Knife River Midwest Stormwater inspection

• Document No.

• Audit Title

• Client / Site

• Prepared by

• Location
  Address

• Personnel

General Information

• Select date

  Date

• Type of inspection

  Select Monthly Monitoring Event- Precipitation/Snowmelt

  • Monthly
  • Monitoring Event- Precipitation/Snowmelt

• Storm Duration

• Rainfall Estimate (in)

• Time from previous event (hrs)

• Discharge Estimate (gal)

• Weather at the time of inspection:

  Select Cloudy Fog Rain Sleet Sunny Overcast Snow/Frozen Snowmelt

  • Cloudy
  • Fog
  • Rain
  • Sleet
  • Sunny
  • Overcast
  • Snow/Frozen
  • Snowmelt

• Temperature (°F)

• Do you suspect that discharges may have occurred since the last inspection?

  Yes

  No

Inspection Details

• Site Location Inspected

  Yard Operations

  Asphalt Plant Operations

• Are any of the following conditions/deleterious material present at outfalls, discharge points, driveways, drains, or other areas of concern?

  Select Sediment (soil) deposits Oil Sheen Wash or Spray rack: Spills/drips Rock pieces or fines Berm erosion Petroleum contaminated parts Foam Trash Other (please describe)

  • Sediment (soil) deposits
  • Oil Sheen
  • Wash or Spray rack: Spills/drips
  • Rock pieces or fines
  • Berm erosion
  • Petroleum contaminated parts
  • Foam
  • Trash
  • Other (please describe)

• Please describe:

• Have you notified personnel?

  Yes

  No

• If selected answers in above question, please describe condition in which it was found and possible source:

• Are perimeter controls and sediment barrier (silt fences, berms, wattles) installed, functional, and maintained?

  Yes

  No

  N/A

• Is sediment being controlled in site and not allowed onto public traveled streets?

  Yes

  No

  N/A

• Is trash/litter/recyclables properly stored and collected in appropriate areas?

  Yes

  No

  N/A

• Are vehicle and equipment fueling, cleaning, lubing, and maintenance areas free of spills, leaks, or any other deleterious material?

  Yes

  No

  N/A

• Are nonstormwater discharges (wash water, dewatering) properly controlled?

  Yes

  No

  N/A

• Are BMP's operating effectively and not filled to ≥ 50% of its designed capacity?

• Spill containment

  Yes

  No

• What work needs to be done?

• Vegetated berms

  Yes

  No

• What work needs to be done?

• Drain protection

  Yes

  No

• What work needs to be done?

• Dust suppression

  Yes

  No

• What work needs to be done?

• Turbidity suppression

  Yes

  No

• What work needs to be done?

• Other

  Yes

  No

• What is "other" and what needs to be done?

Corrective Actions

• Enter any corrective actions that will be undertaken.

• Add media

  Media

Signature

• I fully understand that this document is an inspection required by our stormwater pollution prevention plan, and applicable local, state and federal permits. I comply that the information provided from me is true and done to the best of my ability.

  Yes

  No

• Add signature

  Sign

• Select date

  Date