HomeMy WebLinkAboutSite Inspection 2019.02.28.pdfConstruction Stormwater Site Inspection Form
Project Name PF, �/,, 4.h Jk/ Permit # `11(13oi l ' Inspection Date 2/2/2 /9 Time
Name of Certified Erosion Sediment Control Lead (CESCL) or qualified inspector if less than one acre
Print Name: ;4 ,e,
Approximate rainfall amount since the last inspection (in inches): 6,Y 1
Approximate rainfall amount in the last 24 hours (in inches): 0.&!—
Current
Q &"Current Weather Clear [] Cloudy dMist F—J Rain F-] Wind [] Fog ❑
A. Type of inspection: Weekly Fv-1 Post Storm Event F-1 Other D
B. Phase of Active Construction (check all that apply):
Pre Construction/installation of erosion/sediment controls Clearing/Demo/Grading infrastructure/storm/roads
Concrete pours Vertical Construction/buildingsUtilities
Offsite improvements Site temporary stabilized HFinal stabilization
C. Questions:
1.
Were all areas of construction and discharge points inspected?
Yes
No
2.
Did you observe the presence of suspended sediment, turbidity, discoloration, or oil sheen
Yes ^
_
No
3.
4.
Was a water quality sample taken during inspection? (refer to permit conditions S4 & SS)
Was there a turbid discharge 250 NTU or greater, or Transparency 6 cm or less?*
Yes _
Yes
_✓
No
No /
5.
If yes to #4 was it reported to Ecology?
_
Yes
No 11/4f
6.
Is pH sampling required? pH range required is 6.5 to 8.5.
_
Yes
_
No
If answering yes to a discharge, describe the event. Include when, where, and why it happened; what action was taken,
and when.
All,
- - - - -
*If answering yes to # 4 record NTU/Transparency with continual sampling daily until turbidity is 25 NTU or less/ transparency is 33
cm or greater.
Sampling Results:
Date:
Parameter
Method (circle one)
Result Other/Note
NTU cm J pH
Turbidity
tube, meter, laboratory
.//,I n,14 tip e Yc
pH
Paper, kit, meter
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Construction Stormwater Site Inspection Form
D. Check the observed status of all items. Provide "Action Required "details and dates.
Element #
Inspection — —
BMPs
BMP needs
BMP
Action
Inspected
maintenance
failed
required
I
(describe in
section F)
yes
no G n/a
—
—
1 - 1
Before beginning land disturbing
Clearing
activities are all clearing limits,
Limits
natural resource areas (streams,
wetlands, buffers, trees) protected
with barriers or similar BMPs? (high
visibility recommended)
2
Construction
Access
Construction access is stabilized
with quarry spalls or equivalent
BMP to prevent sediment from
being tracked onto roads?
Sediment tracked onto the road
way was cleaned thoroughly at the
pJ� f�
end of the day or more frequent as
necessary.
Are flow control measures installed
3
Control Flow
to control stormwater volumes and
Rates
velocity during construction and do
they protect downstream
properties and waterways from
/
!//
erosion?
If permanent infiltration ponds are
used for flow control during
construction, are they protected
from siltation?
4
Sediment
All perimeter sediment controls
(e.g. silt fence, wattles, compost
Controls
socks, berms, etc.) installed, and
maintained in accordance with the
Stormwater Pollution Prevention
Plan (SWPPP).
Sediment control BMPs (sediment
ponds, traps, fiiters etc.) have been
constructed and functional as the
first step of grading.
Stormwater runoff from disturbed
areas is directed to sediment
removal BMP.
5
Stabilize
Soils
Have exposed un -worked soils
been stabilized with effective BMP,Jy,r�('i+��►r
to prevent erosion and sediment
J*er ,'4 Ae! AW
r��r`'�
�f
deposition?
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Constriction Stormwater Site Inspection Form
Element p I Inspection
5
Stabilize Soils
Cont
[Areockpiles �s�b!Zli�� from erosion,
ted witht trapping
° measures and located away from drain
inlet, waterways, and drainage
channels? _
Have soils been stabilized at the end of
the shift, before a holiday or weekend
If needed based on the weather
forecast?
