Title Page
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Project Name
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Site Address/AP #
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Site Contact
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Project/Permit #
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Type of Inspection
- Storm Water Inspection
- Correction Notice
- Storm Water Re-Inspection
- Warning Notice
- Stop Work Notice
- Notice of Violation
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Specify
- Monthly (Oct 1st -April 30th)
- Pre-Rain (Sept 1st -Oct 1st)
- Deficiency Re-Inspection
- Following First 0.25” Rain (within 2 business days)
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Inspection Date
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Inspector
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Location
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STORMWATER BMPs
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Are all areas of disturbed soil protected from erosion through implementation of soil stabilization processes?
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Are perimeter controls (wattles, silt fence) in place and properly installed?
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Are materials, stockpiles, dumpsters, and concrete washout areas properly covered and protected?
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Is all heavy equipment properly covered and protected?
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Are all storm drain inlets properly protected?
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Are all portable toilets secured, located away from drainage facilities, and have secondary containment?
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Are all access and egress points protected with stabilized construction?
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Are all public streets, curbs, and gutters adequately swept of sediment, mud, and debris disposed of?
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Is all storm run-on onto the site adequately addressed?
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Are spill kits and/or supplies on site and available to staff?
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PROJECT AREA GREATER THAN AN ACRE
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Is the contact info provided for: Site Contact, SWPPP Preparer and Inspector, and 24 HR BMP Implementation and Maintenance contact?
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Does the SWPPP reflect the current site condition
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Does the SWPPP include all inspection documentation
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Are all Rain Event Action Plans (REAP) prepared and implemented on site within 48 hours prior to forecasted rain?
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IS RUNOFF LEAVING THE PROJECT SITE?
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The qualified SWPPP Practitioner (QSP) shall provide the following:
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Provide pH of runoff:
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Provide Turbidity of runoff:
Sign Off
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Inspector
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Inspector Ph # and Date
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Contractor and Date