Lee Lewis Construction, Inc. Job Site SWPPP Inspection (Template)

• Audit Title

• Conducted on

  Date

• Project Number

• Project Name

• Location

• Inspected By

• Additional Personnel

GENERAL PROJECT INFORMATION

• Owner

• Inspection performed for:

  LEE LEWIS CONSTRUCTION, INC.

  OWNER

  Not Required

• Project Number

• Project Name

• Project Address

• Permittee:

  LEE LEWIS CONSTRUCTION, INC.

  OWNER

• TCEQ Permit #:

INSPECTOR QUALIFICATIONS

• Name of Inspector:

• The qualifications of an SWPPP Inspector as determined by Lee Lewis Construction are:

• 1. Inspector must possess a working knowledge of EPA Federal Regulation (FRL-6119-7) for the National Pollutant Discharge Elimination System (NPDES) as well as Texas Commission on Environmental Quality (TCEQ) TPDES permits.

• 2. Inspector must possess an understanding of the site specific SWPPP and be knowledgeable of what Best Management Practices (BMP) are to be implemented on the project to prevent pollutant discharges from the site.

• 3. Inspector must possess working knowledge of any potential pollutants that are being used or stored within the project site, including chemicals, fuels, paints, and other construction materials. Inspector should also know where these materials are being used or stored on the site.

• 4. Inspector must be able to perform a detailed inspection of the site and have the ability to verify the condition of existing BMP's, whether or not the BMP's are effective, and what additional or different BMP's are required for the SWPPP to maintain maximum effectiveness.

• 5. Inspector must be able to effectively maintain records by accurately documenting all inspections. In addition, the inspector should be able to document any changes needed, or any changes made to the SWPPP.

• 6. Inspector must know if any Endangered Species will be potentially impacted by construction activity.

• 7. Inspector must know the name of receiving body of water for storm water runoff.

• By signing below, I acknowledge that I have completed training and review of the requirements of the qualifications indicated above and have a working knowledge of EPA-NPDES and TCEQ-TPDES and am Qualified and will be responsible for inspecting, enforcing, and documenting site specific SWPPP information to comply with the requirements of the SWPPP plan for the above referenced project.

• Inspector's signature:

  Sign

INSPECTION REPORT

• Date of Inspection:

  Date

• Type of Inspection:

  WEEKLY

  BI-WEEKLY

  WEATHER EVENT

• Rainfall, if any, since last inspection:

• If weather event inspection, is inspection within 24 hours of last rainfall over 1/2"?

  Yes

  No

  N/A

• Verify Current Stage of Project:

  Select Site Clearing & Grading Installing Utilities Building Structure Paving & Walks Final Grading & Stabilization of Site Construction Complete

  • Site Clearing & Grading
  • Installing Utilities
  • Building Structure
  • Paving & Walks
  • Final Grading & Stabilization of Site
  • Construction Complete

• Current weather and site conditions:

• List all Subcontractors currently working on site

• List of construction materials currently stored on site

• Construction Site Notice Posted at Site Entrance?

  Yes

  No

  N/A

• Site Map posted and up to date?

  Yes

  No

  N/A

• Inspection binder current and up to date?

  Yes

  No

  N/A

• Have all items on last inspection report been corrected? (If no, please explain)

  Yes

  No

  N/A

• List all BMP's currently in place:

Inlet Barriers (sand bags, straw logs, etc.):

• Are BMP's in good condition? (No, if damaged or deteriorating.)

  Yes

  No

  N/A

• Is sediment less than half the height of structure?

  Yes

  No

  N/A

• Exsting BMP's are adequate? (No, if signs exist of sediment/water getting around or under barrier.)

  Yes

  No

  N/A

• All inlets protected? (No, if there are other structures that require inlet protection.)

  Yes

  No

  N/A

Sediment Barriers / Perimeter Protection (Silt fence, straw logs, etc.)

• Silt fence is trenched in?

  Yes

  No

  N/A

• All BMP's in good condiditon? (No, if deteriorated or falling down or missing.)

  Yes

  No

  N/A

• Exsting BMP's are adequate? (No, if signs exist of sediment/water getting around or under barrier.)

  Yes

  No

  N/A

• Is sediment less than half the height of structure?

  Yes

  No

  N/A

• All areas protected as required? (No, if more sediment barriers are required or existing need to be extended.)

  Yes

  No

  N/A

Stabilized Construction Entry

• Has permanent paved entry or temporary stabilized entry been installed and being used? (Indicate entrance BMP's in place.)

  Yes

  No

  N/A

• Are vehicles using stabilzed construction entrance?

  Yes

  No

  N/A

• Is entrance rock clean and free of mud and silt?

  Yes

  No

  N/A

• Are public streets free from off-site tracking?

  Yes

  No

  N/A

Additional BMP's

• Are all borrow areas / basement excavations protected by earth berm?

  Yes

  No

  N/A

• Sediment basins are less than half full of designed intent?

  Yes

  No

  N/A

• Soil stock piles are protected?

  Yes

  No

  N/A

• Site free of signs of pollution leaving the site? (If no, explain.)

  Yes

  No

  N/A

• Are all structural BMP's in good condition?

  Yes

  No

  N/A

• Are all structural BMP's working properly?

  Yes

  No

  N/A

• If additional BMP's are required, indicate here:

General Site Inspection (Look for signs of potential pollution, i.e. paint, chemicals, solid waste, fuel and signs of soil erosion)

• Site free of signs of hazardous materials being exposed to storm water runofff?

  Yes

  No

  N/A

• Fuel containment is acceptable?

  Yes

  No

  N/A

• Concrete washout pit identified and condition is acceptable?

  Yes

  No

  N/A

• Portable toilets are staked and clean ?

  Yes

  No

  N/A

• Site clean and free of blowing trash and debris?

  Yes

  No

  N/A

• Site free of signs of vehicles or equipment leaking oil, fuel or hydraulics?

  Yes

  No

  N/A

• Inspections by other governing bodies indicate "in compliance"? Select no if the EPA, TCEQ or the City has notified you of any changes needed to comply?

  Yes

  No

  N/A

• Note any changes in design, construction, operation or maintenance which has a potential for pollution discharge?

Hazardous Material Reportable Quantiy Release (Complete only if there has been an occurrence)

• Describe spill occurance in detail:

• Was the National Response Center notified?

  Yes

  No

  N/A

• Was permitting authority notified in writing within 14 days?

  Yes

  No

  N/A

• Was the SWPPP modified to include date of release, circumstances leading to release and steps taken to prevent reoccurrence?

  Yes

  No

  N/A

If construction stops for more than 14 days, the site must be stabilzed until construction resumes.

• Complete section below only if construction has stopped for 14 days or more:

• Date construction stopped:

• Date construction resumed:

• Measures taken to stablize site:

Final Stabilization / Termination

• Are all soil disturbing activities complete?

  Yes

  No

  N/A

• Have all temporary erosion and sediment control measures been removed?

  Yes

  No

  N/A

• If so, indicate date of final stabilization:

• Has notice of termination been filed?

  Yes

  No

  N/A

CONCLUSION

• Status of Site at conclusion of inspection:

  In Compliance

  Out of Compliance

• List all required changes or modifications to the SWPPP plan:

• SUMMARY & RECOMMENDATIONS (Number and list all deficiencies here. Deficiencies must be corrected within seven (7) days, unless otherwise noted. All other BMP's on site are considered to be in good working condition.)

• Annotations:

• Add drawing

  Drawing

• Insert Site Overview photo:

  Media

• Additional Photos

  Media

• I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to ensure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.

• INSPECTED BY

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