1622 E MARINE VIEW DR WHOLE SITE 2022-02-01

Construction Stormwater Site Inspection Form •Project Name Permit # Inspection Date Name of Certified Erosion Sediment Control Lead (CESCL) or qualified inspector if less than one acre Print Name: Approximate rainfall amount since the last inspection (in inches): Approximate rainfall amount in the last 24 hours (in inches): Current Weather Clear Cloudy ❑ Mist ❑ Rain ❑ Wind ❑ Fog ❑ A. Type of inspection: Weekly ❑ Post Storm Event ❑ Other ❑ B. Phase of Active Construction (check all that apply): Time Pre Construction/installation of erosion/sediment controls Clearing/Demo/Grading Infrastructure/storm/roads Concrete pours Vertical Construction/buildings Utilities Offsite improvements Site temporary stabilized Final stabilization C. Questions: 1. Were all areas of construction and discharge points inspected? Yes No 2. Did you observe the presence of suspended sediment, turbidity, discoloration, or oil sheen Yes No •3. Was a water quality sample taken during inspection? (refer to permit conditions S4 & S5) Yes No 4. Was there a turbid discharge 250 NTU or greater, or Transparency 6 cm or less?* Yes No 5. If yes to #4 was it reported to Ecology? Yes No 6. Is pH sampling required? pH range required is 6.5 to 8.5. Yes No If answering yes to a discharge, describe the event. Include when, where, and why it happened; what action was taken, and when. *If answering yes to # 4 record NTU/Transparency with continual sampling daily until turbidity is 25 NTU or less/ transparency is 33 cm or greater. Sampling Results: Date: Parameter Method (circle one) Result Other/Note NTU cm pH Turbidity tube, meter, laboratory pH Paper, kit, meter • Page 1