ESCP_OR_BLM_ERFO_2017(1)-32(2).pdf

Stormwater Pollution Prevention Plan

ESCP

For:

Medford District Road Repair Phase 2, OR BLM ERFO 2017(1)-32(2)

Jackson and Josephine Counties, Oregon

Federal Highway Administration, Western Federal Lands Highway Division

Project Engineer: _________ _

General Contractor: ----------n -I

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::, 0 i;:-n . SVVFPP/E§CP TABS

TAB 1: SWPPP/ESCP Narrative

TAB 2: NPDES Permit (Construction General Permit or Corresponding State Permit)

TAB 3: NOI, EPA/State Acknowledgement, Other Applicable EPA/State Correspondence

TAB 4: Delegation of Authority

TAB 5: Maps

TAB 6: Erosion/Sediment Control Plan Sheets (plan set and BMP typical details)

TAB 7: Permanent Stabilization and Revegetation Plan (plan sets and details)

TAB 8: SWPPP Amendment Log

TAB 9: Erosion/Sediment Control Inspection Reports and Requirements

TAB 10: Corrective Action Log

TAB il: Water Quality Monitoring, Reporting Requirements, and Reports

TAB 12: Training Log

TAB :i3: Waste and/or Borrow Site Information

TAB 14: Grading and Stabilization .Log

TAB 15: Hazardous Spill Plan

TAB 16: Other Applicable Permits(§ 404, § 401, Oregon Remove-Fill Permit)

TAB 17: NPDES Quality Assurance Checklist

TAB 18: NPDES Notice of Termination (NOT) n _

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Tab 1

CONTRACTOR:

Complete SWPPP narrative in accordance with contract 107.0lA(b).

Revise SWPPP narrative as needed throughout construction in accordance with contract 107.0lA(f)

ALASKA, IDAHO AND WASHINGTON PROJECTS ONLY:

SWPPP narrative must be signed by General Contractor's responsible corporate officer as defined in CGP 1.11.2.

File approved SWPPP narrative in Tab 1.

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Tab 4

CONTRACTOR:

ALL STATES:

During project construction, the CGP requires that all changes to the project SWPPP of record, inspections, reports, and any other compliance documentation must be signed by your Company's Certifying Official (signer of NOi and SWPPP narrative) ot by a duly authorized representative of that person as defined in the CGP.

If the Certifying Official will not be overseeing day-to-day operations at the construction site, that person may delegate CGP compliance authority to an on-site representative using form WFLHD 157-7.

File Contractor's Delegation of Authority Form WFLHD 157-7 in Tab 4.

U1

0 · Tab 5

CONTRACT.OR:

ALL STATES

Add the locations of all Government-selected staging areas, borrow sites, waste sites, and other dedicated ancillary areas.

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Tab6

CONTRACTOR:

ALL STATES

Add the locations of all stockpiles (soil or other erodible material) and Government selected staging areas, borrow sites, waste sites, and other dedicated ancillary areas.

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Tab7-

FHWA:

Insert Revegetation Plan (FS, NPS, Consultant) IF APPLICABLE.

If revegetation is being performed by others, inform the Contractor here

CONTRACTOR:

ALL STATES

This revegetation plan is for SWPPP documentation only.

The Contractor's responsibility for revegetation·is ~pecified in the Contract.

I

Please Insert Permanent Soil Stabilization

Structures such as Retaining Walls, Riprap Slope Stabilization and Revegetation

Plans from the Plan Sheets

Tab8

CONTRACTOR:

ALL STATES

Note in the SWPPP Amendment_ Log any changes that occur to the SWPPP of record, including the SWPPP narrative (Tab 1) and plan sheets (Tab 6).

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Inspection Requirements for NPDES Compliance .

EPA Construction General Permit Part 4 inspection requirements for NPDES compliance:

I11spectio11 Freque11cy: You must conduct inspections in accordance with one of the two schedules listed below.

You .must specify in your SWPPP which sche~ule you will be following.

