Form 3400-187 PDF Details

In the realm of construction, ensuring adherence to environmental protection standards is paramount, particularly when it comes to managing stormwater runoff. The State of Wisconsin has addressed this necessity through the introduction of the Construction Site Inspection Report, identified as Form 3400-187, under the oversight of the Department of Natural Resources. This document serves as a vital tool for construction site permittees, facilitating compliance with specific requirements laid out in s. NR 216.48(4), Wis. Adm. Code. Designed to aid in the monitoring and documentation of erosion and sediment control practices, the form requires weekly inspections and additional checks following significant precipitation events. Permit holders are obligated to keep detailed records of these inspections, including the effectiveness of implemented control measures and any necessary adjustments or repairs, thereby ensuring that construction sites operate within the established environmental guidelines. The form not only simplifies the documentation process for permittees but also ensures transparency and readiness for review by the Department upon request. It embodies a structured approach to environmental stewardship, emphasizing the importance of proactive management in minimizing the impact of construction activities on natural water resources.

QuestionAnswer
Form Name Form 3400-187
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names construction site safety inspection report, wisconsin form 3400 187, wi site inspection, wi inspection report

Form Preview Example

State of Wisconsin

CONSTRUCTION SITE INSPECTION REPORT

Department of Natural Resources

Form 3400-187 (rev. 9/04)

Page 1 of 2

dnr.wi.gov

 

 

Notice: Use of this specific form is voluntary, but the information contained on this form must be collected and kept by the permittee under s. NR 216.48(4), Wis. Adm. Code, for a construction site covered under the General WPDES Construction Site Storm Water Discharge Permit, Permit No. WI-0067831-2. This form is provided for the convenience of the permittee to meet the requirements of s. NR 216.48(4), Wis. Adm. Code.

Multiple copies of this form may be made to compile the inspection report.

Inspections of implemented erosion and sediment control best management practices must be performed weekly and within 24 hours after a precipitation event 0.5 inches or greater which results in runoff.

Weekly written reports of all inspections conducted by or for the permittee must be maintained throughout the period of general permit coverage.

The information maintained in accordance with s. NR 216.48 (4) must be submitted to the Department upon request.

Name of Permittee:

Construction Site Name (Project):

Construction Site ID No.:

 

 

Location:

County:

 

 

Contractor:

Field Office Phone:

 

 

Note: Weekly inspection reports, along with erosion control and stormwater management plans, are required to be maintained on site and made available upon request.

Date of inspection (mm/dd/yy):

 

 

 

 

 

Type of inspection: Weekly Precipitation Event

________________

 

 

 

 

 

 

 

 

Other (specify) ____________________________________

Time of inspection: Start:

 

 

 

 

a.m./p.m.

 

Name(s) of individual(s) performing inspection:

End:

 

 

 

 

a.m./p.m.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weather:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of present phase of construction:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comments/Recommendations about the overall effectiveness of the erosion

Modifications Required

 

 

Yes

No

 

 

Not

 

and sediment control measures.

 

 

 

 

Applicable

 

Note: For each item checked "Yes", complete the follow-up information on

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

page 2.

Ditch Checks

 

 

 

 

 

 

Erosion Control Plan

 

 

 

 

 

 

Erosion Mat

 

 

 

 

 

 

Grading Practices

 

 

 

 

 

 

Inlet Protection

 

 

 

 

 

 

Mulch

 

 

 

 

 

 

Offsite Sediment

 

 

 

 

 

 

Permanent Seeding

 

 

 

 

 

 

Schedule / Phasing

 

 

 

 

 

 

Silt Fence

 

 

 

 

 

 

Silt Screen

 

 

 

 

 

 

Sod

 

 

 

 

 

 

Stabilized Outlet

 

 

 

 

 

 

Temp. Diversion Channel

 

 

 

 

 

 

Temp. Settling Basin

 

 

 

 

 

 

Temporary Seeding

 

 

 

 

 

 

Tracking Pads

 

 

 

 

 

 

Turbidity Barrier

 

 

 

 

 

 

Other (specify) __________

 

 

 

 

 

 

CONSTRUCTION SITE INSPECTION REPORT

Form 3400-187 (rev. 9/04)

Page 2 of 2

Name of Permittee:

Construction Site Name (Project):

Construction Site ID No.:

Use the space below for detailed follow-up action items.

Exact place of erosion/sediment

control inspected

Type of erosion/sediment control and its

observed condition

Description of any necessary maintenance or repair to erosion/sediment control, including anticipated date of completion

How to Edit Form 3400-187 Online for Free

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With regards to the fields of this specific document, this is what you want to do:

1. Start completing your construction site inspection with a number of essential blank fields. Note all the information you need and make certain nothing is missed!

Filling in segment 1 of wisconsin form 3400 187

2. Once the prior selection of blanks is completed, go on to type in the relevant details in all these - Modifications Required, Yes, Applicable, CommentsRecommendations about the, Ditch Checks, Erosion Control Plan, Erosion Mat, Grading Practices, Inlet Protection, Mulch, Offsite Sediment, Permanent Seeding, Schedule Phasing, Silt Fence, and Silt Screen.

Erosion Mat, Mulch, and Schedule  Phasing of wisconsin form 3400 187

It is easy to make errors when filling out your Erosion Mat, for that reason ensure that you reread it before you decide to finalize the form.

3. Your next part is normally easy - fill out every one of the form fields in Name of Permittee, Construction Site Name Project, Construction Site ID No, Use the space below for detailed, Exact place of erosionsediment, Type of erosionsediment control, control inspected, observed condition, Description of any necessary, and date of completion to finish this process.

Writing section 3 in wisconsin form 3400 187

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