Bioretention Inspection Form (Page 3 of 4) in pdf

Bioretention Inspection Form Page 3

5. Are any trashracks, overflow or underdrains clogged?

☐ No ☐ Partially ☐ Completely ☐ NA

a. If yes, mark the location on your site sketch and fill in the boxes below with

the cause of the clogging (e.g., debris, sediment, vegetation, etc.)

b. Are any of the overflow or bypass structures altered from the original design or

otherwise in need of maintenance? (if yes, write in reason: frost heave,

vandalism, unknown)

Outlet #:

Partially clogged

Completely clogged

Reason for maintenance

Vegetation

6. What is the approximate vegetation survival rate? _______%

a. Does the current vegetation match the original design?

☐ Yes ☐ No ☐ Unknown

b. Is there the presence of:

☐ Diseased plants

☐ Weeds

☐ Noxious weeds

☐ None of the above

☐ Other: ____________________________

c. Does the vegetation appear to be healthy?

☐ Yes ☐ No (If no, describe below)

d. Is the vegetation the appropriate size and density?

☐ Yes ☐ No (If no, describe below)

Notes

Mulch

7. Are there any bare spots (without mulch cover) or locations with mulch depth less

than 2 inches? ☐ Yes ☐ No

If yes, mark on site sketch.

Bioretention Inspection Form Page 3