1. At least once every 7 calendar days, OR

2. At least once every 14 calendar days and within 24 hours of the end of a storm event of 0.5 inches or greater. (lfthis ·option is chosen, a rain gauge is required to be on-site: The SWPPP should also include a daily rainfall log.)

Case-by-Case Reduction.s i11 I11spectio11 Freque11cy: You may reduce your inspection frequency to at least once every month if: · ·

1. The entire site is temporarily stabilized, 2: Runoff is unlikely due to winter_conditions (e.g., site is covered with snow, ice, or the ground is frozen), or

3. Construction· is· occurring during seas.anal arid periods in arid areas and semi-arid areas.

I11spection Waiver for Frozen Co11ditio11s: A waiver of the inspection requirements is av~ilable until one month before thawing conditions are e_xpected to result in a discharge if all of the following requirements are met:

· 1. The project is located in an area where frozen conditions are anticipated to continue for extended periods. of time (i.e., more than one month); ·

2. Land disturbance activities have been suspended; and

3. The beginning and ending dates of the waiver period are documented in the SWPPP.

Qualified Perso,mel: Inspections must be .conclucted by qualified personnel (provided by the operator or cooperativ:ely by multiple operators). "Qualified personnel" means a person knowledgeable in the principles and practice of erosion and sediment controls who possesses the skills to assess conditions at the construction site that could impact stormwater quality and t«;> assess the effectiveness of any sediment and erosion control measures ·

• selected to control the quality of stormwater disch?rges from the constructton activity.

Scope of Inspections: Inspections must include all areas of the site disturbed by construction activity and areas used for storage of m?terials that are exposed to precipitation .. Inspectors must look f«;>r evidence of, or the. potential for, pollutants entering the stormwater convey~nce system. Sedimentation and erosion control measures must be observed to ensure proper operation. Discharge locations must be inspected to .as.certain whether erosion control measures are effective in preventing significant impacts to waters of the United States, where accessible. Where discharge locations are inaccessible, nearby downstream lqcations must be inspected to the extent that such inspections .are practicable. Locations where vehicles enter or exit the site must be inspected for evidence of off-site sediment tracking.

All-reports required by this permit, including tlie SWPPP, S.W! PP ame11dnie11ts, a11d i11spectio11 reports must be #gtted by a person described in Appendix G, Subsection 11.A (below) or by a duly authorized representative of that person.

I. For a corporation: Bya responsible corporate officer. For the purpose of this Part, a responsible corporate officer ineans: (i) a president, secretary, treasurer, or vice-president of the corporation in charge .of a principal business function, or any other person who performs similar policy- or. decision-making functions for the · corporation, or (ii) the manager of one or more manufacturing, production, or operafing facilities, provided, the manager is authorized to make management decisions which govern the operation of th~ r~gulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and .

directing other comprehensive measures fo assure long term envirorimental compliance with environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.

2. For a partnership-or sole proprietorship: By a general partner or the proprietor, respectiv~ly; or

· 3. For a municipality, suite, federal, or other public agency: By either a principal executive:? officer or ,:anking elected official. For purposes of this Part, a principal executive officer of a federal agency includes (i) the chief executive officer of the agency, or (ii) a senior executive officer having responsibility for the overall operations.of a principal geographic unit ~fthe agency (e.g., Regional Administrator of EPA). ·

A person is a duly authorized representative only if:

·c

The authorization, is made in writing by a-person described in Appendix G, Subsection 11.A;

The· authorization specifies either an individual or a position having responsibility for the overall operation of the regulated facility or activity such as the position of plant manager, operator of a well or a well field, superintendent, position of equivalent respon.sibility, or an individual or position having overall responsibility for environmental matters for the company. (A duly authorized representative may thus be either a named individual or any individual occupying a named position); and ·

The signed and dated written authorization is included in the SWPPP. A copy must be submitted to EPA, if requested. · ·

-c

FEDERAL filGHWAY AD:MINISTRATION ~ FEDll!RAL l,.ANDS mGIIWAY DM..SION

SWP:f P CONSl'Jl,JJCTION ~.ITE INSfECTlON REPOa.T l'i;oject :Name:

