AMERICAN FORK CITY
PUBLIC WORKS DEPARTMENT
STORM DRAIN DIVISION
ILLICIT DISCHARGE DETECTION AND ELIMINATION INSPECTION
STORM WATER POLLUTION PREVENTION PROGRAM
This is an inspection to verify compliance with the post construction pollution prevention Best
Management Practices and the detection and elimination of non - storm water discharges into waters of
the State or the United States and in compliance with UPDES Phase II, MS4 Permit.
Inspection No:
Inspection Date: …………………………………..
Section I. Site Operator’s Information
Site Operator’s name
……………………………………………………………………………………………………………………………
Mailing Address
……………………………………………………………………………………………………………………………
City
…………………………………………………………………
State
……………………………………
Zip Code
…………………………………………………………………
Phone Number
……………………………………
Expiration Date
……………………………………
Section II. Facility Site/ Location Information
Business License Number
………………………………………………
Business’ name
……………………………………………………………………………………………………………………………
Mailing address
……………………………………………………………………………………………………………………………
City
…………………………………………………………………
State
……………………………………
Zip Code
…………………………………………………………………
Phone Number
……………………………………
Type of business (check all that apply)
Manufacturing
Industrial
Retail
Car Wash
Construction/ excavation
Restaurant/ fast food
Recreation
Car repairs/ maintenance
Gas station
Farming products sales
Car sales/ maintenance
Other
Section III. Inspector’s Information
A. Personal Inspection Equipment (check all that apply before beginning the inspection)
Inspector Photo ID
Digital Camera
Inspection forms
Water sample kit
Personal Protective Equipment
Copies of codes and ordinances
B. Health and Safety Hazards
Note to field staff: if the discharge poses a threat to human health, safety or the environment,
please contact the Utah County Division of Environmental Health at the (801) 851 7525.
If the discharge has the potential to cause bacterial contamination of the groundwater (such as from
broken sanitary sewer lines), contact the Utah State Division of Water Quality, UPDES Engineering
Section Manager, Mr. John Kennington at (801) 536 4380 and the Groundwater Protection Manager,
Mr. Robert Herbert at (801) 536 4350.
For discharges that pose immediate dangers to health and safety, call 911.
Page 1 of 6
AMERICAN FORK CITY
PUBLIC WORKS DEPARTMENT
STORM DRAIN DIVISION
C. Inspector’s contact information
Inspector’s name
……..…………………………………………………………………………………………………...............
Mailing address
……..…………………………………………………………………………………………………...............
City
……………………………………
State
…………………………………..
Zip Code
……………………………………
Phone number
…………………………………..
Email address:
……………………………………………………………………………………………………………………….
Inspector’s title
……………………………………………………………………………………………………………………….
Section IV. Non-storm water discharges (Section 1.2.2.2.)
The following non-storm water discharges are not considered illicit unless the Permittee or Executive
Secretary identifies these discharges as significant sources of pollutants to Waters of the State:
Water Line flushing
Landscape irrigation
Diverted stream flows
Rising ground waters
Uncontaminated ground water infiltration
Uncontaminated pumped ground water
Discharges from potable water sources
Foundation drains
Air conditioning condensate
Irrigation water
Springs
Water from crawl space pumps
Footing drains
Lawn watering runoff
Individual residential car washing
Flows from riparian habitats and wetlands
De-chlorinated swimming pool discharges
Residual street wash water
De-chlorinated water reservoir discharges
Discharges or flows from fire - fighting activity
Section V. Field Inspection Questionnaire (Check all that apply)
A. Reason for inspection
Scheduled
Random
Complaint
IDDE
County
State
EPA
Utah Lake
Wetlands
Other
B. Participating agencies
City
C. Receiving waters
AF River
D. Dry weather sampling
Storm water sampling
Storm water NON sampling
Water sampling results:
pH
5 or less
5 to 9
10 or more
BOD (mmg/ L)
2 or less
2 to 5
6 or more
Clarity
Clear
Opaque
Dark
Pipe material
Concrete
Plastic
Metal
Open channel
Rock lined
Concrete
Bare soil
E. Outfall information
Page 2 of 6
AMERICAN FORK CITY
PUBLIC WORKS DEPARTMENT
STORM DRAIN DIVISION
F. Pipe maintenance conditions
Sedimentation
Odor
Flow rate
Description
Clean
1/4 full
1/2 full
3/4 full
Clogged
Other
None
Sewage
Septic
Acidic
Detergent
Other
None
Trickle
Steady
Slow
Fast
Other
Brown foam
Oil sheen
Organic
White foam
Trash
Colored
G. Field Inspection questionnaire
YES
NO
N/A Are there visible signs of staining, residues or oily substances from outfalls?
