Stormwater Structural BMP Inspection Checklist Templates: (Component of Long-Term Maintenance Plan)

Metropolitan Nashville - Davidson County
Stormwater Management Manual September 2013

Volume 1 - Regulations
STORMWATER STRUCTURAL BMP

INSPECTION CHECKLIST TEMPLATES
(COMPONENT OF LONG-TERM MAINTENANCE PLAN)
• STORMWATER WET OR DRY POND

• CONSTRUCTED WETLANDS
• SAND FILTER
• FILTER STRIP
• BUFFERS
• PROPRIETARY BMP
• BIORETENTION
• URBAN BIORETENTION
• PERMEABLE PAVEMENT
• INFILTRATION TRENCH
• WATER QUALITY SWALE
• EXTENDED DETENTION
• DOWNSPOUT DISCONNECTION
• GRASS CHANNEL
• SHEET FLOW
• REFORESTATION
• CISTERN
• GREEN ROOF
Volume 1 Appendix C
Page 21
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Volume 1 Appendix C
Page 22
Stormwater Pond Inspections and Maintenance Checklist
Site Name: Owner Change since last inspection? Y N
Location:
Owner Name: ___________________________________________________________________________________________
Address _______________________________________________________ Phone Number ___________________________
Site Status:
Date: __________ Time: ______________ Site conditions: ______________________________________________________
Stormwater Pond Type: Wet Pond  Wet ED Pond  Micropool Pond  Multiple Pond System 
Dry Pond 
Inspection Frequency Key: A=annual(required); M=monthly(recommended); S=after major storms(recommended)
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Inspection Items Comments/Description
Embankment and Emergency Spillway

Vegetation healthy? A/S
Erosion on embankment? A/S
Animal burrows in embankment? A/S
Cracking, sliding, bulging of dam? A/S
Drains blocked or not functioning? A/S
Leaks or seeps on embankment? A/S
Slope protection failure functional? A/S
Emergency spillway obstructed? A/S
Erosion in/around emergency spillway? A/S
Other (describe) A/S
(describe type: concrete pipe, slotted
Riser and Principal Spillway
weir, channel, etc.)
Low-flow orifice functional? A/S
Trash rack A/S
(Debris removal needed?
Corrosion noted?)
Sediment buildup in riser? A
Concrete/masonry condition (Cracks or A
displacement? Spalling?)
Metal pipe in good condition? A
Control valve operation? A
Pond drain valve operation? A
Outfall channels function, not eroding? A
Other (describe) A
Sediment Forebays
Sedimentation description
Sediment cleanout needed (over 50 A/S
Volume 1 Appendix C
Page 23
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
percent full)?
Permanent Pool Areas (if applicable)

Undesirable vegetation growth? A/M
Visible pollution? A/M
Shoreline erosion? A/M
Erosion at outfalls into pond? A/M
Headwalls and endwalls in good A/M
condition?
Encroachment into pond or easement A/M
area by other activities?
Evidence of sediment accumulation? A
Dry Pond Areas (if applicable)

Vegetation adequate? A/M
Undesirable vegetation or woody plant A/M
growth?
Excessive sedimentation? A
Hazards
Have there been complaints from A/M
residents?
Public hazards noted? A/M
Inspector Comments:
Overall Condition of Facility:  Acceptable  Unacceptable
If any of the above Inspection Items are checked “Yes” for “Maintenance Needed,” list Maintenance actions and
their completion dates below:
Maintenance Action Needed Due Date
The next routine inspection is scheduled for approximately:

(date)
Inspected by: (signature) ___________________________________
Inspected by: (printed) __________________________________
Volume 1 Appendix C
Page 24
Constructed Wetlands Inspections and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Constructed Wetland Type: ED Wetland  Pocket Wetland  Wetland 
Inspection Frequency Key: A=annual(required); M=monthly(recommended); S=after major storms(recommended)
Maintenance
Inspected?
Frequency
Inspection

(Yes/No)
(Yes/No)
Needed?

