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INSPECTION AND MAINTENANCE REPORT FORM
"Kittridge Crossing
No. Andover, MA
WEI# 02.108MA
fo BE COMPLETCO EVE&Y 7.14 DAYS AND WITHIN 24 HOURS OF A SIGNIFICANT RAIN EVENT of Q.g INCHES UK Mr1AT
Morr TNElOOLLOWINGREOORDISKEOItREDTOMArrArNFDW7TX7NFEPA-NPDF.S-SWPPP
(STORM WATERPPLLUTIONPRt✓ENT/ONPkAN)
ln%pector s Name: Earle Chase Date of Inspection:
Representing: West Environmental, Inc. Last Date of Inspection: 01 t4j.11 *
Qualifications; Wetland Scientist Last Rain Event /inches: F.- tcw.�e�e �.►rs.s
Registered Forester
Client Name: Alex Loth Photos Taken? Y
Terra properties Any Recent SWPPP Changes? Y
Contractor Name: Ray W Dumont Necessary Pcrmics Posted? N
On site Contractor Consult? Erosion Control Supplies OtlSite? N
unatruction Activity Scat `� %, �� "` z 4 bXdc� M 1
tkul^ ��,.��.,�,tit.... oc ����,�.� at. Lld�4 — Cil
Pt Fence $tato
Location: :ae� Repair Required: �f�7 R•cer.r 1 re�J�a�`-•
ilc-i4 �s
atch Basin Sta
Location: ` Nw r^ `^ '� ^��� k''t Cleanout Requirccl, e,,,,p + aa.• z.+� �`
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lbetencion;Basin Sta Z�� o� S ',o ua �V �r x%" fi, a
Location: `` Remedial Action: f VM of ehctS� 5"4\\%
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ewateririg Statu_ Active nactive
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