Exhibit_1_-_Drainwell_Inspection_Form.pdf
PDF 110 KB Posted
- Solicitation number
- IFB24-0485
- Issued by
- Orange County, Orlando City, Florida
About this file
The document is a Drainwell Inspection Form sample from the City of Orlando, designed for comprehensive documentation of stormwater drainwell system assessments. The form provides a detailed template for inspectors to record critical information about drainwell conditions, including location details, well status, physical characteristics, water flow, structural ratings, and visual observations of debris, pollution, odor, and water clarity. The form allows for systematic evaluation of drainwell infrastructure, with rating scales from 1-5 to indicate the condition and potential need for maintenance or replacement.
The inspection form includes multiple checkbox and fill-in sections to capture comprehensive data about each drainwell, such as well diameter, water levels, flowrate, sediment presence, and specific observations about potential environmental issues. Inspectors can document evidence of structural problems like geysering, subsidence, or erosion, and note the presence of bar screens, creatures, or pollutants. The form also provides space for general comments and indicates whether follow-up actions are required, supporting the City of Orlando's efforts to maintain and monitor its stormwater management infrastructure effectively.
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Text version
Drainwell Inspection Form (Sample) Inspection Zone: _______
Location Information: Drainwell ID:
Drainwell Name: City Drainwell Number:
Date: Time: Inspector:
Weather: Photos taken: □ Yes □ No
Precipitation in the past 3 days: □ Yes □ No
Drainwell status: □ Active (water flowing down well) □ Inactive (no water present) □ Clogged
□ Unable to Field Verify (accessibility issues) □ Damaged - explain:
Evidence of well geysering or subsidence: □ hinged or slotted top □ erosion around structure
□ structure top moved off structure or not level □ other, describe:
Well Diameter: _______ inches Water level in well: ___ ft below top of structure (Btos)
Historic Total depth of well casing: ___ ft Btos Total depth of well: ___ ft Btos
Current Total depth of well casing: __ _ ft Btos Total depth of well: ___ ft Btos
Flowrate in well: □ None □ Trickle □ Steady □ High
Standing water in structure: □ Yes: Above/Below top of well □ No
Sediment in structure: □ Yes □ No □ Unknown
Structure rating: ___ Well rating: ___ Intake structure rating: ___
Ratings: 1 = near perfect, 2 = minor defects, 3 = major defects address soon 4 = major defects address immediately 5 = needs replaced
Drainwell has bar screen over casing: □ Yes □ No If yes, condition: □ Good □ Bad
Visual Observations Debris/Pollution: (check all that apply) Odor: Water Clarity:
□ Clean □ None/Neutral □ Clear
□ Brownish, White, Green Foam (circle which applies) □ Musty □ Cloudy
□ Oil/Film/Sheen □ Sewage/septic □ Opaque
□ Organic Material (plant debris, etc) □ Petroleum
□ Creatures (Snakes/alligators/bees/Other: ) □ Solvent
□ Trash and Debris
□ Sewage Material
□ Other (provide description)
Notes/General Comments/Actions Taken. Describe any nearby activities that could impact stormwater quality.
Follow up required: □ Yes □ No
File details come from the government source that posted it. Updated .