SWPPP Inspection Form

• NPDES Tracking No.

• Project Name

• Location
  Address

• Inspector's Name

• Conducted on

  Date

• Present Phase of Construction

• Type of Inspection

  Regular

  Pre-storm event

  During storm event

  Post-storm event

Weather Information

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

  Yes

  No

• Storm Start Date & Time

  Date

• Storm Duration (hrs)

• Approximate Amount of Precipitation (in)

• Weather at the time of this inspection

  Select Clear Cloudy Rain Sleet Fog Fog Other

  • Clear
  • Cloudy
  • Rain
  • Sleet
  • Fog
  • Fog
  • Other

• Specify

• Have any discharges occurred since the last inspection?

  Yes

  No

• Describe

• Are there any discharges at the time of inspection?

  Yes

  No

• Describe

Site-specific Best Management Practices (BMPs)

• Stabilized Construction Exits

  Select Installed Not Installed Maintenance Required Not Applicable

  • Installed
  • Not Installed
  • Maintenance Required
  • Not Applicable

• Silt Fence

  Select Installed Not Installed Maintenance Required Not Applicable

  • Installed
  • Not Installed
  • Maintenance Required
  • Not Applicable

• Combined Staging and Materials Storage Area

  Select Installed Not Installed Maintenance Required Not Applicable

  • Installed
  • Not Installed
  • Maintenance Required
  • Not Applicable

• Dumpsters and Sanitary Facilities

  Select Installed Not Installed Maintenance Required Not Applicable

  • Installed
  • Not Installed
  • Maintenance Required
  • Not Applicable

• Vegetated Swale

  Select Installed Not Installed Maintenance Required Not Applicable

  • Installed
  • Not Installed
  • Maintenance Required
  • Not Applicable

• Sediment Trap

  Select Installed Not Installed Maintenance Required Not Applicable

  • Installed
  • Not Installed
  • Maintenance Required
  • Not Applicable

• Topsoil Stockpile

  Select Installed Not Installed Maintenance Required Not Applicable

  • Installed
  • Not Installed
  • Maintenance Required
  • Not Applicable

• Storm Drain Inlets

  Select Installed Not Installed Maintenance Required Not Applicable

  • Installed
  • Not Installed
  • Maintenance Required
  • Not Applicable

• Concrete Washout Area

  Select Installed Not Installed Maintenance Required Not Applicable

  • Installed
  • Not Installed
  • Maintenance Required
  • Not Applicable

Overall Site Issues

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

  Yes

  No

  Not Applicable

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

  Yes

  No

  Not Applicable

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

  Yes

  No

  Not Applicable

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

  Yes

  No

  Not Applicable

• Are storm drain inlets properly protected?

  Yes

  No

  Not Applicable

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

  Yes

  No

  Not Applicable

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

  Yes

  No

  Not Applicable

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

  Yes

  No

  Not Applicable

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

  Yes

  No

  Not Applicable

• Are materials that are potential stormwater contaminants stored inside or undercover?

  Yes

  No

  Not Applicable

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

  Yes

  No

  Not Applicable

• Were incidents of non-compliance found?

  Yes

  No

• Describe any incidents of non-compliance not described above

• I certify that this inspection found this site to be fully in compliance with the both the Stormwater Pollution Prevention Plan (SWPPP) and EPA’s Construction General Permit (CGP).

Certification Statement

• “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's Name & Signature

  Sign