YES
NO
N/A Are there visible signs of staining or oily substances on the parking lot?
YES
NO
N/A Are there pungent odors coming from the drainage system?
YES
NO
N/A Is there any discoloration or oily substances on the water?
YES
NO
N/A Is there any abnormal water flow during dry weather conditions?
YES
NO
N/A Is there excessive sediment deposits or turbid water?
YES
NO
N/A Are there floatables on the water (paper, aluminum cans, etc.)?
YES
NO
N/A Is there trash or garbage around the site (poor housekeeping)?
YES
NO
N/A Are there herbicides or fertilizers open bags exposed to the weather?
YES
NO
N/A Are there cement or concrete mix open bags exposed to the weather?
YES
NO
N/A Are there oil recycling containers exposed to the weather?
YES
NO
N/A Are there used vehicle batteries exposed to the weather?
YES
NO
N/A Are there ice melting products exposed to the weather?
YES
NO
N/A Are there open containers exposed to the weather?
YES
NO
N/A Is there evidence of a spill of 2.5 gallons, 30 square foot or greater?
YES
NO
N/A Is there evidence of spills draining into the storm drainage system?
YES
NO
N/A Is there a spill kit on the site and available to the employees?
YES
NO
N/A Is the spill kit complete and accessible to the employees?
YES
NO
N/A Are the garbage containers lids closed?
YES
NO
N/A Is there any floor drains connected to the storm drain system?
YES
NO
N/A Are there any chlorine containers exposed to the weather?
YES
NO
N/A Is there evidence of detergent draining into the storm drain?
YES
NO
N/A Is there evidence of greasy fluids draining into the storm drain?
YES
NO
N/A Are there non-working vehicles parked on the site?
YES
NO
N/A Is there evidence of an illicit connection to the storm drain system?
YES
NO
N/A Does the storm drain system include an oil/ water separator?
Page 3 of 6
AMERICAN FORK CITY
PUBLIC WORKS DEPARTMENT
STORM DRAIN DIVISION
Section VI. Corrective Action Notice
The following corrections need to be completed in full before the deadline or final inspection:
Compliance
Corrective Action description
Deadline
YES
NO
……………………………………………………………………………………………………………..
……………………………
YES
NO
……………………………………………………………………………………………………………..
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
YES
NO
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
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YES
NO
……………………………………………………………………………………………………………..
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YES
NO
……………………………………………………………………………………………………………..
……………………………
Total number of violations: ……………………………
Fine per day per violation: ……………………………
Total fine per day after the due date: ……………………………
Section VI. Citation Delivery Method
☐Hand Delivered
☐Faxed
☐Emailed
☐Mailed Certified with a Return Receipt
Page 4 of 6
AMERICAN FORK CITY
PUBLIC WORKS DEPARTMENT
STORM DRAIN DIVISION
Section VI. Enforcement Actions and Penalties – AF City Ord 2010-06-16 Section 9 and 10
Corrective Action Notice
Whenever the City finds a Site Operator has violated a prohibition or failed to comply with a requirement of this
permit, the Storm Drain Representative will order compliance by a written Corrective Action Notice to the
responsible person.
Notice of Violation
A Notice of Violation will be issued by the Storm Drain Representative (SDR) whenever the City finds a person has
failed to comply with the requirements set on the Corrective Action Notice.
