DEMLR Monitoring — Comet Builders

▼ Project Information

Project Name *

Project / Permit #

Approving Authority

Date of Plan Approval

Expiration Date

NCG010000 COC #

Date of COC Issuance

Coverage under the NCG010000 permit must be renewed annually, if issued after April 1, 2019, until a Notice of Termination is filed and approved.

▼ Part 1A — Rainfall Data (inches)

Week Of *

Week Ending

Mon

Tue

Wed

Thu

Fri

Sat

Sun

Weekly Total

▼ Part 1B — Phase(s) of the Plan

Initial installation of erosion and sediment control measures Clearing & grubbing of existing ground cover Completion of any grading that requires ground cover Completion of all land-disturbing activity, construction or development Permanent ground cover sufficient to restrain erosion has been established

Conditions limiting the inspection — list any areas that were inaccessible

▼ Part 2 — Stormwater Plans & Controls

Answer Y / N / N/A for each. Anything marked No is flagged in red and must be carried into Part 3A.

Part 2A — Plans and Related Documents

Ref	Question	Yes	No	N/A

Part 2B — Stormwater Pollutant Controls

Ref	Question	Yes	No	N/A

Report oil spills and releases of hazardous substances to the appropriate DEQ Regional Office within 24 hours of discovery.

Part 2C — Non-Stormwater Pollutant Controls

Ref	Question	Yes	No	N/A

Report visible sedimentation into streams or wetlands to the appropriate DEQ Regional Office within 24 hours of discovery.

Part 2D — Sedimentation

Ref	Question	Yes	No	N/A

▼ Part 3A — Erosion & Sedimentation Control Measures

Inspect at least once per 7 calendar days and within 24 hours of a rain event of 1.0 inch or more in 24 hours.

Measure ID / Location and Description	Reference(s)	Operating Properly? (Y/N)	Inspection Date	Describe Actions Needed	Date Previous Action(s) Corrected	Photo Ref	—

Report unanticipated bypasses or non-compliance that may endanger health or the environment to the appropriate DEQ Regional Office within 24 hours of discovery.

▼ Part 3B — Stormwater Discharge Outfalls

Inspect at least once per 7 calendar days and within 24 hours of a rain event of 1.0 inch or more in 24 hours.

Outfall ID / Location	Visible Sedimentation in Streams / Wetlands / Outside Limits? (Y/N)	Increase in Stream Turbidity? (Y/N)	Visible Erosion Below SDO? (Y/N)	Oil Sheen / Floating Solids / Discoloration? (Y/N)	Inspection Date	Describe Actions Needed	Date Previous Action(s) Corrected	Photo Ref	—

▼ Part 3C — Ground Stabilization

Record at a minimum after each phase. Add rows as needed.

Area Where Activities Have Temporarily or Permanently Ceased	Time Limit for Ground Cover	Stabilization Installed? (Y/N)	Temporary or Permanent (T/P)	Ground Cover Sufficient? (Y/N)	Original Inspection Date	Describe Actions Needed	Date Previous Action(s) Corrected	Photo Ref	—

▼ Part 3D — New or Revised Measures

Document measures omitted, installed, altered, relocated or removed since the last inspection. Corrective actions belong in Part 3A.

Measure ID or Location and Description	Proposed Dimensions (ft.)	Actual Dimensions (ft.)	Significant Deviation from Plan? (Y/N)	Date Observed	Installed (I) / Altered (A) / Relocated (R) / Removed (X)	Photo Ref	—

Significant deviation means any omission, alteration or relocation that prevents a measure from performing as intended.

▼ Part 4 — Signature of Inspector

Inspector Name *

Employer

Inspector Type

Address

County

Phone Number

Email Address

Date & Time of Inspection *

Comet Builders LLC

▼ Project Information

▼ Part 1A — Rainfall Data (inches)

▼ Part 1B — Phase(s) of the Plan

▼ Part 2 — Stormwater Plans & Controls

▼ Part 3A — Erosion & Sedimentation Control Measures

▼ Part 3B — Stormwater Discharge Outfalls

▼ Part 3C — Ground Stabilization

▼ Part 3D — New or Revised Measures

▼ Part 4 — Signature of Inspector

▼ Saved Drafts (this device)

Project Templates

Copy Previous Inspection

▼ Project Information

▼ Part 1A — Rainfall Data (inches)

▼ Part 1B — Phase(s) of the Plan

▼ Part 2 — Stormwater Plans & Controls

▼ Part 3A — Erosion & Sedimentation Control Measures

▼ Part 3B — Stormwater Discharge Outfalls

▼ Part 3C — Ground Stabilization

▼ Part 3D — New or Revised Measures

▼ Part 4 — Signature of Inspector

▼ Saved Drafts (this device)