B09_Amend_0001_B08_Attach_1_SOW_EX_6_Draft_SWPPP_Vol_4_0001.docx

STORMWATER POLLUTION PREVENTION PLAN

VOLUME 4 OF 4: FORMS

SUSANVILLE/DOYLE FIRE STATION

SE CORNER OF US-395 AND DOYLE GRADE ROAD

DOYLE, CALIFORNIA 96109

530-827-2681

RISK LEVEL: 1

WDID NUMBER: X

LEGALLY RESPONSIBLE PERSON:

BUREAU OF LAND MANAGEMENT

FINANCIAL BLVD

RENO, NV 89502

DERECK WILSON

DISTRICT MANAGER

530-224-2100

PREPARED FOR:

BUREAU OF LAND MANAGEMENT

PREPARED BY:

S&B CHRIST CONSULTING, LLC

9555 HILLWOOD DRIVE, SUITE 160

LAS VEGAS, NV 89134

LAURELI WAGNER, QSD

PREPARATION DATE:

JULY 27, 2022

ESTIMATED PROJECT DATES:

THIS PAGE INTENTIONALLY LEFT BLANK

SWPPP│ SUSANVILLE/DOYLE FIRE STATION

TABLE OF CONTENTS 23

TABLE OF CONTENTS

VOLUME 4 APPENDICES

TABLE OF CONTENTS 23

APPENDIX A – WEATHER REPORTS

Place printed NOAA weather forecasts in this Appendix.

APPENDIX B – MONITORING RECORDS

Place completed BMP Inspection Forms, Visual Monitoring, Effluent Sampling and Receiving Water Field Logs, Monitoring Exceptions, NAL Exceedance Reports, and Receiving Water Monitoring Trigger Exceptions in this Appendix.

APPENDIX C – BMP INSPECTION FORM

BMP INSPECTION REPORT

Inspection Type:

(Circle one) Weekly Complete Parts I,II,III and VII Pre-Storm Complete Parts I,II,III,IV and VII During Rain Event Complete Parts I, II, III, V, and VII Post-Storm Complete Parts I,II,III,VI and VII

Part I. General Information

Site Information

Construction Site Name:

Construction stage and completed activities:

Approximate area of site that is exposed:

Photos Taken:

(Circle one)

Weather

Estimate storm beginning:

(date and time) Estimate storm duration:

(hours)

Estimate time since last storm:

(days or hours) Rain gauge reading and location:

(in)

Is a “Qualifying Event” predicted or did one occur (i.e., 0.5” rain with 48-hrs or greater between events)? (Y/N) If yes, summarize forecast:

Exemption Documentation (explanation required if inspection could not be conducted). Visual inspections are not required outside of business hours or during dangerous weather conditions such as flooding or electrical storms.

Inspector Information

Part II. BMP Observations. Describe deficiencies in Part III.

(yes, no, N/A)

Good Housekeeping for Construction Materials

Inventory of products (excluding materials designed to be outdoors)

Stockpiled construction materials not actively in use are covered and bermed

All chemicals are stored in watertight containers with appropriate secondary containment, or in a completely enclosed storage shed

Construction materials are minimally exposed to precipitation

BMPs preventing the off-site tracking of materials are implemented and properly effective

Good Housekeeping for Waste Management

Wash/rinse water and materials are prevented from being disposed into the storm drain system

Portable toilets are contained to prevent discharges of waste

Sanitation facilities are clean and with no apparent for leaks and spills

Equipment is in place to cover waste disposal containers at the end of business day and during rain events

Discharges from waste disposal containers are prevented from discharging to the storm drain system / receiving water

Stockpiled waste material is securely protected from wind and rain if not actively in use

Procedures are in place for addressing hazardous and non-hazardous spills

Appropriate spill response personnel are assigned and trained

Equipment and materials for cleanup of spills is available onsite

Washout areas (e.g., concrete) are contained appropriately to prevent discharge or infiltration into the underlying soil

Good Housekeeping for Vehicle Storage and Maintenance

Measures are in place to prevent oil, grease, or fuel from leaking into the ground, storm drains, or surface waters

All equipment or vehicles are fueled, maintained, and stored in a designated area with appropriate BMPs

Vehicle and equipment leaks are cleaned immediately and disposed of properly

Part II. BMP Observations Continued. Describe deficiencies in Part III.

