12_NCS000559_IDDE Inspection Report Template_20220512

Stormwater Investigation Report
Investigation Summary
Complaint Date
Complaint Time
Complainant Name
Complainant's Description of Problem
Probable Source of Water Quality Problem
I nvestigator(s)
Investigation Date
Investigation Time
Initial Investigation Duration
Description of Problem
Location of Discharge/Connection
Drainage Basin
Property Type
Estimated Discharge Type
Estimated Volume
Did the discharge reach the stormwater
conveyance system?
Did the discharge reach surface waters?
Investigation Progress
Date the source was identified?
Responsible party determined? (Y/N)
If yes, who is the responsible party?
Discharge was contained and remediated?
Investigation resolved?
Warning issued?
NOV issued?
If NOV was sent, compliance letter issued?
Was the concern forwarded if necessary?
Were proper parties notified? (Wake
County, UST, etc)
Date entered into CITY WORKS