(describe type: concrete pipe, slotted weir,
channel, etc.)
Trash rack A/S
(Debris removal needed? Corrosion noted?)
Concrete/masonry condition (Cracks or A
displacement? Spalling?)
Control valve operation? A
Pond drain valve operation? A
Other (describe) A
Volume 1 Appendix C
Page 25
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Sediment Forebays
Sedimentation description
Sediment cleanout needed (over 50 percent A/S
full)?
Constructed Wetland Ponding Areas
Wetland vegetation present and healthy? M
Vegetation removal needed? A/M
Floatable debris removal needed? A/M
Shoreline problem? A/M
Headwalls and endwalls in good condition? A/M
Encroachment into pond or easement area? A/M
Hazards
residents?
Inspector Comments:

(date)
Volume 1 Appendix C
Page 26
Sand Filter Inspections and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Sand Filter Type: Perimeter Filter  Underground Filter  Above Ground Filter 
Inspection Frequency Key: A=annual (required); M=monthly (recommended); S=after major storms (recommended)
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Inspection Items Needed? Comments/Description
Debris Removal
Sand filter free of debris? A/M
Inlets and Outlets free of debris? A/M
Vegetation
Surrounding area fully stabilized? (no A
evidence of eroding material into sand
filter)
Water Retention (where required)
Water holding chambers at normal pool? M
Evidence of erosion?
Sediment Deposition A
Filtration chamber free of sediments? A
Sedimentation chamber not more than 50% A
full?
Structural Components
Any evidence of structural deterioration? A
Grates in good condition? A
Spalling or cracking of structural parts? A
Outlet/Overflow Spillway A
Other
Noticeable odors? A
Evidence of flow bypassing facility? A
Volume 1 Appendix C
Page 27
Inspector Comments:

(date)
Volume 1 Appendix C
Page 28
Filter Strips Inspections and Maintenance Checklist

Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Debris Removal
Facility and adjacent area free of debris? A/M
Inlets and outlets free of debris? A/M
Any dumping of yard wastes into facility?
Litter (branches) removed? A/M
Vegetation
Surrounding area fully stabilized? (no A/M
evidence of eroding material into swale,
channel or filter strip)
Grass mowed? A/M
Plant height not less than design water A/M
depth?
Fertilized per specifications? A/M
Plan composition according to approved A/M
plan?
Unauthorized or inappropriate plantings? A
Plants healthy? (no diseased or dying A/M
vegetation)
Evidence of plants stressed from A/M
inadequate watering?
Filtration Capacity
Clogging from oil or grease? A/M
Facility dewaters between storms? A/M
Check dams and energy dissipators/sumps
Any evidence of sedimentation build up A/S
Are sumps greater than 50% full of A/S
sediment?
Volume 1 Appendix C
Page 29
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Any evidence of erosion and down stream A/S
toe of drop structures?
Sediment Deposition
Swale clean of sediments A
Sediment not > 20% of swale design depth A
Outlet/Overflow Spillway
In good condition? A
Any evidence of erosion? A
Any evidence of blockages? A
Has facility been filled or blocked A
inappropriately?
Inspector Comments:

(date)
Volume 1 Appendix C
Page 30
Buffers Inspections and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Vegetation
evidence of eroding material into buffer)
Grass mowed (if applicable—Zone 2 A/M
only)?
Vegetation healthy? A/M
Zone 1 is undisturbed A/M
Level Spreader
Vegetation is healthy A/M
Lip of spreader shows no signs of erosion A/M
Sediment noted in spreader? A/M
Inspector Comments:
Overall Condition of Buffer:  Acceptable  Unacceptable
Volume 1 Appendix C
Page 31

