Form CE2020 "Stormwater Site Inspection Report - General Permit Construction Activities" - County of San Diego, California

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What Is Form CE2020?

This is a legal form that was released by the Department of Public Works - County of San Diego, California - a government authority operating within California. The form may be used strictly within County of San Diego. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2011;
  • The latest edition provided by the Department of Public Works - County of San Diego, California;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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Download Form CE2020 "Stormwater Site Inspection Report - General Permit Construction Activities" - County of San Diego, California

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COUNTY OF SAN DIEGO – Department of Public Works
STORMWATER SITE INSPECTION REPORT
GENERAL PERMIT CONSTRUCTION ACTIVITIES
CE 2020 (Rev. 12/11)
Page 1 of 5
PROJECT NAME AND SITE ADDRESS:
CONTRACT NUMBER:
ORACLE NUMBER:
WDID NUMBER:
CONTRACTOR NAME AND ADDRESS:
PROJECT SITE RISK LEVEL:
LUP Type 1
Risk Level 1
Risk Level 2
LUP Type 2
LUP Type 3
Risk Level 3
Submitted by (Print Name and Sign):
Date:
Water Pollution Control Manager Name and Company Name:
Phone Number:
Emergency (24/7) Phone Number:
General Information
Inspector’s Name:
Date of Inspection:
Weather Condition:
Precipitation Condition:
Wind Condition:
Heavy Rain
Clear
Misty
None
Hail
None
Partly Cloudy
Light Rain
Less than 5 MPH
Snow
Cloudy
Rain
Greater than 5 MPH
Construction Phase:
Site Information:
________ Acres Total Project Area
Grading and Land Development / Streets and Utilities / Vertical
Construction
________ Acres Total Project Disturbed Soil Area (DSA)
________ Acres Current Phase Disturbed Soil Area (DSA)
Plant Establishment / Final Landscaping
________ Acres Current Phase Inactive Disturbed Soil (DSA)
Inactive Site
________ Percent of Work Completed
Project Status:
Compliance
Non-Compliance – Major Deficiencies or Discharge(s) noted
Prompt Action is Required
Substantial Compliance – Minor Deficiencies Noted
Contractor was notified of deficiencies
Date:
Stormwater Site Inspection Requirements
Perform the following visual inspections of the project site:
Item
Activity
Yes
No
N/A
Notes
No.
SWPPP Documentation Review:
1
Does the SWPPP contain all the required information?
1a
Are the SWPPP Site Maps on the wall (where applicable)
1b
and kept current reflecting the status of the project and the
location of all BMPs?
1c
Does the SWPPP need to be amended?
1d
Are all of the reports on file?
COUNTY OF SAN DIEGO – Department of Public Works
STORMWATER SITE INSPECTION REPORT
GENERAL PERMIT CONSTRUCTION ACTIVITIES
CE 2020 (Rev. 12/11)
Page 1 of 5
PROJECT NAME AND SITE ADDRESS:
CONTRACT NUMBER:
ORACLE NUMBER:
WDID NUMBER:
CONTRACTOR NAME AND ADDRESS:
PROJECT SITE RISK LEVEL:
LUP Type 1
Risk Level 1
Risk Level 2
LUP Type 2
LUP Type 3
Risk Level 3
Submitted by (Print Name and Sign):
Date:
Water Pollution Control Manager Name and Company Name:
Phone Number:
Emergency (24/7) Phone Number:
General Information
Inspector’s Name:
Date of Inspection:
Weather Condition:
Precipitation Condition:
Wind Condition:
Heavy Rain
Clear
Misty
None
Hail
None
Partly Cloudy
Light Rain
Less than 5 MPH
Snow
Cloudy
Rain
Greater than 5 MPH
Construction Phase:
Site Information:
________ Acres Total Project Area
Grading and Land Development / Streets and Utilities / Vertical
Construction
________ Acres Total Project Disturbed Soil Area (DSA)
________ Acres Current Phase Disturbed Soil Area (DSA)
Plant Establishment / Final Landscaping
________ Acres Current Phase Inactive Disturbed Soil (DSA)
Inactive Site
________ Percent of Work Completed
Project Status:
Compliance
Non-Compliance – Major Deficiencies or Discharge(s) noted
Prompt Action is Required
Substantial Compliance – Minor Deficiencies Noted
Contractor was notified of deficiencies
Date:
Stormwater Site Inspection Requirements
Perform the following visual inspections of the project site:
Item
Activity
Yes
No
N/A
Notes
No.
