SWPPP Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Summary

• Add media

  Media

• Site Name:

• Operator:

• Permit Number:

• Inspection Type:

• Permit Description:

• Inspector:

• Inspection Date:

• Inspection Notes:

• Approximate Area Of Site Disturbed:

• Percentage Of Site Distured:

Weather:

• Has there been any precipitation since the last inspection?

• Approximate Amount (in):

• Storm Start Date:

• Storm Duration (hrs):

• Current Weather:

• Are there any discharges at the time of the inspection?

• Do you suspect that discharges may have occurred since the last inspection?

• Add media

  Media

Previous Inspection - Responsive Actions Due

Inspection Details

• 1) Is there off site tracking from construction entries?

  Yes

  No

  N/A

• 2) Are stockpiles stabilized and/or protected per permit requirements?

  Yes

  No

  N/A

• 3) Are perimeter controls ( I.e.- wattle ) installed,functional, and maintained?

  Yes

  No

  N/A

• 4) Is silt fence properly installed, functional, and maintained?

  Yes

  No

  N/A

• 5) Are drain inlet CBP's installed, clean, and functioning?

  Yes

  No

  N/A

• 6) Are there BMP's in place to reduce dust on site?

  Yes

  No

  N/A

• 7) Are dewatering measures in place, properly constructed, using dewatering socks, and pillows to prevent illicit discharge?

  Yes

  No

  N/A

• 8) Are liquid chemicals, hazardous materials, and hazardous waste stored in secondary containment and free from leaks and exposure?

  Yes

  No

  N/A

• 9) Is there any visible evidence of erosion ( I.e. rills) on site?

  Yes

  No

  N/A

• 10) Are wet ponds, sediment basins, or sediment traps constructed in accordance to SWPPP's standards and functioning correctly?

  Yes

  No

  N/A

• 11) Are construction materials stored in approved manner?

  Yes

  No

  N/A

• 12) Is there evidence of, or the potential for, increased pollutant (e.g., sediment, fuel, concrete waste, portable toilet waste, etc.) loading to enter the storm water conveyance system due to lack of maintenance or improper BMP installation?

  Yes

  No

  N/A

• 13) Are portable sanitary facilities located 50' away from any DI and located to avoid conveyance to any DI's ?

  Yes

  No

  N/A

• 14) Are trash containers free from over filling and are there BMP's to prevent wind dislodging of contents or protection from rainfall?

  Yes

  No

  N/A

• 15) Are concrete wash outs constructed as approved BMP's functioning, and maintained?

  Yes

  No

  N/A

• 16) Are there active treatment systems ATS ( i.e. Baker Tanks / Rain For Rent) in use and are they in proper working order?

  Yes

  No

  N/A

• Add signature

  Sign

• The above signature also shall certify that this facility is in compliance with the Stormwater Pollution Prevention Plan and the State General Permit for Stormwater Discharge from large and small construction activities if there are not any instances of non-compliance identified above.