Date oflnspection: ~tart/End 'J;'imes:

Project Nam·e:

Inspector's Names:

lnspector's Comvan_y:

Inspector's Contact InforIQation:

Inspector's Quali:tlcatlons (CES.CL or other certification number): inspector's Qualifications expiration date:

Describe present pb~se of construction

,Type oflnspection:

□ Regular D Post-storm.event D Reduced inspection frequency period

Weather.lnfotmation - . ·•. :. . ~ . -r.. -;

Has there been a storPl event since the las"finspection? D Yes D No Ifye~, provide:

Estimated Storm Start Date & Time:_·-----~- Estimated Sto~ Duratio:µ (hrs):

Approximate Am_ount of Precipitation (in): _____ _

Weather at time of this inspection? · D Clear □Cloudy O Rain' D Sleet 0Fog D Snowing D High Win.ds D Other:

Tempexature: ______ _

WFLJID 157-2 (5/2011)

·5 .

Site-specific BMPs

• BMP - Descrilie and give the /~cation of the structural and non-structural BMPs identified in your SWPPP in the BMP column below (add as many BMPs as necessary on the continuation sheets. Include areas that '. are required to be inspected by the CGP, such as material storage areas that are exposed to precipitation.

• ·BMP Installed:.... If a BMP should be installed at the current phase of the project and you marked "No" in the "BMP Installed" column, then you must check "Yes" in the "BMP Action Required?" colu_mn

• BMPAction Required? - .If a BMP needs repair, modification, replacement, maintenance or a new BMP is needed or _a SWPPP amendment is needed, then a BMP Action is required.

• BMP Action Required, Complete by Date - Before certifying the report,fill in the date when the.BMP .

Action can reasonably be expected to be completed. When a BMP Action is NOT required, leave the "Complete by Date" blank. · ·

• Describe BMP Action, if Needed -Anytime you check "Yes" for "BMP Action Required", then you must also fill in the "Describe BMP Action " column. .

• De/ay{!d Action Item Report - When a JJMP Action is required and (he Complete by Date is not met, you must then fill out. ihe Delayed Action Item Report to explain why the date was not met-Keep the Delayed

. A9tion Item Report in the SWPPP. . ·

• Corrective Action Log - When a BMP Action is required as noted i-,z this report, you must also enter ali the

. information for this action in the Corrective Action Log

BMP & Location BM.P BMPAction Describe BMP Action, if Needed Inst111led? Reauired?

0Yes QNo 0Yes 0No

Complete by Date:

□ Yes 0No □ Yes 0No

Complete by ·· . .

Date:

0Yes 0No 0Yes 0No

Complete J>y Date:

0Yes 0No 0Yes 0 -No

Complete by Date:

□ Yes 0No □ Yes 0No

Complete by Date:

□ Yes 0No □ Yes 0No

Complete by Date:

□ Yes 0No 0Yes 0No

Complete by Date:

0Yes 0No □ Yes □ No

Complete by Date:

Page2 Project Name:

Inspection Date:

BMP & Lo!!ation BMP BMP Action Describe BMP Action, if Needed Installed? ,_.. .. Required?

n .

9 □ Yes 0No □ Yes 0No

Complete by Date:

·10 0Yes .[)No 0Yes 0No

Complete by Date:

11 □ Yes 0No 0Yes 0No

Complete by Date;

12 0Yes 0No 0Yes-0No

Complete by "

Date:

13 □ Yes 0No □ Yes □ No

Complete by.

Date:

14 0Yes 0No □ Yes 0No

Completeoy ..

Date:

15 0Yes 0No 0Yes 0No

Complete by Date:

16 0Yes 0No 0Yes 0No

Complete by Date:

17 0Yes 0No 0Yes 0No

~ompleteby Date:

18 0-Yes 0No 0Yes 0No

Complete by Date:

19 0Yes 0No 0Yes 0No

Complete by Date:

20 0Yes 0No □ Yes 0No

Complete by Date: :

21 □ Yes □ No 0Yes 0No

Complete by Date:

• Please use continuation sheets if there are additional BMPs to list.

