are healthy and being maintained: [I ❑ ❑
23.The proper amount and type of vegetation/plantings is present in the cell: Lid' ❑ ❑
24. Mulch (if applicable) is in good condition (has not broken down or floated/migrated towards the outlet):
❑ ❑
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 RI" ❑ ❑
27. Trees are free of stakes/wires > 6 months after planting: [v� ❑ ❑

28. Ponded volume drains completely into the soil layer within 12 hours: El El
29.29. Ponded volume drains completely from the device within 48 hours: Er ❑ ❑
30.The annual soil test shows the proper pH and absence of heavy metal accumulation: 121r. ❑ ❑
OUTLET
31. Outlet is free of evidence of improper drainage (no standing water, cattails, etc.): EV ❑ ❑
32. Outlet device (drop inlet, weir, etc.) is free of damage or clogs: lEr ❑ ❑
33. Orifice size matches approved plans: iii ❑ ❑
34. Outlet is free of damage, clogs, or erosion: Er ❑ ❑
35. Outlet Energy dissipater is correct size and functioning (if applicable): ❑ ❑ ❑
36. Relative elevations match approved plans: Er ❑ ❑
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
r----- Il.e — Zoz
Date of Inspection
Ccvlo a S\gn LQrs
Name of Ins ctor(Please type)
CO‘2,4 o_________
Signat of Inspector
Qualification of Inspector (Please describe your credentials/qualifications to carry out this inspection below)
SUM se- - - -kc- i21,(--

PERODIC BMP SITE INSPECTION.OPERATION&MAINTENANCE RECORD
Recorded by Date General Observations or comments
EVik-s t ` 1- I k
Location: ?t. CL L4WLf
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 d5D 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 ( N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES •NO
I., Animal interference or damage YES N/A
J. Sediment accumulation YES N/A
K. Sig nifoant algae growth YES <T9 N/A
L. In need of mowing or string trimming YES N/A
M. Trees present on darn 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:
S Pc j( Wet,c,s oit 0144 I-I— d— t vt 6( 8, 14
If more than one BMP on site,denote the location of issue:

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PERODIC BMP SITE INSPECTION OPERATION.&MA.Inr .EN CE RECORD
Recorded b Date General Observations or comments •
1 . 12- y- 1 L (nrv-k
Location: tomitA `e I /tQ'
A. Any adverse observations YES (fID N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES 1P.. N/A
D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accumulation YES (9 N/A
P. Noxious weeds,invasive vegetation/cattails present YES 059 N/A
G. Bare soil erosion observed,slopes or embankments YES ig> N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES • i� N/A
I. Animal interference or damage YES 0 N/A
J. Sediment accumulation YES N/A
K. Sieniflcant algae growth YES N/A
L. In need of mowing or string trimming YES liii N/A
M. Trees present on darn as applies to site YES NO N/
N. Observation Well Levels(Spear ES Only) A Nl B KJ'4- .. .
Describe maintenance activities performed or planned for'YES'answers above:
IV't) ritnCiNkAv O
If more than one BMP on site,denote the location of issue:

PERODIC RAP SITE INSPECTION OPERATION&MAEITENANCE RECORD
Recorded by Date General Observations or comments
0e4"-- i- 4- - c-/ (r-rzi-k.
Location: (<? 4,, L rijt .
A. Any adverse observations YES CD N/A
B. Plant life compromised or needing attention YES 0 N/A
C. Inlet/outlet clogged YES 0. N/A
D. Vegetation growing in rip-rap or emergency spillway YES N N/A
E. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation/cattails present YES (80. 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 N/A
1.. Animal interference or damage YES N/A
J.- Sediment accumulation YES () N/A
K. Significant algae growth YES 1W N/A
L. In need of mowing or string trimming YES 6 N/A
M. Trees present on darn 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:
I t . s1/1/19-
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION,OPERATION&MA DMENANCE RECORD
Recorded by Date General Obserdations or comments
IC P-A"‘---. 2- - ( - ri tr- 0-4)-
Location: Cvt17`'e— 1 .�-Q,
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention YES 0 N/A
C. InIet/outlet clogged YES N/A
D. Vegetation growing in rip-rap or emergency spillway YES NO 6A
E. Trash accumulation YES 0. N/A
F. Noxious weeds,invasive vegetation/cattails present YES in N/A
G. Bare soil erosion observed,slopes or embankments YES NO C
H. Vegetation shorter than 8-12"in height(as applicable) YES & N/A
.I. Animal interference or damage YES e N/A
J.• Sediment accumulation YES .NO
K. Significant algae giowth 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 c.9
N. Observation Well Levels(Speas ES Only) A B -•
Describe maintenance activities performed( /
o}r planned for'YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION OPERATION.&MAJNIENANCE RECORD .
Recorded by Date General Observations sr comments
1 3 '3 - 1 G -6-7—eP
Location: Y�-il ill li'd
A. Any adverse observations YES 'e . N/A
B. Plant life compromised or needing attention YES (. N/A
C. In1et/outlet clogged YES gip• N/A
D. Vegetation growing in rip-rap or emergency spillway YES 0 N/A
E. Trash accumulation YES (Mi. N/A
P. Noxious weeds,invasive vegetation/cattails present YES (SD 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 izn N/A
G. Animal interference or damage YES N/A
J.• Sediment accumulation YES cn, N/A
K. SigniScant algae giova YES NO
L. In need of mowing or string trimming YES d . 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:
(te Cif 10 Trrk c h GeA4 Quc4ec
I1 trnmll
If more than one BMP on site,denote the location of issue:

