Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
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NPDES TRACKING NUMBER: COR03N895
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Name and titles of inspectors
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Current weather description
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Site activities
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Type of inspection:
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Has there been a storm event since the last inspection?
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If so, start date and time, duration, amount of precipitation:
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Unsafe Conditions for Inspection: Did you determine that any portion of your site was unsafe for inspection per CGP Part 4.1.5?
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Is the inspector a "qualified person", receiving specific training on Stormwater management?
Condition and Effectiveness of Erosion and Sediment (E&S) Controls (CGP Part 2.1)?
IP-1, Dandy Bag, the corner of Xanadu and Colfax Ave.
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Take photos here
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Current Conditions?
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Observations
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Actions Taken, Date, Initials
SF-1, Gator Guards (Silt Fence alternate), along the fence on the north side of the site (Colfax Ave).
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
VTC-1, west entrance on Colfax Ave.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
IP-2, midway along Colfax Ave.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
VTC-2, east entrance on Colfax Ave.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
IP-3, corner of Yuba St. (to be removed) and Colfax Ave.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
SSA-1, on site along Colfax Ave. Area to be approximately 5,350 SY.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
IP-4, on Colfax Ave. prior to the corner at Potomac St.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
VTC-3, north entrance on Potomac St.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
SSA-2, northeast corner of site, corner of Potomac and Colfax Ave, approximately 1,340 SY.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
SF-2, Gator Guards alternate for Silt Fence, along Potomac St.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
IP-5, corner of Potomac and 14th St.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
IP-6, on 14th St at the west corner of Yuba St (to be removed).
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
IP-7, on Potomac St across 14th Street on the west corner.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
SF-3, Gator Guard alternate to Silt Fence, along 14th St
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
VTC-4, east entrance on 14th St.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
SSA-3, along 14th St between the 2 gates, approximately 2,068 SY.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
VTC-5, west entrance on 14th St.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
IP-8, south side of 14th St midway down block, across the street from the construction site.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
IP-9, on east side of Xanadu St south of 14th St across the street from the construction site.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
IP-10, on west side of Xanadu St south of 14th St across the street from the construction site.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
IP-11, west corner of 14th and Xanadu, outside construction site
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
SF-4, Gator Guard alternate to Silt Fence, along Xanadu St.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
All Inlet Protection for sewers within the site.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
Condition and Effectiveness of Pollution Prevention (P2) Practices (CGP Part 2.3)?
CWA-1, located in SSA-1, along Colfax Ave, using Eco-Pan System.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
Designated Disposal Area-1, TBD.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
Hazardous Material Storage Area-1, TBD.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
Refueling Area-1, TBD.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
Mortar Mixing Area-1, TBD.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
Construction Dumpster Area-1, TBD.
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Take photos here
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Current condition?
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Observations
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Actions taken, Date, Initials
Portable Restrooms Area-1, TBD.
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Take photos here
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Current Condition?
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Observations
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Actions taken, Date, Initials
Stockpile Erosion Control Area-1, TBD.
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Take photos here
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Current Condition?
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Observations
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Actions taken, Date, Initials
ADDITIONAL ACTIONS NEEDED
Additional areas on site not currently protected needing BMP installation to properly protect Stormwater runoff.
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Were any additional areas needing stabilization, protection, or BMP installation?
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If yes, please enter a description of the action needed to correct this issue.
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Add media
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Actions taken, Date, Initials
Post-Inspection General Questions
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Are there any site activities that have begun without the installation of sediment controls?
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All earth disturbing areas have perimeter sediment controls?
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All silt fence, Gator Guard used as SF alternate, has less than one-half sediment accumulation of the above ground height?
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Sediment track-out on streets, paved areas and sidewalks from vehicle exiting is minimized?
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Stockpiles located outside natural buffers and protected from Stormwater?
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Is dust minimized on site?
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Adequate installation, protection and maintenance of storm drain inlets?
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Are discharge points and receiving waters free of any sediment deposits?
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If your site contains Stormwater conveyance channels, has erosion been minimized?
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Any sweeping/hosing soil or sediment accumulated on pavement into Stormwater conveyances?
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Is there any discharging groundwater or accumulated Stormwater that is removed from excavations, trenches, foundations, vaults or other similar points?
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Have soil stabilization measures been initiated if earth-disturbing activities have permanently or temporarily ceased within 14 calendar days?
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Are any of the following being generated at the site: concrete wash water, wastewater paint cleanout, oils, fuels, soaps, solvents, detergents or other toxic substances prohibited? Are the materials being properly maintained?
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All pollution prevention controls installed are in effective operating condition? If controls need to be replaced, repaired or maintained, you must make the necessary repairs or modifications.
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If fueling and/or maintaining equipment or vehicles at the site, are effective means of eliminating the discharges of spilled or leaked chemicals being utilized? I.e. spill supplies, drip pans absorbents, etc.
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If washing equipment or vehicles on site, are discharges being minimized?
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Are vehicle and equipment fueling, cleaning and maintenance areas free of spills, leaks or any other deleterious material?
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All storage of products, materials, or wastes, i.e. all materials that are potential Stormwater contaminates are stored inside, under cover or barricaded.
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Is trash/litter from work areas collected and placed in covered dumpsters?
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Washing out of applicators and containers used for paint, concrete or other materials are following procedures in #10 on page 51 in COA Manual?
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Are washout facilities (e.g., paint, stucco, concrete) available and maintained?
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If buildings are being washed, is the wash water being collected and properly disposed of if not pure water?
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Are there any conditions with BMPs or containers that could lead to spills, leaks, or other accumulations of pollutants?
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Are there any signs of visible erosion and sedimentation on or adjacent to the project?
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Have you inspected ALL areas that have been cleared, graded, or excavated and that have not yet completed stabilization?
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Have you inspected ALL Stormwater controls including pollution prevention measures?
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Have you inspected ALL material, waste, borrow or equipment storage and maintenance areas?
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Have you inspected ALL areas where Stormwater flows within the site?
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Have you inspected ALL points of discharge?
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Have you inspected ALL locations where stabilization measures have been implemented?
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If you declared a portion of the site unsafe to inspect, have you described the reasoning?
Certification and Signatures
Qualified Person Completing Stormwater Inspection
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“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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SWMP Administrator
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“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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