HomeMy WebLinkAboutWPO201600086 Inspection 2018-08-07COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832 Fax (434) 972-4126
VSMPNESCP PERMIT SITE INSPECTION REPORT
COVERAGE & POSTING REQUIREMENTS Y No N/A Reviewed during re -inspection? ❑Yes []No
Comments/Descriptian
9 Construction site has permit coverage? (Va. Code §62.1- 44.15:34.A)
(9VAC25-870-310)(Alb. Co. Code §17-300, 17-302)
2 A copy of the notice of coverage letter is posted conspicuously near the !
main entrance of the construction activity? (CGP Part I1.C)
Notice of the location of the SWPPP is posted near the site's entrance, if
3 applicable, and information for public access is provided? (9VAC25-87D-
54.G)(CGP Part II D.2 & 3)
SWPPP AVAILABILITY AND CONTENTS Yes No N/A Reviewed during re -inspection? ❑Yes ❑No
Comments/Description
4 The SWPPP is on-site or made available during the inspection? (CGP
Part 11 D.1 & 2)(9VAC25-870-54.G)
5 The SWPPP contains a signed copy of the registration statement?
(CGP Part II A. 1,a)
B The SWPPP includes, upon receipt, a copy of the notice of coverage
letter and the CGP? (CGP Part II A.1.b & c) ALE
Page 1 of 7
The SWPPP includes a narrative description of the nature of the
7 construction activity, including the function of the project? (CGP Part 11
A. 1.d)
The SWPPP includes a legible site plan identifying all appropriate
8 measures and that includes the locations of support activities and the
onsite rain gauge, when applicable? (CGP Part 11 A.1.e(1-7))
9 The SWPPP contains the name, phone number and qualifications of
"Qualified Personnel' conducting inspections? (CGP Part 11 A.B)
10 The SWPPP contains an approved erosion and sediment control plan?
(9VAC25-870-54.B)(CGP Part II.A.2)
The SWPPP contains an approved stormwater management plan or an
11 existing construction site has a stormwater management plan that
ensures compliance with the water quality and quantity requirements?
(9VAC25-870-54.C)(CGP Part II.A.3) Technical Criteria ILL ❑ ILC ❑
12 The SWPPP contains an adequate pollution prevention plan? (9VAC25-
870-54.D)(CGP Part II.A.4)
The SWPPP identifies impaired water(s), approved TMDL, pollutar t(s) of
13 concern, exceptional waters and the additional controls measures
applicable? (9VAC 25-870-54.E)(CGP Part IIA.5 (a -b))
14 Delegation of Authority is provided and signed in accordance with Part III
K? (CGP Part 11 A.7)
15 The SWPPP is signed and dated in accordance with Part III K? (CGP Pa
11 A.8)
SWPPP AMENDMENTS, MODIFICATIONS AND UPDATESY No N/A Reviewed during inspection? El []No
CommentslDescrfp6on
Is the SWPPP being amended whenever there is a change in the design,
16 onstruction, operation, or maintenance that has a significant effect on the
ischarge of pollutants to surface waters? (CGP Part II B(1))(9VAC25-870-
4. G)
as the SWPPP been amended if inspections or investigations by the
17 perator's qualified personnel, or by local, state or federal officials find that
xisting control measures are ineffective in minimizing pollutants in
ischarges? (CGP Part 11 B(2))(9VAC25-870-54.G)
1tHawe
tor(s) that will implement and maintain each control measure are
d? (CGP Part II B(3))(9VAC25-870-54.G)
ere been updates to the SWPPP when any modifications to itsntation have occurred, including a record of dates when major19activities occur, construction activities temporarily or permanentlyn a portion of the site or stabilization measures are initiated? (CGP.4(a))(9VAC25-870-54.G)
20 Is there documentation in the SWPPP of replaced or modified controls?
(CGP Part 11 B.4(b))(9VAC25-870-54.G)
29 Is the SWPPP updated to indicate areas that have reached final
tabilization? (CGP Part 11 B.4(c))(9VAC25-870-54.G)
Is the SWPPP updated to indicate properties that are no longer under the
22 egal control of the operator and the dates on which the operator no longer
had legal control over each property? (CGP Part II 8.4(d))(9VAC25-870-
4.G)
+24
e SWPPP identify the date of any prohibited discharges, the
released, actions taken to minimize the impact of the release and
es taken to prevent the recurrence of any prohibited discharge?
