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Home My WebLink AboutOM Manual 01-13-21Stormwater Infrastructure Operations and Maintenance Manual Carmel Middle School Site Improvements 300 S. Guilford Road Carmel, Indiana Owner: Carmel Clay Schools 5201 E. Main Street Carmel, Indiana 46033 TLF Project 2020-367 January 13, 2021 TLF, Inc. 3901 West 86th Street Indianapolis, IN 46268 Phone (317) 334-1500 Fax (317) 334-1552 TLF#2020-367 13-January-21 TABLE OF CONTENTS I. Owner Information II. Site Information III. BMP Owner Acknowledgement Agreement IV. Storm Sewer Structure Maintenance V. Storm Sewer Pipe Maintenance VI. Aqua-Swirl (Hydrodynamic Separator) Maintenance VII. Site Diagrams and Stormwater Details VIII. Inspection and Maintenance Schedule IX. Sample Inspection Checklists a. Storm Sewer Structure Inspection Checklist b. Storm Sewer Pipe Inspection Checklist c. Aqua-Swirl (Hydrodynamic Separator) Inspection Checklist TLF#2020-367 13-January-21 I - OWNER INFORMATION BMP Owner Name: Carmel Clay Schools 5201 E. Main Street Carmel, Indiana 46033 Contact: TBD General Information The purpose of water quality Best Management Practices (BMPs) is to filter the first flush of rainwater before it enters the downstream lakes and streams. Through the use of these BMPs, the sediment and pollutant load in stormwater runoff is reduced, and in many cases the quantity of stormwater runoff generated is also reduced. The use of BMPs also helps to reduce hydrocarbons, trash, and debris from entering waterways. Owner Responsibility The BMP Owner shall be responsible for all maintenance and costs associated with the proposed BMPs. In addition, it is the owner’s responsibility to perform and/or pay for inspections and maintenance as recommended below. Right of Entry City of Carmel representatives have the right to enter the property to inspect and, if required, maintain the BMPs at any time. Annual Inspection Reports Annual inspection reports shall be submitted to the City of Carmel for each BMP. The first report is due one year after construction is completed, with subsequent reports due each year within the same month of the initial report. If there are any discrepancies found during the inspection, these should be addressed. If the inspection report is not received within the month it is due, if there are deficiencies which were not included in the report, or if any deficiencies included in the report are not addressed in a timely manner, the BMP owner faces enforcement action from the City of Carmel. TLF#2020-367 13-January-21 II – SITE INFORMATION The site contains a Best Management Practices (BMP) for the purpose of sediment remo val. The Mechanical BMP is located at the northern portion of the east parking lot. City of Carmel will require annual inspection reports of the water quality BMPs. LOCATION MAP TLF#2020-367 13-January-21 III – BMP OWNER ACKNOWLEDGEMENT AGREEMENT Owner Acknowledgement Agreement (“Agreement”) For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the undersigned owner (“Owner”) hereby submits this Operation and Maintenance Manual (“Manual”) to the City of Carmel, Indiana (“City”) as a written acknowledgement of Owner’s warranty and agreement to institute, maintain, and follow the water quality Best Management Practices (“BMPs”) listed below, and to follow and abide by the inspection schedule and maintenance activities listed in this Manual. The Owner also hereby agrees to provide, at Owner’s cost, all additional maintenance, repair, and/or replacement services reasonably necessary to maintain the function and longevity of the BMPs from and