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� <br /> � <br /> � <br /> ER4SIUN CQNTROL SUPPLEMENTAL IlVFORMATIUN FORM <br /> INSPECTION PLAN REQUIREMENTS <br /> 1. Routine Inspeietions: <br /> • Once every seven days during activo conswction <br /> • Within 24 hours of a half inch or moro pr�ipitation <br /> 2. Completed Fleld Inspection Reports: <br /> � Reports available within 24 hours of reqnest until MCWD determines pmject is complete& <br /> stabilized <br /> Farlure to submit requested inspection f�{formation will result in a site inspection and may be subfect ta � <br /> reimbursement for MCWD sta,�`'time. <br /> � <br /> Who will 3nspect your�ite regalsrly? � <br /> � <br /> `�-t.J-�,r�S ��S~ �17-�aua�d��' � <br /> NAME: "'1`b �'1 ORGeWI2ATION: C^.+ �_ <br /> PHONE: (l��Z�fl� G� ALTERNATEPHO�iE: �2��-+C�CG"�" <br /> EMAIL: Pir�c.�n �?G;-kl�ow��IIG-Lar�--, <br /> Where is the concrete washout location? <br /> �•OFF SITE OR C(?NTAINED ON TRUCK <br /> ❑ INUICATED ON SITE PLAN(with required impermcablc liner) <br /> ❑ N/A <br /> What is the�n�i stabilization method? � <br /> (seed,sod,etc.): <br /> 6 inchcs of topsoil must be added/replaced prior to final stabidt<.ation <br /> Will protedive fencing Por retained vegei�tion be instaUed? <br /> �YES <br /> ❑ NOT APPLICABLE � <br /> � OTf�R(descrii�} ; <br /> i <br /> I certifjr that I am famiiiar with the requirements of the MCWD Erasio�Gootrol Rule aad that the � <br /> prn�a ptia�nce witb th�s rule. <br /> � /l <br /> ignamre Agp t o Ehorized Agent Dat <br /> MIN <br /> T��. O 'Eli f l� <br /> � �L1r� �.016 <br /> J <br /> _ ____ � _.. _ . . <br /> sy _.,�- <br />