PERODIC gMP SITE INSPECTION OPERATION&ivimMIANCE RECORD
•
Recorded by Date General 06s�rvations orcomments
1c2(12—____ 4- -(0 - (7 (riro—d—
Location: OA, r`" -' /`"`e- .
A. Any adverse observations YES (N1 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 ( 9 N/A
F. Noxious weeds,invasive vegetation/cattails present YES a N/A
G. Bare soil erosion observed,slopes or embankments YES & N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES .y N/A
I. Animal interference or damage YESgl. N/A
J. Sediment accumulation YES 0 N/A
K. Significant algae growth YES '.. N/A
L. In need of mowing or string trimming NO N/A
M. Trees present on dam as applies to site YES NO AP
N. Observation Well Levels(Specs ES Only) A B -
Describe maintenance activities performed or planned for`YES'answers above:
p 5 kae -c-fc yvi .
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTIONOPERATION&IVIAINIENANCE RECORD
Recorded by Date General Obsorvadans or comments
R/Q------- 3-7/(0 (7 01/-3-7/e
•
Location: &AP, l 14
A. Any adverse observations YES p� N/A
B. Plant life compromised or needing attention YES N/A
C. InIet/outlet clogged YES 6 N/A
D. Vegetation growing in rip-rap or emergency spillway YES NO ►
E. Trash accumulation YES VE' N/A
F. Noxious weeds,invasive vegetation/cattails present YES ' N/A
G. Bare soil erosion observed,slopes or embankments YES WA
H. Vegetation shorter than 8-12"in height(as applicable) YES 8 N/A
I, Animal interference or damage YES N/A
J.• Sediment accumulation YES IJO
K. Sigh-ain't algae growth YES NO Q5 .
L. In need of mowing or string trimming YES N/A
M. Trees present on dam as applies to site YES NO
N. Observation Well Levels(Speas ES Only) A B ...
Describe maintenance acti 'ties performed or planned for`YES' answers above:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION OPERATION&11, TENANCE RECORD
Recorded by I Date General Observations or comments
R P4-- /0- . l7
Location: ,`- it 1J
. .
•
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 0 N/A
E. Trash accumulation YES V. N/A
F. Noxious weeds,invasive vegetation/cattails present YES 10. N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES gr. . N/A
L. Animal interference or damage YES 1Y N/A
J.• Sediment accumulation YES NO
K. Significant algae grow'tih YES NO 'Nl .
L. In need of mowing or string trimming YES 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 INSPECTION OOPBRATION&MAINTENANCE RECORD
Recorded by Date General Observations er comments .
eP„--- rl' I2- r7 criro -
Location: 11244 4" 474-- .
A. Any adverse observations YES Qj N/A
B. Plant life compromised or needing attention YES L. N/A
C. Inlet/outlet clogged YES s N/A
D. Vegetation growing in rip-rap or emergency spillway YES () N/A
E. Trash accumulation YES C.9. N/A
F. Noxious weeds,invasive vegetation I cattails present YES NCB. N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES tad N/A
i. Animal interference or damage YES 00 N/A
J. Sediment accumulation YES NO !A
I Signifftoant aline 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 �'N% )
N. Observation Well Levels(Speas ES Only) A B ✓ -•
Describe maintenance activities performed or planned for`YES'answers above:
-rfAA s k 6,5 im 6-tv 0 9 (mod 14-1
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION OPERATION.&MA IENANCE RECORD
'Recorded by Date General Observations sr comments •
(1 AWb.- g '1 ' 1 &-rri--
Location:^"'' "'' I, b4,
A. Any adverse observations YES '% N/A
B. Plant life compromised or needing attention YES V N/A
C. Inlet/outlet clogged YES 40. N/A
D. Vegetation growing in rip-rap or emergency spillway YES c`• N/A
E. Trash accumulation YES 0. N/A
F. Noxious weeds,invasive vegetation/cattails present YES C5 N/A
G. Bare soil erosion observed,slopes or embankments YES V►� N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES - 0.I N/A
I. Animal interference or damage YES Ca N/A
J.• Sediment accumulation YES NO T§
K. Signiaant algae girth YES NO
L. In need of mowing or string trimming YES N/A
M. Trees present on darn as applies to site YES NO 01
N. Observation Well Levels(Specs ES Only) A B ..•
Describe maintenance activities performed or planned for`YES'answers above:
Sti-e- 6 MA)44-1414 II_ Olthoc Colvir-N,cia2
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION,OPERAT.[ONTTANCE RECORD
Recorded by I Date General Observations or comments
.IK tel4A-6 9 - q • t7 (finr4-/
Location: WI-4- 1
0A- •
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 NO
E. Trash accumulation YES dite N/A
F. Noxious weeds,invasive vegetation/cattails present YES (NO) N/A
G. Bare soil erosion observed,slopes or embankments YES NO (NW)
H. Vegetation shorter than 8-12"in height(as applicable) YES (NU N/A
I.. Animal interference or damage YES C3 N/A
J. Sediment accumulation YES NO OPV
K. Significant algae.giovuth YES NO
L. In need of mowing or string trimming YES N/A
M. Trees present on dam as applies to site YES NO C3
N. Observation Well Levels(Speas ES Only) A B -•
Describe maintenance activities performed or planned for'YES'answers above:
VAA-1Ai1m l 0LAU t1, COX/ 401 ,
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECTION OPERATIO1 .&MAIN-TENANCE RECORD
Recorded by Date General Observations or comments
le I I° - S* 1 Crire).1-,
( `
f
Location: ' .
A. Any adverse observations YESe!6 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 NO N/A
E. Trash accumulation YES 0. N/A
F. Noxious weeds,invasive vegetation I cattails present YES f0 N/A
G. Bare soil erosion observed,slopes or embankments YES i... N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES C9 N/A
L Animal interference or damage 'YES ) N/A
1. Sediment accumulation YES NO a
K. Significant algae grovrth YES NO CED
L. In need of mowing or string trimming YES 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:

