Stormwater Pollution Prevention Plan Template



DOGAMI SWPCP Template

Instructions

The Oregon Department of Geology and Mineral Industries (DOGAMI) developed this electronic Stormwater Pollution Control Plan (SWPCP) template to guide permit registrants through the SWPCP development process and to help ensure SWPCPs submitted address all the necessary elements required by the 1200-A NPDES general permit. The Oregon Department of Environmental Quality’s guidance on Developing Your Stormwater Pollution Prevention Plan, is also helpful in SWPCP development. It is available on DOGAMI’s website at under the “Forms” bullet.

This template covers the SWPCP elements required by the 2012 General 1200-A NPDES Permit. You must customize this plan to reflect the conditions at your site. Registrants are not required to use this template provided that the SWPCP submitted meets the requirements of the 1200-A NPDES general permit.

Using the SWPCP Template

Each section of this template includes instructions and space to provide information. Read the instructions for each section before you complete that section. Sections may refer to the specific requirement of the permit that can be cross referenced to better understand what is required.

This template was developed in Microsoft Word so that you can easily add or modify tables and additional text when needed. Some sections may require only a brief description while others may require several pages of explanation. When using the template delete all instruction boxes and template text from each section to ensure your plan maintains a clean and concise layout.

DELETE THIS ENTIRE PAGE ONCE YOU HAVE READ THE INSTRUCTIONS

Stormwater Pollution Control Plan

for:

Insert Site Name

Insert MLRR ID Number

Insert DEQ File Number

Insert EPA Number

Insert Site Location/Address

Insert City, State, Zip Code, County

Insert Site Telephone Number (if applicable)

Insert Email or Website Address

Operator(s):

Insert Name as Shown on Business Registry

Insert Contact Persons Name

Insert Mailing Address

Insert City, State, Zip Code

Insert Telephone Number

Insert Email

SWPCP Contact(s):

Insert Company or Organization Name

Insert Name

Insert Address

Insert City, State, Zip Code

Insert Telephone Number

Insert Fax/Email

SWPCP Preparation By:

Insert Name of Person Preparing SWPCP

SWPCP Preparation Date:

__ __ / __ __ / __ __ __ __

SECTION 1: MAPS

1 GENERAL LOCATION MAP

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1.2 SITE DETAIL MAP(S)

[pic]

SECTION 2: SITE DESCRIPTION

1 MINING AND PROCESSING ACTIVITIES

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|Describe mining activity and site operations here. |

2 POTENTIAL POLLUTANTS

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|Describe potential pollutants here. |

3 STORMWATER SURFACE AREA

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|The following are estimates of the sites impervious areas. |

|Total project area: |Acres |

|Mining site area currently disturbed: |Acres |

|Surface area to be disturbed within the next 5 years: |Acres |

|Percentage of impervious area within the next 5 years: |% |

4 RECEIVING WATER

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|Description of receiving waters: |

|Description of impaired waters or waters subject to TMDLs: |

5 DISCHARGE OUTFALLS AND MONITORING LOCATIONS

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|Outfall 001 |

|Latitude: |

|Longitude: |

6 PERIOD OF USE

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|Describe period of use here: |

SECTION 3: TECHNOLGY BASED EFFLUENT LIMITS (TBELS)

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1 EROSION AND SEDIMENT CONTROL

3.1.1 Erosion Controls Used

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|Describe erosion controls here: |

3.1.2 Sediment Controls Used

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|Describe sediment controls here: |

3.1.3 Stormwater Run-On Diversion

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|Describe diversion controls here: |

3.1.4 Track-Out Prevention

[pic]

|Describe track out prevention here |

2 MINIMIZE EXPOSURE

3.2.1 Minimize Disturbance

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|Describe how disturbance will be minimized to the extent possible here: |

3.2.2 Exposure to Pollutants

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|Describe how exposure to pollutants will be minimized here: |

3 OIL AND GREASE MANAGEMENT

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|Describe how exposure to pollutants will be minimized here: |

