City of Nicholasville Storm Water and Erosion Contol Site Inspection Report

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Time of inspection

  Date

• Has there been a storm event since the last inspection?

  Yes

  No

  Maintenance required

  N/A

• Weather at time of inspection

• Has any discharges occurred since the last inspection?

  Yes

  No

  Maintenance required

  N/A

• Are there any discharges at the time of inspection?

  Yes

  No

  Maintenance required

  N/A

BMP/activity

• Are slopes and disturbed areas not actively being worked properly stabilized?

  Select Good Fair Poor, not properly installed Needs maintenance

  • Good
  • Fair
  • Poor, not properly installed
  • Needs maintenance

• Are natural resource areas (e.g.., streams, wetlands, mature trees, ect.) protected with barriers or similar BMPs?

  Select Yes No Maintenance required N/A

  • Yes
  • No
  • Maintenance required
  • N/A

• Are perimeter controls and sediment barriers adequately installed and maintained?

  Select Good Fair Poor, not properly installed Needs maintenance

  • Good
  • Fair
  • Poor, not properly installed
  • Needs maintenance

• Silt traps, rock checks, diversion ditches installed?

  Select Safe At Risk N/A

  • Safe
  • At Risk
  • N/A

• Are discharge points and receiving waters free of any sediment deposits?

  Select Yes No Maintenance required N/A

  • Yes
  • No
  • Maintenance required
  • N/A

• Are storm drain inlets properly protected?

  Select Yes No Maintenance required N/A

  • Yes
  • No
  • Maintenance required
  • N/A

• Is the construction exit preventing sediment from being tracked into street?

  Select Yes No Maintenance required N/A

  • Yes
  • No
  • Maintenance required
  • N/A

• Is trash/litter from work areas collected and placed in dumpsters

  Select Yes No Maintenance required N/A

  • Yes
  • No
  • Maintenance required
  • N/A

• Are concrete washout pits available, clearly marked, and maintained

  Select Yes No Maintenance required N/A

  • Yes
  • No
  • Maintenance required
  • N/A

• Is BMP mailbox located on site and inspections up to date?

  Select Yes No Maintenance required N/A

  • Yes
  • No
  • Maintenance required
  • N/A

• Is follow up inspection needed?

  Yes

  No

  Maintenance required

  N/A

Inspector signature

• Add signature

  Sign