PEROD[c IMP SITE INSPEC IION.OP.ERATTON&MAINTENANCE RECORD
Recorded by Date General Obsordadom or comments
C.-1g' 1 fi l4 Cnro-khi CrInrk
&Ai& t
Location: Wt . .
A. Any adverse observations YES V. N/A
B. Plant life compromised or needing attention YES & N/A
C. Inlet/outlet clogged YES V. N/A
D. Vegetation growing in rip-rap or emergency spillway YES st. , N/A
E. Trash accumulation YES 4I' N/A
F. Noxious weeds,invasive vegetation I cattails present YES �( N/A
G. Bare soil erosion observed,slopes or embankments YES 40 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES •C. . N/A
L. Animal interference or damage YES le N/A
J.• Sediment accumulation YES NO elk
K. Signi cant aline growth YES NO .r.P .
L. In need of mowing or string trimming YES NO re
M. Trees present on dam as applies to site YES NO It
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 BMP SITE INSPECTION OPERATION&M41NIENANCE RECORD
Recorded by Date General Obsevvatlons or comments
1CI1L/ /t7 !
Location: Z1Ul4e_ I
A. Any adverse observations ygg N/A
B. Plant life compromised or needing attention YES 1O N/A
C. Inlet/outlet clogged YES & N/A
D. Vegetation growing in rip-rap or emergency spillway YES itZD. N/A
E. Trash accumulation YES (5. N/A
F. Noxious weeds,invasive vegetation/cattails present YES N/A
G. Bare soil erosion observed,slopes or embankments YES S' 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 growth YES NO
L. In need of mowing or string trimming YES d1 N/A
M. Trees present on dam as applies to site YES NO (1Q/A
N. Observation Well Levels(Speas 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:

PERODIC BMP SITE INSPEC 'ION,OPERATION,&MA.INTgNANCE RECORD
Recorded by Date Genet Observations or comments •
eP,,, I/Ogl
ig
Unr—tit
VLocation: L ` IL
A. Any adverse observations yES N/A
B. Plant life compromised or needing attention YES U6 N/A
C. Inlet/outlet clogged YES Q) N/A
D. Vegetation growing in rip-rap or emergency spillway YES g N/A
E. Trash accumulation YES cii. N/A
F. Noxious weeds,invasive vegetation/cattails present YES NC� N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES .0 N/A
I. Animal interference or damage YES `f; N/A
J. Sediment accumulation YES NO 1j
K. SiiniBcant aiiae growth YES NO ie
•
L. In need of mowing or string trimming YES () N/A
M. Trees present on dam as applies to site YES NO C.
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 SITEINSPECTION.OPERATION&MAINTENANCE RECORD
•
Recorded bpjuis I Date General Observations or comments
2r g.! d C
Location: (2w 14.- . (114, .
•
A. Any adverse observations YES 9 N/A
B. Plant life compromised or needing attention YES Z9 N/A
C. Inlet/outlet clogged YES Ti:.) N/A
D. Vegetation growing in rip-rap or emergency spillway YES 1V N/A
E. Trash accumulation YES V. N/A
F. Noxious weeds,invasive vegetation/cattails present YES e. N/A
G. Bare soil erosion observed,slopes or embankments YES 0 WA
H. Vegetation shorter than 8-12"in height(as applicable) YES •OP N/A
1. Animal interference or damage YES 0 N/A
J. Sediment accumulation YES NO 'b
K. Si oi'Boant algae giowth YES NO .
L. In need of mowing or string trimming YES NTA
M. Trees present on dam as applies to site YES NO l�I7A
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.OP.ERAT1Ol(&MAIN'f_ENANCE RECORD
Record b Date General Observations or comments
iL, S - f ' i r Wird-
1(zweibii/ ctidez--------
Location:
A. Any adverse observations 'YES () NIA
B. Plant life compromised or needing attention YES If N/A
C. Inlet/outlet clogged YES &i N/A
D. Vegetation growing in rip-rap or emergency spillway YES NO
E. Trash accumulation YES t, N/A
F. Noxious weeds,invasive vegetation/cattails present YES 4) N/A
G. Bare soil erosion observed,slopes or embanlanents YES ,N�0 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES .r N/A
I. Animal interference or damage YES N/A
J. Sediment accumulation YES NO
R. Significant algae giov th 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
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&MADITENANCE RECORD .
Recorded by Date General Observations or comments
R.11R414 5-• a- ric fry,
it,krtAt tA-7,6,
Location: .
•
A. Any adverse observations YES CS N/A
B. Plant life compromised or needing attention YES e N/A
C. InIet/outlet clogged YES 1 as• N/A
D. Vegetation growing in rip-rap or emergency spillway YES V N/A
E. Trash accumulation YES e 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 2 N/A
L. Animal interference or damage YES N/A
J. Sediment accumulation YES NO A
K. Signityoant algae growth YES NO ISA
L. In need of mowing or string trimming YES (9 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 INSPECTION.OPERATION.&1VIAINTENANCE RECORD
Recorded Date General Observations or comments
K R--,
Location: I,ht,&
A. Any adverse observations YES (t) N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES i p N/A
D. Vegetation growing in rip-rap or emergency spillway YES (i 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 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES -(�I N/A
L Animal interference or damage YES MN/A
J. Sediment accumulation YES NO
K. Sign'if oant Agee 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
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,QP.ERATlON&MAINTENANCE RECORD
Recorded by o Date General Obserdations or comments
10 " [Jc z
rird1/4-
Location, LtAALU [A— ._k .
A. Any adverse observations YES 1) N/A
B. Plant life compromised or needing attention YES () N/A
C. Inlet/outlet clogged YES eTN �N/A
D. Vegetation growing in rip-rap or emergency spillway YES NO
E. Trash accumulation YES (g:ti N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO"
G. Bare soil erosion observed,slopes or embankments YES L* N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES OY N/A
L Animal interference or damage YES (p9? N/A
J. Sediment accumulation YES NO
K. Significant Ellie growth YES NO en' .
L. In need of mowing or string trimming YES 0 N/A
M. Trees present on dam as applies to site YES NO CP
N. Observation Well Levels(Speas ES Only) A B . .
Describe maintenance activities performed or planned for'YES'answers shove:
If more than one BMP on site,denote the location of issue:

