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I • Date of inspection; • Names and titles of persons conducting the inspection; • Summary of inspection findings; • Rain gauge or weather station readings if your inspection is triggered by the 0.25 inch storm threshold;and • If you determine that a portion of your site is unsafe to access for the inspection, documentation of what conditions prevented the inspection,and where these conditions occurred on the site Instructions for Using This Template This Field Version of the Inspection Report Template is intended to be used in the field and filled out by hand. If I you will be filling out the Inspection Report Template electronically (i.e., you will be typing in your findings), please use the Electronic Version of the Inspection Report Template available at www.epa.gov/npdes/stormwater/swppp.The Electronic Version includes text fields with instructions for what to enter. Keep in mind that this document is a template and not an "off-the-shelf" inspection report that is ready to use I without some modification. You must first customize this form to include the specifics of your project in order for it to be useable for your inspection reports. Once you have entered all of your site-specific information into these fields, you may print out this form for use in the field to complete inspection reports. The following tips for using this template will help you ensure that the minimum permit requirements are met: • Review the inspection requirements. Before you start developing your inspection report form, read the CGP's Part 4 inspection requirements.This will ensure that you have a working understanding of the permit's underlying inspection requirements. • Complete all required text fields. Fill out all text fields. Only by filling out all fields will the template be compliant with the requirements of the permit. (Note: Where you do not need the number of rows provided in the template form for your inspection, you may leave those rows blank. Or, if you need more space to document your findings, you may add an additional sheet.) • Use your site map to document inspection findings. In several places in the template,you are directed to specify the location of certain features of your site, including where stormwater controls are installed and where you will be stabilizing exposed soil.You are also asked to fill in location information for unsafe conditions and the locations of any discharges occurring during your inspections. Where you are asked for location information, EPA encourages you to reference the point on your SWPPP site map that corresponds to the requested location on the inspection form. Using the site map as a tool in this way will help you conduct efficient inspections,will assist you in evaluating problems found, and will ensure proper documentation. • Sign and certify each inspection report. Each inspection report must be signed and certified by the permittee to be considered complete. Where your inspections are carried out by a contractor or subcontractor, it is recommended that you also have the form signed and certified by the inspector, in addition to the signature and certification required of the permitted operator. The template includes a signature block for both parties. • Include the inspection form with your SWPPP. Once your form is complete, make sure to include a copy of the inspection form in your SWPPP in accordance with Part 7.2.12.4 of the CGP. • Retain copies of all inspection reports with your records. You must also retain in your records copies of all inspection reports in accordance with the requirements in Part 4.1.7.3 of the 2012 CGP.These reports must be retained for at least 3 years from the date your permit coverage expires or is terminated. ISection-by-Section Instructions You will find specific instructions corresponding to each section of the report form on the reverse side of each page.These instructions provide you with more details in terms of what EPA expects to be documented in these Ireports. I I