Minimum BMPs for Risk Level _____ Sites Adequately designed, implemented and effective (yes, no, N/A)

Good Housekeeping for Landscape Materials

Stockpiled landscape materials such as mulches and topsoil are contained and covered when not actively in use

Erodible landscape material has not been applied 2 days before a forecasted rain event or during an event

Erodible landscape materials are applied at quantities and rates in accordance with manufacturer recommendations

Bagged erodible landscape materials are stored on pallets and covered

Good Housekeeping for Air Deposition of Site Materials

Good housekeeping measures are implemented onsite to control the air deposition of site materials and from site operations

Non-Stormwater Management

Non-Stormwater discharges are properly controlled

Vehicles are washed in a manner to prevent non-stormwater discharges to surface waters or drainage systems

Streets are cleaned in a manner to prevent unauthorized non-stormwater discharges to surface waters or drainage systems.

Erosion Controls

Wind erosion controls are effectively implemented

Effective soil cover is provided for disturbed areas inactive (i.e., not scheduled to be disturbed for 14 days) as well as finished slopes, open space, utility backfill, and completed lots

The use of plastic materials is limited in cases when a more sustainable, environmentally friendly alternative exists.

Sediment Controls

Perimeter controls are established and effective at controlling erosion and sediment discharges from the site

Entrances and exits are stabilized to control erosion and sediment discharges from the site

Sediment basins are properly maintained

Linear sediment control along toe of slope, face of slope an at grade breaks (Risk Level 2 & 3 Only)

Limit construction activity to and from site to entrances and exits that employ effective controls to prevent offsite tracking (Risk Level 2 & 3 Only)

Ensure all storm, drain inlets and perimeter controls, runoff control BMPs and pollutants controls at entrances and exits are maintained and protected from activities the reduce their effectiveness (Risk Level 2 & 3 Only)

Inspect all immediate access roads daily (Risk Level 2 & 3 Only)

Run-On and Run-Off Controls

Run-on to the site is effectively managed and directed away from all disturbed areas.

Other

Are the project SWPPP and BMP plan up to date, available onsite and being properly implemented?

Part III. Descriptions of BMP Deficiencies

Note - Repairs must begin within 72 hours of identification and, complete repairs as soon as possible.

1.

2.

3.

4.

Part IV. Additional Pre-Storm Observations. Note the presence or absence of floating and suspended materials, sheen, discoloration, turbidity, odors, and source(s) of pollutants(s).

Yes, No, N/A

Do stormwater storage and containment areas have adequate freeboard? If no, complete Part III.

Are drainage areas free of spills, leaks, or uncontrolled pollutant sources? If no, complete Part VII and describe below.

Notes:

Are stormwater storage and containment areas free of leaks? If no, complete Parts III and/or VII and describe below.

Notes:

Part V. Additional During Storm Observations. If BMPs cannot be inspected during inclement weather, list the results of visual inspections at all relevant outfalls, discharge points, and downstream locations. Note odors or visible sheen on the surface of discharges. Complete Part VII (Corrective Actions) as needed.

Outfall, Discharge Point, or Other Downstream Location

Part VI. Additional Post-Storm Observations. Visually observe (inspect) stormwater discharges at all discharge locations within two business days (48 hours) after each qualifying rain event, and observe (inspect) the discharge of stored or contained stormwater that is derived from and discharged subsequent to a qualifying rain event producing precipitation of ½ inch or more at the time of discharge. Complete Part VII (Corrective Actions) as needed.

Part VII. Additional Corrective Actions Required. Identify additional corrective actions not included with BMP Deficiencies (Part III) above. Note if SWPPP change is required.

APPENDIX D – PROJECT SPECIFIC RAIN EVENT ACTION PLAN TEMPLATE

(NOT CURRENTLY APPLICABLE)

Rain Event Action Plan (REAP)

Date Rain Predicted:

Predicted % chance of rain:

Site Information:

Site Name, City and Zip Code Project Risk Level:

Site Stormwater Manager Information:

Name, Company, Emergency Phone Number (24/7)

Erosion and Sediment Control Contractor (labor force contracted for the Site):

Name, Company, Emergency Phone Number (24/7)

Stormwater Sampling Agent:

Name, Company, Emergency Phone Number (24/7)

Activities Associated with Current Phase(s) Check ALL the boxes below that apply to the site (some apply to all Phases).

UGrading and Land Development:

UStreets and Utilities:

UVertical Construction:

UFinal Landscaping & Site Stabilization:

Inactive Construction Site:

REAP (Continued)

Active on Site during Current Phase(s) (Check ALL the boxes below that apply to your site)

Trade Contractor Information Provided (Check ALL the boxes below that apply to the site.)