art 11 BA(e-f)) (9VAC25-870-54.G)
ents, modifications, or updates to the SWPPP are signed in
nce with Part III K? (CGP Part Il 8(5))(9VAC25-870-54.G)
INSPECTIONS AND CORRECTIVE ACTIONS Yes NoN/A Reviewed during inspection? ❑Yes [:]No
Comments/Descripilon
Page 2 of 7
inspections required by the SWPPP are conducted at the required
25 frequency, including a modified frequency for impaired water(s), appro-
TMDL(s), and exceptional waters when applicable? (CGP Part Il F (2))
(CGP Part iI A.5.b.3)
26 Inspection reports are completed and signed in accordance with CGP
Part 11 F (3-4)? (CGP Part If F (3-4))
27 Corrective actions are taken consistent with the requirements of the
CGP? (CGP Part II G(1-2))
ESC AND SWM PLAN IMPLEMENTATION IYes+ No IN/A, Reviewed during inspection? ❑Yes ❑No
28 Have stream buffers and steep slopes been protected as shown on the
plan? y
[approved
equencing of the project is implemented in accordance with the
29 erosion and sediment control plan and stormwater managemenlans? (9VAC25-870-54.B and C)
Have all denuded areas requiring temporary or permanent stabilization
been stabilized, and have stabilization requirements for impaired waters,
30 approved TMDL(s), pollutants of concern and exceptional waters, when
applicable, been met? (9VAC 25-840-40.1) (9VAC25-870-54.B) (9VAC25-
880-60) (CGP Part I F.1(a)) (CGP Part Il A.5.15(1)) (CGP Part 11 A.2.c (8))
(CGP 11 E(1-2))
Are soil stockpiles adequately stabilized with seeding and/or protected
31 with sediment trapping measures? (9VAC 25-840-40.2) (CGP Part 11
AP,
rmanent vegetative cover has been established that is uniform,
32 mature enough to survive and will inhibit erosion? (9VAC 25-840-40.3)
(CGP Part 11 A.2(c)) (CGP 11 E(1-2)) (9VAC25-870-54.8)
Have sediment trapping facilities been constructed as the first step in land
33 disturbance activities? (9VAC 25-840-40.4) (CGP Part 11 A.2(c)) (CGP 11
Have earthen structures been stabilized immediately after installation?
34 (9VAC 25-840-40.5) (CGP Part 11 A.2(c)) (CGP 11 E(1-2)) (9VAC25-870-
54.8)
Are sediment traps and basins installed in accordance with MS -6 and the
35 approved plan? (9VAC 25-840-40.6) (CGP Part 11 A.2.c (9)) (CGP Part 11
A.2(c)) (CGP 11 E(1-2)) (9VAC25-870-54.B)
Are finished cut and fill slopes adequately stabilized to prevent or correct
38 excessive erosion? (9VAC 25-840-40.7) (CGP Part II A.2(c)) (CGP 11 E(1 -
Is concentrated runoff down cut or fill slopes contained in an adequate
37 permanent or temporary structure? (9VAC 25-840-40.5) (CGP Part II
A.2(c)) (CGP II E(1-2)) (9VAC25-870-54.B)
Is adequate drainage or other protection provided for water seeps?
38 (9VAC 25-840-40.9) (CGP Part Ii A.2(c)) (CGP Ii E(1-2)) (9VAC25-870-
54.B)
Do all operational storm sewer inlets have adequate inlet protection?
