Storm Water Construction Site Inspection

• Project Name

• Site Address/AP #

• Site Contact

• Project/Permit #

• Type of Inspection

  Select Storm Water Inspection Correction Notice Storm Water Re-Inspection Warning Notice Stop Work Notice Notice of Violation

  • Storm Water Inspection
  • Correction Notice
  • Storm Water Re-Inspection
  • Warning Notice
  • Stop Work Notice
  • Notice of Violation

• Specify

  Select Monthly (Oct 1st -April 30th) Pre-Rain (Sept 1st -Oct 1st) Deficiency Re-Inspection Following First 0.25” Rain (within 2 business days)

  • Monthly (Oct 1st -April 30th)
  • Pre-Rain (Sept 1st -Oct 1st)
  • Deficiency Re-Inspection
  • Following First 0.25” Rain (within 2 business days)

• Inspection Date

  Date

• Inspector

• Location
  Address

• STORMWATER BMPs

• Are all areas of disturbed soil protected from erosion through implementation of soil stabilization processes?

  Yes

  No

  N/A

• Are perimeter controls (wattles, silt fence) in place and properly installed?

  Yes

  No

  N/A

• Are materials, stockpiles, dumpsters, and concrete washout areas properly covered and protected?

  Yes

  No

  N/A

• Is all heavy equipment properly covered and protected?

  Yes

  No

  N/A

• Are all storm drain inlets properly protected?

  Yes

  No

  N/A

• Are all portable toilets secured, located away from drainage facilities, and have secondary containment?

  Yes

  No

  N/A

• Are all access and egress points protected with stabilized construction?

  Yes

  No

  N/A

• Are all public streets, curbs, and gutters adequately swept of sediment, mud, and debris disposed of?

  Yes

  No

  N/A

• Is all storm run-on onto the site adequately addressed?

  Yes

  No

  N/A

• Are spill kits and/or supplies on site and available to staff?

  Yes

  No

  N/A

• PROJECT AREA GREATER THAN AN ACRE

  Yes

  No

• Is the contact info provided for: Site Contact, SWPPP Preparer and Inspector, and 24 HR BMP Implementation and Maintenance contact?

  Yes

  No

  N/A

• Does the SWPPP reflect the current site condition

  Yes

  No

  N/A

• Does the SWPPP include all inspection documentation

  Yes

  No

  N/A

• Are all Rain Event Action Plans (REAP) prepared and implemented on site within 48 hours prior to forecasted rain?

  Yes

  No

  N/A

• IS RUNOFF LEAVING THE PROJECT SITE?

  Yes

  No

• The qualified SWPPP Practitioner (QSP) shall provide the following:

• Provide pH of runoff:

  Yes

  No

  N/A

• Provide Turbidity of runoff:

  Yes

  No

  N/A

Sign Off

• Inspector

  Sign

• Inspector Ph # and Date

• Contractor and Date

  Sign