SWPPP Documentation Review:
1
Does the SWPPP contain all the required information?
1a
Are the SWPPP Site Maps on the wall (where applicable)
1b
and kept current reflecting the status of the project and the
location of all BMPs?
1c
Does the SWPPP need to be amended?
1d
Are all of the reports on file?
COUNTY OF SAN DIEGO – Department of Public Works
STORMWATER SITE INSPECTION REPORT
GENERAL PERMIT CONSTRUCTION ACTIVITIES
CE 2020 (Rev. 12/11)
Page 2 of 5
Field Inspection Notes
Item
Activity
Yes
No
N/A
Photos
Notes/Corrective Measures
No.
Taken/Follow up Measures
Are there any exposed areas that require
temporary or permanent stabilization including
2
seeding or mulching? If yes, identify locations
below.
Location:
2a
Location:
2b
Is existing vegetation being used as a BMP? If
3
yes, identify locations below.
Location:
3a
Location:
3b
Is there any evidence that sediment is leaving
the site? Is there any evidence that the
4
sediment is damaging adjacent property? If yes,
identify the locations below.
Location:
4a
Location:
4b
Are all perimeter and internal sediment-trapping
measures in place and operating correctly?
Silt Fences
Gravel Bags
5
Check Dams
Other _________
If no, identify the locations below.
Locations:
5a
Locations:
5b
Are inlets and outlets or major discharge points
6
properly maintained? If no, identify the locations
below.
Locations:
6a
Locations:
6b
Are desilting basins called for on the plan;
7
installed in the proper location; and functioning
in accordance with minimum standards?
Are cut and fill slopes adequately stabilized? If
8
no, identify the locations below.
Location:
8a
Location:
8b
COUNTY OF SAN DIEGO – Department of Public Works
STORMWATER SITE INSPECTION REPORT
GENERAL PERMIT CONSTRUCTION ACTIVITIES
CE 2020 (Rev. 12/11)
Page 3 of 5
Photos
Item
Activity
Yes
No
N/A
Notes/Corrective Measures
No.
Taken/Follow up Measures
Are all onsite drainage channels and outlets
9
adequately stabilized, maintained, and free of
debris? If no, identify the locations below.
Location:
9a
Location:
9b
Is there a stabilized construction entrance for the
10
site?
Is maintenance required for the stabilized
11
entrance?
Is there any evidence of mud, or dirt track-out on
12
public roads; at intersections with public roads?
Is there a fueling area onsite?
If so, is it delineated on the Site Map?
Is there secondary containment for the fueling
area?
13
Are the fuel tanks placed on grade?
Is the fueling area placed on a low-point where
concentrated flow can potentially deliver storm
water?
Is there a heavy vehicle staging area?
Is it shown on the Site Map?
14
Are drip pans or other measures in place?
Is there a concrete wash out area?
Is it being used?
15
Is it shown on the Site Map?
Are portable toilets protected from potential spills
16
and placed properly?
Are trash receptacles/bins provided and being
used?
17
Is work area reasonably free of trash and
debris?
Are sidewalks/streets maintained or swept from
18
construction debris/dirt?
19
Do stockpiles have covers and or perimeter
protection?
COUNTY OF SAN DIEGO – Department of Public Works
STORMWATER SITE INSPECTION REPORT
GENERAL PERMIT CONSTRUCTION ACTIVITIES
CE 2020 (Rev. 12/11)
Page 4 of 5
Photos
Item
Activity
Yes
No
N/A
Notes/Corrective Measures
No.
Taken/Follow up Measures
20
Wind Erosion Control:
20a
Is there a water truck onsite?