39 (9VAC 25-840-40.10) (CGP Part Il A.2(c)) (CGP 11 E(1-2)) (9VAC25-870-
54.8)
Are stormwater conveyance channels adequately stabilized with channel
40 lining and/or outlet protection? (9VAC 25-840-40.11) (CGP Part 11 A.2(c))
(CGP 11 E(1-2)) (9VAC25-870-54.8)
Is in -stream construction conducted using measures to minimize channel
41 damage? (9VAC 25-840-40.12) (CGP Part it A.2(c)) (CGP II E(1-2))
(9VAC25-870-54. B)
Are temporary stream crossings of non -erodible material installed where
42 applicable? (9VAC 25-840-40.13) (CGP Part Ii A.2(c)) (CGP 11 E(1-2))
IMZAa n nom., -. -
43 Is necessary restabilization of in -stream construction complete? (9VAC
25-840.40.15) (CGP 11 E(1-2)) (9VAC25-870-54.8)
Page 3 cf 7
Are utility trench operations conducted and stabilized in accordance with
44 MS -16? (9VAC 25-840-40.16) (CGP Part Il A.2(c)) (CGP iI E(1-2))
(9VAC25-870-54. B)
Are soil and mud kept off paved or public roads to minimize the transport
45 of sediment? (9VAC 25-840-40.17) (CGP Part II A.2(c)) (CGP Il E(1-2))
Have all temporary control structures that are no longer needed been
46 removed and disturbed soil resulting from their removal permanently
stabilized? (9VAC 25-840-40.18) (CGP Part Ii A.2(c)) (CGP Il E(1-2))
Are properties and waterways downstream from development adequately
47 protected from erosion, sediment and damage in accordance with the
standards and criteria specified by 9VAC25-840.19(a-n)? (9VAC 25 -840-
40.19(a -n))
48 Permanent control measures included in the SWPPP are in place?
(9VAC25-870-54.C) (9VAC25-880-60) (CGP Part 11 F.1(a))
POLLUTION PREVENTION PLAN IMPLEMENTATION
Practices are in place to prevent and respond to leaks, spills, and other
releases including (i) procedures for expeditiously stopping, containing,
49 and cleaning up spills, leaks, and other releases; and (ii) procedures for
reporting leaks, spills, and other releases in accordance with Part IIi G?
(CGP Part 11 A.4.e(1))(9VAC25-870-56)
Practices are in place to prevent the discharge of spilled and leaked fuels
50 and chemicals from vehicle fueling and maintenance activities? (CGP Part II
Practices are in place to prevent the discharge of soaps, solvents,
51 detergents, and wash water from construction materials, including the
clean-up of stucco, paint, form release oils, and curing compounds? (CG
Part II A.4.e(3))(9VAC25-870-56)
Practices are in place to minimize the discharge of pollutants from vehicle
52 and equipment washing, wheel wash water, and other types of washing?
(CGP Part Ii A.4.e(4))(9VAC25-870-56)
53 Concrete wash water is directed into a leak -proof container or leak -proof
settling basin? (CGP Part iI A.4.e(5))(9VAC25-870-56)
Practices are in place to minimize the discharge of pollutants from
54 storage, handling, and disposal of construction products, materials, and
wastes? (CGP Part Il A.4.e(6))(9VAC25-870-56)
Practices are in place to prevent the discharge of fuels, oils, and other
55 petroleum products, hazardous or toxic wastes, and sanitary wastes?
(CGP Part 11 A.4.e(7)(9VAC25-870-56)
Practices are in place to minimize any other discharge from the potential
56 1 pollutant -generating activities not addressed above, when applicable?
(CGP Part II A.4.e(8))(9VAC25-870-56)
inspector Signature
Page 4 of 7
No JN/AJ Reviewed during inspection? ❑Yes []No
Recommended ve Acdon
Recommended Corrective Action Deadline:
Targeted Re -Inspection Date:
Comments: ,S 4 R hc,,r boofN c� I k etyd ez
cu n be
The recommended corrective action deadline date applies to all conditions noted on this report unless otherwise noted. If listed condition(s) currently
constitute non-compliance and/or corrective actions are not completed by the deadline, other enforcement actions may be issued to the entity responsible for
ensuring compliance on the above project.
