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COLORADO DEPARTMENT OF TRANSPORTATION v <br />STORMWATER FIELD INSPECTION REPORT - ACTIVE CONSTRUCTION <br />(1) Project Name: (2) Project Contractor: (3) Erosion Control Supervisor/SWMP Administratcr: <br />(4) CDOT Project Engineer/Representative: (5) Inspector(s) (Name and Title): (6) CDOT Project Number: <br />(7) Project Code (Sub Account #): (8) CDPS-SCP Certification#: (9) CDOT Region: (10) Date of Project Inspection: <br />11 Weather at Time of Inspection- I <br />nru+.')vm rvm uvarc%, 1 iviv i CA%,t_u mvnm <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 hatted, snow cover exists <br />over the entire site for an extended period, and melting conditions posing a risk of surface erosion do not exist. This exception is applicable only <br />during the period where melting conditions do not exist, and applies to the routine 14-day inspections, as well as the past-storm-event inspections. If <br />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 />(11l CWIUP rUTANA(:FUFNT 1141 CURRENT CUNSIRUU11UN AL;11V11Its: <br /> 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? ? ? <br />Estimate of disturbed area at the time of the inspection: <br />(f) Is a list of potential pollutants retained at the site? ? ? Acres v_ <br />15 BMPs ON SITE AT TIME OF INSPECTION *See In ection Report Inspuctions for more detail. <br /> In SWMP Used Not Needed <br />at this time In SWMP uses Not Needed <br />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* ? ? ? <br />Grading Techniques* ? ? ? Other: ? ? ? <br /> <br />Berm/Diversion ? ? ? (d) MATERIALS HANDLING, SPILL PREVENTION, WASTE MANAGEMENT <br />Check Dams* ? ? ? AND GENERAL POLLUTION PREVENTION <br />Outlet Protection* ? ? ? Stockpile Management* <br />Other: ? ? ? Materials Management* ? ?? ? <br /> Concrete Waste Management* El El ? <br />(c) BMPs FOR SPECIAL CONDITIONS Saw Water Management* ? ? ? <br />Dewatering 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: ? ? ? Other: ? ?? ? <br />page 1 of 5 CDOT' Form #1176 3108