Stop Work Order
A Stop Work Order will be issued by the City whenever the City finds a Site Operator failed to comply with the
Notice of Violation within the specified time and/ or if there is Hazardous Material polluting the storm drain
system or a spill.
Violation and Enforcement
Violations. Any person who shall commit any act declared unlawful under this ordinance, who violates any
provision of this ordinance, who violates the provisions of any permit issued pursuant to this ordinance, or who
fails or refuses to comply with any lawful communication or notice to abate or take corrective action by the City
Storm Drain Inspector, shall be guilty of a Class B Misdemeanor
Section VII. Certification Statement
I certify under penalty of law that this document and all the attachments were prepared under my direction in
accordance with a system designed to assure that qualified personnel properly gathered and evaluated the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations.
………………………………………….
Registered Stormwater Inspector
………………………….
Inspector’s signature
Title
Date
………………………………………….
…………………………………………………..
………………………….
Respondent’s signature
Name
Date
Section VIII. FINAL INSPECTION
Respondent certifies, subject to civil and criminal penalties for making a false statement to the United States
Government, the State of Utah and the City of American Fork, that it has corrected any deficiencies identified in the
Form, and to the best of its knowledge, is in compliance with the UPDES permitting program.
………………………………………….
Registered Stormwater Inspector
………………………….
Inspector’s signature
Title
Date
………………………………………….
…………………………………………………..
………………………….
Respondent’s signature
Name
Date
Page 5 of 6
AMERICAN FORK CITY
PUBLIC WORKS DEPARTMENT
STORM DRAIN DIVISION
Purpose of the Storm Water Pollution Prevention Plan and Enforcement Actions:
The Storm water Pollution Prevention Plan for Construction Activity Permit was instituted as a means to protect
the health, safety and welfare of the City and its inhabitants by improving the City's storm sewer system,
managing and controlling storm water runoff. Furthermore, protecting property and preventing polluted waters
from entering the City's water supply and other receiving waters and establishing a viable and fair method of
financing the construction, operation and maintenance of the storm sewer system.
The SWPPP prevents the discharge of sediment and other construction related pollutants from discharged into
storm water runoff. Sediment and debris from construction sites are a major source of pollution to waterways
and water systems located within the City and surrounding areas. Each year storm water runoff carries tons of
sediment from construction sites into local drainage systems, irrigation systems, canals, rivers, and lakes.
Sediment from storm water runoff also clogs and obstructs storm drains, culverts, and canals and causes
damage to private property, wildlife habitat and water quality.
Storm water Pollution Prevention Plan is a principal requirement of storm water permits.
A SWPPP identifies all potential sources of pollution, which may reasonably be expected to affect the quality of
storm water discharges from the construction site; describes practices to be used to reduce pollutants in storm
water discharges from the construction site; and assures compliance with the terms and conditions of the issued
permit.
Notice of Appeal:
Any person receiving an administrative citation may appeal the administrative citation to the Hearing Officer. Only
the following issues may be appealed to the Hearing Officer:
1. The person charged in the administrative citation as the Responsible Person, is not the Responsible Person
as defined by this ordinance.
2. The condition described as a violation in the administrative citation is not a violation as defined by this
ordinance.
3. The Responsible Person claims that the requirement(s) of the administrative citation violates his/her
constitutional rights.
A person desiring to appeal an administrative citation must file a notice of appeal at the City’s Public Works Office
within ten (10) business days of being served with the administrative citation or within fifteen (15) days of the
mailing date if the administrative citation is mailed.
A Notice of Appeal must be submitted in writing to the following address:
City of American Fork
Department of Public Works
275 East 200 North
American Fork, UT 84003
(801) 763 3060
Failure to Pay Fine: The failure of any person to pay the civil fines assessed by an Administrative Citation within
the time specified on the citation or after an administrative hearing will result in the collection of the fine by the
City. The City may pursue any available legal remedy to collect civil fines, including but not limited to judgments,
liens, small claims actions, and collections. The City may also recover its collections costs according to proof.
Page 6 of 6