Inspector Signature: _
Page 6 of 7
Date:
Date Received /20 l Q — pF A
Fee Paid:
Received by:
o --- �s �-- . � �3%-
Intake: Forward to Management Analystthief r,
®
Ljt31P
BOND INSPECTION REQUEST
APPROVED PLAN #WPO-2016-00086
PROJECT NAME: Theisen & Fadden Residence
(As listed on the approved plan)
This is to request that an inspection be performed by the County. Where fees are assessed, a fee is required for
each inspection. Please check the inspections requested.
• VSMP/VESCP Erosion Control,Stormwater Management and/or Mitigation per
Water Protection Ordinance section 17-207& 208 $250
❑ Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435 and 14-438; $269
❑ Water& Sewer per Subdivision Ordinance section 14-435 $269
❑ Site Development Performance bond(Incomplete Site Work& Landscape Maintenance) $301
TOTAL FEES$250.00
Inspections for the purposes of bond reduction or release will require a separate fee for each bond.
Submit requests to: Department of Community Development,401 McIntire Road,North Wing,Charlottesville,
VA 22902,Attention: Management Analyst-Phone 434-296-5832; Fax 434-972-4126. All roads and
stormwater facilities will require construction record drawings, inspection reports,and completion processes
through VDOT or DEQ. Bonds will not be reduced or released without record drawings and inspection
documentation per the state requirements and county's published procedures. A minimum 20%of the original
posting is held until acceptance of all bonded improvements. For Site Development Performance bonds, if
landscape installation is part of the bonded incomplete site work,a request for reduction should only be made
once all site work is complete.
The revised estimate should be sent to;
EMAIL: chucktht?a c-t.net
OR REGULAR MAIL ADDRESS: 323 Catch Basin Rd
Sellersville, PA 18960
ottel ja(j.
Signature of Owner/Developer
Charles Theisen III C ,►
Print Name Date
Revised 7/15/2014,7/2/2015. 11/3/2015
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832 Fax (434) 972-4126
VSMPIVESCP PERMIT SITE INSPECTION REPORT
COVERAGE & POSTING REQUIREMENTSYes No N/A Reviewed during re -inspection? ❑Yes ❑No
Comments/Descripdon
1 Construction site has permit coverage? (Va. Code §62.1- 44,15.34.A)
(9VAC25-870-310)(Alb. Co. Code §17-300, 17-302)
2 A copy of the notice of coverage letter is posted conspicuously near the
main entrance of the construction activity? (CGP Part II.C)
Notice of the location of the SWPPP is posted near the site's entrance, if
3 applicable, and information for public access is provided? (9VAC25-870-
54.G)(CGP Part II D.2 & 3)
SWPPP AVAILABILITY AND CONTENTS Yes No N/A Reviewed during re -inspection? ❑Yes ❑No
CommentslDescrfpflon
4 The SWPPP is on-site or made available during the inspection? (CGP
Part II D,1 & 2)(9VAC25-870-54.G)
5 The SWPPP contains a signed copy of the registration statement?
(CGP Part II A.1.a)
6 The SWPPP incudes, upon receipt, a copy of the notice of coverage
letter and the CGP? (CGP Part II A. 1.b & c)
Page 1 of 7
The SWPPP includes a narrative description of the nature of the
7 construction activity, including the function of the project? (CGP Part II
AAA)
The SWPPP includes a legible site plan identifying all appropriate
8 measures and that includes the locations of support activities and the
onsite rain gauge, when applicable? (CGP Part 11 A.1.e(1-7))
9 The SWPPP contains the name, phone number and qualifications of
"Qualified Personnel' conducting inspections? (CGP Part II A.6)
10 The SWPPP contains an approved erosion and sediment control plan?
(9VAC25-870-54.13)(CGP Part II.A.2)
The SWPPP contains an approved stormwater management plan or an
11 existing construction site has a stormwater management plan that
ensures compliance with the water quality and quantity requirements?