Predicted Rain Event-Triggered Actions Below is a list of suggested actions and items to review for this project. Each active Trade should check all material storage areas, stockpiles, waste management areas, vehicle and equipment storage and maintenance, areas of active soil disturbance, and areas of active work to ensure the proper implementation of BMPs. Project-wide BMPs should be checked and cross-referenced to the BMP progress map.

|_| Check scheduled activities and reschedule as needed |_| Alert erosion/sediment control provider |_| Alert sample collection contractor (if applicable) |_| Schedule staff for extended rain inspections |_| Check Erosion and Sediment Control (ESC) material stock |_| Review BMP progress map |_| Hours of operation verified for upcoming storm event |_| Other:

|_| Material storage areas

|_| Material under cover or in sheds (e.g., treated woods and metals) |_| Perimeter control around stockpiles |_| Stockpiles covered (as applicable) |_| Other:

|_| Waste management areas

|_| Dumpsters closed and drain holes plugged |_| Recycling bins covered |_| Portable restrooms have secondary containment and protected from tipping over

REAP (Continued)

|_| Trade operations

|_| Exterior operations shut down for event (e.g., no concrete pours or paving) |_| Soil treatments (e.g., fertilizer, soil binder) ceased within 24 hours of event |_| Materials and equipment (e.g., tools) properly stored and covered |_| Waste and debris disposed in covered dumpsters or removed from site |_| Trenches and excavations protected |_| Perimeter controls around disturbed areas |_| Fueling and repair areas covered and bermed |_| Other:

|_| Erosion and Sediment Control

|_| Adequate capacity in sediment basins and traps |_| Site perimeter and slope controls in place |_| Catch basin and drop inlet protection in place and cleaned |_| Temporary erosion controls deployed |_| Roads swept; site ingress and egress points stabilized |_| Temporary perimeter controls deployed around disturbed areas and stockpiles |_| Other:

|_| Other:

|_| Spill and drips

|_| All incident spills and drips cleaned, including paint, stucco, fuel, and oil |_| Drip pans emptied |_| Other:

|_| Other / Discussion / Diagrams

I certify under penalty of law that this Rain Event Action Plan (REAP) will be performed in accordance with the General Permit by me or 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 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.

________________________________ Date: _______________________ Qualified SWPPP Practitioner

APPENDIX E – TRAINING REPORTING FORM

Trained Contractor Personnel Log Stormwater Management Training Log and Documentation

Project Name:

WDID #: __________________________________________________________

Stormwater Management Topic: (check as appropriate)

|_| Stormwater Sampling

Specific Training Objective:

Location: Date: _

Instructor: Telephone:

Course Length (hours):

Attendee Roster (Attach additional forms if necessary)

As needed, add proof of external training (e.g., course completion certificates, credentials for QSP, QSD).

APPENDIX F – EXAMPLE STORM EVENT MONITORING FORMS

Rain Gauge Log Sheet

Construction Site Name:

WDID #:

Date (mm/dd/yy) Time (24-hr)

(Inches) Notes:

Risk Level 1, 2, 3 Visual Inspection Field Log Sheet

Site Information

Construction Site Name:

Construction stage and completed activities:

Approximate area of exposed site:

Weather and Observations

Estimate storm beginning:

(date and time) Estimate storm duration:_________ (hours) Estimate time since last storm: ________ (days or hours) Rain gauge reading: _______ (inches)

Observations: If yes identify location

Odors Yes □ No □

Floating material Yes □ No □

Suspended Material Yes □ No □

Sheen Yes □ No □

Discolorations Yes □ No □

Turbidity Yes □ No □

Site Inspections

(add additional sheets or attached detailed BMP Inspection Checklists)

Corrective Actions Identified (note if SWPPP/REAP change is needed)

Inspector Information

NAL Exceedance Evaluation Summary Report Page __ of __

Project Name

Project WDID

Project Location

Date of Exceedance

|_| Other (specify)

|_| Lab method (specify)

Visual Observations on Day of Exceedance

Description of BMPs in Place at Time of Event

Initial Assessment of Cause

Corrective Actions Taken (deployed after exceedance)

Additional Corrective Actions Proposed

Report Completed By

(Print Name, Title)

Signature

CHAIN-OF-CUSTODY

DATE:

Lab ID:

DESTINATION LAB:

ATTN:

ADDRESS:

Office Phone:

Cell Phone:

SAMPLED BY:

Contact:

Project Name

SENDER COMMENTS:

RELINQUISHED BY

Signature:

Print:

Company:

Date:

TIME:

LABORATORY COMMENTS:

RECEIVED BY

Signature:

Print:

Company:

Date:

TIME:

APPENDIX G – FIELD METER INSTRUCTIONS

Place instructions for field meters that will be used by contractor personnel in this Appendix.

APPENDIX H – SUPPLEMENTAL INFORMATION

Place documents related to Regional Board required monitoring, watershed monitoring option approval, and bioassessment exception approval in this Appendix, as applicable.