Storm Drain Outfall Characteristics Form
| Location Information
Date: Inspector:
Time:
Outfall ID:
Outfall Location:
Receiving Waterbody:
Photo Taken: Yes No Photo ID:
Weather Clear Cloudy Approximate Temp: _ Ss Wind Present: Yes No
Precipitation in the past 3 days: No Yes inches
Dry Weather Inspection Form Used: Yes No-No Discharge No-—NoDry Weather No - Other
Pipe Flow: None Trickle Steady 1/4 pipe flow or more
Seepage Flow: None Trickle Steady 1/4 pipe flow or more
| Outfall Description _ Select all that are applicable, fill in as necessary
Submerged in water-_no__partially __ fully
Type: RCP CMP Dimension (inches)
Open Pipe- PVC HDPE Circular Box
Steel Other Elliptical Other
Open Drainage- Concrete Trapezoidal Depth (inches)
Earthen Parabolic Top width (inches)
Riprap Other Bottom width (inches)
Other
| Additional Information
Sediment Condition: Open % Full % Full % Full Plugged
Structure Condition: Excellent Good Fair Poor
Trashilitter present: Yes No Nt
Yard waste observed: Yes No
General Comments:
Actions Taken:
Follow-up Required: Yes No
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Hic it Discharge Detection and Eimination Plan
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