4 WASTE CHEMICAL AND MATERIAL DISPOSAL

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|Describe how waste will be managed here: |

5 DEBRIS CONTROL

[pic]

|Describe how debris will be managed here: |

6 HOUSEKEEPING

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|Describe housekeeping procedures here: |

7 SPILL PREVENTION AND REPONSE PROCEDURE

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|Describe the spill prevention and control plan here: |

8 PREVENTATIVE MAINTENANCE

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|Describe the preventative maintenance plan here: |

9 EMPLOYEE EDUCATION

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|Individual(s) Responsible for Training: |

| |

|Education Plan: |

10 NON-STORMWATER DISCHARGE

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|Describe any non-stormwater discharges here: |

11 PROCESS WASTE WATER

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|Describe the source of any process waste water and explain how it will be self-contained and not co-mingle with stormwater that is discharged |

|off-site. |

SECTION 4: OPERATION AND MAINTENANCE PLAN

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|Describe any operation and maintenance plans here: |

SECTION 5: INSPECTIONS

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|1. Inspection Personnel: |

|2. Inspection Schedule and Procedures: |

SECTION 6: CERTIFICATION AND NOTIFICATION

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I certify under penalty of law that this document and all attachments were prepared under my direction or supervision 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 submitted 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 fine and imprisonment for knowing violations.

|Name: | | Title: | |

|Signature: | | Date: | |

SWPCP APPENDICES

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Attach the following documentation to the SWPCP:

Appendix A – Assignment Letter and General 1200-A Permit

Appendix B – Inspection Reports

Appendix C – Discharge Monitoring Reports

Appendix D – Tier I Corrective Action Log

Appendix E – Training Log

Appendix F – Maintenance Log

Appendix G – Delegation of Authority

Appendix H– SWPCP Revision Log

Appendix B - Assignment Letter and General 1200-A Permit

Appendix C - Inspection Reports & Maintenance Log

|General Information |

|Site Name |  |Hours of Operation | |

|DEQ File Number | |Location | |

|Date of Inspection |  |Start/End Time | |

|Inspector’s Name(s) | |

|Inspector’s Title(s) | |

|Inspector’s Contact Information | |

|Inspector’s Qualifications | |

|Describe present phase of operations | |

|Type of Inspection: |

|( Regular ( Pre-storm event ( During storm event ( Post-storm event |

|Weather Information |

|Has there been a storm event since the last inspection? (Yes (No |

|If yes, provide: |

|Storm Start Date & Time: Storm Duration (hrs): Approximate Amount of Precipitation (in): |

|Weather at time of this inspection? |

|( Clear (Cloudy ( Rain ( Sleet ( Fog ( Snowing ( High Winds |

|( Other: Temperature: |

|Have any discharges occurred since the last inspection? (Yes (No |

|If yes, describe: |

|Are there any discharges at the time of inspection? (Yes (No |

|If yes, describe: |

| |BMP |BMP Replacement or Maintenance |Corrective Action Needed and Notes |

| | |Required? | |

|1 | |(Yes (No | |

|2 | |(Yes (No | |

|3 | |(Yes (No | |

|4 | |(Yes (No | |

|5 | |(Yes (No | |

|6 | |(Yes (No | |

|7 | |(Yes (No | |

|8 | |(Yes (No | |

|9 | |(Yes (No | |

|10 | |(Yes (No | |

|11 | |(Yes (No | |

|12 | |(Yes (No | |

|13 | |(Yes (No | |

|14 | |(Yes (No | |

Overall Site Issues

Below are some general site issues that should be assessed during inspections. Customize this list as needed.