(date)
Volume 1 Appendix C
Page 32
Proprietary BMP Inspections and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Debris Removal
Adjacent area free of debris? A/M
Inlets and Outlets free of debris? A/M
Facility (internally) free of debris? A/M
Vegetation
evidence of eroding material into
proprietary BMP)
Grass mowed? A/M
Water retention where required
Water holding chambers at normal pool? A/M
Evidence of erosion?
Sediment Deposition
Filtration Chamber free of sediments? A
Sedimentation and/or trash below A
manufacturer’s recommended cleanout?
Any evidence of structural deterioration? A
Grates in good condition? A
Outlet/Overflow Spillway A
Other
Noticeable odors? A
Any evidence of filter(s) clogging? A/M
Evidence of flow bypassing facility? A
Volume 1 Appendix C
Page 33
Inspector Comments:

(date)
Volume 1 Appendix C
Page 34
Bioretention Inspections and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Address: _______________________________________________________ Phone Number: __________________________
Site Status:
Comments/Description
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Inspection Items
Needed?
Pre-Treatment Area
Area free of debris? A/M
Standing water longer than 24 hours after a A/S
storm event?
Bare soil or erosion? M/S
Excessive landscape waste/yard clippings? A/M
Inlet/Outlet Structures
Inlets provide stable conveyance into the A
facility?
Evidence of erosion at or around inlet? A
If connected to extended detention, is A

outlet to pond functioning properly?
Other A
Basin
Adjacent area fully stabilized (no evidence A
of eroding material into Bioretention area)?
Plant height not less than design ponding A
depth?
Adequate media layer present? A
Plant composition according to approved A
plan?
Grass height not more than 6 inches? A/M
Vegetation overgrown? A
Invasive species/weeds present? A
Dead vegetation or exposed soil present? A
Volume 1 Appendix C
Page 35
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Inspection Items
Needed?
Maintenance access to facility? A
Excessive trash/debris/sediment? A
Evidence of erosion? A
Evidence of standing water (Ponding, A/M
Noticeable Odors, Water Stains, Algae)?
If underdrain system, is it broken or A/M
clogged?
Overflow structure free of blockage and A
operating properly?
Other A
Hazards
residents?
Mosquito proliferation? A/M
Is there encroachment on pervious area or A/S
easement by buildings or other structures?
Inspector Comments:

(date)
Volume 1 Appendix C
Page 36
Urban Bioretention Inspections and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Urban Bioretention Type: Stormwater Planters  Green Street Swales/Planters  Proprietary Planting Cells 
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Inspection Items
Needed?
Pre-Treatment Area (if present)

Area free of debris? A/M
Inlets and outlets unobstructed? A/M
Standing water? S
Inlet/ Outlet Structures
Inflow points (downspouts, curb cuts) A
provide stable conveyance into the facility?
Inlets provide stable conveyance into A
facility?
Evidence of erosion at/around inlet? A
Other A
Bioretention Area
Vegetation overgrown? A
Invasive species/weeds present? A
Dead vegetation or exposed soil present? A
Maintenance access to facility? A
Excessive trash/debris? A/M
Evidence of standing water (Ponding, A
Noticeable Odors, Water Stains, Algae)?
If underdrain system, is it broken or A
clogged?
Other A
Volume 1 Appendix C
Page 37
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Inspection Items
Needed?
Hazards
residents?
Mosquito proliferation?
Is there encroachment on pervious area or A/S
easement by buildings or other structures?
If fire hydrant present, is it visible? A/M
Inspector Comments:

(date)
Inspected by: (printed) ___________________________________
Volume 1 Appendix C
Page 38
Permeable Pavement Inspection and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
*****Conduct maintenance inspection in the spring of each year.
Pavement Type: Pervious Concrete/Asphalt  Modular Pavers  Grass/Gravel Pavers 
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
Inspection Items (Yes/No) Comments/Description