PERODIC BMP SITE INSPECrioN,OPERATION&ligdOTENANCE RECORD
Recorded by Date General Observations or comments
Kr-t--- 6 -2/t- I/ (fin-lb
Location: t3 . 44 -
A. Any adverse observations YES G N/A
B. Plant life compromised or needing attention YES 0 N/A
C. Inlet/outlet clogged YES 70 N/A
D. Vegetation growing in rip-rap or emergency spillway YES T6 N/A
E. Trash accumulation YES CO N/A
F. Noxious weeds,invasive vegetation I 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 N/A
I. Animal interference or damage YES 1SP N/A
J. Sediment accumulation YES NO (M1�
K. Significant 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 d '
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 S__ I NVECIION,OPERATION&MAIN11NArCE RECORD,
Recorded by Date General Observations ar comments
R PA' - 1". ilf (FIrtrk
Location: g"' "t 44
A. Any adverse observations ygg (p N/A
B. Plant life compromised or needing attention YES C N/A
C. Inlet/outlet clogged YES N� N/A
D. Vegetation growing in rip-rap or emergency spillway YES T� N/A
• B. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation I 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 QV N/A
J. Sediment accumulation YES NO CNA
K. Significant 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
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 OPE TION.&MAINPNANCE RECORD
1 • •
Recorded by 1 Date General Obsorriations ar comments
11,0...:„ CP 3 ' lit 117.0 1-
Location: }2W\.4Q. i�" Q
•
A. Any adverse observations ygS RD N/A
B. Plant life compromised or needing attention YES cn 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 /hl N/A
F. Noxious weeds,invasive vegetation/cattails pent YES 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 (9 N/A
i. Animal interference or damage YES / @, N/A
J. Sediment accumulation YES NO
K. SigniEoant aigae giowth YES NO l
L. In need of mowing or string trimming YES 00 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 BMP SITE INSPECTIO OPERATION&MAINTENANCE RECORD
Recorded b Date General Observations sr co mentss
fi241,1)
, 10.' - I V frail
VLocation: 0
A. Any adverse observations YES ( Ip N/A
B. Plant life compromised or needing attention YES O N/A
C. Inlet/outlet clogged YES 0 N/A
D. Vegetation growing in rip-rap or emergency spillway YES NO N/A
E. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation/cattails present YES ID N/A
G. Bare soil erosion observed,slopes or embankments YES 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 NO
K. Signifioant aliae growth YES NO
L. In need of mowing or string trimming YES & 2
M. Trees present on dam as applies to site YES NO0
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&MAINLIEDIANCE RECORD
•
Recor Date General Obst<rdatiorrs or comments
Location:p....
1 (. 1. )K
,M� '�`- NS
1/19 .
A. Any adverse observations YES `�J N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES 2 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 9 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES V N/A
I. Animal interference or damage YES (lam N/A
J. Sediment accumulation YES 0
K. SignTfkant algae growth YES INTO e_
L. In need of mowing or string trimming YESQD 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 INSPECTIONOPERATION&MAINTENANCE RECORD
•
Recorded by Date'
General Ob'seKatians or comments
IC I /3I I g
el Location: >i'C.w Vr
A. Any adverse observations 'YES gb N/A
B. Plant life compromised or needing attention 'YES trg5N/A
C. Inlet/outlet cloggedYES Igb N/A
D. Vegetation growing in rip-rap or emergency spillway YES 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 (10 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES •'lls, N/A
L Animal interference or damage YES ig N/A
J. Sediment accumulation YES .NO C
K. Sign nt algae growth YES NO G
L. hi need of mowing or siring trimming YES NO
M. Trees present on dam as applies to site YES NO
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 EMP SITE INSPECTION OP.ERATIOO&NlADWANCE ItEC0l2D
Recorded 6y Date Genet tfbst~trvattoas or comments
ICPAA,?/ OffiC1(
(1704- .
Location: --,"" t
•
A. Any adverse observations 'YES N/A
B, Plant life compromised or needing attention ygg ItTO N/A
C. Inlet/outlet clogged YES 10 N/A
D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accumulation YES 60 N/A
F. Noxious weeds,invasive vegetation/cattails present YES ?Q 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
I Animal interference or damage YES 0 N/A
J. Sediment accumulation YES NO 617
K. Siguifroant algae growth YES NO tar
L. In need of mowing or string trimming YES ef, 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 BIVIP SIT1E INSPECTION,OPERATION&MAINTENANCE RECORD
Recorded by Date General Observations or comments
( ' .12"-' (S-f(7 tri-74--'
Location: l .
A. Any adverse observations YES CD N/A
B. Plant life compromised or needing attention YES IC) N/A
C. Inlet/outlet clogged YES lb N/A
D. Vegetation growing in rip-rap or emergency spillway YES IS1G N/A
E. Trash accumulation YBS 0 N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO GOD
G. Bare soil erosion observed,slopes or embankments YES 69 N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES N/A
1. Animal interference or damage YES NV N/A
J. Sediment accumulation YES NO
K. Siiia icant algae growth YES NO 02
L. In need of mowing or string trimming YES IP N/A
M. Trees present on dam as applies to site YES NO MO
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 Ohstirvations ar comments
IQ 1Q4 /1, ff4 (frirk
Location: 2,tA/ThQ, (1ht •
A. Any adverse observations YES 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 6 N/A
E. Trash accumulation YES ., ` N/A
F. Noxious weeds,invasive vegetation/cattails present YES to N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES .6:1 N/A
I. _Animal interference or damage YES 0 N/A
J. Sediment accumulation YES NO
K. Significant aliae growth YES NO NJ
L. In need of mowing or string trimming YES & N/A
M. Trees present on dam as applies to site YES NO 40
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 O6seY'datiun's or comments
R,RAArt; ; ,31 t9 Lrrri-
Location: /�//r� 11.41jr7
��""
•
A. Any adverse observations YES 5 N/A
B. Plant life compromised or needing attention YES F4 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 tr.9. 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 N/A
IY Animal interference or damage YES N/A
Jr.• Sediment accumulation YES IJO
Significant invAh YES NO
L. In need of mowing or string trimming YES i) 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 BHP SITEJOISPEC'I'YON OPERATION&MAISTENANCE RECORD
Recorded by I Date Generral Observations or comments
R ig 5-- (- r (n-74
)l.Ocation:X"L l {1 "\..
A. Any adverse observations YES Q9 N/A
B. Plant life compromised or needing attention YES fp N/A
C. Inlet/outlet clogged Y N/A
D. Vegetation growing in rip-rap or emergency spillway YES 0 N/A
E. Trash accumulation YES v. . N/A
F. Noxious weeds,invasive vegetation/cattails present YES /NQ• N/A
G. Bare soil erosion observed,slopes or embankments YES ( 31) N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES N/A
L Animal interference or damage YES @ N/A
J.• Sediment accumulation YES .N0 N/ i
K. Significant aIiae growth YES NO
L. In need of mowing or string trimming YES 69 N/A
M. Trees present on darn as applies to site YES NO /1
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:

