3.4.4
[Monthly Inspection Report and Certification Form for Erosion and
Sediment Controls
**************************************************************************
NOTE: Some States require submittal of inspection
reports to their respective agency. If this is
required in the state where the proposed project is
located, the following example should be
appropriately edited and included in the project
specifications. The designer should attach the
appropriate state forms at the end of this section.
**************************************************************************
On the first working day of each month the Contractor shall complete, sign,
and submit the original form to the State of [____], [Office of Pollution
Control (OPC)] at the following address:
Chief, [_____]
[_____]
[_____]
[_____]
A copy of the State of [_____]'s [Monthly Inspection Report and
Certification Form for Erosion and Sediment Controls] is attached to the
end of this section. On the first working day of each month the Contractor
shall also furnish one copy of the form submitted to the [OPC] to the
Contracting Officer as part of the Contractor's daily CQC Report and attach
a copy of the completed form to the Plan. Unless otherwise notified by the
[OPC], the Contractor shall submit the [Monthly Inspection Report and
Certification Forms] for an additional two months after the final
completion of all storm water pollution prevention measures required in
this contract have been implemented.]
-- End of Section --
SECTION 01356A
Page 13
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