Annual Stormwater Control Measure Inspection Form Submittal
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Trash/Debris Present: *
Perimeter of SCM: *
 YesNoN/A
Bare soil/Erosive gullies
Vegetation is too short/too long
Inlet Device: *
 YesNoN/A
Pipe is clogged
Pipe is damaged
Erosion occurring in swale
Stone verge clogged or covered in sediment
Vegetation *
 YesNoN/A
Pruning Needed for Optimal Plant Health
Plants are Dead, Diseased, or Dying
Invasive Vegetation
Tree Stakes/Wires are present 6 months after planting
Forebay or Pretreatment Area: *
 YesNoN/A
Sediment Accumulation
Erosion/Gullies Present
Invasive Vegetation
Flow is Bypassing Pretreatment
Weeds are present
Filter Bed & Underground Collection Drain System *
Soils and Mulch: *
 YesNoN/A
Mulch is breaking down or floated away
Soils/Mulch covered with sediment
Low soil pH/Heavy metals accumulation (soil test)
Permeable Pavement & Pavers SCM ONLY: Surface of Permeable Pavement or Pavers *
 YesNoN/A
Rutting/uneven settlement
Trash/Debris is present
Weed growth present
Sediment is present on the surface
Pavement is deteriorating or damaged
Pavement does not drain properly between storms
Underground Detention SCM ONLY: Underground Vaults/Pipes *
 YesNoN/A
Sediment accumulation
Seepage or settlement accompanied by cracking
Joint alignment, elongation, or cracks
Surface wear or loss of protective coating or corrosion
Blockage of pipe or vault
Main Treatment Area: *
 YesNoN/A
Sediment Accumulation
Algal growth over 50% of water surface area
Invasive vegetation covers 50% of water surface area
Embankment: *
 YesNoN/A
Shrubs/trees present
Evidence of muskrat or beaver activity
Needs repair
Receiving Water: *
 YesNoN/A
Erosion/ Other signs of damage
Outlet Device: *
 YesNoN/A
Clogging has occurred
Device is damaged
Debris on trash rack
Miscellaneous: *
 YesNoN/A
Access
Vandalism
Signage
Gated/Fenced in
Signature of engineer, surveyor or landscape architect who completed the inspection: *
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