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Stormwater Management Field Inspection Report Instructions
<br /> to waters are defined to be any and all surface and subsurface waters which are contained in or flow through the state,
<br /> noluding,streams, rivers, lakes, drainage ditches,storm drains,ground water,and wetlands, but not including waters in sewage
<br /> systems, waters in treatment works or disposal systems,waters in potable water distribution systems, and all water withdrawn for
<br /> use until use and treatment have been completed. (Per subsection 107.25 and 25-8-103(19) CRS)
<br /> (3) Erosion Control Supervisor/SWMP Administrator: Indicate the name of the individual responsible for implementing,
<br /> maintaining and revising the SWMP.
<br /> (4) CDOT Project Engineer/Representative: Indicate the name of the CDOT representative performing the inspection with the
<br /> ECS/SWMP Administrator. This person should be the Project Engineer or an authorized representative.
<br /> (9) CDPS-SCP Certification #: Indicate the Colorado Discharge Permit System (CDPS)Stormwater Construction Permit(SCP)
<br /> (for Stormwater Discharges Associated with Construction Activities)certification number, issued by CDPHE, for the project which
<br /> the report is being completed. Certification number can be found on the first page of the SCP.
<br /> (12) Reason(s)for Inspection/Exclusion: Indicate the purpose for the inspection or exclusion. These inspections are
<br /> required to comply with the CDOT Specifications and the CDPS-SCP.
<br /> ❑ Routine inspections. These inspections are required at least every 14 calendar days during active construction. Suspended
<br /> projects require the 14 calendar day inspection unless snow cover exists over the entire site for an extended period of time, and
<br /> melting conditions do not exist (see, Winter Conditions Inspections Exclusions).
<br /> ❑ Runoff Event Inspection for Active Sites. See page 1 for definition.
<br /> ❑Third Party Request. Indicate the name of the third party requesting the inspection and, if known,the reason the request was
<br /> made.
<br /> ❑Winter Conditions Inspections Exclusions. See page 1 for definition. An inspection does not need to be completed, but use
<br /> this form to document the conditions that meet the Exclusion.
<br /> O Other. Specify any other reason(s)that resulted in the inspection.
<br /> !) SWMP Management: Review the SWMP records and documents and use a✓to answer the question.To comply with
<br /> ;DOT Standard Specifications and the CDPS-SCP, all of the items identified must be adhered to. If No is checked, document the
<br /> ,eason and indicate the necessary corrective action in section 16 (Construction Site Assessment& Corrective Actions). If NA is
<br /> checked, indicate why in the space provided or indicate in section 18(General Notes).
<br /> (a) Is the SWMP notebook located on site? A copy of the SWMP notebook must be retained on site, unless another location,
<br /> specified by the permit, is approved by the Division.
<br /> (b)Are changes to the SWMP documents noted and approved? Indicate all changes that have been made to any portion of the
<br /> SWMP notebook documents during construction. Changes shall be dated and signed at the time of occurrence. Amendments
<br /> may include items listed in subsection 208.03(c).
<br /> (c)Are the inspection reports retained in the SWMP notebook? The ECS/Engineer shall keep a record of inspections.
<br /> Inspection reports must identify any incidents of non-compliance with the terms and conditions of the CDOT specifications or the
<br /> CDPS-SCP. Inspection records must be retained for three years from expiration or inactivation of permit coverage.
<br /> (d)Are corrective actions from the last inspection completed? Have corrective actions from the last inspection been addressed?
<br /> Is a description of the corrective action(s),the date(s) of the corrective action(s), and the measure(s)taken to prevent future
<br /> violations(including changes to the SWMP,as necessary)documented?
<br /> (e)is a Spill Prevention Control and Countermeasure(SPCC)Plan retained in the SWMP notebook? Subsection 208.06(c)
<br /> requires that a SPCC plan be developed and implemented to establish operating procedures and that the necessary employee
<br /> training be provided to minimize accidental releases of pollutants that can contaminate stormwater runoff. Records of spills,
<br /> leaks or overflows that result in the discharge of pollutants must be documented and maintained. Information that should be
<br /> recorded for all occurrences include the time and date, weather conditions, reasons for spill, etc. Some spills may need to be
<br /> reported to the Water Quality Control Division immediately.
<br /> (f)Is a list of potential pollutants retained at the site? Subsection 107.25(b)6 requires the Erosion Control Supervisor to identify
<br /> and describe all potential pollutant sources, including materials and activities, and evaluate them for the potential to contribute
<br /> pollutants to stormwater discharge.
<br /> (14)Current Construction Activities: Provide a short description of the current construction activities/phase at the project site;
<br /> Jude summary of grading activities, installation of utilities, paving, excavation, landscaping, etc.
<br /> _6mate the acres of disturbed area at the time of the inspection. Include clearing, grading, excavation activities, areas
<br /> -eceiving overburden (e.g. stockpiles),demolition areas and areas with heavy equipment/vehicle traffic, installation of new or
<br /> ,mproved haul roads and access roads, staging areas, borrow areas and storage that will disturb existing vegetative cover.
<br /> (15) BMPs On Site at Time of Inspection: Indicate the BMPs that are installed on-site at the time of inspection. All BMP
<br /> details(e.g., Standard Plan M-208-1)shall be included with the SWMP documents.
<br /> page4 of 5 CDOT Form#1176 7H 1
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