(9VAC25-870-54.C)(CGP Part II.A.3) Technical Criteria 11.8 ❑ ILC ❑
12 The SWPPP contains an adequate pollution prevention plan? (9VAC25-
870-54.D)(CGP Part il.A.4)
The SWPPP identifies impaired water(s), approved TMDL, pollutant(s) of
13 concern, exceptional waters and the additional controls measures
applicable? (9VAC 25-870-54.E)(CGP Part IIA.5 (a -b))
14 Delegation of Authority is provided and signed in accordance with Part 111
K? (CGP Part II A.7)
15 The SWPPP is signed and dated in accordance with Part III K? (CGP Part
II A.8)
SWPPP AMENDMENTS, MODIFICATIONS AND UPDATES Yes No N/A Reviewed during inspection? ❑Yes [:]No
CommentslDescripdon
Is the SWPPP being amended whenever there is a change in the design,
16 construction, operation, or maintenance that has a significant effect on the
ischarge of pollutants to surface waters? (CGP Part II B(1))(9VAC25-870-
4.G)
Has the SWPPP been amended if inspections or investigations by the
1 operator's qualified personnel, or by local, state or federal officials find that
xisting control measures are ineffective in minimizing pollutants in
discharges? (CGP Part It B(2))(9VAC25-870-54.G)
18 Contractor(s) that will implement and maintain each control measure are
identified? (CGP Part 11 B(3))(9VAC25-870-54.G)
Have there been updates to the SWPPP when any modifications to its
implementation have occurred, including a record of dates when major
19 grading activities occur, construction activities temporarily or permanently
ase on a portion of the site or stabilization measures are initiated? (CGP
Part II B.4(a))(9VAC25-870-54.G)
20 Is there documentation in the SWPPP of replaced or modified controls?
(CGP Part II B.4(b))(9VAC25-870-54.G)
21 Is the SWPPP updated to indicate areas that have reached final
stabilization? (CGP Part II B.4(c))(9VAC25-870-54.G)
Is the SWPPP updated to indicate properties that are no longer under the
22 egal control of the operator and the dates on which the operator no longer
had legal control over each property? (CGP Part 11 BA(d))(9VAC25-870-
4. G)
Does the SWPPP identify the date of any prohibited discharges, the
23 volume released, actions taken to minimize the impact of the release and
measures taken to prevent the recurrence of any prohibited discharge?
(CGP Part II B.4(e-0) (9VAC25-870-54.G)
24 �mendments, modifications, or updates to the SWPPP are signed in
ccordance with Part III K? (CGP Part II B(5))(9VAC25-870-54.G)
INSPECTIONS AND CORRECTIVE ACTIONS Yes No N/A Reviewed during inspection? ❑Yes ❑No
Comments/Description
Page 2 of 7
Page 3 of 7
Inspections required by the SWPPP are conducted at the required
25
frequency, including a modified frequency for impaired water(s), approved
TMDL(s), and exceptional waters when applicable? (CGP Part 11 F (2))
(CGP Part II A.5.b.3)
26
Inspection reports are completed and signed in accordance with CGP
Part Il F (3-4)? (CGP Part Ii F (3-4))
27
Corrective actions are taken consistent with the requirements of the
CGP? (CGP Part II G(1-2))
ESC AND SWM PLAN IMPLEMENTATION
Yes No N/A Reviewed during inspection? I]Yes ❑No
Comments/Description
28
Have stream buffers and steep slopes been protected as shown on the
plan?
