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Submit report
to:
City of Lynchburg
525 Taylor Street
Lynchburg, Virginia 24501
Attn: Stormwater BMP
City of Lynchburg Stormwater
Utility
Annual BMP Operation & Maintenance Inspection for:
Underground Dentention/Storage
Property Address: Inspector Name:
Location: Inspection Date:
Facility ID:
Code Key
NA = Not Applicable
S = Satisfactory
M= Monitor
U = Unsatisfactory, maintenance needed
Potential Problem
Code
Comments
Entire BMP
Inlet
Pipe is clogged
Pipe is cracked or damaged
Structure is damaged
Other (describe)
Underground vaults/pipes
Sediment accumulation (greater than design depth)
Seepage or settlement accompanied by cracks
Joint alignment, elongation or cracks
Leakage or water surface infiltration into system
Surface wear or loss of protective coating or
corrosion
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Outlet Device
Clogging has occurred
Device is damaged
Outflow pipe is clogged or damaged
Other (describe)
Miscellaneous
Access
Vandalism
Maintenance Requirements