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Stormwater Management Field Inspection Report Instructions <br />State waters are defined to be any and all surface and subsurface waters which are contained in or flow through the state, <br />including, streams, rivers, lakes, drainage ditches, storm drains, ground water, and wetlands, but not including waters in sewage <br />?ystems, waters in treatment works or disposal systems, waters in potable water distribution systems, and all water withdrawn for <br />se 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 required <br />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 this <br />form to document the conditions that meet the Exclusion. <br />® Other. Specify any other reason(s) that resulted in the inspection. <br />(13) SWMP Management: Review the SWMP records and documents and use a,/ to answer the question. To comply with CDOT <br />Standard Specifications and the CDPS-SCP, all of the items identified must be adhered to. If No is checked, document the reason <br />Aftnd indicate the necessary corrective action in section 15 (Construction Site Assessment & Corrective Actions). If NA is checked, <br />ndicate 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 may <br />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. Inspection <br />reports must identify any incidents of non-compliance with the terms and conditions of the CDOT specifications or the CDPS-SCP. <br />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? Is <br />a description of the corrective action(s), the date(s) of the corrective action(s), and the measure(s) taken to prevent future violations <br />(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 208.051(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, leaks or <br />overflows that result in the discharge of pollutants must be documented and maintained. Information that should be recorded for all <br />occurrences include the time and date, weather conditions, reasons for spill, etc. Some spills may need to be reported to the Water <br />Quality Control Division immediately. <br />(f) Is a list of potential pollutants retained at the site? Subsection 107.25(b)5 requires the Erosion Control Supervisor to identify and <br />describe all potential pollutant sources, including materials and activities, and evaluate them for the potential to contribute pollutants <br />to stormwater discharge. <br />(14) Current Construction Activities: Provide a short description of the current construction activities/phase at the project site; <br />include summary of grading activities, installation of utilities, paving, excavation, landscaping, etc. <br />- Estimate the acres of disturbed area at the time of the inspection. Include clearing, grading, excavation activities, areas receiving <br />overburden (e.g. stockpiles), demolition areas and areas with heavy equipment/vehicle traffic, installation of new or improved haul <br />roads and access roads, staging areas, borrow areas and storage that will disturb existing vegetative cover. <br />05) BMPs On Site at Time of Inspection: Indicate the BMPs that are installed on-site at the time of inspection. All BMP details <br />(e.g., Standard Plan M-208-1) shall be included with the SWMP documents. <br />page 4 of 5 CDOT Form #1176 3/08