Title Page

  • Conducted on

  • Prepared by

General information

  • Current date and time

  • Location
  • Inspector(s) onsite

  • Weather at the time of inspection.

  • Activities on site

Type of Inspection

  • Please select type of inspection.

  • If post-precipitation, please list amount.

Phasing information

  • Which phase are we currently operating in?

  • Which phases are currently disturbed?

  • How many acres are approximately disturbed?

Phasing Stormwater inspection

  • Are there are discharges at the time of inspection?

  • Do you suspect any discharges occurred since the last inspection?

  • Are perimeter controls and sediment barriers (silt fences, wattles) installed, functional, and maintained?

  • Is sediment being controlled on site and not allowed onto public traveled streets?

  • Is trash/litter/recyclables properly stored and collected in appropriate areas?

  • Are construction materials (i.e. Baskets, pvc) stored outside of natural drainage areas?

  • Are nonstormwater discharges properly controlled onsite?

  • Are there areas disturbed going to be disturbed again within 14 calendar days?

  • If yes, please site which areas.

  • What best management practices are suggested for compliance in these areas?

  • If "other" is selected, please list.

Staging/Topsoil Stockpile Areas

  • Is there visible runoff coming from the staging area?

  • Is trash/litter/recyclables properly stored and collected in appropriate areas?

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

  • Is secondary containment adequate, installed, and maintained around fuel tanks and drums?

  • If nonstormwater is collected on the staging site, is it properly controlled?

  • Is there seeding on the topsoil stockpile?

  • If any visible erosion is evident, are functional best management practices installed and functioning?

  • Are there suggested best management practices that could be installed to ensure compliance?

  • If yes, what are these best management practices?

Signature

  • I fully understand that this document is an inspection required by our stormwater pollution prevention plan, and applicable local, state and federal permits. I comply that the information provided from me is true and done to the best of my ability.

  • Name

  • Add signature

  • Add signature

  • Date, time completed

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