Skip to content
2200 W. Panama Road, Martell, NE 68404
402-794-5000
Home
About
Blog Posts
Services
Careers
Driver Application
Operator Application
Employee Portal
Material Order
Contact
Home
About
Blog Posts
Services
Careers
Driver Application
Operator Application
Employee Portal
Material Order
Contact
Stormwater Pollution Prevention Plan Inspection Report
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 6
CSW Permit Number
Inspection Date & Time
Date
Time
First Inspection?
Yes
No
Last Inspection Date
Name of Project
Location of Project
SWPPP Designer Name
*
First
Last
SWPPP Designer Company
Authorized Project Representative Name
*
First
Last
Authorized Project Representative Company Name
Inspector Name
*
First
Last
Inspector Company Name
Inspector Title
Cell Phone
Email
*
Email
Confirm Email
This inspection report will be emailed to the Inspector at the email address listed above. If you wish to have this inspection report emailed to an additional recipient, input their email address below:
Additional Recipient Email
Where are the Erosion Control Plans and other SWPPP documents located?
Did a storm event occur since the last inspection date?
Yes
No
If multiple storm events occured, please list all the required storm event dates with the storm event amounts (in inches) in the field below:
Is runoff coming from an adjacent site?
Yes
No
If Yes is selected, please explain:
Have any illicit discharges occured since last inspection?
Yes
No
If Yes is selected, please explain: (copy)
Current weather during inspection:
Next
Erosion Control Plans Inspection
Are Erosion Control Plans up to date per current site conditions?
Yes
No
Corrective Action Required for Erosion Control Plans?
Yes
No
Location and Corrective Action Needed
Attach photo for the Location and Corrective Action Needed for Erosion Control Plans
Click or drag files to this area to upload.
You can upload up to 3 files.
Current BMPs Inspection
Do current BMPs on site match the SWPPP plans?
Yes
No
Corrective Action Required for BMPs?
Yes
No
Location and Corrective Action Needed for BMPs
Attach photo for the Location and Corrective Action Needed for BMPs
Click or drag files to this area to upload.
You can upload up to 3 files.
Adequate BMPs Inspection
Are the installed BMPs adequate?
Yes
No
Corrective Action Required for Inadequate BMPs?
Yes
No
Location and Corrective Action Needed for Inadequate BMPs
Attach photo for the Location and Corrective Action Needed for Inadequate BMPs
Click or drag files to this area to upload.
You can upload up to 3 files.
SWPPP Board Inspection
Is the SWPPP Board properly installed and up to date?
Yes
No
Corrective Action Required for SWPP Board?
Yes
No
Location and Corrective Action Needed for SWPPP Board
Attach photo for the Location and Corrective Action Needed for SWPPP Board
Click or drag files to this area to upload.
You can upload up to 3 files.
Natural Resource Inspection
Are natural resource areas (waterways, wetlands, etc.) protected with barriers or similar BMPs?
Yes
No
N/A
Corrective Action Needed for natural resource areas?
Yes
No
N/A
Location and Corrective Action Needed for Natural Resource Areas
Attach photo for the Location and Corrective Action Needed for Natural Resource Areas
Click or drag files to this area to upload.
You can upload up to 3 files.
Next
Perimeter and Sediment Controls Inspection
Are perimeter and sediment controls properly installed and maintained?
Yes
No
Corrective Action Needed for perimeter and sediment controls?
Yes
No
Location and Corrective Action Needed for Perimeter and Sediment Controls
Attach photo for the Location and Corrective Action Needed for Perimeter and Sediment Controls
Click or drag files to this area to upload.
You can upload up to 3 files.
Discharge Points Inspection
Are discharge points and/or receiving waters free of sediment deposits?
Yes
No
Corrective Action Needed for discharge points?
Yes
No
Location and Corrective Action Needed for Discharge Points
Attach photo for the Location and Corrective Action Needed for Discharge Points
Click or drag files to this area to upload.
You can upload up to 3 files.
Storm Drain Inspection
Are storm drain inlets properly protected?
