RFP 25_111 Appendix B_HVPS Inspection Forms.pdf
PDF 2 MB Posted
- Attached to
- MS4 INSPECTIONS
- Solicitation number
- PE-66085-NONST-2025-000000053
- Issued by
- Fulton County, Georgia
About this file
This file contains inspection forms that are part of RFP 25-111 for MS4 Inspections issued by the City of Alpharetta, Georgia. The document includes detailed inspection forms for various types of stormwater management and pollution control inspections including: HVPS (Highly Visible Pollutant Source), Industrial Site, Municipal Site, and Annual BMP Operation & Maintenance inspections for Bioretention/Rain Gardens, Cisterns, Constructed Wetlands, Enhanced Swales, Green Roofs, Infiltration Trenches, Ponds, and Porous/Permeable Pavement systems.
The forms are comprehensive checklists designed to evaluate facility maintenance procedures, drainage systems, waste storage practices, material handling areas, spill prevention measures, and stormwater pollution controls. Each form includes sections for documenting general information, inspection findings, maintenance requirements, violations, and follow-up actions. The forms require documentation of items such as visible pollution, erosion, debris accumulation, structural conditions, vegetation management, and proper functioning of stormwater management features. No specific pricing, funding, or contract term information is included in these technical inspection forms.
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Other files
| File | Type | Posted |
|---|---|---|
| Disclosure_Debarment Form.pdf | ||
| RFP 25_111 Cost proposal.xlsx | XLSX spreadsheet | |
| RFP 25_111 Scope of Work_Submittal.pdf | ||
| E_Verify Affidavit_Contractor.pdf | ||
| RFP 25_111 Appendix A_Field Manual _ City Own.pdf | ||
| RFP 25_111 Information and Contract T_C.pdf |
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Text version
CITY OF ALPHARETTA REQUEST FOR PROPOSALS (RFP)
RFP Number: 25-111 RFP Title: MS4 Inspections
APPENDIX B: INSPECTION FORMS
1. Inspection Forms
a. HVPS Inspection Form
b. Industrial Site Inspection Form
c. Municipal Site Inspection Form
2. Annual BMP Operation & Maintenance Inspection Forms
a. Bioretention Rain Garden
b. Cistern
c. Constructed Wetlands
d. Enhanced Swale
e. Green Roof
f. Infiltration Trench
g. Other
h. Pond
i. Porous and Permeable Pavement
City of Alpharetta RFP 25-111 MS4 Inspections Appendix B: Inspection Forms
HVPS Inspection Form
Industrial Site Inspection Form
Municipal Site Inspection Form
Annual BMP Operation & Maintenance Inspection for: Bioretention / Rain Garden
Owner Name Property Address / Location
Subdivision Watershed Public or Privately Maintained
Owner Representative Owner Rep Address Owner Rep Phone Owner Rep Email
Inspector Name Inspection Date Date of last inspection
Date BMP placed in service
Permit name and number
As-built plans available? Y or N
Links to electronic plans
BMP Element Description Maintenance req’d?
Y/N/NA
Comments:
General Access to facility Excessive debris / trash / sediment accumulation Visible pollution
– evidence of oil / chemical accumulation Evidence of standing water;
ponding, noticeable odors, algae, etc.
Erosion Other
Inflow Adjacent area stabilized
Slope erosion Failure at inlet pipe or structure
Pipe is clogged Excessive trash / debris / sediment accumulation at inlets
Pre-treatment Type
Excessive trash/ debris / sediment
Evidence of clogging
Erosion or exposed soil
Removal of trees / woody vegetation
Outflow Emergency spillway needs repair
Underdrain pipe appears clogged
Observation well is inaccessible
Control valve inoperable or needs repair
Headwall missing or in need of repair
Missing riprap at outflow
Vegetation Adequate vegetation and ground cover
Embankment erosion
Stormwater failing to percolate
Additional Comments:
Recommendations:
Violations:
Violation Issued?
Explanation Re inspection required?
Date for re inspection
Follow up inspection required?
Annual BMP Operation & Maintenance Inspection for: Cistern
Y/N/NA
Comments:
General Access to facility Excessive debris / trash / sediment accumulation
Visible pollution
– evidence of oil / chemical
Drainage System
A component of the system is leaking or damaged
Water is flowing out of the overflow pipe during low flow rain events
Rainwater collected appears to not be reused
Electric system is flawed
Tank is full of debris or algae
Gutters are clogged or water is backing up
Explanation Re inspection required?
Date for re inspection
Annual BMP Operation & Maintenance Inspection for: Constructed Wetlands
Y/N/NA
Comments:
General Security fence and/or access
Undesirable vegetative growth
Excessive debris / trash / sediment in pond
Inflow Missing riprap
Failure at pipe or structure
Excessive trash / debris / sediment
Pre-treatment or forebay
Vegetation Plants consistent with approved
Presence of invasive species or weeds
Additional planting needed
Bare or eroded areas
Riser and principal spillway
Low flow orifice obstructed
Low flow trash rack missing or clogged
Weir trash rack
Weir obstructed Cracks or displacement in
Spalling Joint failures Grout missing Inaccessible and Spillway
Adequate
Removal of trees / woody vegetation from the dam
Soft spots or sinkholes are visible on dam
Explanation Re inspection required?
Date for re inspection
Annual BMP Operation & Maintenance Inspection for: Enhanced Swale
Y/N/NA
Comments:
General Wet or Dry Swale?
Access to facility
/ trash / sediment standing water;
ponding, debris / sediment
Explanation Re inspection required?
Date for re inspection
Annual BMP Operation & Maintenance Inspection for: Green Roof
Y/N/NA
Comments:
General Access to facility Other
Vegetation Plant cover is less than 90%
Plants are wilting Plants are choking on excess
Invasive and nuisance plant species are present
Drought conditions present
Structural Components
Waterproof membrane is leaking or cracked
Root barrier is perforated
Drainage Drain pipe is
Excessive runoff standing water, ponding, noticeable odors, presence of algae
Explanation Re inspection required?
Date for re inspection
Annual BMP Operation & Maintenance Inspection for: Infiltration Trench
Y/N/NA
Comments:
General Access to facility Excessive debris / trash / sediment accumulation Visible pollution
– evidence of oil / chemical accumulation Evidence of standing water;
ponding, debris / sediment
Filter Media Adequate
Explanation Re inspection required?
Date for re inspection
Annual BMP Operation & Maintenance Inspection for: Other
Y/N/NA
Comments:
General Type?
Copy of owner maintenance records
Security fence and/ or access
Other
Inflow Missing riprap Slope erosion debris / sediment or forebay principal spillway
Grout missing Inaccessible Control valve
Embankment and Spillway
Adequate trees / woody
Explanation Re inspection required?
Date for re inspection
Annual BMP Operation & Maintenance Inspection for: Pond
Y/N/NA
Comments:
General Security fence and access
Inflow Missing riprap
Excessive trash / debris / sediment or forebay principal spillway
Grout missing Inaccessible Control valve and Spillway
Adequate trees / woody
Explanation Re inspection required?
Date for re inspection
Annual BMP Operation & Maintenance Inspection for: Porous and Permeable Pavement
Y/N/NA
Comments:
General Access to facility Excessive debris / trash / sediment accumulation Visible pollution
– evidence of oil / chemical accumulation Evidence of standing water;
ponding, algae, etc
Pre-treatment Type
Surface / Filter Media
Stormwater
Vegetation is dead or dying
Presence of invasive species / weeds
Explanation Re inspection required?
Date for re inspection
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