FOLLOW UP / SHORT SWPPP INSPECTION

• Conducted on

  Date

• INSPECTED BY:

  Select ANTHONY GARCIA ERIC FERGUSON DUSTIN WHITE GREG ARCHULETA

  • ANTHONY GARCIA
  • ERIC FERGUSON
  • DUSTIN WHITE
  • GREG ARCHULETA

• PROJECT NAME / ADDRESS:

• SLC PERMIT / UTR PERMIT #:

• OWNER / CONTRACTOR

• SITE CONTACT / PHONE / EMAIL

• Add location
  Address

• INSPECTION TYPE:

  Select DRIVE BY RAIN EVENT SCHEDULED

  • DRIVE BY
  • RAIN EVENT
  • SCHEDULED

• WEATHER:

  Select SUNNY CLOUDY RAINING SNOWING OTHER

  • SUNNY
  • CLOUDY
  • RAINING
  • SNOWING
  • OTHER

EROSION, SEDIMENT and HOUSEKEEPING

• 5. Have all the corrective actions from previous inspection been addressed and documented

  Yes

  No

  N/A

• 6. Are the storm water flows leaving or entering the site properly managed with appropriate perimeter controls

  Yes

  No

  N/A

• 7. Is there evidence of sediment discharge? (mud flows or soil deposits from construction downstream)

  YES

  NO

  N/A

• 8. Is there evidence of track out off of the construction site?

  YES

  NO

  N/A

• 9. Is there material (soil, landscaping items, other debris) on impervious surfaces that could be washed down with storm water?

  YES

  NO

  N/A

• 10. Is there a need to repair, maintain or improve sediment control BMPs? (Inlet protection, sediment basin,construction entrance, other)

  YES

  NO

  N/A

• 11. Is there a need to repair, maintain or improve erosion control BMPs? (Perimeter controls, site stabilization,dust control, other)

  YES

  NO

  N/A

• 12. Is there a need to repair, maintain or improve housekeeping? (Trash control, port-a-potty, storage and leakcontrols, concrete washout, other)

  YES

  NO

  N/A

• 14. Do BMPs need to be installed in certain areas, or removed?

  YES

  NO

  N/A

COMMENTS and CORRECTIVE ACTIONS REQUIRED

• FOLLOW UP DATE

  Date

PHOTOS

• Add media

  Media

• Add media

  Media

ESCALATING ENFORCEMENT ACTIONS TAKEN (This document SHALL serve as a warning for permit noncompliance)

• CORRECTIVE ACTION REQUIRED BY:

  Date

• FOLLOW UP DATE:

  Date

• Select A: WARNING NOTICE B: STOP WORK NOTICE C: NOTICE OF VIOLATI N/A

  • A: WARNING NOTICE
  • B: STOP WORK NOTICE
  • C: NOTICE OF VIOLATI
  • N/A

• I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons 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.

• INSPECTOR:

  Sign

• OPERATOR:

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