Is there visible dust? If yes, identify locations
20b
below.
Location:
20c
Location:
20d
21
Dewatering Operations:
21a
Is there a Dewatering Permit?
Is Dewatering currently active?
21b
Does Dewatering conform with RWQCB Permit?
21c
Is Dewatering discharge within discharge
21d
specified limitations?
22
Temporary Stream Crossing:
Is the Temporary Stream Crossing constructed
22a
as shown on the plan?
Does Temporary Stream Crossing conform to
22b
404 Permit and 1601 Permit requirements?
Is maintenance or repair required for Temporary
22c
Stream Crossing?
Project Specific BMP:
23
23a
Is it properly located and installed?
Is maintenance or repair needed?
23b
Non-Visible Pollutants Inspection Notes*
Photos
Item
Activity
Yes
No
N/A
Notes/Corrective Measures
No.
Taken/Follow up Measures
Are all potential non-visible pollutants in water-
tight containers?
Are there any visible signs of leaks or spills?
24
Any associated odors?
* Failure to confirm the safe status of non-visible pollutants may trigger sampling of storm water discharge.
General Comments
Item
Activity
Yes
No
N/A
Photos
Notes/Corrective Measures
No.
Taken/Follow up Measures
Are there water pollution control concerns on the
project site not addressed by the comments/required
25
actions shown above for BMPs based on the field
review of the job site? If yes, provide details below,
comments and required actions for each location.
Location:
25a
COUNTY OF SAN DIEGO – Department of Public Works
STORMWATER SITE INSPECTION REPORT
GENERAL PERMIT CONSTRUCTION ACTIVITIES
CE 2020 (Rev. 12/11)
Page 5 of 5
Other Items
Item
Activity
Yes
No
N/A
Photos
Notes/Corrective Measures
No.
Taken/Follow up Measures
Any additional local agency requirements?
26
Agency Name:
Stormwater Inspection Report Certification
I certify under penalty of law that this Stormwater Inspection Report was performed in accordance with the General permit. The information contained in this inspection report
was gathered from a field site inspection. I am aware that Section 309 (c)(4) of the Clean Water Act provides for significant penalties, including fines and imprisonment for
knowingly submitting false material statement, representation or certification.
Stormwater Inspector Name:
Date Report Completed:
Stormwater Inspector Signature:
I certify under penalty of law that this Stormwater Site Inspection Report Summary was prepared by me or under my direction or supervision. The information contained in the
summary was gathered and evaluated by qualified personnel prior to submittal. Based on my review of the information and inquiry of those who gathered and evaluated the
information, the information submitted is, to the best of my knowledge and belief, true accurate, and complete.
I am aware that Section 309 (c)(4) of the Clean Water Act (CWA) provides for significant penalties, including fines and imprisonment for knowingly submitting false material
statement, representation or certification.
Water Pollution Control Manager Name:
Date:
Water Pollution Control Manager Signature:
Stormwater Inspection Report Acceptance
Accepted by Resident Engineer (Name):
Date:
Resident Engineer (Signature):
(Attach any site photographs as appropriate)
General Information
•
If the inspection form does not contain enough lines to report all locations on a jobsite, attach additional copies of the form page so that all locations are
inspected and reported.
•
Obtain forecasted precipitation information from the National Weather Service Forecast Office Website, http://www.srh.noaa.gov/forecast.
•
Weather information should be the best estimate of beginning of the storm event, duration of the event, and time elapsed since the last storm.
•
Rainfall amounts should be recorded from the project site rain gauge; using form CE 2027, “Rain Gauge Monitoring Log.”
Storm Visual Inspections
•
For non-visible pollutant inspections, report all locations shown in the SWPPP.
Required Actions
•
All required actions reported on this form must also be reported on form CE-2022, “Stormwater Site Inspection Report Corrective Actions Summary.”
•
Locations identified where BMPs are failing or have other shortcomings require implementation of repairs or design changes within 72 hours of
identification, and complete BMP repairs or other changes as soon as possible.
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