Npdes Inspection Form - Bernalillo County, New Mexico

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Bernalillo County NPDES Inspection Form
PWSW _________________
BRBP: ______________ (Residential)
BCBP: _________________ (Commercial)
SC: ______________ (Major Subdivision) SRP: __________________ (Minor Subdivision)
PWCO: ______________ (CON Plans)
PWDN: _________________ (Grading and Drainage)
NPDES ID Number: ____________________ Inspector Name: ________________________
Inspection Date: _______________________ Entry Time: _______ Exit Time: _______
FACILITY LOCATION INFORMATION
Site Name:
Location:
Mailing Address:
SITE INFORMATION: (Check All That Apply)
Rough grading □
Infrastructure □
Final grading □
Construction Stage:
PERMIT INFORMATION (Circle Correct Answer)
Permit Sign/ Notice Visibly Posted?
Y
N
Copy of NOI Available?
Y
N
Contact Name & Phone Posted?
Y
N
SWPPP INFORMATION (Circle Correct Answer)
Is Copy of SWPPP On-Site or Made Available?
Y
N
Location/ Comments:
Name of Supervisor On-Site:
Is SWPPP Implementation Satisfactory?
Y
N
Comments:
Are SWPPP Bi-Weekly Inspection Forms Satisfactory?
Y
N
Comments:
STRUCTURAL BMPS USED AT THE SITE (Check All That Apply)
Silt fence
Hay bales
Fiber rolls
Benching
Berm
Dyke
Inlet protection
Rip rap
Check dam
Catch basin
Retention pond
Detention pond
Other:
GOOD HOUSEKEEPING PRACTICES
1. Are debris and litter contained? Y
N
2. Are chemicals & materials stored properly? Y
N
3. Is there a concrete waste management system? Y
N
4. Is there sediment tracking control? Y
N
22-15
Bernalillo County NPDES Inspection Form
PWSW _________________
BRBP: ______________ (Residential)
BCBP: _________________ (Commercial)
SC: ______________ (Major Subdivision) SRP: __________________ (Minor Subdivision)
PWCO: ______________ (CON Plans)
PWDN: _________________ (Grading and Drainage)
NPDES ID Number: ____________________ Inspector Name: ________________________
Inspection Date: _______________________ Entry Time: _______ Exit Time: _______
FACILITY LOCATION INFORMATION
Site Name:
Location:
Mailing Address:
SITE INFORMATION: (Check All That Apply)
Rough grading □
Infrastructure □
Final grading □
Construction Stage:
PERMIT INFORMATION (Circle Correct Answer)
Permit Sign/ Notice Visibly Posted?
Y
N
Copy of NOI Available?
Y
N
Contact Name & Phone Posted?
Y
N
SWPPP INFORMATION (Circle Correct Answer)
Is Copy of SWPPP On-Site or Made Available?
Y
N
Location/ Comments:
Name of Supervisor On-Site:
Is SWPPP Implementation Satisfactory?
Y
N
Comments:
Are SWPPP Bi-Weekly Inspection Forms Satisfactory?
Y
N
Comments:
STRUCTURAL BMPS USED AT THE SITE (Check All That Apply)
Silt fence
Hay bales
Fiber rolls
Benching
Berm
Dyke
Inlet protection
Rip rap
Check dam
Catch basin
Retention pond
Detention pond
Other:
GOOD HOUSEKEEPING PRACTICES
1. Are debris and litter contained? Y
N
2. Are chemicals & materials stored properly? Y
N
3. Is there a concrete waste management system? Y
N
4. Is there sediment tracking control? Y
N
22-15
EROSION CONTROLS
(Circle All That Apply and Note Location and Type of Controls Used)
Wind:
Y
N
Air Permit #?
Location:
Type of Control:
Storm water:
Y
N
Location:
Type of Control:
Non-storm water: Y
N
Location:
Type of Control:
STABILIZATION
What percent of area is stabilized?
List and Describe Stabilization Practices: (e.g. seeding, mulching, geo-textiles, sod).Indicate
location and if properly installed and maintained.
NOTES ON OVERALL INSPECTION:
22-16

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