Needed?
Pavement Area
Pavement area free of debris? A/M
Staining or sediment? A/M
Inlets and outlets unobstructed and A/M
sediment free?
All contributing drainage area free of A/M
erosion and sources of sediment?
Water standing after a storm event? S
Any evidence of clogged pores that require A/M
vacuum-sweeping?
Has area been vacuum swept in the past 12 A/M
months?
Access to pervious pavement (egress and A/M
ingress routes) safe and efficient?
Has drawdown rate been measured at A
observation well and is well capped?*
Structural integrity of the pavement intact? A/M
Look for deterioration such as: slumping,
cracking, spalling, or broken pavers.
Grass Pavers
Adjacent area fully stabilized (no evidence A
of eroding material into or from pervious
pavement area)?
Volume 1 Appendix C
Page 39
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Any noticeable irrigation needs? A/M
Fallen leaves/plant debris collecting in A/M
paving area?
Grass height over 4 inches? A/M
Vegetation health affected by oil/grease A
from vehicles?
Other A
Hazards
Obstructions or debris affecting A/M
overflows/emergency spillways?
Load-bearing capability of pavement A/M
intact?
*Refer to GIP-03 Section 11.3 for further guidance.
Inspector Comments:

(date)
Volume 1 Appendix C
Page 40
Infiltration Trench Inspections and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Debris Removal
Trench surface clear of debris? A/M
Contributing area free of debris? A/M
Inlets/Inflow pipes free of debris? A/M
Overflow spillway clear of debris? A/M
Vegetation
Mowing done when necessary? A/M
Fertilized per specification? A/M
Evidence of erosion? A/M
Contributing drainage area stabilized? A/M
Trees growing in the trench? A
Dewatering
Trench dewaters between storms? A/M
Sediment traps, forebays, or pretreatment swales
Adequately trapping sediment? A
Structural damage? A
Greater than 50% of original storage A
volume remaining?
Sediment removal of trench
Any evidence of sedimentation in trench? A
Are pea gravel/topsoil and top surface filter A/M
fabric functioning properly?
Does sediment accumulation currently A
require removal?
Volume 1 Appendix C
Page 41
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Inlets
Good condition (no need for repair)? A
Outlets/overflow spillway
Good condition (no need for repair)? A
Aggregate repairs
Surface of aggregate clean? A
Top layer of stone in need of replacement? A
Trench in need of rehabilitation? A
Observation wells
Evidence of clogging/failure to percolate? A/M
(Should percolate within 3 days.)
Has drawdown rate been measured at A
observation well and is well capped?
Hazards
residents?
Inspector Comments:

(date)
Inspected by: (printed) ______________________________
Volume 1 Appendix C
Page 42
Water Quality Swale Inspections and Maintenance Checklist

Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Debris Removal
Any dumping of yard wastes into facility? A/M
Vegetation
Surrounding area fully stabilized? (no M
evidence of eroding material into swale)
Soil media is adequately covering (18 A/M
inches) choker stone layer below?
Grass mowed? A/M
Plant height not less than design water A/M
depth?
Plant composition according to approved A/M
plan?
vegetation)
Filtration Capacity
Underdrain functioning properly? A/M
Check Dams and Energy Dissipaters/Sumps
Any evidence of sedimentation buildup? A/S
Volume 1 Appendix C
Page 43
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
sediment?
Any evidence of erosion and downstream A/S
Sediment Deposition
Swale clean of sediments? A
Sediment not > 20% of swale design A
depth?
inappropriately?
Hazards
residents?
Maintenance accesses free of hazards and A/M
fully operational?
Inspector Comments:

(date)
Volume 1 Appendix C
Page 44
Extended Detention Pond Inspections and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Stormwater Pond Type: Wet ED Pond  Micropool ED Pond  Multiple Pond System 
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Contributing Drainage Area

Banks upstream and downstream free of A/S
sloughing , animal burrows, boggy
areas, woody growth and gully erosion?
Excessive trash, debris, erosion or A/S
landscaping waste?
Debris Trash rack, reverse sloped pipe A/S
or flashboard riser?
(Debris removal needed?
Corrosion noted?)
Concrete/masonry condition? (Cracks A
or displacement? Spalling?)
Control valve operational? A
Volume 1 Appendix C
Page 45
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Pond drain valve operational? A

