Stormwater Inspection Checklist – Business Plan Facilities



|Inspection ID: __________________ Inspection Date: ____________ Inspection Time: _______ AM/PM |

|Inspection Type: Routine Inspection ____ Follow-up Inspection ____ Response to Complaint ____ #. ___________ |

|Inspection Pre-Announced: ___ Yes ___ No Photos Taken: ___ Yes ___ No Picture Numbers: _____________ |

|Inspector Name: ______________________________ Municipality, Department: ____________________________ |

|Facility Name: ____________________________________________________ Facility No.: ___________________ |

|Site Address: ____________________________________________________________________________________ |

|Contact Name: __________________________________ Phone: ___________________ Fax: _________________ |

Facility Maintenance Practices

A) Does stormwater runoff from the property discharge to a stormwater conveyance system. Yes No

If yes, is the conveyance system clean and free of visible pollutants? YES NO

B) Are there Post-Construction BMPs on site? YES NO

Are the BMPs maintained and functioning properly? YES NO

C) Are the parking areas or buildings periodically cleaned? YES NO

If yes, is the waste water discharged or potentially discharged to a stormwater conveyance system? YES NO

D) Is there an oil/water separator at the facility? YES NO

If yes, is the oil/water separator inspected and/or cleaned regularly? YES NO

E) Are there any indoor drains or sinks connected to the storm drains? YES NO

Vehicle and Heavy Equipment Storage and Maintenance

F) Are trucks and/or heavy equipment parked onsite? YES NO

If yes, does parking/storage area drain to a storm drain or other conveyance system? YES NO

If yes, do the parking areas or access roads show any signs of motor oil or other pollutants? YES NO

G) Is there repair and maintenance onsite? YES NO

If yes, is repair and maintenance performed in an enclosed area? YES NO

If no, are the areas free of pollutants and protected from stormwater run-on? YES NO

H) Does fueling occur onsite? YES NO

If yes, are mechanisms in place for spill mitigation? YES NO

I) Is the fueling area properly covered, paved (concrete), and protected from run-on? YES NO

J) Are there any drains in the fueling area? YES NO

If yes, where do the respective drains discharge? ( Storm Sewer ( Sanitary Sewer ( Closed System

Vehicle and Equipment Cleaning

K) Are there areas where vehicles and/or equipment are washed? YES NO

If yes, is waste water discharged or potentially discharged to a stormwater conveyance system? YES NO

L) Is the wash area covered or enclosed? YES NO

If no, are there any stains or other signs of pollutants on the floor or the wash area? YES NO

If yes, is there the potential for stormwater to run-onto or run-off from the wash area? YES NO

Manufacturing and Processing Areas

M) Are manufacturing and processing areas exposed to stormwater? YES NO

If yes, is there the potential for non-stormwater discharges to the stormwater conveyance system? YES NO

N) Is wastewater generated? YES NO

If yes, how is it disposed? ( Storm Sewer ( Sanitary Sewer ( Landscaping ( Wastewater Pond

Storage and Disposal Practices

O) Are any materials stored in a manner that will result in an illicit discharge during storm events?

If yes, please list: ____________________________________________________________________________

Stormwater Pollution Prevention Plan (If applicable)

P) Is the SWPPP on-site? YES NO

Q) Does the SWPPP include a site map? YES NO

R) Does the SWPPP include an employee-training program? YES NO

If yes, are training records available and up-to-date? YES NO

S) Are copies of spill and leak reports available? YES NO

Conclusions and Recommendations

___ In compliance on the date of inspection ___ Violations Observed (list below)

Note observations and corrective action.

|Item |Code |Nature of |Observations/Comments and Corrective Action Required |

| | |Violation | |

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Educational Materials Provided:

( CASQA BMP Handbook Factsheet(s): ____________ ( NSSSA Surface Cleaner Guide

( DEM Industrial BMP Guide ( Stormdrain Marker(s): ____ ( Other: ______________________________________

Signatures

___ I have received a copy of this Stormwater Inspection Checklist which confirms compliance with stormwater regulations on the date of the inspection.

___ I have received a copy of this Stormwater Inspection Checklist which constitutes a Warning. The corrective actions identified above shall be acted upon to protect water quality and to avoid future enforcement actions.

___ I have received a copy of this Stormwater Inspection Checklist which constitutes a Notice to Comply. The corrective actions identified above will be considered and acted upon by________________________. I will also submit a report to the County's Inspector detailing what was done to correct inadequacies noted or explain why no action was taken by________________________.

Facility Representative Signature: ______________________________ Date: ___________________

Print Name of Facility Representative: ___________________________ Inspector Signature: _____________________

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