Fill - Free fillable Rooftop Disconnection 2014 - Rooftop Disconnection PDF form

Submitreport

to:



CityofLynchburg



525TaylorStreet

Lynchburg,Virginia24501



Attn:StormwaterBMP

434‐455‐4250



ROOFTOPDISCONNECTION:O&MCHECKLIST–VirginiaStormwaterManagementHandbook,Chapter9‐

C.2.0.

InspectionDate

Project SitePlan/PermitNumber

Location DateBMPPlacedinService

DateofLastInspection Inspector

Owner/Owner’sRepresentative

As‐BuiltPlansavailable: Y/N

Compensatory device type (include if the pervious area flow path is less than the required minimum length): (NOTE: See the

separateplanreviewchecklistforthecompensatorydevice)

 DryWell

 FrenchDrain

 RainGarden

 Other:____________________________

ElementofBMP PotentialProblem Y/N HowtoFixProblem

WhoWill

Address

Problem

Comments

Piping,Gutters,

Drains

andPre‐

TreatmentSumps

Fluidfromadifferent

practiceisbeing

pipednearpervious

areas

Preventadjacentusesfrom

pipingthroughoraround

perviousarea.

Professional

Sedimentanddebris

accumulation

Correctthesourceof

sedimentanddebrisand

removeitimmediately

Owneror

professional

Mosquito

proliferation

Correctgutterflowto

eliminatestandingwater;

treatformosquitoes,as

needed

Owneror

professional

Runoffisnot

enteringthe

receivingpervious

area

Checktoseeifconnection

spoutoroverflowpipeis

clogged.Removethe

sediment.

Owneror

professional

Thedownspouts

remaindisconnected

Restoredisconnection

Owneror

professional

ElementofBMP PotentialProblem Y/N HowtoFixProblem



WhoWill

Address

Problem



Comments

Manufactured

Products

Productor

componentisbroken

ornotfunctioning

correctly.



Followthemanufacturer’s

maintenance

recommendations,andrepair

orreplaceasneeded.

Owneror

professional



Downstream

Treatment

Thecompensatory

treatmentunitshave

notbeenmaintained



Correctidentifiedproblems,

accordingtothemaintenance

guidelinesforthespecific

supplementaryBMP.

Owneror

professional



Stormwater

dischargeisponding

atpointof

disconnection



Drywellsorfrench drains

maybeneeded,ifnotalready

present.Cleanoutmanually,

andreconstructorreplace

whennolongerfunctioning.

Professional 



Erosionisevidentat

thesimple

disconnection,

bioretention/rain

gardens,filterpaths,

orfoundationplanter



Removethesedimentand

debrisbuild‐upatthepoints

whererunoffentersthe

perviousarea.Thenre‐

stabilize.

Owneror

professional



Practicestowhich

thedisconnection

dischargesarenot

functioning



Referencethatpractice’s

checklistforinstructionstofix

problems.

Professional



Practicestowhich

thedisconnection

dischargesare

disturbedorhave

beenconverted



Correctidentifiedproblems

andstabilizeasneeded

Owneror

professional



Thereceiving

perviousarea(s)

retaindimensionsas

shownonplansand

areingoodcondition



Restoredimensionsandmake

neededrepairs

Owneror

professional



Thereis

encroachmentonthe

receivingpervious

area(s)oreasement

bybuildingsorother

structures



Informinvolvedproperty

ownersofBMPsstatus;

clearlymarktheb oundaries 

ofthereceivingperviousarea,

asneeded

Owneror

professional



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