Yes
No
N/A
Corrective Action Needed for storm drain inlets?
Yes
No
N/A
Location and Corrective Action Needed for Storm Drain Inlets
Attach photo for the Location and Corrective Action Needed for Storm Drain Inlets
Click or drag files to this area to upload.
You can upload up to 3 files.
Construction Entrance Inspection
Is the construction entrance installed and maintained per permit specifications?
Yes
No
Corrective Action Needed for the construction entrance?
Yes
No
Location and Corrective Action Needed for Construction Entrance
Attach photo for the Location and Corrective Action Needed for Construction Entrance
Click or drag files to this area to upload.
You can upload up to 3 files.
Public Right of Way Inspection
Is the public right of way (streets, sidewalks, etc.) free of sediment deposits?
Yes
No
Corrective Action Needed for public right of way?
Yes
No
Location and Corrective Action Needed for Public Right of Way
Attach photo for the Location and Corrective Action Needed for Public Right of Way
Click or drag files to this area to upload.
You can upload up to 3 files.
Next
Debris and Trash Inspection
Is construction debris and/or trash from site properly collected and contained?
Yes
No
Corrective Action Needed for debris and/or trash?
Yes
No
Location and Corrective Action Needed for Debris and/or Trash
Attach photo for the Location and Corrective Action Needed for Debris and/or Trash
Click or drag files to this area to upload.
You can upload up to 3 files.
Washout Facilities Inspection
Are washout facilities (concrete, etc.) properly installed and maintained?
Yes
No
N/A
Corrective Action Needed for Washout Facilities?
Yes
No
N/A
Location and Corrective Action Needed for Washout Facilities
Attach photo for the Location and Corrective Action Needed for Washout Facilities
Click or drag files to this area to upload.
You can upload up to 3 files.
Fueling Areas Inspection
Are equipment fueling areas proplery contained and free of spills and/or leaks?
Yes
No
N/A
Corrective Action Needed for equipment fueling areas?
Yes
No
N/A
Location and Corrective Action Needed for Equipment Fueling Areas
Attach photo for the Location and Corrective Action Needed for Equipment Fueling Areas
Click or drag files to this area to upload.
You can upload up to 3 files.
Hazardous Materials Inspection
Are all hazardous materials properly stored and maintained?
Yes
No
N/A
Corrective Action Needed for hazardous materials?
Yes
No
N/A
Location and Corrective Action Needed for Hazardous Materials
Attach photo for the Location and Corrective Action Needed for Hazardous Materials
Click or drag files to this area to upload.
You can upload up to 3 files.
Dust Control Inspection
Is dust associated with construction activity adequately controlled?
Yes
No
Corrective Action Needed for dust control?
Yes
No
Location and Corrective Action Needed for Dust Control
Attach photo for the Location and Corrective Action Needed for Dust Control
Click or drag files to this area to upload.
You can upload up to 3 files.
Next
Sediment Basins Inspection
Are required sediment basins installed per permit specifications and properly maintained?
Yes
No
N/A
Corrective Action Needed for Sediment Basins?
Yes
No
N/A
Location and Corrective Action Needed for Sediment Basins
Attach photo for the Location and Corrective Action Needed for Sediment Basins
Click or drag files to this area to upload.
You can upload up to 3 files.
Seeding Inspection
Are seeding requirements properly implemented?
Yes
No
N/A
Corrective Action Needed for seeding?
Yes
No
N/A
Location and Corrective Action Needed for Seeding
Attach photo for the Location and Corrective Action Needed for Seeding
Click or drag files to this area to upload.
You can upload up to 3 files.
If your inspection report is complete, please continue on to certification page to certify the inspection.
Next
Optional - Attach Updated Erosion Control Plans (including mark ups)
Click or drag files to this area to upload.
You can upload up to 5 files.
Optional - Attach updated Erosion Control Plans (including mark ups), additional Inspection Photos, or any other additional documents for upload into the application.
Click or drag files to this area to upload.
You can upload up to 5 files.
Submit
