Active Care Mission Bay

• Project Name

• Site Address
  Address

• Contractor Name

• Contractor Address
  Address

• Contract Number/CO/RTE/PM

• Project Identifier Number

• WDID Number

• Project Risk Level

  Risk Level 1

  Risk Level 2

  Risk Level 3

• Inspector Name

• Inspector Title/Number

• Inspection Date/Time

  Date

• Type of Report

  Pre-Storm

  Weekly

  During Event

  Post-Rain Event

• Weather Conditions

• Date Last Storm Ended

  Date

• Current Rainfall Total This Event

• Source

  Select NOAA Rain Gauge

  • NOAA
  • Rain Gauge

• Start Date and Time of Current Rain Event (If applicable)

  Date

• Current Acres Exposed

• Current Construction Activities

Site Inspection BMP Assessment

• (1) Scheduling- on-site and in SWPPP, Updated and reflects current operations and site conditions

  Select Adequately Maintained Needs Maintenance (See Corrective Action Summary Below Not Applicable on this Job or at this Time

  • Adequately Maintained
  • Needs Maintenance (See Corrective Action Summary Below
  • Not Applicable on this Job or at this Time

• (2) Preserve Existing Vegetation- existing growth maintained, and no overgrowth occurring

  Select Adequately Maintained Needs Maintenance (See Corrective Action Summary Below Not Applicable on this Job or at this Time

  • Adequately Maintained
  • Needs Maintenance (See Corrective Action Summary Below
  • Not Applicable on this Job or at this Time

• (3) Hydraulic Mulch- proper application rate, adequate tackifier, adequate wind/dust control measures

  Adequately Maintained

  Needs Maintenance (See Corrective Action Summary Below

  Not Applicable on this Job or at this Time

• (4) Hydroseeding- graded to plan, proper application, adequate tackifier, adequate wind/dust control measures

  Adequately Maintained

  Needs Maintenance (See Corrective Action Summary Below

  Not Applicable on this Job or at this Time

• (5) Soil Binders- properly spread, proper application

  Adequately Maintained

  Needs Maintenance (See Corrective Action Summary Below

  Not Applicable on this Job or at this Time

• (6)Straw Mulch- combo with seed, proper application rate, adequate tackifier

  Adequately Maintained

  Needs Maintenance (See Corrective Action Summary Below

  Not Applicable on this Job or at this Time

• (7) Geotextile/Erosion Control Blankets- installed properly, no rips, tacked down and functioned properly

  Adequately Maintained

  Needs Maintenance (See Corrective Action Summary Below

  Not Applicable on this Job or at this Time

• (8) Wood Mulching- installed properly, adequate tackifier

  Adequately Maintained

  Needs Maintenance (See Corrective Action Summary Below

  Not Applicable on this Job or at this Time

• (9) Earth Dikes, Drainage Swales & Lined Ditches- no rips or tears, properly stapled, no erosion visible

  Yes

  No

  N/A

• (10) Velocity Dissipation Devices- all outlets that carry continuous flow, discharge points to unlined conveyances

  Yes

  No

  N/A

• (11) Slope Drains- no rips or tears, properly stapled, no erosion visible

  Yes

  No

  N/A

• (12) Streambank Stabilization- no rips or tears, properly stapled, no erosion visible

  Yes

  No

  N/A

• (13) Composite Blanket- no rips or tears, properly stapled, no erosion visible

  Yes

  No

  N/A

• (14) Soil Preparation/ Roughening- ensure that tracks are horizontal

  Yes

  No

  N/A

• (15) Non-Vegetative Stabilization- ensure complete coverage, ensure no discharge during installation

  Yes

  No

  N/A

• (16) Silt Fence- in proper alignment, keyed into ground, staking secure, no tears, sediment less than 1/3 height

  Yes

  No

  N/A

• (17) Sediment Desilting Basin- proper location, shape, size, adequate capacity

  Yes

  No

  N/A

• (18) Sediment Trap- ensure no leaks or discharge, adequate capacity

  Yes

  No

  N/A

• (19) Check Dams- bags positioned correctly, no degradation or tears, sediment less than 1/3 height

  Yes

  No

  N/A

• (20) Fiber Rolls- no torn rolls, remove sediment 1/3 the depth of the rolls, properly staked to the ground

  Yes

  No

  N/A

• (21) Gravel Bag Barriers- bags positioned correctly, no degradation or tears, sediment less than 1/3 height

  Yes

  No

  N/A

• (22) Street Sweeping and Vacuuming- inspect daily, clean tracking, adjust brooms, dispose of sweepings properly

  Yes

  No

  N/A

• (23) Sandbag Barrier- ensure no rips or tears in bags, ensure sediment is under 1/3 of capacity

  Yes

  No

  N/A

• (24) Straw Bale Barrier- not used as sediment barrier, or dam. Can be used as barrier protection

  Yes

  No

  N/A

• (25) Storm Drain Inlet Protection- no tears, remove sediment, clean any stone or rock used for sediment regularly

  Yes

  No

  N/A

• (26) Active Treatment System- See specifications and SWPPP for the proper use and documentation of ATS

  Yes

  No

  N/A

• (27) Temporary Silt Dike/ Berm- ensure no holes, or leaks

  Yes

  No

  N/A

• (28) Composite/ Compost Socks and Berms- ensure no rips or tears, properly anchored and trenched, shingled

  Yes

  No

  N/A

• (29) Bio Filter Bags- ensure no holes, tears. Sample discharge if needed

  Yes

  No

  N/A

• (30) Wind Erosion Controls- existing wind screens or dust suppressants adequate for nuisance and/or fugitive dust

  Yes

  No

  N/A

• (31) Stabilized Construction Entrance/ Exit- check for tracking, maintain rocks/ rumble strip, limit access points

  Yes

  No

  N/A

• (32) Stabilized Construction Roadways- ensure proper rocks, or strips are used, clean, and less than 1/3 full

  Yes

  No

  N/A

• (33) Entrance-Outlet Tire Wash- ensure limited/forced access. Ensure no discharge from site

  Yes

  No

  N/A

• (34) Water Conservation Practices- prevent waste of water usage i.e. tanks, trucks, reservoirs, buffalos, hydrants

  Yes

  No

  N/A

• (35) Dewatering Operations- inspect per specific guidelines in dewatering plan if implemented

  Yes

  No

  N/A

• (36) Paving and Grinding Operations- keep absorbents onsite, equipment on drip protection, no leaks

  Yes

  No

  N/A

• (37) Temporary Stream Crossing- ensure turbid water is tested as needed, ensure testing during removal

  Yes

  No

  N/A

• (38) Clear Water Diversion- ensure no potential soil contamination, sample as needed

  Yes

  No

  N/A

• (39) Illicit Connection/Discharge

  Yes

  No

  N/A