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COLORADO DEPARTMENT OF TRANSPORTATION <br /> '%TORMWATER FIELD INSPECTION REPORT - ACTIVE CONSTRUCTION <br /> 11)Project Name: (2) Project Contractor. (3)Erosion Control Supervisor/SWMP Administrator: <br /> (4)CDOT Project Engineer/representative: (5) inspectors)(Name and Title): (6)CDOT Project Number: <br /> (7)Project Code(Sub Account#): (8)CDPS-SCP Certification#: (9)CDOT (10)Date of Project Inspection: <br /> Region: <br /> (11)Weather at Time of Inspection: <br /> (12) REASON FOR INSPECTION/EXCLUSION <br /> ❑ Routine inspection: (minimum every 14 Calendar Days) <br /> ❑ Runoff Event: (Post-storm event inspections must be conducted within 24 hours after the end of any precipitation or snowmelt event that causes <br /> surface erosion. If no construction activities will occur following a storm event,post-storm event inspections shall be conducted prior to re-commencing <br /> construction activities,but no later than 72 hours following the storm event.The occurrence of any such delayed inspection must be documented in the <br /> inspection record.) Routine inspections still must be conducted every 14 calendar days. <br /> Storm Start Date: Approximate End Time of Storm(hrs): <br /> ❑ Third Party Request: <br /> ❑ Winter Conditions inspections Exclusion: Inspections are not required at sites where construction activities are temporarily halted,snow cover <br /> exists over the entire site for an extended period,Mg!melting conditions posing a risk of surface erosion do not exist. This exception is applicable <br /> only during the period where melting conditions do not exist,and applies to the routine 14-day inspections,as well as the post-storm-event inspections. <br /> If visual Inspection of the site verifies that all of these conditions are satisfied,document the conditions in section 18(General Notes)and proceed to <br /> section 19(inspection Certification). Documentation must include:dates when snow cover occurred,date when construction activities ceased,and date <br /> when melting conditions began. <br /> ❑ Other: <br /> (13)SWMP MANAGEMENT (14)CURRENT CONSTRUCTION ACTIVITIES: <br /> 1 Yes No NA <br /> (a) is the SWMP notebook located on site? <br /> (b)Are changes to the SWMP documents noted and approved? <br /> (c)Are the inspection reports retained in the SWMP notebook? <br /> (d)Are corrective actions from the last inspection completed? <br /> (e) Is a Spill Prevention Control and Countermeasure Plan retained <br /> at the project site? Estimate of disturbed area at the time of <br /> (f) is a list of potential pollutants retained at the site? the inspection; Acres <br /> (15) BMPs ON SITE AT TIME OF INSPECTION *See Inspection Report Instructions for more detail. <br /> In SWMP used Not Needed In SWMP Used Not Needed <br /> at this time I at this time <br /> (a)EROSION CONTROL BMPs ON SITE (b)SEDIMENT CONTROL BMPs ON SITE <br /> Seeding ❑ ❑ ❑ Stabilized Const. Entrance ❑ ❑ ❑ <br /> Mulching/Mulch Tackifier ❑ ❑ ❑ Sediment Trap ❑ ❑ ❑ <br /> Soil Binder ❑ ❑ ❑ Inlet Protection* ❑ ❑ ❑ <br /> Soil Retention Blankets ❑ ❑ ❑ Sediment Basin ❑ ❑ ❑ <br /> Embankment Protector* ❑ ❑ ❑ Perimeter Control' ❑ ❑ o <br /> Grading Techniques* ❑ ❑ ❑ Other: ❑ ❑ ❑ <br /> Berm/Diversion ❑ ❑ ❑ (d)MATERIALS HANDLING,SPILL PREVENTION,WASTE <br /> Check Dams* ❑ ❑ ❑ MANAGEMENT AND GENERAL POLLUTION PREVENTION <br /> Outlet Protection' ❑ ❑ ❑ Stockpile Management* Cl ❑ ❑ <br /> Other: ❑ ❑ ❑ Materials Management* ❑ ❑ ❑ <br /> .(c)BMPs FOR SPECIAL CONDITIONS Concrete Waste Management* ❑ ❑ ❑ <br /> Saw Water Management* ❑ ❑ ❑ <br /> r' <br /> `,_ewatering Structure ❑ ❑ ❑ Solid Waste/Trash Management ❑ ❑ ❑ <br /> Temp. Stream Crossing ❑ ❑ ❑ Street Sweeping ❑ ❑ ❑ <br /> Clear Water Diversion ❑ ❑ ❑ Sanitary Facility* ❑ ❑ ❑ <br /> Sensitive Area Fencing ❑ ❑ ❑ Vehicle and Equip. Management ❑ ❑ ❑ <br /> Other: I ❑ ❑ Cl I Other: ❑ ❑ ❑ <br /> page 1 of 5 CDOT Form#1176 7/11 <br />