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3150-FM-BWEW0083 2/2012
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATERWAYS ENGINEERING AND WETLANDS
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VISUAL SITE INSPECTION REPORT
Note: It is a condition of National Pollutant Discharge Elimination System and Erosion and Sediment
permits that a maintenance program be conducted to provide for the operation and maintenance of
all BMPs to be inspected on a weekly basis and after each stormwater event. Please list in the space
provided comments to note if repairs or replacement are needed or have been made for BMPs as a
result of the inspection. Failure to conduct the required inspection may result in permit suspension
or the imposition of civil penalties. If supplemental monitoring is required as part of a permit
condition this form may be used to meet those monitoring requirements.
Project Site Name: Date: Inspection #:
Time: Weather:
Permit #: Photos Taken: Yes No
Inspector/Title:
Municipality(s):
County(s):
Inspection Type (check one): Weekly Stormwater Event
Y
N
1.
Are the approved (Stamped) E & S plan and PCSM plan present on site?
2.
Are there activities occurring outside of the limits of disturbance shown on the plan drawings?
(If yes, notify conservation district and explain.)
3.
Is Construction Sequence being followed?
(If No, notify conservation district and explain.)
4.
E & S BMPs (List BMPs and note if installed and maintained as per the plan.)
Y
N
Were repairs/maintenance/replacement BMPs necessary (if so, describe):