| |BMP/activity |Maintenance |Corrective Action Needed and Notes |

| | |Required? | |

|1 |Are all slopes and disturbed areas not |(Yes (No | |

| |actively being worked properly stabilized? | | |

|2 |Are natural resource areas (e.g., streams, |(Yes (No | |

| |wetlands, mature trees, etc.) protected | | |

| |with barriers or similar BMPs? | | |

|3 |Are perimeter controls and sediment |(Yes (No | |

| |barriers adequately installed (keyed into | | |

| |substrate) and maintained? | | |

|4 |Are discharge points and receiving waters |(Yes (No | |

| |free of floating solids, foam, visible oil | | |

| |sheen, or discolored? | | |

|5 |Are storm drain inlets properly protected? |(Yes (No | |

|6 |Is the exit preventing sediment from being |(Yes (No | |

| |tracked into the street? | | |

|7 |Is trash/litter from work areas collected |(Yes (No | |

| |and placed in covered dumpsters? | | |

|8 |Are washout facilities (e.g., concrete) |(Yes (No | |

| |available, clearly marked, and maintained? | | |

|9 |Are vehicle and equipment fueling, |(Yes (No | |

| |cleaning, and maintenance areas free of | | |

| |spills, leaks, or any other deleterious | | |

| |material? | | |

|10 |Are materials that are potential stormwater|(Yes (No | |

| |contaminants stored inside or under cover? | | |

|11 |Is process water properly controlled (e.g.,|(Yes (No | |

| |wash water, wheel wash, processing water)? | | |

|12 |What is the level of pond freeboard? (In | | |

| |feet). | | |

|13 |Are ponds seeping discharge to surface |(Yes (No | |

| |waters. | | |

|Corrective Actions Taken | |

Print name and title: ___________________________________________________________________________

Signature:_________________________________________________________ Date:_____________________

Appendix D - Tier I Corrective Action Log

|Inspection or Sample|Inspector Name(s) |Describe the result of the |Describe the corrective action |Date Action Taken/ |SWPCP Revision |

|Date | |investigation |taken (including planned |Responsible person |Necessary? |

| | | |date/responsible person) | | |

| | | | | | |

| | | | | | |

| | | | | | |

| | | | | | |

| | | | | | |

| | | | | | |

| | | | | | |

| | | | | | |

Appendix E - Employee Training Log

|Facility Name: |

|DOGAMI ID & DEQ File Number: |

|Instructor’s Name(s): |

|Instructor’s Title(s): |

Course Location: Date:

Course Length (hours):

Stormwater Training Topic: (check as appropriate)

|( |Erosion Control BMPs |( |Emergency Procedures |

| | | | |

|( |Sediment Control BMPs |( |Good Housekeeping BMPs |

| | | | |

|( |Non-Stormwater BMPs | | |

| |

Specific Training Objective:

Attendee Roster: (attach additional pages as necessary)

|No. |Name of Attendee |Company |

|1 | | |

|2 | | |

|3 | | |

|4 | | |

|5 | | |

|6 | | |

|7 | | |

|8 | | |

|9 | | |

|10 | | |

Appendix F - SWPCP Revision Log

|Date of |Reason for Revision |Date Effective |Revision submitted |

|Revision | | |to DOGAMI?[1] |

| | | |(Yes/No) |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

Appendix G - Delegation of Authority Form

I, _______________________ (name), hereby designate the person or specifically described position below to be a duly authorized representative for the purpose of overseeing compliance with environmental requirements, including the Mining General Permit, at the ____________________________________ mining site. The designee is authorized to sign any reports, stormwater pollution prevention plans and all other documents required by the permit.

________________________________________ (name of person or position)

________________________________________ (company)

________________________________________ (address)

________________________________________ (city, state, zip)

________________________________________ (phone)

By signing this authorization, I confirm that I meet the requirements to make such a designation as set forth in ____________________________________ (Reference State Permit), and that the designee above meets the definition of a “duly authorized representative” as set forth in ____________________________________ (Reference State Permit).

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision 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 submitted 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 fine and imprisonment for knowing violations.

