SWPPP Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

General Information

• Inspection Date?

  Date

• MB Kahn Inspector

  Select Jared Reilly Fallon Weaver

  • Jared Reilly
  • Fallon Weaver

• Sub Inspector

  Select Jared Reilly Fallon Weaver

  • Jared Reilly
  • Fallon Weaver

Weather Information

• Has it Rained since the last inspection?

  Yes

  No

  N/A

• If yes, provide:

  Date

• Approximate Rainfall (in):

• Weather at time of inspection?

  Select Clear Cloudy Overcast Light Rain Rain Light Snow Snow

  • Clear
  • Cloudy
  • Overcast
  • Light Rain
  • Rain
  • Light Snow
  • Snow

• Temperature of the day?

Items

• Unless noted, all previous deficiencies were corrected.

• For specific locations, reference Appendix B: EP-02 Erosion & Settlement Control located in MB Kahn's Environmental Management Plan.

• Do any catch basins need corrective action?

  Yes

  No

  N/A

• Corrective action includes but is not limited to: remove gutter buddy install silt bag, clean out leaves and settlement/dirt, replace gutter buddy and silt bag

• If yes, which ones?

  Select Catch Basin #1 Catch Basin #2 Catch Basin #3

  • Catch Basin #1
  • Catch Basin #2
  • Catch Basin #3

• If needed, provide pictures below:

  Media

• Do any curb inlets need corrective action?

  Yes

  No

  N/A

• Corrective action includes but is not limited to: remove gutter buddy, clean out leaves and settlement/dirt, replace gutter buddy

• If yes, which ones?

  Select Curb Inlet #1 Curb Inlet #2 Curb Inlet #3 Curb Inlet #4 Curb Inlet #5 Curb Inlet #6

  • Curb Inlet #1
  • Curb Inlet #2
  • Curb Inlet #3
  • Curb Inlet #4
  • Curb Inlet #5
  • Curb Inlet #6

• If needed, provide pictures below:

  Media

BMPs inspection

• All inactive slopes and disturbed areas have stabilized?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are all sanitary waste replaces placed in secondary containment and free of leaks?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are storm drain inlets properly protected?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are materials that are potential storm water contaminants stored inside or under cover?

  Yes

  No

  N/A

• Are non-stormwater discharges (was water or dewatering) properly controlled?

  Yes

  No

  N/A

Signatures

• Inspector

  Sign