Sequencing of the project is implemented in accordance with the
29
approved erosion and sediment control plan and stormwater management"
plans? (9VAC25-870-54.B and C)
Have all denuded areas requiring temporary or permanent stabilization
been stabilized, and have stabilization requirements for impaired waters,
r
0i
30
approved TMDL(s), pollutants of concern and exceptional waters, when
IJ
applicable, been met? (9VAC 25-840-40.1) (9VAC25-870-54.13) (9VAC25-
880-60) (CGP Part I F.1(a)) (CGP Part II A.5.b(1)) (CGP Part II A.2.c (8))
(CGP 11 E(1-2))
Are soil stockpiles adequately stabilized with seeding and/or protected
E
31
with sediment trapping measures? (9VAC 25-840-40.2) (CGP Part II
A.2(c)) (9VAC25-870-54. B)
A permanent vegetative cover has been established that is uniform,
32
mature enough to survive and will inhibit erosion? (9VAC 25-840-40.3)1
(CGP Part II A.2(c)) (CGP II E(1-2)) (9VAC25-870-54.B)
Have sediment trapping facilities been constructed as the first step in land
33
disturbance activities? (9VAC 25-840-40.4) (CGP Part 11 A.2(c)) (CGP 11
E(1-2)) (9VAC25-870-54.B)
Have earthen structures been stabilized immediately after installation?
34
(9VAC 25-840-40.5) (CGP Part II A.2(c)) (CGP II E(1-2)) (9VAC25-870-
54.B)
Are sediment traps and basins installed in accordance with MS-6 and the
35
approved plan? (9VAC 25-840-40.6) (CGP Part II A.2.c (9)) (CGP Part 11
A.2(c)) (CGP II E(1-2)) (9VAC25-870-54.13)
Are finished cut and fill slopes adequately stabilized to prevent or correct
36
excessive erosion? (9VAC 25-840-40.7) (CGP Part II A.2(c)) (CGP II E(1-
2)) (9VAC25-870-54.8)
Is concentrated runoff down cut or fill slopes contained in an adequate
37
permanent or temporary structure? (9VAC 25-840-40.8) (CGP Part II
A.2(c)) (CGP II E(1-2)) (9VAC25-870-54.13)
Is adequate drainage or other protection provided for water seeps?
�`
38
(9VAC 25-840-40.9) (CGP Part 11 A.2(c)) (CGP II E(1-2)) (9VAC25-870-
/ )
54. B)
Do all operational storm sewer inlets have adequate inlet protection?
39
(9VAC 25-840-40.10) (CGP Part II A.2(c)) (CGP II E(1-2)) (9VAC25-870-
54.13)
Are stormwater conveyance channels adequately stabilized with channel
40
lining and/or outlet protection? (9VAC 25-840-40.11) (CGP Part II A.2(c))
(CGP II E(1-2)) (9VAC25-870-54.B)
Is in-stream construction conducted using measures to minimize channel
41
damage? (9VAC 25-840-40.12) (CGP Part II A.2(c)) (CGP II E(1-2))
(9VAC25-870-54. B)
Are temporary stream crossings of non-erodible material installed where
42
applicable? (9VAC 25-840-40.13) (CGP Part 11 A.2(c)) (CGP II E(1-2))
(9VAC25-870-54. B)
43
Is necessary restabilization of in-stream construction complete? (9VAC
25-840-40.15) (CGP II E(1-2)) (9VAC25-870-54.B)
Page 3 of 7
Are utility trench operations conducted and stabilized in accordance with
44 MS -16? (9VAC 25-840-40.16) (CGP Part II A.2(c)) (CGP II E(1-2))
(9VAC25-870-54.B)
Are soil and mud kept off paved or public roads to minimize the transport
45 of sediment? (9VAC 25-840-40.17) (CGP Part II A.2(c)) (CGP II E(1-2))
(9VAC25-870-54. B)
Have all temporary control structures that are no longer needed been
46 removed and disturbed soil resulting from their removal permanently
stabilized? (9VAC 25-840-40.18) (CGP Part II A.2(c)) (CGP 11 E(1-2))
(9VAC25-870-54. B)
Are properties and waterways downstream from development adequately
47 protected from erosion, sediment and damage in accordance with the
standards and criteria specified by 9VAC25-840.19(a-n)? (9VAC 25 -840-
40.19(a -n))
46 Permanent control measures included in the SWPPP are in place?
(9VAC25-870-54.C) (9VAC25-880-60) (CGP Part II F.1 (a))
POLLUTION PREVENTION PLAN IMPLEMENTATION Yes
No
N/A Reviewed during inspection? pYes ❑No
Comments/Description
Practices are in place to prevent and respond to leaks, spills, and other
releases including (i) procedures for expeditiously stopping, containing,
49 and cleaning up spills, leaks, and other releases; and (ii) procedures for
reporting leaks, spills, and other releases in accordance with Part II I G?
(CGP Part II A.4.e(1))(9VAC25-870-56)
Practices are in place to prevent the discharge of spilled and leaked fuels
50 and chemicals from vehicle fueling and maintenance activities? (CGP Part II '
A.4. e (2)) (9VAC25-8 70-56)
Practices are in place to prevent the discharge of soaps, solvents,
51 detergents, and wash water from construction materials, including the
clean-up of stucco, paint, form release oils, and curing compounds? (CGP
Part II A.4.e(3))(9VAC25-870-56)
Practices are in place to minimize the discharge of pollutants from vehicle
52 and equipment washing, wheel wash water, and other types of washing?
(CGP Part II A.4.e(4))(9VAC25-870-56)
53 Concrete wash water is directed into a leak -proof container or leak -proof %
settling basin? (CGP Part II A.4.e(5))(9VAC25-870-56)
Practices are in place to minimize the discharge of pollutants from
54 storage, handling, and disposal of construction products, materials, and
wastes? (CGP Part 11 A.4.e(6))(9VAC25-870-56)
Practices are in place to prevent the discharge of fuels, oils, and other
55 petroleum products, hazardous or toxic wastes, and sanitary wastes?
(CGP Part II A.4.e(7)(9VAC25-870-56)
Practices are in place to minimize any other discharge from the potential
56 pollutant -generating activities not addressed above, when applicable?
(CGP Part II A.4.e(8))(9VAC25-870-56)
Inspector Signature:
Page 4 of 7
Date:
Notes:
CONSTRUCTION GENERAL PERMIT SITE INSPECTION REPORT
REQUEST FOR CORRECTIVE ACTION
Project Name: Permit Number (if applicable): Date:
1 Refers to applicable regulation found in the most recent publication of the State Water Control Law (Va. Code § 62.1-44.2 et seq.), Virginia Erosion and
Sediment Control Regulations (9VAC25-840), the Virginia Stormwater Management Program (VSMP) Regulations (9VAC25-870), or the General Permit for
Discharges of Stormwater from Construction Activities (9VAC25-880).
Page 5 of 7
Regulatory
Checklist #
Citation/Legal
Occurrence
Observation/Recommended Corrective Action
requirement'
Observation:
Recommended Corrective Action:
Observation:
Recommended Corrective Action:
Observation:
Recommended Corrective Action:
Observation:
Recommended Corrective Action:
Observation:
1 Refers to applicable regulation found in the most recent publication of the State Water Control Law (Va. Code § 62.1-44.2 et seq.), Virginia Erosion and
Sediment Control Regulations (9VAC25-840), the Virginia Stormwater Management Program (VSMP) Regulations (9VAC25-870), or the General Permit for
Discharges of Stormwater from Construction Activities (9VAC25-880).
Page 5 of 7
Recommended Corrective Action:
Recommended Corrective Action Deadline:
Targeted Re -Inspection Date:
Comments:
The recommended corrective action deadline date applies to all conditions noted on this report unless otherwise noted. If listed condition(s) currently
constitute non-compliance and/or corrective actions are not completed by the deadline, other enforcement actions may be issued to the entity responsible for
ensuring compliance on the above project.
Inspector Signature: Date:
Page 6 of 7
CONSTRUCTION GENERAL PERMIT SITE INSPECTION PHOTO LOG
Project name: Permit Number, Dake.
Page 7 of 7