Other (describe) A
Sediment Forebays
Sediment cleanout needed (over 50 A/S
percent full)?
Stormwater inlet free of material A
damage, erosion and undercutting?
Permanent Pool Areas (if applicable)
Undesirable vegetation growth? A/M
Shoreline erosion? A/M
Headwalls and endwalls in good A/M
condition?
Encroachment into pond or easement A/M
area by other activities?
Evidence of sediment accumulation? A
Clogging at low-flow orifice? Twice per
year
Dry Pond Areas (if applicable)
Vegetation adequate? A/M
Undesirable vegetation or woody plant M
growth?
Excessive sedimentation? A
Outlet Structure
Outfall channel is free of erosion, A
undercutting, rip-rap displacement
woody growth, etc?
Hazards
residents?
Maintenance accesses free of A/M
hazards and fully operational?
Inspector Comments:
Volume 1 Appendix C
Page 46

(date)
Volume 1 Appendix C
Page 47
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Volume 1 Appendix C
Page 48
Downspout Disconnection Inspections and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Disconnection Type: Soil Amendment  Infiltration Trench  Bioretention 

Rainwater Harvesting  Stormwater Planter  Simple Disconnection 
Note: Disconnection Type should also be evaluated per the appropriate Checklist located in this Appendix.
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Pipes, Gutters, and Drains
Downspouts provide stable A/S

conveyance into facility?
Runoff enters pervious area as sheet A/S
flow?
Excessive A/S
trash/debris/sediment/oil/chemicals
accumulation at inflow points?
Evidence of erosion at/around A/S
inflow points?
Disconnection Treatment
Downspouts or surface impervious A/S
area drains to the receiving pervious
area?
Receiving treatment area retains A/S
dimensions as shown on plans and
is in good condition?
Sediment accumulation? A
Is erosion at simple disconnection, A
bioretention, filter paths, or planter
present?
Evidence of standing water A
(Ponding, Noticeable Odors, Water
Stains, Algae)?
Is vegetation in place? A
Is plant composition consistent with A
Volume 1 Appendix C
Page 49
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
approved plans?
Are invasive species/weeds present? A
Is dead vegetation or exposed soil A
present?
Other (describe) A
Contributing Drainage Area-Rooftop

Treatment area retains dimensions
as shown on plans and is in good
condition?
Is there encroachment on pervious A/S
area or easement by buildings or
other structures?
Hazards
residents?
Inspector Comments:

(date)
Volume 1 Appendix C
Page 50
Grass Channel Inspections and Maintenance Checklist

Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Debris Removal
Vegetation
evidence of eroding material into swale,
channel or filter strip)
Grass mowed? A/M
Grass height not less than 3 to 4 inches? A/M
Grasses planted according to approved A/M
plan?
Grasses healthy? (no diseased or dying A/M
vegetation)
Evidence of grasses stressed from A/M
Filtration Capacity
Check dams and energy dissipaters/sumps
Any evidence of sedimentation buildup? A/S
sediment?
Volume 1 Appendix C
Page 51
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Any evidence of erosion and downstream A/S
Any trash or blockages at weep holes? A/S
Sediment Deposition
Swale clean of sediments? A
Sediment not > 25% of swale design A
depth?
inappropriately?
Hazards
residents?
fully operational?
Inspector Comments:

(date)
Volume 1 Appendix C
Page 52
Sheet Flow Inspections and Maintenance Checklist

Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Vegetated Filter Strip  Conserved Open Space 
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Inflow
Runoff enters buffer as sheet flow? A/S
Level spreader functional? (If applicable) A/M
Excess trash/debris/sediment/accumulation A/M
at inflow points?
Debris Removal
Top of filter strip free of sediment and A/M
debris?
Filter Strip
Evidence of erosion and scour on filter A/M
strip?
Grass mowed? A/M
vegetation)
Vegetation density exceeds 90% cover in A
boundary zone or grass filter?
Conservation Area
Proper conservation signage? A
Disturbance to natural vegetation? A/M
Volume 1 Appendix C
Page 53
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Sediment Deposition
Level spreader forebays and flow A
splitters free of sediment?
Gravel Diaphragm
Foot or vehicle traffic are not A/M
compromising diaphragm?
inappropriately?
Hazards
residents?
fully operational?
Inspector Comments:

