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IlAaintenance Division and Parks & Open Space Division Section <br /> YES NO <br /> Maintenance <br /> Is project based on a request by Maintenance? ? ? <br /> (If YES, attach copy of request documentation) <br /> Does project use rehab funds? ? ? <br /> (If YES, verify priority) <br /> Other identified rehab needs adjacent to or within project boundaries? ? ? <br /> (If YES, attach list and / or description) <br /> <br /> Adjacent to or have an impact on park property? ? ? <br /> (If YES, route to Parks Planning and attach response) <br /> REMARKS: <br /> Wastewater YES NO <br /> Plugging or inadequate flow? ? ? <br /> High PM frequency? ? ? <br /> (describe conditions/causes) <br /> Any known structural problems? ? ? <br /> Discharge issues? ? ? <br /> I/I issues such as ponding, high ground water, related private problems? ? ? <br /> Access to the location of the facilities? ? ? <br /> Are there any current TV reports? ? ? <br /> (if available attach copies, if not give E.T.} <br /> Wastewater NPDES Permit required? ? ? <br /> REMARKS: <br /> Stormwater <br /> OTAK Basin <br /> URS Basin YES NO <br /> Plugging or inadequate flow? ? ? <br /> Future needs? ? ? <br /> Is there a history of street flooding? ? ? <br /> High PM frequency? ? ? <br /> (describe conditionslcauses) <br /> High ground water? ? ? <br /> Any discharge issues? ? ? <br /> Any open drainage concerns? ? ? <br /> (if YES, attach site map) <br /> Impacts streams, ponds, wetlands, surface water? ? ? <br /> Opportunities for stormwater BMPs: <br /> WHAT ARE PROJECT OBJECTIVES? <br /> <br />