Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Pictures of Proposed Site
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Acreage of proposed site
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Address of proposed site:
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Landowner name
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Landowner address
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Landowner phone number
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Landowner signed lease
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Picture of lease
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Special lease conditions from landowner?
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Preexisting land use:
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Does the county or the township have any zoning regulations we need to be aware of?
- Yes
- No
- N/A
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Distance (in feet) to regulated and/or sensitive resources (i.e. wetlands, lakes, ponds, rivers, creeks)
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Distance (in feet) to nearby buildings (closest building).
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Distance (in feet) to recreational area.
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Distance (in feet) to road access
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Windbreaks on site?
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What is the slope of the site?
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Surface flow direction:
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Can aggregate and sand piles be stored out of major drainage areas on the site?
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List possible BMP's that would need to be installed.
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Are there any threatened or endangered species on site?
- Yes
- No
- Not sure
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Is there any historic significant sites to be aware of on or near the site (I.e. Effigy mounds, national historic registered buildings)?
- Yes
- No
- Not sure
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Can storage of wastes (including dumpsters, porta-potties), lube trailer, and pits for wash water (concrete) be located out of major drainage areas?
- Yes
- No
- Not sure