PERODMC BMP SITE INSPECTION OPERATION&MAI tENANCE RECORD
•
Recorded by Date •
General Observations or comments
RIQ--- l ' -1-• I/ I (Ar-e--9../
Location:
A. Any adverse observations 'YES © N/A
B. Plant life compromised or needing attention YES NBA N/A
C. Inlet/outlet clogged YES e). N/A
D. Vegetation growing in rip-rap or emergency spillway YES el N/A
E. Trash accumulation YES a. N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO' Cn
G. Bare soil erosion observed,slopes or embankments YES 60 N/A
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 NU CYA
K. . Signi€icant 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
e5
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 INSPECTilON OPERATION&MAINTENANCE RECORD
Recorded by Date i General Obscrvalio r comments
ep„.„
-ifot ii 7
Location: 211- s�...0
A(\-4— ft/4 .. _______________-----
A. Any adverse observations YES C.. N/A
B. Plant life compromised or needing attention YES 6). N/A
C. Inlet/outlet clogged YES la. N/A
D. Vegetation growing in rip-rap or emergency spillway YES 19 N/A
E. Trash accumulation YES ' N/A
F. Noxious weeds,invasive vegetation/cattails present YES lid COD
G. Bare soil erosion observed,slopes or embankments YES IP N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES i 0 N/A
I.. Animal interference or damage YES 1151 N/A
J.- Sediment accumulation YES .NO da
K. . Significant algae growth YES NO
L. In need of mowing or string trimming YES <1 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 B P1 IT E INSPECTION OPERATION.&Me1TENANCE RECORD .
Recorded by Date General Obse rvatiuns or comments
R A-- 4 , s. i9
-i--e4.
tam„,0 iv'
Location:
•
A. Any adverse observations YES NO N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES I0 N/A
D. Vegetation growing in rip-rap or emergency spillway YES 0.0
N/A
E. Trash accumulation YES c N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES •ED N/A
L Animal interference or damage YES Et, N/A
J. Sediment accumulation YES NO e)
K. Sint 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
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.OPERATYQIII&h;dnVTl+1NANCE RECQ.RD
Recorded by Date •
General Olrse ►atioas or comments
CT. 1 9 e Li,-
e,-,7),
Location:
A. Any adverse observations YES qA 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 N/A
E. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation/oattails present YES & N/A
O. 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 YES45N/A
J.- Sediment accumulation YES NO e
K. Signifioant algae girowth YES NO S ;
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 13
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIG 18I17P SITE IIVS_,____ii OI'�RATYO &1VIAINTENANCE RECORD
c:: •
rded by Date General Obsettia�tions or comments
fr 19 ion: l
•
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention yEs 1113) N/A
C. Inlet/outlet clogged YES trO N/A
D. Vegetation growing in rip-rap or emergency spillway 'YES CP N/A
E. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation/cattails present YES
G. Bare soil erosion observed,slopes or embankments YES
® N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES •ed NIA
L Animal interference or damage YES N/A
J.• Sediment accumulation YES NO
K. Signil"ioant algae giowth YES ND
L. In need of mowing or string trimming YES ? N/A
M. Trees present on dam as applies to site 'YES NO
IiiiP
N. Observation Well Levels(Speas ES Only) A _ 13 ...
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 °M ATZO &MA.1118NANCE RECOi°
Recorded by Date General Olrserv►aHuiEr or comments .
f( Aill Iit
Location: Av QI .
•
A. Any adverse observations YES (9 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 l .
E. Trash accumulation YES N/A
F. Noxious weeds,invasive vegetation/cattails present YES Mi.
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES V N/A
1:. Animal interference or damage 'YES . ) N/A
J.- Sediment accumulation YES NO
R. Signifaant algae growth YES NOZ .
L. In need of mowing or string trimming YES
M. Trees present on dam as applies to site YES NO /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:

PJ ROI?IC S11+IP BITIE iNSPECTION,OPBRATION&iv IDf 1. ANCE RECORD
•
Recorded b Date • General ebSNoAg fa-comments
le •e<'—'
l� z � I C,—tri/A
Location: 1ZtN ,
•
A, Any adverse observations • YES fiv N/A
B. Plant life compromised or needing attention YES a)• N/A
C. Inlet/outlet clogged YES O. N/A
• D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accumulation YES O. WA
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 (5 . N/A
I, Animal interference or damage YES N/A
3.- Sediment accumulation YES NO ( •
K. Significant algae growth YES NO -1 •
C. In need of mowing or string trimming YES ') N/N/AA
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 EIVIP SITE INSPECTION OPERA TTON Bc IVIAMINANCE RECORD
Recorded by Date Gerter�all iG?bseltdaflai orctfmmepts
R.. 1 1 2" - G—r7-7Y-
p,t4.4t
Location:
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES .4.0 NIA
• D. Vegetation growing in rip-rap or emergency spillway 'YES NO 6)
E. Rash accumulation YES ( N/A
F. Noxious weeds,invasive vegetation/cattails present YES Pp'
G. Bare soil erosion observed,slopes or embankments YES 0 N/A
H. Vegetation shorter than 8-12"in height(as applicable) 'YES .1 N/A
•L. Animal interference or damage 'YES N/A
I.• Sediment accumulation YES NO C> .
K. Nignifiaant algae growth YES NO 4ED. .
L. In need of mowing or string trimming YES dgc. 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 BIM on site,denote the location of issue:

MOW EIYlP SITE________L__INSPECriON OPERATION&I AII t,.tINNANCE RECORD
Recorded bL Date General Obseirvationw tomcats
R n. 2
Df37
I
Location: `
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 'YBS VI
N/A
B. Trash accuriiu[ation YES NIA
F. Noxious weeds,invasive vegetation/cattails present YES NO7
G. Bare soil erosion observed,slopes or embankments YES N N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES , �G . N/A
L Animal interference or damage 'YES liP N/A
J.• Sediment accumulation YES Nt)
K. Significant algae glow'tii YES NO g) .
L. In need of mowing or string trimming YES0. N/A
M. Trees present on dam as applies to site YES NO
' 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:

PERO.DIC RMP SITE INSPECTION OPERATION&MAINTENANCE RECORD
Recorded by Date
General Obst'datioas or comments
C., "---- 3 (712_0 4 {-,e, i (-7-ef
Location: •
A. Any adverse observations
YES 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 N/A
E. Dash accumulation YES
419 N/A
F. Noxious weeds,invasive vegetation/cattails pt=esent YES
N/A
G. Eare soil erosion observed,slopes or embankments YES
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 Nt7
K. Significant algae growth YES N0 s A
L. in need of mowing or string trimming YES
N/A
M. Trees present on dam as applies to site YES NO --)
N. Observation Well Levels(Speas ES Only) A
E—
Describe maintenance activities performed or planned for'YES'answers above:
if more than one BMP on site,denote the location of issue:

