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Post Construction Storm Water Inspection Evaluation Form
UPDES Storm Water Inspection Evaluation for Post Construction Compliance. Please fill out sections completely.
Site Name
Site Address
Date of Evaluation
UTR Permit #
Permit Effective Date
Permit Expiration Date
Facility Contact Information
Names
Contact
Contact
Phone #'s
Contact
Contact
Email
Contact
Contact
BUSINESS TYPE
SUBDIVISION
COMMERCIAL
INDUSTRIAL
Snout Required for Site
Orifice Required for Site
Orifice Size:
Items Inspected
1. Class V Injection Walls
Checked
Maintenance
Required
Not Required
Observations and Remarks
2. Fuel Storage
A. Containment
Checked
Maintenance
Required
Not Required
Observations and Remarks
B. Pumping Area
Checked
Maintenance
Required
Not Required
Observations and Remarks
3. Chemical Storage
A. Used Oil
Checked
Maintenance
Required
Not Required
Observations and Remarks
B. Used Antifreeze
Checked
Maintenance
Required
Not Required
Observations and Remarks
4. Parking Lot
A. Clear of Trash/Debris
Checked
Maintenance
Required
Not Required
Observations and Remarks
B. Signs of Spills
Checked
Maintenance
Required
Not Required
Observations and Remarks
5. Garbage Bins
Checked
Maintenance
Required
Not Required
Observations and Remarks
6. Curb Inlets
Checked
Maintenance
Required
Not Required
Observations and Remarks
7. Manholes
Checked
Maintenance
Required
Not Required
Observations and Remarks
8. Pipes
Checked
Maintenance
Required
Not Required
Observations and Remarks
9. Detention/Retention Ponds
Checked
Maintenance
Required
Not Required
Observations and Remarks
A. Vegetation
Checked
Maintenance
Required
Not Required
Observations and Remarks
Any signs of debris or pollutants coming into the city storm drain system:
Notes:
Inspector:
Print Name
Title
Signature
Date
Repeat Email Address