including the date this Agreement is executed by Owner to and including the date on which a new Agreement is filed with the City by another party who assumes all of the obligations and responsibilities of Owner as set forth herein. BMPs: ___________________________________________________ ___________________________________________________ ___________________________________________________ _______________________________ ________________________ Owner Signature Date _______________________________ ______________________________ Printed Name Company STATE OF INDIANA ) ) SS: COUNTY OF HAMILTON ) BEFORE ME, the undersigned, a Notary Public in and for said County and State, personally appeared _________________________________ Owner subscribed and sworn before this ____ day of __________________, ________. ______________________________ ______________________________ County of Residence Signature ______________________________ Commission Expiration Date ______________________________ Printed Name TLF#2020-367 13-January-21 IV – STORM SEWER STRUCTURE MAINTENANCE Storm structures are set at storm sewer pipe connections. Unless you have OSHA approved training and equipment, never enter a manhole. Inspection All inlet castings should be inspected monthly and after each rainfall event. More frequent inspections should be performed in areas where there is higher potential for trash or litter and during the fall when leaves are present on the ground. Check the frame and lid for cracks and wear, such as rocking lids or lids moved by traffic. Storm structures and the surrounding areas should be inspected annually for pollutants such as leaks from dumpsters, minor spills, and oil dumping. Take action to have the pollutant source removed. Cleaning Clean structures when there is a blockage of a wat er flow path or when sediment depth reaches 6”. Cleaning should be performed in a way that ensures removed sediment and water is not discharged back into the storm sewer. Safety Work inside underground structures requires special OSHA-required confined space equipment and procedures. The most practical option may be to contract with a sewer cleaning contractor. Materials Handling Disposal of waste from maintenance of drainage facilities shall be conducted in accordance with federal, state, and local regulations. Removed sediment must be disposed in the garbage as a solid waste. Water should be disposed of in a sanitary sewer after oils are removed using oil absorbent materials or other mechanical means. Used oil absorbents should be recycled or disposed according to the manufacturer’s instructions. Repairs Repair all security and access features so they are fully functional. This includes locking lids, covers, and ladder rungs. Replace broken parts or lids that rock or are moved by traffic. TLF#2020-367 13-January-21 V – STORM SEWER PIPE MAINTENANCE Storm sewer pipes convey stormwater. Pipes are built from many materials and are sometimes perforated to allow stormwater to infiltrate into the ground. Storm pipes are cleaned to remove sediment or blockages when problems are identified. Storm pipes must be clear of obstructions and breaks to prevent localized flooding. Inspection Pipes are difficult to inspect requiring special equipment and training. Usually, if a problem occurs, the owner needs to call a sewer or plumbing contractor to inspect, repair, or clean pipes. Cleaning Clean pipes when sediment depth is greater than ¼ of the pipe diameter, with a maximum sediment depth of 6”. When cleaning a pipe, minimize sediment and debris discharges from pipes to the storm sewer. Install