PERODIC SITE ldVSP1,TI G TION&MALI TJ W C'B RECORD
Recorded by 1 Date General 0bsftas or comanents
tei ,...______ r/0 4-[ o Cr?rtrd
Location: R'4"1L.e/ ,
A. Any adverse observations ygSp. N/A
2
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 O N/A
L. Trash accumulation YES 0' i N/A
F. Noxious weeds,invasive vegetation/cattails present YES NO• 4
G. Rare 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 'YES N/A
J.• Sediment accumulation YES IVt) 6) .
K. Siinifioant algae growth YES i
• L. In need of mowing or siring trimming YES N/A
M. Trees present on darn as applies to site 'ES 0 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: •

P►'RODIC 8MP SITS+',IIV_&PEC N OPERATION&IVIAINTBIVAlq RECORD
Recorded Data 4/ Gertei~alQ}b'sclrvaiin or comments
Location:
A, Any adverse observations • 'YES 0N/A
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet clogged YES 60 N/A
• D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accurinulation YES N/A
F. Noxious weeds,invasive vegetation/cattails present YBS 0 N/A
G. Bare soil erosion observed,slopes or embankments YES N/A
H. Vegetation shorter than 13412"in height(as applicable) YES ® - . N/A
1 Animal interference or damage YES V N/A
I• Sediment accumulation YES NO 0 .
K. Significant aliie giowt€r YES l
L. In need of mowing or string trimming YES <0 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 EMP on site,denote the location of issue: .

PERODIC BAR _______ � T>fol &1VI�flTCC=ORD
Recor by Date . . . � .
General QhscrdaEtioi nr c nests
•
Location: (. ,
A. Any adverse observations . YRS N/A
B. Plant life compromised or needing attention yES -.®' 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 N/A
P. Noxious weeds,invasive vegetation/cattails present YES N/A .
G. Bare soil erosion observed,slopes or embankments YES tg N/A
H. Vegetation shorter than 8.12"in height(as applicable) YES . N/A
•1L Animal interference or damage YES r
N/A
I.- Sediment accumulation YBS .NO t .
I t Significant algae growth YES NO 0
L. In need of mowing or string trimming YES (9 N/A
M. Trees present on dam as applies to site YES NO
' N. Observation Well Levels(Speas ES Only) A 13 _
Describe maintenance activities performed or planned for`YET answers above:
•
If more than one BMP on site,denote the location of issue: .

PERODIC B sr r1E.NSpEG fiK SDP RgT�O &I_____B A _fli CORD
Recorded by C
� Date General Obstlaas ar anon(nr14 .
n - 3-
Location:
A. Any adverse observations YES (19 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 () N/A
E. Trash accumulation YES N/A
P. Noxious weeds,invasive vegetation/cattails present YES Np 40,,
G. Bare soil erosion observed,slopes or embankments YES ( N/A
H. Vegetation shorter than 8-12"in height(as applicable) C3 •NO . N/A
d_ Animal interference or damage YES N/A
J.• Sediment accumulation YES NO .
K. Signi16ant algae growth YES NO .
L. In need of mowing or string trimming iO N/A
M. Trees present on dam as applies to site YES el N/A
' N. Observation Well Levels(Speas ES Only) A g •
Describe maintenance activities performed or planned for`YES'answers above:
'
6144 --1/ --
•
If more than one BMP on site,denote the location of issue:

PRRODIC BMP EJT INS? ON oIP.ERAnox&M a RECORD
Recorded by Date 1
General G6serrvaCoimv or emments
tR i—'' 1
y'
Location: /111•A''Q LAA
A. Any adverse observations ' YES CON/A
B. Plant life compromised or needing attention YES e. N/A
C. Inlet/outlet clogged YES g• N/A
D. Vegetation growing in rip-rap or emergency spillway YES 8 N/A
B. Trash accumulation YES , WA
F. Noxious weeds,invasive vegetation/cattails present YES N/A
G. Bare soil erosion observed,slopes or embankments YES v
N/A
H. Vegetation shorter than 11-12"in height(as applicable) YES . % N/A
L Animal interference or damage N/A
I.• Sediment accumulation YES .NU
K. giggaant aigae growth YES RO
L. In need of mowing or string trimming YES CO N/A
•
M. Trees present on dam as applies to site YES N/A
' N. Observation Well Levels(Spear ES Only) A -_,____.. B____-_ _.
r
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue: ,

PEROIDIC BLIP SIT INSpECIT0N.OPERATION&TWA CE 1ECQ.RD .
•
1 Recorded by Date Gene fiats er comments '
' . Pl"------ 10- 2 oirrA,
Location: :RUC. (47-4-6
A. Any adverse observations • YES i NIA
B. Plant life compromised or needing attention YES N/A
C. Inlet/outlet cloggedYES N/A
D. Vegetation growing in rip-rap or emergency spillway YES & N/A
E. Trash accumulation YES . N/A
F. Noxious weeds,invasive vegetation/cattails present YES lc.5 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 • i0 • . N/A
L Animal interference or damage YES 0 N/A
.T• Sediment accumulation YES Nt) •
K. Significant ale 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
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 B 1D IiVSIE'ECTX4)1V OPERATJfON& AIYCE RECORD
Recorded by Date General(Ihseirdafn►as ur camments
RIP\4„.;__ .49 -sue 0--nr-iL
Location: -
A. Any adverse observations - YES WN/A
B. Plant life compromised or needing attention YES eN/A
C. Inlet/outlet clogged YES 0 N/A
D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accurulation YES , N/A
F. Noxious weeds,invasive vegetation/cattails ptesent YES i6 N/A
G. Bare soil erosion observed,slopes or embankments YES 60N/A
H. Vegetation shorter than 8-12"in height(as applicable) YES •® • . N/A
L Animal interference or damage YES ® N/A
.T• Sediment accumulation YES NO -
1 'Sign isint algae growth YES NO Jill,
L. In need of mowing or string trimming YES �j(
M. Trees present on darn as applies to site YES gi> C.
N. Observation Well Levels(Spear ES Only) A____,___ B _ _.
f
Describe maintenance activities performed or planned for`YES'answers above:
If more than one BMP on site,denote the location of issue:

