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 | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
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: _____________________
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- free home inspection checklist pdf
- home inspection checklist printable free
- home inspection checklist do it yourself
- home inspection checklist template free
- home inspection checklist for buyers
- home inspection checklist pdf
- home inspection checklist excel
- home inspection checklist printable home inspection checklist new
- industrial stormwater inspection checklist
- annual stormwater inspection checklist
- stormwater inspection form template
- industrial stormwater inspection form