downstream debris traps (where applicable) before cleaning and then remove material. Generally, use mechanical methods to remove root obstructions from inside storm sewer pipes. Do not put root-dissolving chemicals in storm sewer pipes. If there is a problem, remove the vegetation over the line. Safety Work inside underground structures requires special OSHA-required confined space equipment and procedures. The most practical option may be to contract with a sewer cleaning contractor. Materials Handling Disposal of waste from maintenance of drainage facilities shall be conducted in accordance with federal, state, and local regulations. Removed sediment must be disposed in the garbage as a solid waste. Water should be disposed of in a sanitary sewer after oils are removed using oil absorbent materials or other mechanical means. Used oil absorbents should be recycled or disposed according to the manufacturer’s instructions. Repairs Repair or replace pipes when a dent or break closes more than 20 percent of the pipe diameter. Repair or replace pipes damaged by deterioration. TLF#2020-367 13-January-21 VI – HYDRODYNAMIC SEPARATOR MAINTENANCE This site contains three AquaSwirl BMP structures. AquaSwirls are designed to remove sediment, debris, and free oil from entering the sewer system. After construction, the AquaSwirl structures should be inspected every six months and cleaned as needed or once a year regardless of whether it has reached full pollutant storage capacity. Disposal of all sediment, in addition to local requirements, must be in accordance with all federal and state requirements. See the attached manufacture O&M Manual for complete details of inspection and cleaning. Inspection Inspect the unit every six months. The inspection sh ould determine sediment depth, accumulation of trash and litter, and the specific maintenance and repairs needed. Annually check for cracks large enough to let soil enter the vault, broken or defective plates and baffles, and crushed or damaged pipes. Cleaning Remove trash and litter from the vault, inlet, and piping when present. Remove sediment when it accumulates to 7” or per the manufacturer’s maximum recommended depth. Cleaning should be performed in a way that ensures removed sediment and water i s not discharged back into the storm sewer. Safety Work inside underground structures requires special OSHA-required confined space equipment and procedures. The most practical option may be to contract with a sewer cleaning contractor. Materials Handling Disposal of waste from maintenance of drainage facilities shall be conducted in accordance with federal, state, and local regulations. Removed sediment must be disposed in the garbage as a solid waste. Water should be disposed of in a sanitary sewer after oils are removed using oil absorbent materials or other mechanical means. Used oil absorbents should be recycled or disposed according to the manufacturer’s instructions. Repairs Repair any cracked or defective plates or baffles. Repair all secu rity and access features so they are fully functional. This includes locking lids, covers, and ladder rungs. Replace broken parts or lids that rock or are moved by traffic. TLF#2020-367 13-January-21 VII – SITE DIAGRAMS AND STORMWATER DETAILS CONSULTANTPROJECT NUMBER: 220128.00/2020-367CARMEL CLAY SCHOOLSPROJECT ISSUE DATE: 01.13.2021DRAWN BY: ARSREV.NO.DESCRIPTIONDATECONSTRUCTION DOCUMENTSWWW.FHAI.COMARCHITECT317-848-0966350 E NEW YORK ST# 300, INDIANAPOLIS, IN 46204COPYRIGHT 2021 BY FANNING/HOWEY ASSOCIATES, INC.CARMEL MIDDLESCHOOL SITE300 S Guilford RdCARMEL, IN 46032IMPROVEMENTSPROJECT : 220128.00PROJECT MANAGER: BNHSITE UTILITY DETAILSCURB INLET - DETAIL ANO SCALEPRECAST REINFORCEDCLASS "A"CONCRETE BOXFINISH GRADENEENAH R-3286-8V8"6"24" x 36"6"WEEP HOLESPAVEMENTCOMPACTED SUBGRADEBASE SET ON 6" OF#8 OR #2 STONERIM ELEVATIONTOP OF CASTINGTO MATCH EXISTING GRADEVARIES 16" MIN.12" TO 15""A"PIPE SIZE24" X 24"STRUCTURE SIZING CHART"F"30" X 30""M"24" X 36"1" = 1'-0"STORM INLET - DETAIL BINSIDEDIMENSIONSINLETTYPE8"6"CLASS "A" PRECAST REINFORCEDCONCRETE BOXSEE STRUCTURE DATATABLE FOR PIPE SIZEAND INVERT ELEV.INSIDE DIMENSION* SEE SIZING CHART ABOVESEE STRUCTURE DATA TABLE FORCASTING TYPE AND ELEVATIONBASE SET ON 6" OF#8 OR #2 STONECOMPACTEDSUBGRADEINSIDE DIMENSION * SEE SIZING CHART ABOVE MAX. NUMBER OFSIDES OF THEINLET WITH PIPES318" TO 24"315" TO 18"3NOTES:1.ALL STORM SEWER CASTINGS SHALL BE MARKED "DUMP NO WASTEDRAINS TO WATERWAYS".2.SEE UTILITY PLAN FOR STORM SEWER STRUCTURE DATA TABLE.FOR PIPE LOCATED IN ANDWITHIN 5' OF PAVED AREASFOR PIPE LOCATEDIN GRASSED AREASSTORM SEWER (PVC & HDPE) TRENCH DETAILNO SCALENOTES:1.ALL BEDDING & INITIAL BACKFILLSHALL BE INSTALLED IN 6" TO 12"BALANCED LIFTS.2.A MIN. 9" CLEARANCE EACH SIDEOR PIPE FOR 42" DIA. AND LESS.BcMIN.4"12"MIN. 1.25 O.D.+12"MIN. 6" TOPSOILOUTSIDE PAVEMENT LIMITSPAVEMENT SECTIONREGULAR BACKFILL -GREATER THAN 5' FROMEDGE OF PAVEMENTCOMPACTED 90%REGULAR BACKFILL-GREATER THAN 5' FROMEDGE OF PAVEMENTCOMPACTED TO 90%#8 CRUSHED STONE OREQUIVALENT CLASS 1MATERIAL HAND TAMPEDOR WALKED INTO PLACE"B" BORROW (INDOT SPEC.) OREQUIVALENT GRANULARMATERIAL COMPACTED TO 95%STANDARD PROCTER DENSITYUDUDUDUDUDUD2 0 L . F . (M I N , )20 L.F. (MIN,)20 L.F. (MIN,)20 L.F. (MIN,)MANHOLE/INLET20 L.F. (MIN,)20 L.F. (MIN,)U D20 L.F. (MIN,)UD20 L.F. (MIN,)2'-0" VARIES 4" DIA. PERF.PVC SDR-35 PIPE1'-0"4"NON WOVENFILTER CLOTH#8 WASHEDAGGREGATECOMPACTED AGGREGATE BASEPAVEMENTCURB INLETNOTES:1.TAP STRUCTURES IN PAVEMENT AS SHOWNOR AS DIRECTED ON THE PLAN SHEET2.ADJUST UNDERDRAIN AS REQUIRED TOAVOID SEWER LINES AND OTHER UTILITIES.3.GROUT SOLID THE CONNECTION TO STORMSTRUCTUREPAVEMENT UNDERDRAIN - DETAIL DNONE1/6 Bc3"4"6"LEGEND MATERIAL BELOW PIPEd = DEPTH OF BEDDINGD = INSIDE DIAMETERBc = OUTSIDE DIAMETER30" TO 60"27" & SMALLER66" & LARGER D (d) MIN. R.C. PIPE TRENCH BEDDING - DETAIL F3/4" = 1'-0"DEPTH OF BEDDINGMATERIAL BELOW PIPENOTES:1.ALL BEDDING & INITIAL BACKFILLSHALL BE INSTALLED IN 6" TO 12"BALANCED LIFTS.2.A MIN. 9" CLEARANCE EACH SIDEOR PIPE FOR 42" DIA. AND LESS.REGULAR BACKFILL -GREATER THAN 5' FROM EDGEOF PAVEMENT COMPACTED 90%MIN. 1.25 O.D.+12"FOR PIPE LOCATED IN ANDWITHIN 5' OF PAVED AREASFOR PIPE LOCATEDIN GRASSED AREASBcMIN. 6" TOPSOILIN NON-PAVED AREASPAVEMENT SECTION"B" BORROW (INDOT SPEC.) OREQUIVALENET GRANULARMATERIAL COMPACTED TO 95%STANDARD PROCTER DENSITY"B" BORROW (INDOT SPEC.) OREQUIVALENET GRANULARMATERIAL COMPACTED TO 95%STANDARD PROCTER DENSITYd 1/4"1"AA2 4 " I . D .34" OR 36" O.D.1/4"RISER RINGPLAN VIEWOUTSIDE DIA. 34" OR 36"GASKET DETAILTHICKNESS 4"-12"SECTION A-A30 1/2" DIA.ADJUSTING RING - DETAIL ENO SCALEPLACE 1/2" DIAMETEREXTRUDABLE PREFORMEDGASKET MATERIAL INKEYWAY (SEE DETAIL)30 1/2" DIA.1/4"5/8"1/4"NOMINAL 1/2" BUTYL RUBBERBASE EXTRUDABLE PREFORMEDGASKET MATERIAL (TYP)PRECAST CONCRETEADJUSTING RING ORFLANGE OF CASTING#4 RE BAR @ 12" O.C. EACH0.12 SQ. IN./SQ. FT.)WAY (STEEL MESH AREA =CONCRETE SETTING BEDMANHOLE SECTION SET ON1/2" PER FOOT SLOPEBENCH WALLS AT MINCEMENT GROUTW/ NON SHRINKPIPE AND STRUCTURESEAL BETWEEN EXISTINGPRECAST CONCRETESECTIONSSEAL AT JOINTSASPHALTIC MASTICO-RING GASKETOR BUTYL RUBBERCONDITIONS.ECCENTRIC CONE ORREDUCER CAP ASREQUIRED BY SITESTEEL MANHOLE STEPSPLASTIC