PERODIC 1�11?P SITS INS R ON,ornRimoN& A�,dNCE RECORD -
ReeOrde .ietv,./ Date ---=—�---• .---� - .
General Observiatiois ar.."'Nuts
iLoeatlOn L
A, Any adverse observations - YES N/A
B. Plant Iife compromised or needing attention YES 0'• N/A
C. Inlet/outlet clogged YE
S • �• NIA
D. Vegetation growing in rip-rap or emergency spillway YES 19 N/A
B. Trash accuihatatlon yES ' 1T,' . WA
F. NOXIOUS weeds,invasive vegetation I cattails present YES 6 N/A
G. Bare soil erosion observed,slopes or emban anents • YES r6 N/A
It. Vegetation shorter than 8-12"in height(as applicable) YES .0 • . N/A
I,. Animal interference or damage YES el N/A
.T• Sediment accumulation YES MO 411° •
it 'Slip-Wilt algae growth Yvs NO
•
L. In need of mowing or string trimming YES 6 N/A
M. Trees present on dam as applies to site • YES 0 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: t

PERODIC BMP SITE INSPECTION, OPERATION & MAINTENANCE RECORD
Recorded by Date General Observations or comments
lam. Sal Le r 1 211 c1/<j Za G-oa i
Location: 4/04 AL-1/
A. Any adverse observations YES N/A
B. Plant life compromised or needing attention YES 69 N/A
C. Inlet/outlet clogged YES CO N/A
D. Vegetation growing in rip-rap or emergency spillway YES c1SL@ N/A
E. Trash accumulation YES dtstO N/A
F. Noxious weeds, invasive vegetation/cattails present YES CD N/A
G. Bare soil erosion observed, slopes or embankments YES N/A
H. Vegetation shorter than 8-12" in height(as applicable) YES 10 N/A
I. Animal interference or damage YES lid N/A
J. Sediment accumulation YES N/A •
K. Significant algae growth YES 1) N/A
L. In need of mowing or string trimming YES a N/A
M. Trees present on dam as applies to site YES ‘I.0' 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 or comments
l.- SAA .) 12 Zdz-( .sci
Location: ' ova 1' �3!( . . .. ._. - - . .. . . ..___ -_._.._ ..._ _
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 OP N/A
E. Trash accumulation YES CLIP N/A
F. Noxious weeds, invasive vegetation/cattails present YES NO 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 1� N/A
I. Animal interference or damage YES 0 N/A
J. Sediment accumulation YES dat N/A .
K. Significant algae growth YES AP N/A
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 B
Describe maintenance activities performed or planned for 'YES' answers above:
n ..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
Chth, J,-, ?-AL/ C ,
Location:__ Rye Al _A �1( . ._
A. Any adverse observations YES ---7 N/A
B. Plant life compromised or needing attention YES CQC.0) N/A
C. Inlet/outlet clogged YES iiV N/A
D. Vegetation growing in rip-rap or emergency spillway YES N/A
E. Trash accumulation YES eala N/A
F. Noxious weeds, invasive vegetation/cattails present YES N/A
G. Bare soil erosion observed, slopes or embankments YES la N/A
I-I. Vegetation shorter than 8-12"in height(as applicable) YES 120 N/A
I. Animal interference or damage YES 6CD N/A
J. Sediment accumulation YES 0 N/A •
K. Significant algae growth YES Is N/A
L. In need of mowing or string trimming YES 16N/A
M. Trees present on dam as applies to site YES 0 N/A
N. Observation Well Levels (Speas ES Only) A B
Describe maintenance activities performed or planned for 'YES' answers above:
QA.e—
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. ScA —(4 — 2.0Zf ego d
Location: a.rn l 1
A. Any adverse observations YES laP N/A
B. Plant life compromised or needing attention YES 0) N/A
C. Inlet/outlet clogged YES a N/A
D. Vegetation growing in rip-rap or emergency spillway YES CCP N/A
E. Trash accumulation YES 10 N/A
F. Noxious weeds, invasive vegetation/cattails present YES 455-2. N/A
G. Bare soil erosion observed, slopes or embankments YES ' N/A
H. Vegetation shorter than 8-12" in height(as applicable) YES 40 N/A
I. Animal interference or damage YES 6SP N/A
J. Sediment accumulation YES N/A
K. Significant algae growth YES 63) N/A
L. In need of mowing or string trimming YES 6.0 N/A
M. Trees present on dam as applies to site YES tTCO 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: