SWPPP INSPECTION 2018

Salt Lake City Public Utilities-Construction SWPPP inspection

• PROJECT NAME / ADDRESS:

• Conducted on

  Date

• SLC PERMIT / UTR PERMIT #:

• OWNER / CONTRACTOR

• SITE CONTACT / PHONE / EMAIL

• INSPECTED BY:

  Select ANTHONY GARCIA ERIC FERGUSON Jeff Lehosky GREG ARCHULETA Chris Aragon other

  • ANTHONY GARCIA
  • ERIC FERGUSON
  • Jeff Lehosky
  • GREG ARCHULETA
  • Chris Aragon
  • other
• Add location
  Address

• INSPECTION TYPE:

  Select DRIVE BY RAIN EVENT SCHEDULED

  • DRIVE BY
  • RAIN EVENT
  • SCHEDULED

• WEATHER:

  Select SUNNY CLOUDY RAINING SNOWING OTHER

  • SUNNY
  • CLOUDY
  • RAINING
  • SNOWING
  • OTHER

• PERMIT EXPIRATION:

EROSION, SEDIMENT and HOUSEKEEPING

• 1. Is the SWPPP onsite and accessible, or is the location of the SWPPP posted in an obvious place?

  YES

  NO

  N/A

• 2. Are erosion, sediment control and good housekeeping BMPs installed as shown in the SWPPP?

  YES

  NO

  N/A

• 3. Are onsite inspections being performed by a qualified individual on a weekly or bi-weekly basis and are those inspections in the SWPPP?

  YES

  NO

  N/A

• 4. Has the SWPPP been updated to reflect the current site conditions?

  YES

  NO

  N/A

• 6. Are the storm water flows leaving or entering the site properly managed with appropriate perimeter controls

  YES

  NO

  N/A

• 7. Is there evidence of sediment discharge? (mud flows or soil deposits from construction downstream)

  YES

  NO

  N/A

• 8. Is there evidence of track out off of the construction site?

  YES

  NO

  N/A

• 9. Is there material (soil, landscaping items, other debris) on impervious surfaces that could be washed down with storm water?

  YES

  NO

  N/A

• 10. Is there a need to repair, maintain or improve sediment control BMPs? (Inlet protection, sediment basin,construction entrance, other)

  YES

  NO

  N/A

• 11. Is there a need to repair, maintain or improve erosion control BMPs? (Perimeter controls, site stabilization,dust control, other)

  YES

  NO

  N/A

• 12. Is there a need to repair, maintain or improve housekeeping? (Trash control, port-a-potty, storage and leakcontrols, concrete washout, other)

  YES

  NO

  N/A

• 13. Are there disturbed areas that have not had construction activities for 14-21 days without stabilization?

  YES

  NO

  N/A

• 14. Do BMPs need to be installed in certain areas, or removed?

  YES

  NO

  N/A

• 5. Have all the corrective actions from previous inspection been addressed and documented

  Yes

  No

  N/A

• FOLLOW UP DATE

  Date

PHOTOS

• Add media

  Media

• Add media

  Media

• Yes

  No

  N/A

• CORRECTIVE ACTIONS REQUIRED

  YES

  NO

  N/A

• CORRECTIVE ACTION REQUIRED BY:

  Date

• WAS ADVANCED NOTIFICATION GIVEN

  Yes

  No

  N/A

• TYPE OF NOTIFICATION GIVEN

  Select A: WARNING NOTICE B: STOP WORK NOTICE C: NOTICE OF VIOLATION D: VERBAL

  • A: WARNING NOTICE
  • B: STOP WORK NOTICE
  • C: NOTICE OF VIOLATION
  • D: VERBAL

• FOLLOW UP DATE:

  Date

• CORRECTIVE ACTION REQUIRED BY:

  Date

• 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.

• INSPECTOR:

  Sign

• OPERATOR:

  Sign