Date:     Time Arrived:   Time Departed:    
Project Name:         Inspector:      
NPDES Permit Number:       Location:      
Weather:         Site Conditions:        
Construction Activity:                
Owner:           Contractor:      
Erosion and Sediment Control Plan Available -      Yes     No
Inlet Protection       Acceptable   Not Acceptable   N/A
Stabilized Construction Entrance Acceptable Not Acceptable N/A
Silt Fence       Acceptable   Not Acceptable   N/A
Ditch Checks       Acceptable   Not Acceptable   N/A
Sediment Pond(s)     Acceptable   Not Acceptable   N/A
Retention/Detention Pond(s)   Acceptable   Not Acceptable   N/A
Mulching       Acceptable   Not Acceptable   N/A
Temporary/Permant Seeding   Acceptable   Not Acceptable   N/A
Geotextiles       Acceptable   Not Acceptable   N/A
Street Cleaning       Acceptable   Not Acceptable   N/A
Matting        Acceptable   Not Acceptable   N/A
Rip Rap       Acceptable   Not Acceptable   N/A
Deficient Items Corrective Action Date
                 
                 
                 
                 
                 
                 
                 
Comments