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EROSION CONTROL SUPPLEMENTAL INFORMATIUN FORM <br /> INSPECTIUN PLAN REQUIREMENTS <br /> 1. Routine Inspections: <br /> • Once every seven days during active construction <br /> • Within 24 hours of a half iach or morc pc�cipitation <br /> 2. Completed Field Inspect[on Reparts: <br /> • R�ports available within 24 hours of request until MCWD determines project is camplete& <br /> stabilized <br /> Failure to submit reguested inspection informatton wftl result in a site�nspection and may be subject to <br /> reimbursement fr�r MCWD sta,f�'time. <br /> Who will inspert yonr site regularly? <br /> NAME: � ORGAI�tIZATION: �i'r'`������' <br /> PHONE: ��j�"�fi�2Z-� ALTERNATEPHONE: ��'��D-t7SfG�' <br /> EMAIL: E'.�'� Q�-��-/�'►Ovr�.t I(G-Gaw� <br /> Where is the concrEte washout location? <br /> f�•O�k'SITE OR CONTAINED ON TRUCK <br /> � Il�TDICATED ON SITE PLAN(with required irnpermeable liner) <br /> 0 N/A <br /> What is the final stabilization method? <br /> (seed,sod,etc.): <br /> 6 inches of topsoil must be added/replaced prior to final stabilizarion <br /> Will protective fencing for retained vegetation be installed? <br /> �'YES <br /> D NOT APPLICABLE <br /> O OT`HER(describe) <br /> I certifp that I am familiar�rfth t6e reqnir�ents of the MCWD Erosion Control Rnle and that the <br /> prnposed a ' 11,�1 u iEbed� ptiance with this rule. <br /> � l� <br /> ignature App t o thoriz�d Agent Dat <br /> MIN <br /> r btjrw• o itn f ure <br /> � v <br /> �UL � � �016 <br /> ey <br />