Fillable Stormwater Pollution Prevention Plan Inspection Checklist (City of Farmington)

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Stormwater Pollution Prevention Plan Inspection Checklist (City of Farmington)

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The Stormwater Pollution Prevention Plan Inspection Checklist (City of Farmington) form is 2 pages long and contains:

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  • 13 check-boxes
  • 170 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Farmington

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Yes No
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Stabilized Construction Entrance
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Inspection Checklist Prepared By:
See Continuation Sheet:
Yes
Signature
Title
No, END OF REPORT
____________________________________
_____________________________
SELF-REPORTING SHOULD BE SUBMITTED TO THE PUBLIC WORKS DEPARTMENT WEEKLY AND AFTER ANY
MAJOR RAIN EVENT USING ONE OF THESE METHODS:
- Mail: 12 S Franklin Street, Farmington, MO 63640 - Fax: (573)756-5161
- E-mail: rsullivan@farmington-mo.gov - Online: insert URL
BMP's Completed per SWPPP?
Are BMP's Routinely Maintained?
Good Housekeeping Practiced?
Is Sediment Retained on Site?
Is Solid Waste Buried On Site?
Hazardous Waste Removed?
Sitework been Inactive > 14 days?
General Condition Checklist
Acceptable Condition
Comments
Inlet Protection
Sediment Basin
Retention Basin
Temporary Seeding & Mulching
Erosion Control Mats
Drainage Swales
BMP Inspection
Acceptable Condition
Action Taken
Street Clean at Construction Entry
Vehicle Washdown Area
Fabric Silt of Straw Bale Fence
SWPPP on Project Office:
Permit and Conditions in Office:
I attest that a SWPPP Survey was conducted on the project identified above and the following observations were
noted during the survey:
Weekly Inspection
Storm Event Inspection
Rainfall (inches):
Owner:
Superintendent:
NPDES Permit #:
City of Farmington, Missouri
Stormwater Pollution Prevention Plan
Inspection Checklist
Inspection Checklists to be submitted to the Public Works Department weekly and after major rain events
Project Name:
Inspection Date:
Stormwater Pollution Prevention Plan: Part of Grading Plan Separate Document
Inspection By:
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signature
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City of Farmington, Missouri
Project Name:
Inspection Date:
Addition Comments (if applicable, note the item number of the topic from the preceding page which your
comments apply)
No.
Stormwater Pollution Prevention Plan
Inspection Checklist
SWPP Survey Checklist Continuation Sheet
The items below are part of the Stormwater Pollution Prevention Plan (SWPPP) Survey
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Stormwater Pollution Prevention Plan Inspection Checklist (City of Farmington)

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Completed 20 July 2020

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