Name:

Company:

Title:

Signature:

Date:

Appendix H - Subcontractor Certifications/Agreements

SUBCONTRACTOR CERTIFICATION

STORMWATER POLLUTION PREVENTION PLAN

Project Number:

Project Title:

Operator(s):

As a subcontractor, you are required to comply with the Stormwater Pollution Prevention Plan (SWPCP) for any work that you perform on-site. Any person or group who violates any condition of the SWPCP may be subject to substantial penalties or loss of contract. You are encouraged to advise each of your employees working on this project of the requirements of the SWPCP. A copy of the SWPCP is available for your review at the office trailer.

Each subcontractor engaged in activities at the mining site that could impact stormwater must be identified and sign the following certification statement:

I certify under the penalty of law that I have read and understand the terms and conditions of the SWPCP for the above designated project and agree to follow the BMPs and practices described in the SWPCP.

This certification is hereby signed in reference to the above-named project:

Company:

Address:

Telephone Number:

Type of mining service to be provided:

Signature:

Title:

Date: _________________________________[pic]

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[1] DOGAMI submission of all SWPCP revisions is not required. SWPCP revisions must be submitted only if they are made for any of the following reasons: Change in site contact; In response to a corrective action or inspection; Changes to the site or control measures that may significantly change the nature of pollutants present in stormwater or mine dewatering discharge; or significantly increase the pollutant(s) levels, discharge frequency, or discharge volume or flow rate; Changes to the monitoring locations or outfalls.

If submission of SWPCP revisions is required, submit the revised pages of the SWPCP or site map to DOGAMI within 30 days of making the revisions. Review of the revisions by DOGAMI prior to implementation is not required, except any revision of monitoring locations. If DOGAMI does not response to the revisions within 30 days of submittal, the revisions are accepted.

DEQ or DOGAMI may require the registrant to revise the SWPCP be submitted at any time.

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Instructions:

Insert or reference the Appendix for a general location map.

The purpose of the general location map is to show the permitted site's boundaries and its proximity to major streets, bodies of water, and prominent landmarks or features. This information is required on the general location map for both the industrial site and the area surrounding it. For example, copies of city or county tax maps are acceptable general location maps, if accompanied by a street map showing the location of the facility. Internet street and satellite maps are also acceptable as general location maps. The property boundary must be highlighted and must show the required features both on the site and around it for about a one-mile radius (the distance surrounding the site will vary as needed to show these features). A street map pin-pointing the location of the facility on a roadway network is also helpful. Please see Appendix III for examples of general location maps and information on where to obtain base maps.

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Instructions:

The site-specific map is required to show detailed information about the ongoing activities and stormwater drainage both on and off the industrial site. The site map can be a drawing or sketch of the site. This map illustrates the complete drainage for the overall site, and includes the location of the permitted facility, property boundaries, buildings, operations or process areas, drainage patterns, stormwater control structures (such as spill kits, catch basins and oil/water separators) and surface waterbodies. All of these elements need to be clearly identified on the map.

Please make the map large enough so that the information provided on them can be easily read. Several site maps may be used to provide all the required information rather than providing too much information on one site map that will make reading and deciphering the information too difficult.

The detailed site map(s) must include following:

1. drainage patterns.

2. drainage and discharge structures (piping, ditches, etc.).

3. outline of the drainage area for each stormwater outfall.

4. paved areas and buildings within each drainage area.

5. areas used for outdoor manufacturing, treatment, storage, or disposal of significant materials.

6. operating equipment areas, including any area where a concrete or asphalt batch plant may be located.

7. existing structural control measures for minimizing pollutants in stormwater runoff;

8. structural features that reduce flow or minimize impervious areas.

9. material handling and access areas.

10. hazardous waste treatment, storage and disposal facilities.

11. location of wells including waste injection wells, seepage pits, drywells, etc.

12. location of springs, wetlands and other surface waterbodies both on site and adjacent to the site.

13. location of groundwater wells.

14. location and description of authorized non-stormwater discharges.

15. location of monitoring points.

16. location of spill prevention and cleanup materials.

17. location of wheel washing activities.

The map(s) MUST be clear and concise to be acceptable. If your facility is over 5 acres, you will likely need to develop several detail maps of each area to keep the maps understandable. Common practice is to include a map of the excavation areas, processing areas, process water systems, discharge locations, and storage areas.