ENCAPSULATEDSEAL BETWEEN JOINTS5" MIN. WALL48" DIA.12" TYP.SEE DETAILPRECAST CONCRETEADJUSTING RINGAS NEEDED (4 MAX.)GRATED NEENAH R-2540CASTING AND FRAMEOR BUTYL RUBBERASPHALTIC MASTIC24" DIA.NOTES:JOINTS CONFORM TO ASTM C443MANHOLE CONFORMS TO ASTM C478COMPACTED SUBGRADERIM ELEVATIONFINISH GRADE(PIPE SIZES 12" THRU 24")NONEOVER EXISTING PIPES - DETAIL CNOTE: ADJUST BENCHWALL TO ALLOW FORRNEW PIPE INSET.AT TOP OF BENCH WALLCUT OUT EXISTING PIPE1' WIDE x 1' THICK xCIRCULARCONCRETE SETTINGBED6" LAYER #2 STONESTORM MANHOLE - DOGHOUSE STRUCTUREPRECAST FLARED END SECTION - DETAIL GNOTE: MANUFACTURER OF END SECTION IS IN ACCORDANCE WITH APPLICABLE PORTIONS OF A.S.T.M. SPECIFICATION C76.NONESECTION AASIZE SCHEDULE(GROOVE-OUTLET END)22WALL23212DIA.18152421DIAMETERWALL WT. SEC15201280121214121212145301G or T99074022221212B244A272743359699(TONGUE-INLET END)G or TWALL DIAMETERA CDBSKIRTBHORIZONTAL FLAREVERTICAL FLARESECTION BBR1224EDCR7236304842737373734630384846111618116121210R-113DIA.+11215161619162522A 1212123SKIRT9R-2434412111413WALLDIA.+1 R-1EBR- 2 AWALL DIAMETER1/32 TAPER PERINCH PER SIDEE R-1WALL DIAMETERWALL1 1/2" RAD.1 1/2" RAD.GEOTEXTILE 8oz/SYD. MIN.CONC. HEADWALLSEE PLANFABRIC SECURING PINSCOMPACTED SUBGRADETOE WALL12"24"12"6"RIPRAP AT END SECTION - DETAIL HNO SCALECOMPACTED SUBGRADEGEOTEXTILE8 OZ./SYD. MIN.2' (TYP.)24" MAX.12" MIN.1'-0"END SECTIONG3.0 CONSULTANTPROJECT NUMBER: 220128.00/2020-367CARMEL CLAY SCHOOLSPROJECT ISSUE DATE: 01.13.2021DRAWN BY: ARSREV.NO.DESCRIPTIONDATECONSTRUCTION DOCUMENTSWWW.FHAI.COMARCHITECT317-848-0966350 E NEW YORK ST# 300, INDIANAPOLIS, IN 46204COPYRIGHT 2021 BY FANNING/HOWEY ASSOCIATES, INC.CARMEL MIDDLESCHOOL SITE300 S Guilford RdCARMEL, IN 46032IMPROVEMENTSPROJECT : 220128.00PROJECT MANAGER: BNHSITE UTILITY DETAILSG3.1DIA. "G"DIA. "F"PIPEPIPE TURNS54"-66"48"42"-48"48"42"UP TO 60°UP TO 45 °24"-33"33"-36"GREATER THAN 45° TO 90°GREATER THAN 45° TO 90°GREATER THAN 45° TO 90°TURNS UP TO 45°STRAIGHT THRUMANHOLE96"96"84"72"84"60"60""H"-WALLTHICKNESS9"9"9"9"7"6"6"SEE SCHEDULEFOR CASTING TYPEAND ELEVATIONFINISHGRADESTORM MANHOLE - DETAIL B1/2" = 1'-0"24" DIA.PRECAST CONCRETEADJUSTING RING4" MIN. - 12" MAX. SEE DETAILPLASTIC ENCAPSULATEDSTEEL MANHOLE STEPS48" DIA.STANDARD PRECASTMANHOLE CAP OR CONE3" MIN.6'-0" MIN.9"8"MIN.3" MIN.16"TYP.5"5"CONCRETE REDUCER CAP1/2" PER FOOT SLOPEBASE SET ON 6" OF#8 OR #2 STONECOMPACTEDSUBGRADEDIA. "F""H""H"1'-0" MIN. OVERHIGHEST PIPEDIA. "G"ONE COMPLETE UNIT OF PRECASTCONC. MANHOLE BASE AND RISER.SEPARATE BASE IS OPTIONALNOTES:MANHOLE CONFORMS TO ASTM C478.JOINTS CONFORM TO ASTM C443.NO BRICK OR BLOCK WILL BEALLOWED IN MANHOLE.AQUA-SWIRL - DETAIL ANTS GUILFORD ROADGUILFORD ROAD840838 839839839 8388388388378 3 9839 83 9 8398 3 9 83983984 0 840 840840STR. 299STR. 298STR. 297STR. 101STR. 101ASTR. 101BSTR. 99STR. 98CONSULTANTPROJECT NUMBER: 220128.00/2020-367CARMEL CLAY SCHOOLSPROJECT ISSUE DATE: 01.13.2021DRAWN BY: ARSREV.NO.DESCRIPTIONDATECONSTRUCTION DOCUMENTSWWW.FHAI.COMARCHITECT317-848-0966350 E NEW YORK ST# 300, INDIANAPOLIS, IN 46204COPYRIGHT 2021 BY FANNING/HOWEY ASSOCIATES, INC.CARMEL MIDDLESCHOOL SITE300 S Guilford RdCARMEL, IN 46032IMPROVEMENTSPROJECT : 220128.00PROJECT MANAGER: BNH309003060EAST PARKINGSITE DIAGRAM TLF#2020-367 13-January-21 VIII – INSPECTION AND MAINTENANCE SCHEDULE Structure/BMP Inspection Maintenance Storm Structure Casting Monthly & after rain events 6” of sediment accumulation Storm Structure Sump Annually & after heavy rain events 6” of sediment accumulation Storm Sewer Pipe When problems occur 6” of sediment accumulation Hydrodynamic Separator Every 6 months 7” of sediment