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O&M Form

O&M Form

Form Type: 
O&M Form

OPERATION AND MAINTENANCE INSPECTION REPORT FOR SR81 PASSIVE TREATMENT SYSTEM
   
Inspection Date: --
Inspected By:
Organization:
Start Time (Military Time):
End Time (Military Time):
   
Weather:
   
Is maintenance required?
If Yes, Explain:
   
A. Site Vegetation
Overall condition of vegetation:
Is any reseeding required?
If yes, describe area size and identify location on Site Schematic:
   
B. Site Access and Parking
Is the access road passable for operation and monitoring?
Does the access road need maintenance?
Describe maintenenace performed and remaining (identify location on site schematic):
   
C. Vandalism and Housekeeping
Is there litter around or in the pasive system?
If Yes, was the litter picked up?
Is there litter that may be considered hazardous or dangerous that requires special disposal?
Is there evidence of vandalism to the passive system?
Additional comments
   
D. Ditches, Channels, Spillways
Ditches, Channels, Spillways - check box if yes
Erosion RillsDebris PresentMaintenance Performed
1. Rock-lined Spillways
a. Settling Pond
b. Wetland
2. Diversion Ditch
Maintenance Performed and Remaining
   
E. Passive Treatment System Components
Passive System Components
Significant ErosionBerms StableVegetation SuccessfulSiltation SignificantWater Level Change
ALD
SP
Wetland
Additional O&M comments:
   
F. Wildlife Utilization
Animals sighted or tracks observed:
Invasive plants observed:
Describe any damage caused to treatment system by wildlife (especially muskrats) and required maintenance:
   
G. Field Water Monitoring and Sample Collection
Water Monitoring
gallonssecondsCalculated Flow (gpm)pHTemp (C)ORPAlkalinity (mg/L)DO (mg/L)Iron (mg/L)CommentsBottle No.Bottle No.(t. metals)Bottle No.(dis. metals)
ALD
Settling Pond
SR 81 - Seep
Wetland
Natural Wetland
SR 81 - Upstream
SR 81 - Downstream
- Not monitored
Sludge Accumulation
Depth(within 1-2' - Y/N)Sludge DescriptionComments
Settling Pond
Wetland
Natural Wetland
Not Monitored