DOGAMI can provide detail maps with recent aerial imagery or lidar imagery upon request.

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Instructions:

Describe the material to be mined, mining method(s), types of on-site processing, and area to be affected by mining. Include all activities (concrete truck washout facilities, batch plants, aggregate washing etc.). If the facility disposes of process water on-site, include detailed diagrams and narratives on the process and include them in the Appendix.

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Instructions:

Describe the potential pollutants that could contaminate stormwater or mine dewatering discharges. Common pollutants include, but are not limited to, sediment, motor oil, grease, hydraulic fluid, diesel fuel, gasoline, fertilizers, pesticides, soapy wash water, and metals from rusting equipment and scrap metals.

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Instructions:

Estimate the maximum amount of surface area that will be stripped of vegetation within the next five years (including existing disturbance). Of the total area to be disturbed, estimate what percentage is impervious and will not absorb rainfall into the ground. Impervious areas include buildings and paved areas that do not allow for infiltration of water. Google Earth is one tool you can use to determine acreages and can be downloaded from any internet search engine.

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Instructions:

List the waterbody(s) that would receive stormwater from your site, including streams, rivers, lakes, coastal waters, and wetlands. Describe each as clearly as possible, such as Mill Creek, a tributary to the Potomac River, and so on. DEQ has a Stream Location Identification Tool application that can be used here:

If the drainage is to a municipal stormwater sewer system, list the storm sewer system or drainage system the name of the ultimate receiving water and the name of the municipality.

If any of the waterbodies above are impaired and/or subject to Total Maximum Daily Loads (TMDLs), please list the pollutants causing the impairment and any specific requirements in the TMDL(s) that are applicable to mining sites. Your SWPCP should specifically include measures to prevent the discharge of these pollutants.

For more information and a list of TMDL, visit Oregon DEQ’s Water Quality Assessment

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Instructions:

Describe the discharge outfall(s) and the point(s) where grab samples will be collected as required by condition B.2.a (pg. 19 of 37). If multiple discharge outfalls exist but will not all be sampled, include a description of the outfalls and data or analysis supporting that the outfalls are representative as described in condition B.2.c.ii (pg. 20 of 37). Outfalls should be named with a three-digit code such as 001, 002, 003 and so on.

Include the latitude and longitude of each outfall (you can find Lat/Long on Google Maps or this website:

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Instructions:

Describe the period of expected use of the site. If the site is not operated on a year-round basis, identify actions to secure the site during prolonged periods of inactivity.

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Instructions:

Fill out the following sections below describing the Best Management Practices (BMPs) used at your facility. DEQ offers a BMP Manual on their website here:

Include manufactures maintenance recommendations for BMPs in the Appendix if warranted.

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Instructions:

Erosion is the process of wind, water, or other natural agents gradually wearing down soil, rock, or land. Common erosion controls include, but are not limited to, vegetative stabilization, mulching, erosion control blankets, tarps, geotextiles, tackifiers and soil binders.

Describe the erosion controls used to stabilize exposed areas (overburden piles, topsoil piles, exposed slopes). See schedule A.1.a (pg. 7 of 37) for requirements on erosion and sediment control.

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Instructions:

Sedimentation is the process of settling or deposition of eroded particles. Common sediment controls include, but are not limited to, detention facilities, vegetated filter strips, bioswales, flocculants, silt fencing, compost filter socks, rock checks, straw wattles, storm drain inlet protection, street sweeping, and sediment settling basins or traps.

More intensive sediment controls include filtration systems with pumps, tanks, and chemical treatment. See schedule A.1.a.i (pg. 7 of 37) for requirements on erosion and sediment control.

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Instructions:

Run-on should be prevented from flowing through areas that have been disturbed. Common controls include curbing, berming, underground culverts, or other methods to divert stormwater from undisturbed areas onto the site.

