Title Page
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Date and Time of Inspection
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Date Report Written
Part I. General Information
Site Information
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Construction stage and completed activities:
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Approximate area of site that is exposed:
Weather
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Has there been/will there be a storm?
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Estimate storm beginning:
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Estimate storm duration (hours):
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Estimate time since last storm (days or hours):
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Rain gauge reading on site (in):
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Is a "Qualifying Event" predicted or did one occur (i.e., 0.5" rain with 48-hrs or greater between events)?
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Summarize forecast:
Exemption Documentation
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(Explanation required if inspection could not be conducted) Visual inspections are not required outside of business hours or during dangerous weather conditions such as flooding or electrical storms.
Inspector Information
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Inspector Name/Signature:
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Inspector title:
Part II. BMP Oberservations
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Indicate if the following items are adequately designed, implemented and effective.
Good Housekeeping for Construction Materials
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1) Inventory of products (excluding materials designed to be outdoors)
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Action Required/Implemented:
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Date Implemented
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2) Stockpiled construction materials not actively in use are covered and bermed
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Action Required/Implemented:
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Date Implemented
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3) All chemicals are stored in water tight containers with appropriate secondary containment, or in a completely enclosed storage shed
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Action Required/Implemented:
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Date Implemented
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4) Construction materials are minimally exposed to precipitation
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Action Required/Implemented:
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Date Implemented
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5) BMPs preventing the off-site tracking of materials are implemented and properly effective
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Action Required/Implemented:
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Date Implemented
Good Housekeeping for Waste Management
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1) Wash/rinse water and materials are prevented from being disposed into the Storm drain system
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Action Required/Implemented:
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Date Implemented
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2) Portable toilets are contained to prevent discharge of waste
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Action Required/Implemented:
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Date Implemented
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3) Sanitation facilities are clean and with no apparent leaks and spills
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Action Required/Implemented:
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Date Implemented
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4) Equipment is in place to cover waste disposal containers at the end of business day and during rain events
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Action Required/Implemented:
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Date Implemented
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5) Discharges from waste disposal containers are prevented from discharging to the storm drain system/receiving water
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Action Required/Implemented:
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Date Implemented
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6) Stockpiled waste material is securely protected from wind and rain if not actively in use
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Action Required/Implemented:
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Date Implemented
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7) Procedures are in place for addressing hazardous and non-hazardous spills
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Action Required/Implemented:
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Date Implemented
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8) Appropriate spill response personnel are assigned and trained
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Action Required/Implemented:
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Date Implemented
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9) Equipment and materials for cleanup of spills is available onsite
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Action Required/Implemented:
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Date Implemented
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10) Washout areas (e.g. Concrete) are contained appropriately to prevent discharge or infiltration into the underlying soil
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Action Required/Implemented:
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Date Implemented
Good Housekeeping for Vehicle Storage and Maintenance
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1) Measurements are in place to prevent oil, grease, or fuel from leaking into the ground, Storm drains, or surfaces waters
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Action Required/Implemented:
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Date Implemented
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2) All equipment or vehicles are fueled, maintained, and stored in a designated area with appropriate BMPs
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Action Required/Implemented:
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Date Implemented
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3) Vehicle and equipment leaks area cleaned immediately and disposed of properly
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Action Required/Implemented:
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Date Implemented
Good Housekeeping for Landscape Materials
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1) Stockpiled landscape materials such as mulches and topsoil are contained and covered when not actively in use
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Action Required/Implemented:
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Date Implemented
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2) Erodible landscape material has not been applied 2 days before a forecasted rain event or during an event
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Action Required/Implemented:
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Date Implemented
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3) Erodible landscape materials are applied at quantities and rates in accordance with manufacturers recommendations
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Action Required/Implemented:
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Date Implemented
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4) Bagged erodible landscape materials are stored on pallets and covered
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Action Required/Implemented:
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Date Implemented
Good Housekeeping for Air Deposition of Site Materials
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1) Good housekeeping measures are implemented onsite to control the air deposition of site materials and from site operation
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Action Required/Implemented:
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Date Implemented
Non-Stormwater Management
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1) Non-Stormwater discharges are properly controlled
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Action Required/Implemented:
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Date Implemented
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2) Vehicles are washed in a manner to prevent non-stormwater discharges to surface waters or drainage systems
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Action Required/Implemented:
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Date Implemented
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3) Streets are cleaned in a manner to prevent unauthorized non-stormwater discharges to surface water to drainage systems
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Action Required/Implemented:
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Date Implemented
Erosion Controls
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1) Wind erosion controls are effectively implemented
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Action Required/Implemented:
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Date Implemented
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2) Effective soil cover is provided for disturbed areas inactive (i.e., not scheduled to be disturbed for 14 days) as well as finished slopes, open space, utility backfill, and completed lots
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Action Required/Implemented:
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Date Implemented
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3) The use of plastic materials is limited in cases when a more sustainable, environmentally friendly alternative exists
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Action Required/Implemented:
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Date Implemented
Sediment Controls
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1) Perimeter controls are established and effective at controlling erosion and sediment discharges from the site
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Action Required/Implemented:
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Date Implemented
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2) Entrances no dad exists are stabilized to control erosion and sediment discharges from the site
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Action Required/Implemented:
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Date Implemented
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3) sediment basins are properly maintained
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Action Required/Implemented:
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Date Implemented
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4) Linear sediment control along toe of slope, face of slope, and at grade breaks
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Action Required/Implemented:
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Date Implemented
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5) Limit construction activity to and from site to entrances and exits that employ effective controls to prevent offsite tracking
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Action Required/Implemented:
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Date Implemented
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6) Ensure all storm drain inlets and perimeter controls, runoff control BMPs and pollutant controls at entrances and exits are maintained and protected from activities that reduce their effectiveness
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Action Required/Implemented:
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Date Implemented
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7) Inspect all immediate access roads daily
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Action Required/Implemented:
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Date Implemented
Run-On and Run-Off Controls
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1) Run-on to the site is effectively managed and directed away from all disturbed areas
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Action Required/Implemented:
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Date Implemented
Other
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1) Are the project SWPPP and BMP plan up to date, available on-site and being properly maintained?
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Action Required/Implemented:
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Date Implemented
Part III. Descriptions of BMP Deficiencies
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Note: Repairs must begin within 72 hours of identification and complete repairs as soon as possible
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List all deficiencies below
Deficiency
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Deficiency description:
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Start date:
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Action:
Part VII. Additional Corrective Actions Required
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Identify additional corrective actions not included with BMP Deficiencies (Part III) above. Note if SWPPP change is required.
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Required Actions:
Required Action
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Description:
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Implementation Date
PHOTOS
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Photos: