Title Page

  • Audit Title

  • Conducted on

  • Prepared by

  • Name of Permittee:

  • Construction Site Name

  • Construction Site ID No.:

  • Location:

  • County:

  • Contractor:

  • Field Phone:

  • Date:

  • Start:

  • End:

  • Type of inspection:

  • Name(s) of Individual(s) performing inspection:

  • Weather:

  • Description of present phase of construction:

Modifications Required

  • Ditch Checks

  • Erosion Control Plan

  • Erosion Mat

  • Grading Practices

  • Inlet Protection

  • Mulch

  • Offsite Sediment

  • Permanent Seeding

  • Schedule/Phasing

  • Silt Fence

  • Silt Screen

  • Sod

  • Stabilized Outlet

  • Temp. Diversion Channel

  • Temp. Settling Basin

  • Temporary Seeding

  • Tracking Pads

  • Turbidity Barrier

  • Other(specify)

Follow-up action items

  • Exact place of erosion/sediment control inspected

  • Type of erosion/sediment control and its observed condition

  • Description of any necessary maintenances or repair to erosion/sediment control, including anticipated date of completion

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