Pag~3 Project Name:

Overall Site Issues

• BMP or Activity · -- These are some ger1;eral_~ite issues that must be assessed during inspections.

• Implemented? -If a BMP or activity should be implemented at the current phase· of the project and you check "No", then you must mark "Yes" in the "Corrective Action Required?" column.

• Corrective Action Required? - When maintenance or some other corrective action is required, check

".Yes" in this co.lumn.

• Corrective Action Required,· Complete by Date - When a corrective acti~n · is required, before certifying the report, fill in the date when the corrective action can. repsonably be expected to be completed. When a correciive action is NOT required; leave th~ "Complete by Date" blank. .

• Describe Corrective Action, if Needed -Anytime you check "Yes" in the "Corrective Action Required?"

column, you must fill in the "J?escribe Corrective Action" column as well.

• Delayed Actio11 Item Report - When a Corrective Action is required and the Complete by Date is not met, you must then fill out the Delayed Action Item Report to explain why the· date was not met. Keep the Delayed.Action ltein Report in the SWPPP. ·

. • Corrective Acti,m Log - When a Corrective Actio~ is required as noted in this report, yoti must also enter all the information for this acti~n in the Co,:rective Action Log.

BMP or Activity Implemented? Corrective Describe Corrective Action and Location, if Needed .

Action Required?

Have stabilization OYes ONo OYes ONo measures been initiated on slopes and disturbed Complete ·by areas not actively being Date: · worked?

Are natural resource OYes ONo OYes ONo areas ( e.g., streams, wetlands, mature trees, Complete by etc.) required by the Date:

SWPPP to be delineated . . .

in the field, identified with barriers or markings?

Are perimeter controls OYes ONo □ Yes ONo and sediment barriers . adequately installed Complete by (keyed into _substrate) .Date:

and maintained?

Are _sto~ drain inlets OYes ONo □ Yes ONo pr9perly protected? . Complete by

Date:

Are the construction OYes ONo 0Yi:s LJNo '

_ exits preventing sediment from being Complete by tracked· into the street? Date:

Is trash/litter from work □ Yes ONo □ Yes ONo areas collected and placed in covered Complete by dumpsters? Date:

Are washo~t faciliti~ □ Yes lJNo LJYes ONo (e.g., paint, concrete) available, clearly Complete by marked, and maintained? Date:

Page4 Project Na_m~:

BMP or Activity Implemented? Corrective Describe Corrective Action and Location, if Needed·

Action Required?

8 Are vehicle and 0Yes 0No 0Yes 0No equipment fueling, cleaning, and Complete by maintenance areas free Date:

of spills, leaks, o~ any other deleterious material?

9 Are materials that are 0Yes 0No 0Yes 0No potential stormwater Complete by contaminants stored Date:

inside or under cover?

10 Are non-stormwater 0Yes 0No □ Yes 0No discharges ( e.g., wash · Complete by water, dewatering) Date:

properly controlled?

Overall Site Issue Answer to Corrective Question Action Describe Corrective ActiQn and Location, if Needed

Required?

1· At the time of 0Yes 0No 0Yes 0No inspection, ·ate the Complete by discharge points and Date:

receiving waters free of poilutant discharges (sediment deposits, -c sediment plume or oil sheen)? (See continuation page for list of discharge points)

2 Since the last inspection; 0Yes 0No 0Yes 0No are the discharge points Complete by and receiving waters free Date:

of evidence that pollutants had left the project site (for example, sediment deposits, oily residue)? .. (S~e continuation page for list

. of discharge points) 3 Has Spill Response kit 0Yes QNo 0Yes 0No been used since the last Complete by inspection? If yes, has Date:

stock been maintained?

4 · Are any additional 0Yes 0No 0Yes 0No BMPs needed? Complete by

Date:

5 (Other) □ Yes QNo 0Yes 0No

D Complete by Date:

· Pages Project Name:

Scope oflnspection

Did you inspect all areas of the project that are 0Yes 0No If you did not inspect any required _areas, list thcise required to be inspected by lb~ CGP (areas locations here and explain why they weren't inspected.

disturbed by construction activity, areas used for storage of materials that are exposed to precipitation, discharge locations and locations ..

