Title Page
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Audit Title
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Conducted on
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Prepared by
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Name of Permittee:
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Construction Site Name
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Construction Site ID No.:
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Location:
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County:
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Contractor:
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Field Phone:
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Date:
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Start:
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End:
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Type of inspection:
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Name(s) of Individual(s) performing inspection:
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Weather:
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Description of present phase of construction:
Modifications Required
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Ditch Checks
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Erosion Control Plan
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Erosion Mat
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Grading Practices
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Inlet Protection
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Mulch
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Offsite Sediment
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Permanent Seeding
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Schedule/Phasing
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Silt Fence
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Silt Screen
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Sod
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Stabilized Outlet
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Temp. Diversion Channel
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Temp. Settling Basin
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Temporary Seeding
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Tracking Pads
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Turbidity Barrier
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Other(specify)
Follow-up action items
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Exact place of erosion/sediment control inspected
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Type of erosion/sediment control and its observed condition
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Description of any necessary maintenances or repair to erosion/sediment control, including anticipated date of completion