(date)
Volume 1 Appendix C
Page 54
Reforestation Inspections and Maintenance Checklist

Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Ground Cover
Adequate ground cover throughout forested A/M
area?
Evidence of bare soil and erosion? A/M
Trash or debris? A/M
Areas of standing water? A/M
If using sheet flow to reforestation area A
review appropriate portions of sheet flow
checklist.
Trees/Shrubs
All planted trees are still alive? A/M
Trees are healthy (no disease)? A/M
Trees properly pruned? A
Hazards
Tree interfering with utility lines, buildings, A/M
etc?
Dangerous limbs or leaning trees? A/M
fully operational?
residents?
Inspector Comments:
Volume 1 Appendix C
Page 55

(date)
Volume 1 Appendix C
Page 56
Cistern Inspections and Maintenance Checklist

Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
Underground Storage  Aboveground Storage 
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
Inspection Items (Yes/No) Comments/Description

Needed?
Roof System
Are gutters and downspouts free of 2x per Yr
leaves and other debris?
Are pre-screening devices and first flush 4x per Yr
diverters clean and fully operational?
Piping
Storage tank lids clean (especially vents A
and screens on inflow and outflow
spigots)?
Mosquito screen functioning properly A
and without holes or gaps?
Are overflow pipes, overflow filter paths A
and/or secondary runoff reduction
practices functioning properly?
A qualified third party inspector should examine the following every three years:
Sediment buildup in tank? Every 3
Yrs
Are trees and overhanging vegetation Every 3
over roof surface? Yrs
Backflow preventer functioning Every 3
properly? Yrs
Is the structural integrity of the tank, Every 3
pump, pipe and electrical system sound? Yrs
Do any damaged or defective system Every 3
components need to be replaced? Yrs
Volume 1 Appendix C
Page 57
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Hazards
Physical appearance of water? Any A/M
odors?
Mosquito larvae present? A/M
Complaints from residents? A/M
Inspector Comments:

(date)
Volume 1 Appendix C
Page 58
Green Roof Inspections and Maintenance Checklist
Location:
Owner Name: ___________________________________________________________________________________________
Site Status:
***Green roof inspections should occur twice per year during the growing season. Please submit both checklists once annually.
Green Roof Type: Extensive Roof Cover  Intensive Roof Garden 
Inspection Frequency Key A=annual (required); M=monthly (recommended); S=after major storms (recommended);
G=monthly during April-September growing season only
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)

Needed?
Drainage
Gutter inlets blocked by plant debris/trash A/M
or plant growth hindered by debris?
Roof drains and scuppers overgrown or full 2x per
of organic matter? Yr
Standing water present? A/M
Vegetation
Evidence of additional irrigation needs? G
Fallen leaves/debris interfering with plant A/M
health?
Dead plants to be replaced? A/M
Need for weeding/mowing/trimming? G
Soil Substrate/Growing Medium
Evidence of wind or water erosion? A
Evidence of structural deterioration? A
Load-bearing walls in good condition? A
Access/maintenance routes maintained and A/M
free of debris?
Mechanical units free of leaks or spills? A/M
Volume 1 Appendix C
Page 59
Maintenance
Inspected?
Frequency
Inspection
(Yes/No)
(Yes/No)
Needed?
Hazards
residents?
Inspector Comments:

(date)
Volume 1 Appendix C
Page 60

Stormwater Structural BMP Inspection Checklist Templates: (Component of Long-Term Maintenance Plan)

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Metropolitan Nashville - Davidson County

Stormwater Management Manual September 2013

STORMWATER STRUCTURAL BMP

• STORMWATER WET OR DRY POND

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Stormwater Pond Inspections and Maintenance Checklist

Site Name: Owner Change since last inspection? Y N

Owner Name: ___________________________________________________________________________________________

Address _______________________________________________________ Phone Number ___________________________

Date: __________ Time: ______________ Site conditions: ______________________________________________________

