Information
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Document No.
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Project Name
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Project Location
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Prepared by
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Ohio EPA General Stormwater Permit No.
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Sediment Control Contractor
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Phone Number
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Date of First Grubbing/Clearing Activity
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Date Sediment Controls Implemented (within 7 days of grubbing)
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Date Sediment/Erosion Controls Implemented in accordance with Stormwater Pollution Prevention Plan
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Are there any streams/creeks on site? (Y/N)
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Identify steps taken to protect streams/creeks
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Inspection of all sediment control measures MUST be performed at least once every seven days and within 24 hours of .25" rainfall. Part 4.1.4 of permit
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Conducted on
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Type of BMP (silt fence, dandy bags, etc.)
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24 Hour Rainfall
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Sediment & Erosion Controls Functional
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Corrective Action Needed
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Date Corrective Action Completed
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Additional Measures Necessary (if so, describe)
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Inspector Initials
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Are all areas stabalized?
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Are natural resources protected (streams, wetlands, etc,)?
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Are perimeter controls adequately installed?
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Are storm drains properly protected?
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Is there evidence of sediment being tracked in the street?
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Is trash collected and placed in dumpsters?
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Is the washout facility functional?
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Are equipment fueling areas free of spills and leaks?
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Comments
