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Pond Inspection Form

Steps

  1. 1. Step One (current) This section is complete This section is incomplete
  2. 2. Specific Location Information This section is complete This section is incomplete
  3. 3. Pond Location Within the Property This section is complete This section is incomplete
  4. 4. Q&A This section is complete This section is incomplete
  5. 5. Contact Information This section is complete This section is incomplete
  • Step One

    1. DRAINAGE FACILITY VISUAL FIELDINSPECTION REPORT BY OWNER

      ROMEOVILLE PUBLIC WORKS
    2. Instructions:
      Please fill out one form for each pond located within the property.

    Specific Location Information

    1. Land Use *

    Pond Location Within the Property

    1. PLEASE FILL OUT ONE FORM FOR EACH POND LOCATED WITHIN THE PROPERTY
    2. Pond is the furthest downstream pond on the property *
    3. Pond is the furthest downstream pond on the property *

    Q&A

    1. PLEASE ANSWER THE FOLLOWING
    2. Any accumulated debris has been removed from the pond after the last significant rainfall event of >1" rainfall. *
    3. Embankments or side slopes are well-stabilized; any eroded areas have been stabilized since the last significant rainfall event. *
    4. If naturalized pond, plantings are maintained in conformance with the original planting plan. If manicured pond, perimeter is stabilized to prevent erosion. *
    5. Vegetation, woody vegetation in particular, is harvested as necessary so that vegetation is maintained as indicated in the original plan, and the flow of the pond is not obstructed. *
    6. All pipes and end sections flowing into or out of the pond are clear of debris or obstructions. Submerged pipes are investigated. *
    7. All pipes and end sections flowing into or out of the pond are in good condition, secure and not undermined, and are not contributing to erosion or sedimentation. *
    8. Overflow of pond is properly stabilized and is clear of obstructions. *
    9. Control structures are properly clean of debris. *
    10. Storm sewer inlets, catch basins, and manholes within the property are properly clean of debris. *
    11. Easements and overland flow routes are clear of obstructions and are kept clean of debris which could create obstructions or contaminate the stormwater. *
    12. The capacity of the pond has not been significantly reduced since original construction. Sedimentation shall be removed fromt the pond bottom if it becomes excessive. *
    13. IF THE POND IS THE FURTHEST DOWNSTREAM POND WITHIN THE PROPERTY, PLEASE ANSWER THE FOLLOWING REGARDING JUST THE OUTFALL PIPE FROM THE POND SPECIFICALLY:
    14. Flow Present:
    15. If Yes, Flow Volume:
    16. Flow Color:
    17. Debris in Pipe
    18. Flow Odor:
    19. Staining and Scum Present:
    20. Debris Around Outfall:

    Contact Information

    1. Owner's Certification: *
      As owner of the property, I have reviewed the information provided on this form. The information is properly complete, and accurately describes the current conditions at the property. Persons deliberately providing false information may be subject to prosecution.
    2. Leave This Blank:

    3. This field is not part of the form submission.

    * indicates a required field