Inspection Frequency Key: A=annual(required); M=monthly(recommended); S=after major storms(recommended)

Embankment and Emergency Spillway

Permanent Pool Areas (if applicable)

Dry Pond Areas (if applicable)

Overall Condition of Facility:  Acceptable  Unacceptable

Maintenance Action Needed Due Date

The next routine inspection is scheduled for approximately:

Constructed Wetlands Inspections and Maintenance Checklist

Site Name: Owner Change since last inspection? Y N

Owner Name: ___________________________________________________________________________________________

Address _______________________________________________________ Phone Number ___________________________

Date: __________ Time: ______________ Site conditions: ______________________________________________________

Constructed Wetland Type: ED Wetland  Pocket Wetland  Wetland 

Inspection Frequency Key: A=annual(required); M=monthly(recommended); S=after major storms(recommended)

Inspection Items Comments/Description

Embankment and Emergency Spillway

Overall Condition of Facility:  Acceptable  Unacceptable

Maintenance Action Needed Due Date

The next routine inspection is scheduled for approximately:

Sand Filter Inspections and Maintenance Checklist

Site Name: Owner Change since last inspection? Y N

Owner Name: ___________________________________________________________________________________________

Address _______________________________________________________ Phone Number ___________________________

Date: __________ Time: ______________ Site conditions: ______________________________________________________

Overall Condition of Facility:  Acceptable  Unacceptable

Maintenance Action Needed Due Date

The next routine inspection is scheduled for approximately:

Filter Strips Inspections and Maintenance Checklist

Owner Name: ___________________________________________________________________________________________

Address _______________________________________________________ Phone Number ___________________________

Date: __________ Time: ______________ Site conditions: ______________________________________________________

Overall Condition of Facility:  Acceptable  Unacceptable

Maintenance Action Needed Due Date

The next routine inspection is scheduled for approximately:

Buffers Inspections and Maintenance Checklist

Site Name: Owner Change since last inspection? Y N

Owner Name: ___________________________________________________________________________________________

Address _______________________________________________________ Phone Number ___________________________

Date: __________ Time: ______________ Site conditions: ______________________________________________________

Overall Condition of Buffer:  Acceptable  Unacceptable

Maintenance Action Needed Due Date

The next routine inspection is scheduled for approximately:

Proprietary BMP Inspections and Maintenance Checklist

Site Name: Owner Change since last inspection? Y N

Owner Name: ___________________________________________________________________________________________

Address _______________________________________________________ Phone Number ___________________________

Date: __________ Time: ______________ Site conditions: ______________________________________________________

Overall Condition of Facility:  Acceptable  Unacceptable

Maintenance Action Needed Due Date

The next routine inspection is scheduled for approximately:

Bioretention Inspections and Maintenance Checklist

Site Name: Owner Change since last inspection? Y N

Address _____________________________ Phone Number _

Date: Time: Site conditions: ______________________________________________

Address _____________________________ Phone Number _

Date: Time: Site conditions: ______________________________________________

Address _____________________________ Phone Number _

Date: Time: Site conditions: ______________________________________________

Address _____________________________ Phone Number _

Date: Time: Site conditions: ______________________________________________

Address _____________________________ Phone Number _

Date: Time: Site conditions: ______________________________________________

Address _____________________________ Phone Number _

Date: Time: Site conditions: ______________________________________________

Address: _____________________________ Phone Number:

Date: Time: Site conditions: ______________________________________________

Address: _____________________________ Phone Number:

Date: Time: Site conditions: ______________________________________________

Address: _____________________________ Phone Number:

Date: Time: Site conditions: ______________________________________________

Address _____________________________ Phone Number _

Date: Time: Site conditions: ______________________________________________

Address: _____________________________ Phone Number:

Date: Time: Site conditions: ______________________________________________

Address: _____________________________ Phone Number:

Date: Time: Site conditions: ______________________________________________

Address: _____________________________ Phone Number:

Date: Time: Site conditions: ______________________________________________

Address: _____________________________ Phone Number:

Date: Time: Site conditions: ______________________________________________