Has stormwater and ground water J
6
been diverted away from slopes and
Protect
disturbed areas with interceptor dikes,
Slopes
pipes and or swales?
Has cover been provided for all
chemicals, liquid products, petroleum
is off-site storm water managed
separately from stormwater generated
on the site?
is excavated material placed on uphill
Were contaminated surfaces cleaned
Immedlately after a spill Incident?
side of trenches consistent with safety
and space considerations?
Have check dams been placed at
regular intervals within constructed
channels that are cut down a slope?
7
Storm drain inlets made operable
Drain Inlets
during construction are protected.
Are existing storm drains within the
influence of the project protected?
8
Have all on-site conveyance channels
Stabilize
been designed, constructed and
Channel and
stabilized to prevent erosion from
Outlets
expected peak flows?
Is stabilization, Including armoring
material, adequate to prevent erosion
of outlets, adjacent stream banks,
slopes and downstream conveyance
BMPs BMP needs
spected maintenance
yes I no I n/a
I
J
I/
9 Are waste materials and demolition
Control debris handled and disposed of to
Pollutants prevent contamination of stormwater?
✓
Has cover been provided for all
chemicals, liquid products, petroleum
i products, and other material?
Has secondary containment been
provided capable of containing 110%
of the volume?
Were contaminated surfaces cleaned
Immedlately after a spill Incident?
l/
Were BMPs used to prevent
contamination of stormwater by a pH
modifying sources?
/Ila /,r&, , i)i
Ja�r(tJ 0bA'ivL��
BMP Action
failed required
(describe in
section F)
Page 3
Construction Stormwater Site Inspection Form
Element g
Inspection
BMPS
Inspected
BMP needs
maintenance
BMP
failed
Action l
required
(describe in
section F)
yes
no
n/a
9
Wheel wash wastewater is handled
Cont.
and disposed of property.
10
Control
Dewatering
1
Concrete washout in designated areas.
No washout or excess concrete on the
ground.
Dewatering has been done to an
approved source and in compWnce
!
✓
f
Ab ce-7C4 trr
v ! �y�
A).
with the SWPPP.
8
Were there any dean non turbid
dewatering discharges?
11
Are all temporary and permanent
Maintain
erosion and sediment control BMPs
BMP
maintained to perform as intended?
12
Has the project been phased to the
Manage the
maximum degree practicable?
Project
Has regular inspection, monitoring and
maintenance been performed as
required by the it?Has
the SWPPP been updated,
implemented and records maintained?
13
is all Bioretention and Rain Garden
,1(; G/A "T -.v
Protect LID
Facilities protected from
sedimentation with appropriate BMPs?
Is the woretention and Rain Garden
protected against over compaction of
construction equipment and foot
If
traffic to retain its infiltration
capabilities?
Permeable pavements are dean and
free of sediment and sediment laden -
water runoff. Muddy construction
it
equipment has not been on the base
material or pavement.
Have soiled permeable pavements
been cleaned of sediments and pass
infiltration test as required by
/
stormwater manual methodology?
Heavy equipment has been kept off
I
existing soils under LID facilities to
retain infiltration rate.
E. Check all areas that ave been inspected. V1A
E
All in place BMPs All disturbed soils [:]All concrete wash out area All material storage areas
All discharge locations All equipment storage areas C j All construction entrances/exits
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Construction Storinwater Site Inspection Form
F. Elements checked "Action Required" (section D) describe corrective action to be taken. List the element number;
be specific on location and work needed. Document, initial, and date when the corrective action has been completed
and inspected.
Element
#
-` -Description and Location Action Required
Completion
Date
Initials
1
�.zka 4r
Attach additional page if needed
Si?n the fogowina certification:
"I certify that this report is true, accurate, and complete, to the best of my knowledge and belief
Inspected by: (print) 1,4- x
Title/Qualification of Inspector:
_ (Signature) - Date: 2/41111/>
c� E'f�/may
Page 5
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