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ATTY/AGR.2017.203/Lane Partners, LLC - STMMA <br />Manufactured Stormwater Treatment Measure <br />Inspection and Maintenance Checklist <br />Property Owner: <br />Date of Inspection: <br />System Type: <br />Instal ler/Contractor: <br />Manufacturer: <br />Defect Conditions When Maintenance Is <br />Needed <br />1. Sediment, trash Sediment, trash and debris <br />and debris <br />accumulated in the sedimentation <br />accumulation on <br />basin, riser pipe, retention pipes and <br />Filter <br />filter bed. Filter does not drain as <br />specified. <br />2. Standing water <br />Manufactured treatment measure <br />does not drain within five days after <br />rainfall, <br />3. Mosquitoes Evidence of mosquito larvae in <br />manufactured treatment measure. <br />Property Address: <br />Type of Inspection: rl Monthly <br />r' After heavy runoff <br />Inspector(s): <br />2075 Broadwav Street <br />Pre -Wet Season <br />I:a End of Wet Season <br />Maintenance Comments (Describe maintenance completed and if Results Expected When <br />Needed? (YIN <br />) needed maintenance was not conducted, note when it will be Maintenance Is Performed <br />done) <br />Sediment, trash and debris <br />removed from sedimentation <br />basin, riser pipe and filter <br />bed and disposed of <br />properly. Filter drains per <br />design specifications. Empty <br />cartridge should be <br />reassembled and reinstalled. <br />Clogs removed from filters, <br />sedimentation basin, riser <br />pipe and fitter bed. Fitter <br />drains per design <br />specifications. <br />Clogs removed from <br />sedimentation basin, riser <br />pipe and filter bed. Filter <br />drains per design <br />specifications. <br />4, Miscellaneous Any condition not covered above that Meet the design <br />needs attention in order for the specifications. <br />manufactured treatment measure to <br />function as designed. <br />jos.=.ate _�e,��„ w�nU3oaa Manufactured Treatment Measure Maintenance Plan - Page 3 <br />