Storm Water Construction Site Inspection- Short Form
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Site conducted
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Conducted on
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Prepared by
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Location
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Inspection Type:
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Monthly (Oct 1st-April 30th)
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Deficiency Re-Inspection
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Pre-Rain (Sept 1st-Oct 1st)
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Following First 0.25" Rain (within 2 business days)
Stormwater BMP's
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Storm Water Inspection
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No storm water deficiencies identified.
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Storm water deficiencies identified
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Stormwater BMPs
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Storm Drain Protection: Install
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Perimeter Controls:
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Housekeeping:
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Stockpiles:
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Debris Bins:
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Tracking:
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Portable Toilet:
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Concrete:
- Install BMP's for Pumper or Concrete Truck
- Cover/Maintain Concrete Washout Containers
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Sediment & Erosion:
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Other
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*ALL DEFICIENCIES MUST BE CORRECTED PRIOR TO NEXT RAIN EVENT OR NO LATER THAN DUE DATE, WHICHEVER IS SOONER.*
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DATE REQUIRED (SEE NOTE*):
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Inspector:
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Ph #:
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Contractor Signature:
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Date:
