Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Information and Weather

  • Describe the present phase of construction.

  • Type of inspection:

  • Has there been a storm event since the last inspection?

  • If yes, provide date and time of storm:

  • Duration of storm:

  • Amount of precipitation:

  • Weather at the time of this inspection?

  • Temperature:

  • Have any discharges occurred since the last inspection?

  • If yes, describe:

Best Management Practices

Stabilized Construction Exits

  • BMP installed?

  • BMP maintenance required?

  • Corrective action needed and notes:

Silt Fence

  • BMP installed?

  • BMP maintenance required?

  • Corrective action needed and notes:

Combined Staging and Materials Storage Area

  • BMP installed?

  • BMP maintenance required?

  • Corrective action needed and notes:

Dumpsters and Sanitary Facilities

  • BMP installed?

  • BMP maintenance required?

  • Corrective action needed and notes:

Vegetated Swale

  • BMP installed?

  • BMP maintenance required?

  • Corrective action needed and notes:

Sediment Trap

  • BMP installed?

  • BMP maintenance required?

  • Corrective action needed and notes:

Topsoil Stockpile

  • BMP installed?

  • BMP maintenance required?

  • Corrective action needed and notes:

Storm Drain Inlets

  • BMP installed?

  • BMP maintenance required?

  • Corrective action needed and notes:

Concrete Washout Area

  • BMP installed?

  • BMP maintenance required?

  • Corrective action needed and notes:

Overall Site Issues

  • Are all slopes and disturbed areas not actively being worked properly stabilized?

  • Maintenance required?

  • Corrective action needed and notes:

  • Are natural resource areas (e.g., streams, wetlands, mature trees, etc.) protected with barriers or similar BMPs?

  • Maintenance required?

  • Corrective action needed and notes:

  • Are perimeter controls and sediment barriers adequately installed (keyed into substrate) and maintained?

  • Maintenance required?

  • Corrective action needed and notes:

  • Are discharge points and receiving waters free of any sediment deposits?

  • Maintenance required?

  • Corrective action needed and notes:

  • Are storm drain inlets properly protected?

  • Maintenance required?

  • Corrective action needed and notes:

  • Is the construction exit preventing sediment from being tracked into the street?

  • Maintenance required?

  • Corrective action needed and notes:

  • Is trash/litter from work areas collected and placed in dumpsters?

  • Maintenance required?

  • Corrective action needed and notes:

  • Are washout facilities (e.g., paint, stucco, concrete) available, clearly marked, and maintained?

  • Maintenance required?

  • Corrective action needed and notes:

  • Are vehicle and equipment fueling, cleaning, and maintenance areas free of spills, leaks, or any other deleterious material?

  • Maintenance required?

  • Corrective action needed and notes:

  • Are materials that are potential storm water contaminants stored inside or under cover?

  • Maintenance required?

  • Corrective action needed and notes:

  • Are non-storm water discharges (e.g., wash water, dewatering) properly controlled?

  • Maintenance required?

  • Corrective action needed and notes:

Certification Statement

  • Check box if : No incidents of non-compliance were found, and I certify that this inspection found this site to be fully in compliance with both the Storm Water Pollution Prevention Plan (SWPPP) and EPA's Construction General Permit (CGP).

  • "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 assure 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.

  • Signature:

  • Signature:

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