accumulation TLF#2020-367 13-January-21 IV – SAMPLE INSPECTION CHECKLISTS Storm Sewer Structure Operation, Maintenance, and Management Inspection Checklist for BMP Owners Project: _________________________________Owner Change since last inspection? Y N Owner Name, Address, Phone: ___________________________________________________________ Number: _____________________________________________________________________________ Location: _____________________________________________________________________________ Site Status _________________________________ Date: ________________________ Time: ________________________ Inspector: ____________________________________________________________________________ Maintenance Item Satisfactory/ Unsatisfactory Comments Storm Casting and Grate (Inspect monthly and after major storms) 1. Trash/Debris obstructing inflow Affected Structures: 2. Silt/Sediment accumulation Affected Pipes: 3. Other (describe) Structure Sump (Inspect annually and after major storms) 1. Sediment/Debris in sump Affected Structures: 2. Other (describe) Headwall Structures (Inspect annually and after major storms) 1. Vegetation around headwall 2. Erosion around headwall 3. Animal burrows 4. Headwall clear of obstructions 5. Sediment Accumulation Affected Structures: 6. Other (describe) Additional Comments: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Actions to be taken: Timeframe: Storm Sewer Pipes Operation, Maintenance, and Management Inspection Checklist for BMP Owners Project: _________________________________Owner Change since last inspection? Y N Owner Name, Address, Phone: ___________________________________________________________ Number: _____________________________________________________________________________ Location: _____________________________________________________________________________ Site Status _________________________________ Date: ________________________ Time: ________________________ Inspector: ____________________________________________________________________________ Maintenance Item Satisfactory/ Unsatisfactory Comments Storm sewer pipes (Inspect annually and after major storms) 1. Trash/Debris obstructing inflow Affected Pipes: 2. Silt/Sediment accumulation Affected Pipes: 3. Other (describe) Additional Comments: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Actions to be taken: Timeframe: Aqua-Swirl Water Quality Structure Operation, Maintenance, and Management Inspection Checklist for BMP Owners Project: _________________________________Owner Change since last inspection? Y N Owner Name, Address, Phone: ___________________________________________________________ Number: _____________________________________________________________________________ Location: _____________________________________________________________________________ Site Status: _________________________________ Date: ________________________ Time: ________________________ Inspector: ____________________________________________________________________________ Maintenance Item Satisfactory/ Unsatisfactory Comments Aqua-Swirl Concentrator (Inspect quarterly and after major storms) 1. Condition of Structure 2. Trash/Debris obstructing inflow Affected Structures: 3. Silt/Sediment accumulation Affected Pipes: 4. Other (describe) Filtration Chamber (Cleaned annually at a minimum) 1. Condition of Chamber and Filter Trays 2. Color of Filter Media 3. Sediment/Debris in sediment chamber pumped and unit is pressure washed 4. Other (describe) Additional Comments: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Actions to be taken: Timeframe: