How to Complete Form 25D-100

1. How to Complete Form 25D-100

2. Inspection Report Form 25D-100 • There are instructions with examples available on the construction forms webpage:

3. 1.1 Project Name • Use the name shown on the plans • Should match the project name in the SWPPP and on the NOI Example Project

4. Use the Project Number shown on the plans and in the SWPPP • If there is more than one project number, use the first one unless directed otherwise 1.2 Project Number Example Project 12345

5. 1.3 Project Location • Use City and State • If the project is not near a city, use Highway name and milepost number, for example “Parks Hwy, MP 45-55” Example Project 12345 Juneau, AK

6. 1.4 NOI Tracking Number • Two different numbers • Found on the NOI Letters/emails from DEC • Usually do not change Example Project 12345 Juneau, AK AKR10AB12 AKR10CD34

7. Where to find your NOI Tracking Number: Example Letter from DEC • NOIs from DEC are posted for public viewing at the jobsite • Copies of both NOIs are kept in the SWPPP

8. 1.5a Date of Inspection • Record the actual day, month and year the inspection took place Example Project 12345 Juneau, AK AKR10AB12 AKR10CD34 3/1/2017

9. If you are completing the form on a computer, save the document now. • The Project Number and Inspection date will now appear automatically in the footer of each page of the inspection. • If you are completing the inspection report by hand, the Project Number and Inspection date must be added by hand to the footer of each page.

10. 1.5b Start/End Times • Record the hour and minute the inspection started and ended. Example Project 12345 Juneau, AK AKR10AB12 AKR10CD34 12:30pm-2:30pm 3/1/2017

11. 1.6 Inspectors’ Names • Enter names for both the Contractor’s and DOT&PF’s Inspector. Example Project 12345 Juneau, AK AKR10AB12 AKR10CD34 12:30pm-2:30pm 3/1/2017 Pat Brown Morgan Smith

12. In the RARE instance in which only one of the inspectors is present, write “Not Present” for the inspector who is not there and follow written procedures for an impracticable joint inspection. 1.6 Inspectors’ Names Non-joint inspection Example Project 12345 Juneau, AK AKR10AB12 AKR10CD34 12:30pm-2:30pm 3/1/2017 Pat Brown Not Present

13. 1.7 Inspectors’ Titles • Contractor’s Inspector’s Title: either Superintendent or SWPPP Manager. • DOT&PF’s Inspector’s Title: either Stormwater Inspector or Project Engineer. Example Project 12345 Juneau, AK AKR10AB12 AKR10CD34 12:30pm-2:30pm 3/1/2017 Pat Brown Morgan Smith SWPPP Manager Stormwater Inspector

14. 1.8 Inspectors’ Contact Information • Use a current daytime phone number or cell number for both. Example Project 12345 Juneau, AK AKR10AB12 AKR10CD34 12:30pm-2:30pm 3/1/2017 Pat Brown Morgan Smith SWPPP Manager Stormwater Inspector (907)555-0000 (907)555-1111

15. 1.9a & 1.9b AK-CESCL Certification Number and Expiration Date • Enter a current AK-CESCL or equivalent certification number and expiration date for both inspectors. Example Project 12345 Juneau, AK AKR10AB12 AKR10CD34 12:30pm-2:30pm 3/1/2017 Pat Brown Morgan Smith SWPPP Manager Stormwater Inspector (907)555-0000 (907)555-1111 DOT-15-0000 AGC-16-0000 2/2/2019 11/5/2018

16. 1.10 Describe Construction Activities • Briefly describe the current construction activity/activities since the last inspection. • Examples: clearing & grubbing, grading, culvert installation, paving, or pouring foundation. Example Project 12345 Juneau, AK AKR10AB12 AKR10CD34 12:30pm-2:30pm 3/1/2017 Pat Brown Morgan Smith SWPPP Manager Stormwater Inspector (907)555-0000 (907)555-1111 DOT-15-0000 AGC-16-0000 2/2/2019 11/5/2018 Grading, culvert installation at south end of project

17. 1.11 Type of Inspection Example Project 12345 Juneau, AK AKR10AB12 AKR10CD34 12:30pm-2:30pm 3/1/2017 Pat Brown Morgan Smith SWPPP Manager Stormwater Inspector (907)555-0000 (907)555-1111 DOT-15-0000 AGC-16-0000 2/2/2019 11/5/2018 Grading, culvert installation at south end of project x

18. 2.1 Weather Since the Last Inspection • Check as many boxes as applicable.

19. 2.2 Storm Events

20. > 0.5” Either the start of or part of a storm event 3 days TR or 0.0” Dry weather - you need three days in a row to end a storm event

21. Section 2.2 Storm Events (continued) 9/10/17 Inspection Report 9/6/17 4 + Rain Log as of 9/10/17 2.6” to date Section 2.2 of the 9/10/17 example inspection report documents the storm event that started on 9/6 and was ongoing at the time of the inspection.

22. 9/17/17 Inspection Report Section 2.2 Storm Events (continued) 9/6/17 9/16/17 8 1 + Rain Log as of 9/17/17 2.8” 0.7” to date Section 2.2 of the next inspection report, on 9/17, must document the complete information for the storm event that started on 9/6 and was ongoing at the time of the last inspection. Section 2.2 also documents a new ongoing storm event that started on 9/16.

23. Section 2.3 Weather at the time of this inspection • Check the box that best describes what the weather is during the inspection • Record the temperature

24. Section 3.0 Overall Site Issues • This section summarizes how the project is complying with various parts of the CGP. • It is likely easier to complete Section 5.0: Site-Specific BMPs first, and then return to this section.

25. Section 3.0 Overall Site Issues • Please note the instructions on the form.

26. Examples of documenting a reason for checking “No” for BMP Installed : Explain why in the comments If you check “No” and “No” !

27. These two typically have “No” and “No” checked, with no explanation needed.

28. Section 3.15 can also have “No” and “No” checked, or it can be left blank.

29. Section 3.0 Overall Site Issues (continued) • Other than the exceptions discussed before, the inspectors should be able to check “Yes” in the Response column to document permit compliance with these overall site issues. • See the Form 25D-100 written instructions (on the DOT&PF Construction Forms webpage) for examples for each category of Section 3.0. • This presentation will go into more detail on Corrective Actions when Section 5.0 is discussed.

30. Section 4.0 – Discharge Points

31. Section 4.3 – Location of Discharge Points Circle by hand during the inspection • List the locations of all discharge points. • Must match the Site Map Hit the tab key in the last row to add as many rows as needed

32. Section 5.0 – Site-specific BMPs • The instructions below are on every inspection report and are a good resource. • See the Form 25D-100 written instructions (on the DOT&PF Construction Forms webpage) for additional examples.

33. Section 5.0 – Site-specific BMPs (continued)

34. Use the same language in the descriptions, and include the BMP Identifier (HM Z6 in this example): How to document a BMP/Corrective Action: Section 5.0 of Form 25D-100 Section 3.1 of Form 25D-100 Corrective Action Log – Form 25D-112

35. Section 5.0 of Form 25D-100 Reference the Corrective Action # in the Comments Column Section 3.1 of Form 25D-100 Corrective Action Log – Form 25D-112 Corrective Action #

36. Section 6.1 – Areas of Inspection

37. Section 6.2 – Project Compliance • Examples of Non-compliance that must be documented in this section: • A 24-hour reportable discharge has occurred. • A deadline to initiate stabilization was missed. • A corrective action complete-by date was missed. • Required areas, BMPs, and/or discharge points were not inspected. • A required inspection was late or missed. • Attach additional pages if necessary.

38. The Certification Statement must first be signed and dated by the Contractor’s Superintendent and then by the DOT&PF Project Engineer.

39. When you run into questions, please refer to the written 25D-100 Instructions, available on the DOT&PF Construction Forms Webpage: http://www.dot.state.ak.us/stwddes/dcsconst/pop_constforms.shtml Other resources include your Regional Environmental Specialists and the Statewide Environmental Office. SWPPP