TJ 13-107

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Project Information:

• Project name:

• Location:
  Address

• Job #:

• Date and time of inspection:

  Date

• Weather conditions:

Documentation:

• Public Postings (NOI/permit, <br> contact info, location of the <br> SWPPP)

  Acceptable

  Deficient

  Not Applicable

• Site map(s), details:

  Acceptable

  Deficient

  Not Applicable

• Inspection reports:

  Acceptable

  Deficient

  Not Applicable

• SWPPP implementation log:

  Acceptable

  Deficient

  Not Applicable

• Soils management documents:

  Acceptable

  Deficient

  Not Applicable

Field BMPs:

• Limits Of Disturbance (LOD):

  Acceptable

  Deficient

  Not Applicable

• Construction exit:

  Acceptable

  Deficient

  Not Applicable

• Perimeter controls: (silt fence, <br> wattles, berms, etc.)

  Acceptable

  Deficient

  Not Applicable

• Inlet protection:

  Acceptable

  Deficient

  Not Applicable

• Hydraulic controls: (basins, traps, <br> ditches, swales, check dams, <br> berms, etc.)

  Acceptable

  Deficient

  Not Applicable

• Outfalls:

  Acceptable

  Deficient

  Not Applicable

• Stabilization: (temporary & <br> permanent)

  Acceptable

  Deficient

  Not Applicable

• Materials management:

  Acceptable

  Deficient

  Not Applicable

• Waste management: (trash, <br> sanitary, haz-waste, washout, <br> etc.)

  Acceptable

  Deficient

  Not Applicable

• Spill kit:

  Acceptable

  Deficient

  Not Applicable

• Dewatering:

  Acceptable

  Deficient

  Not Applicable

• Stockpiles:

  Acceptable

  Deficient

  Not Applicable

• Dust Control:

  Acceptable

  Deficient

  Not Applicable

• Wetlands, Landscape Buffers:

  Acceptable

  Deficient

  Not Applicable

• Post-Construction Stormwater <br> Management:

  Acceptable

  Deficient

  Not Applicable

Agency inspections since last visit:

Illicit Discharges / Issues of Non-compliance:

Problems & Resolutions:

Item

• Add media

  Media

Instructions to Contractor:

Item

• Add media

  Media

• Add drawing

  Drawing

Photos:

• Photo:

  Media

• Photo explanation:

• General Comments:

• Inspector:

  Sign