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Instructions:

Describe location(s) of vehicle entrance(s) and exit(s), procedures to remove accumulated sediment off-site (e.g., vehicle tracking), and stabilization practices (e.g., stone pads or wash racks or both) to minimize off-site vehicle tracking of sediments and discharges to stormwater. Common controls include gaveled (or paved) exits and parking areas, use of an exit wheel wash, or restricting truck traffic from entering disturbed areas during wet weather. See schedule A.1.a.ii (pg. 7 of 37) for requirements on control of track-out.

NOTE: If street sweepers are used, road debris must be swept up and removed from roadways - not swept into the roadside ditch where it may contribute additional fine sediment to ditch water.

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Instructions:

Describe the methods (e.g., signs, fences) that you will use to protect areas that should not be disturbed.

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Instructions:

Describe how manufacturing of products, servicing of equipment, storage of vehicle fuels, and waste disposal areas will be covered to prevent exposure to stormwater and mine dewatering water to potential pollutants associated with those activities. Covers include, but are not limited to, permanent structures such as roofs or buildings and temporary covers such as tarps. When covering is not possible, use grading, berming, or curbing to divert stormwater away from pollutants. See schedule A.1.b (pg. 7 of 37) for requirements to minimize exposure to pollutants.

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Instructions:

Describe control measures used to properly manage oil and grease. See schedule A.1.c (pg. 8 of 37) for requirements to minimize exposure to pollutants.

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Instructions:

Describe how waste (trash, portable toilets, used oil containers, etc.) will be managed. See schedule A.1.d (pg. 8 of 37) for requirements on waste chemicals and material disposal.

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Instructions:

Describe how debris will be controlled. See schedule A.1.e (pg. 8 of 37) for requirements for debris control.

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Instructions:

Describe the housekeeping that will be implemented to control pollutants in stormwater. See schedule A.1.f (pg. 8 of 37) for requirements for housekeeping.

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Instructions:

Describe the spill prevention and control plan that will include ways to reduce the chance of spills, stop the source of spills, contain and clean up spills, dispose of materials contaminated by spills, and train personnel responsible for spill prevention and control. Show the location of spill kits on the detail map. See schedule A.1.g (pg. 8 of 37) for requirements on spill prevention and response procedures.

Include your Spill Prevention, Control and Countermeasure Plan in the appendix.

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Instructions:

Describe the preventative maintenance plan. Preventative maintenance includes maintaining equipment to prevent leaks and spills, as well as maintaining and repairing all erosion and sediment controls. See schedule A.1.h (pg. 9 of 37) for requirements on spill prevention and response procedures.

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Instructions:

Training your staff and subcontractors is an effective BMP. As with the other steps you take to prevent stormwater problems at your site, you must document the training that you conduct for your staff and for subcontractors. See schedule A.1.j (pg. 9 of 37) for the requirements on employee education. Include records for employee education in the appendix.

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Instructions:

Identify all allowable sources of non-stormwater discharges. The allowable non-stormwater discharges are identified in Condition 6 (pg.5 of 37) of the permit.

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Instructions:

Identify any processes that create process waste water. These include, aggregate washing, wheel washes that use detergents or spray undercarriages of vehicles, concrete truck washouts, vehicle washouts that use detergents or hot water. Include a detailed narrative and diagram of waste water management in the appendix.

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Instructions:

Treatment by electro-coagulation, chemical flocculation or filtration requires an Operation & Maintenance Plan. Briefly describe the process here as required under condition A.8.d.(pg. 14 of 37). System schematics, and safety data sheets must be included in appendix.

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Instructions:

Identify the individual(s) responsible for conducting inspections and describe their qualifications. Include the inspection form that will be used in the appendix. Describe the frequency that inspections will occur at your site including any correlations to storm frequency and intensity.

Include inspection reports in the appendix.

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Instructions:

― The SWPCP must be signed and certified in accordance with 40 CFR §122.22.

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Instructions:

The following appendices are provided for reference only. Delete all appendices that do not apply to your site. If you choose to use a template form, customize it for your facility.

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