Annual SWPPP Comprehensive Site Compliance Inspection

• Client / Site

• Audit Title

• Conducted on

  Date

• Prepared by: Storm Environmental

• Location
  Address

AREAS NEEDING ATTENTION FOR NEXT PERIOD

• Add media

  Media

INVENTORY OF EXPOSED MATERIAL

• Has period of exposure changed?

  Yes

  No

  N/A

• Has quantity changed?

  Yes

  No

  N/A

• Has the storage location changed?

  Yes

  No

  N/A

• Has the method of storage or disposal changed?

  Yes

  No

  N/A

• Has material management practices changed?

  Yes

  No

  N/A

• Have additional materials become exposed?

  Yes

  No

  N/A

• Is the material inventory correct? If not, has it been updated?

  Yes

  No

  N/A

STRUCTURAL CONTROLS AND MAINTENANCE PROGRAM

• Are structural controls in place according to the SWPPP?

  Yes

  No

  N/A

• Maintenance being performed on structural controls?

  Yes

  No

  N/A

• Records available documenting maintenance?

  Yes

  No

  N/A

• Are additional structural controls needed?

  Yes

  No

  N/A

BMPS AND HOUSEKEEPING EFFECTIVENESS

• Site free of trash and debris?

  Yes

  No

  N/A

• Waste receptacles available and intact?

  Yes

  No

  N/A

• Dumpster closed and free of leaks?

  Yes

  No

  N/A

• BMPs being performed satisfactorily?

  Yes

  No

  N/A

SPILL PREVENTION AND RESPONSE MEASURES EFFECTIVENESS

• Outdoor areas free of spilled materials?

  Yes

  No

  N/A

• Spill kit available and stocked?

  Yes

  No

  N/A

• Storage containers are clearly labeled?

  Yes

  No

  N/A

DOWNSTREAM INSPECTION OF TPDES REGULATED OUTFALLS

• Is there any evidence of trash or debris present?

  Yes

  No

  N/A

• Is there any evidence of staining?

  Yes

  No

  N/A

• Is there any new non-stormwater discharges identified?

  Yes

  No

  N/A

REVIEW OF ALL RECORDS REQUIRED BY THIS GENERAL PERMIT

• Visual Monitoring

  Yes

  No

  N/A

• Benchmark Monitoring

  Yes

  No

  N/A

• Hazardous Metals Monitoring

  Yes

  No

  N/A

• SWPPP Related Inspections

  Yes

  No

  N/A

• Maintenance Log

  Yes

  No

  N/A

• Spill Records Onsite

  Yes

  No

  N/A

• Waste Manifest Available

  Yes

  No

  N/A

• SWPPP Onsite

  Yes

  No

  N/A

• Permit/NOI Available

  Yes

  No

  N/A

• SWPPP Certification/Delegation Available

  Yes

  No

  N/A

• SWPPP Training Records

  Yes

  No

  N/A

• Site Changes (New maintenance activities, operational locations, etc.)

• New Chemicals Stored Onsite

• SWPPP Changes (PPT, etc.)

• Site Compliance Evaluation Report

• For purposes of this inspection, a noncomplicance incident is any instance where an element of the SWPPP is either not implemented, or where specific conditions of the permit are not met.

• Are there any instances where an element of the SWPPP is not met?

• Are there any specific conditions of ther permit not met?

• If no incidents of noncompliance are discovered, the report shall contain a certification that the facility is in compliance with the SWPPP.

• Are there any areas of noncompliance?

• To the best of my knowledge and observations of this facility, I certify that this facility is in compliance with the SWPPP. If yes? Write "Yes" and sign the certification at the end of this report.

• If the report indicates an incident of noncompliance, the operator shall complete all necessary actions to come into compliance as soon as practicable, no later than twelve weeks following the evaluation. The report shall either be included as a part of the SWPPP or referenced in the SWPPP and be made readily available for inspection and reviewed by authorized TCEQ personnel upon request.

• This certification is that the information in this report is correct.

• Report Certification

• "I certify under penalty of law this document and all attachments were prepared under my direction and supervision under accordance with a system designed to ensure that qualified personnel properly gathered and evaluated the information submitted? Based on my inquiry of the person or person who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations"

• SWP3 Inspector

  Sign

• Do not sign this certification if there is any noncompliance or corrective action issues identified within this Periodic Site Evaluation

• "I certify under penalty of law this document and all attachments were prepared under my direction and supervision under accordance with a system designed to ensure that qualified personnel properly gathered and evaluated the information submitted? Based on my inquiry of the person or person who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations"

• SWP3 Inspector

  Sign

ANNUAL COMPREHENSIVE COMPLIANCE