Information

  • Audit Title

  • Name and Title of Inspector(s)

  • Conducted on

  • CoA SWQ Permit
    Segment 1: 2013653518
    Area A: 2013653514
    Area B1: 2014812786
    Area B2: Pending
    Area C: 2013665014
    Area D: 2013786467
    Area E: 2014826408
    Area F/G1: Pending
    Area G2: 2014827547

    State of Colorado CDPS Permit
    Segment 1: COR3K310
    Area A: COR03K386
    Area B1: COR03L441
    Area B2: Pending
    Area C: COR03K385
    Area D: COR03K580
    Area E: COR03L442
    Area F/G1: COR03M162
    Area G2: COR03M011

PROJECT SITE AND ONGOING WORK

  • Weather at time of inspection

  • Type of Inspection

  • Precipitation Start Date

  • Precipitation Stop Date

  • Type of Runoff

  • Amount of Precipitation

  • Current Site Activities

VEHICLE TRACKING PADS

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

UNCONTROLLED ACCESS POINTS

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

INLETS & OUTLETS

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

CONSTRUCTION FENCE, SILT FENCE & OTHER PERIMETER BMP'S

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

ROCK SOCKS, WATTLES & CHECK DAMS

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

STOCKPILES

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

CONCRETE WASHOUTS

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

TRASH AND HOUSEKEEPING

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

NEW WORK ACTIVITIES WITHOUT BMP'S

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

DUST CONTROL

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

DEWATERING OR PUMPING GROUNDWATER OR ACCUMULATED STORMWATER

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

DISCHARGE POINTS

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

SEEDING & MULCHING

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

VISIBLE EROSION OR ISSUES NOT NOTED IN OTHER ITEMS

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

EQUIPMENT FUELING OR MAINTENANCE

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

TOXIC OR OTHER REGULATED SUBSTANCES

  • Current condition?

  • Add an element for each location that requires maintenance. Include stationing, inlet/outlet names or a detailed description of the location.

  • Maintenance Item
  • Observations

  • Attach a picture.

  • Actions taken, Date, Initials

DECLARATIONS

  • Is the Inspector a "qualified person" in accordance with 3.1.2?

  • Have you inspected ALL areas that have been cleared, graded, or excavated and that have not yet completed stabilization?

  • Have you inspected ALL material, waste, borrow or equipment storage and maintenance areas?

  • Have you inspected ALL Stormwater controls including pollution prevention measures?

  • Have you inspected ALL areas where Stormwater flows within the site?

  • Have you inspected ALL points of discharge?

  • Have you inspected ALL locations where stabilization measures have been implemented?

  • If you declared a portion of the site unsafe to inspect, have you described the reasoning?

  • "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."

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