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COLORADO DEPARTMENT OF TRANSPORTATION <br /> STORMWATER FIELD INSPECTION REPORT - ACTIVE CONSTRUCTION <br /> k I 1"ro)eet Nana. (2)Project Conies ti a (3)SWMP Administrator(Qualified Stormwater Manager) <br /> 'Erosion Control Inspector <br /> (4)COOT Project Engmeer'COOT Designee 15)Other Attendeels)(Name and Title) <br /> i6 CDOT Project Number. (7)Project Code(Sub Account#1: (A)CDPS-SCP 19)COOT Region. <br /> Codification'? <br /> 10)Date of Project In ---- - __-q Inspection (1 t)Weather at Time of Inspection: <br /> (12)REASON FOR INSPECTION/EXCLUSION <br /> J Routine Inspection:(A routine erosion control inspection shall be conducted at a minimum.once every 7 Calendar Day., <br /> J Runoff Event:(Post-storm event inspections must be conducted within 24 hours atter the end of any precipitation or snowmen event that causes surface <br /> erosion If no construction activities will occur following a storm event,post-storm event inspections shall he conducted prior to re-commencing construction <br /> activities,but no later than 72 hours following the storm event.The occurrence of any such delayer)inspection must be documented in the inspection <br /> record.)Routine inspections still must be conducted every 7 calendar days. <br /> Storm Start Date. Approximate End Time of Storm Ihrsr <br /> J Third Party Request:Winter Conditions Inspections Exclusion:Inspections are not required at sites where construction activities are temporarily <br /> halted,snow cover nests over the entire site for an extended period.and melting conditions posing a risk of surface erosion do not exist. This <br /> exception is applicable only during the period where melting conditions do not exist,and applies to the routine 7-day inspections,as well as the post- <br /> storm-event inspections.It visual inspection of the site verifies that all of these conditions are satisfied,document the conditions in section 17(General <br /> Notes)and proceed to section 18(Inspection Certification) Documentation must include dates when snow cover existed date when construction activities <br /> ceased.and date when melting conditions began. <br /> J Other: <br /> (13)SWMP MANAGEMENT <br /> Yes No N/A (y)Reason for N/A <br /> (a)Is the SWMP located on site? JLJ Li <br /> (h)Are changes to the SWMP documents noted and approved? <br /> (c)- Are the inspection reports retained in the SWMP? <br /> (d)Are corrective actions from the last inspection completed? <br /> (e)- Is the Spill Response Plan updated in the SWMP? <br /> (f)Is a list of potential pollutants updated in the SWMP? C,it <br /> (14)CURRENT CONSTRUCTION ACTIVITIES <br /> t)Describe current prase of construction activities <br /> (b)Estimate of disturbed area at the time of the inspection,use guidance found in 208.04(e): <br /> Acres 'Notes <br /> Temporary Stabilization(includes areas of vertically tracked andi'or surface <br /> roughened temporary stabilizing surface treatments)+ <br /> Interim Stabilization(spray on soil tackilier such as organic mulch tackilier, <br /> banded fiber matrix,wood cellulose fiber with tackilier.etc.)+ <br /> Permanent Stabilization(includes areas or permanent seeding that have not <br /> achieved 70%of pre-disturbance vegetation levels)+ —4f{ <br /> Other(Includes ground disturbing.clearing and grubbing.materials storage. <br /> equipment staging,haul roads)+ <br /> Total acres of disturbance(Includes cumulative total number of saes including: <br /> temporary,interim,permanent stabilized and other)= <br /> (c)Has the SWMP Phased Control Measure Implementation Matrix been updated? J Yes J No <br /> Page 1 of 6 [DOT Form 41176 2/21 <br />