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===Facility information===
 
===Facility information===
:Site name:
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:Site name: _____________________________________________________________
:Site address:
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:Site address: ___________________________________________________________
:Permit number:
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:Permit number: _______________________________________
:City:
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:City: __________________________________
:State:
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:State: ________________________
:Zip code:
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:Zip code: ______________________________
  
 
===Inspection information===
 
===Inspection information===

Revision as of 23:12, 15 November 2017

Construction stormwater inspection checklist

Construction Stormwater Program

Note: This inspection checklist is an option for small construction sites. Large construction sites and linear projects require more extensive/more location specific inspection requirements. This inspection report does not address all aspects of the National Pollutant Discharge Elimination System/State Disposal System (NPDES/SDS) Construction Stormwater permit (Permit) issued on August 1, 2013. The completion of this checklist does not guarantee that all permit requirements are in compliance; it is the responsibility of the Permittee(s) to read and understand the permit requirements.

Facility information

Site name: _____________________________________________________________
Site address: ___________________________________________________________
Permit number: _______________________________________
City: __________________________________
State: ________________________
Zip code: ______________________________

Inspection information

Inspector name:
Phone number:
Organization/Company name:
Date (mm/dd/yyyy):
Time: ☐ am ☐ pm

Is the inspector trained in sediment and erosion control and is it documented in the Stormwater Pollution Prevention Plan (SWPPP)? ☐ Yes ☐ No

Is this inspection routine or in response to a storm event: ☐ 7 day ☐ Rain

Rainfall amount (if applicable):______________________________________

Is site within one aerial mile of special or impaired water that can potentially receive discharge from the site? ☐ Yes ☐ No

If yes, follow Appendix A and other applicable permit requirements.

Note: If NA is selected at any time, specify why in the comment area for that section.

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