. where vehicles enter or exit the site)?

• Check ~he box below if the project is in compliance with the CGP and the SWPPP:

D I certify that on the date of this inspection, this project was found to be in compliance with the terms of its Storm Water-Pollution Prevention Plan and the curr~nt Construction General Permit.

• If there are incidences of non-compliance, then do not check the box above. .

• When you don 't check the box above, then you must descri~e each incident of non-compliance and tlie · actions that are-needed to bring the project into compliance. ·

• If there is an Action Item described in the non-compliance box· that does not already have a "Complete by ·

Date" assig_ned elsewhere in this report, then add a completion cf ate 'Within the box.

Non-Compliance

Incidence of Non-compliance:

Action Item and Complete by Date:

CERTIFICATION STATEMENT

"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 infonnation submitted. Based on my inquiry of the person or persons who manage.the system, or those persons directly responsible for gathering the infonnation, the information submitted is,·to the best ofmy 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." ·

Contractor's Duly Authorized Representative

Print name:

Tjtle: Superintendimt

Signature:

Page6

FHW A's Duly Authorized Representative

Print Name: ·

Title: .

Signature:

Proj~t Engineer

Project Name:

Tab 10

CONTRACTOR:

ALL STATES

Record in the SWPPP Corrective Action Log. the completion of BMP maintenance that was noted in the."Describe BMP Action, If Needed" section of the SWPPP Inspection Report (Tab 9)

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Tab 11

FHWA:

Insert water quality monitoring requirements IF APPLICABLE.

If not applicable, insert the following statement:

Water quality monitoring is not required for this project.

Please h1sert Water Qualit,, Monitoring Requirements and 401 Permit

Tab 12

CONTRACTOR:

ALL STATES

Insert Erosion Control Supervisor certification in accordance with contract 157.03.

Use enclosed form to document any additional staff training in compliance with the applicable EPA/STATE NPDES Stormwater permit.

er ,, FEDERALIDGHWAY AJ)MlNJSTRATION.

· WESTERN FEDERAL LANDS

IDGHW AY DMSION

SWPPP TRAINING LOG

Sediment ap.d Erosion Control/NPDES Training

Project Name:_--,-___________________________ _

Course Title: ------------------------------ 1 n §tr u ct or's Na~e(s)/Title(s): ______________ ..,..... _________ _

. Course Location: ----------------------,..----------- Course Date: ------------ Course Length (hours): ______ _

Training Topics:·

□ Erosion Control BMPs □ Good Housekeeping BMPs D Other (Specify)

□ Sediment Control BMPs □ SWPPP Provisions

□ Non-Storm Water BMPs D Conducting Inspections

□ Emergency Procedures D Turbidity Monitoring

Attendee Roster: (attach additional payes as necessary)

Nr,1-me,of Attendee Co~pctQ.Y/ Agency

WFLBD 157-3 (5/2011)

L ....__ ..

FEDERAL IDGHWAY ADMINISTRATION

WESTERN FEDERAL LANDS

IDGHWAY DIVISION

SWPPP TRAINING LOG

Sediment and -Erosion Control/NPDES Training ·

Project Name: _______________________________ _

Course Title: --~----------------------------- . Instructor'~ Name(s)/Title(s): __________________________ _

Course Location: _________________ ......_ ____________ _ Course Date: ------------ Course Length (hours): ______ _

Training Topics:

· □ Erosion Control BMPs

D Sediment Control BMPs

D Non-Storm Water BMPs

D Emergency Procedures

D Good Housekeeping BMPs

0. · SWPPP Provisions

D Conducting Inspections

D Turbidity Monitoring

Attendee Roster: (attach additional pages as necessary)

WFLHD 157-3-(5/2011)

D Other (Specify) cc

FEDERALIDGHWAY ADMINISTRATION

WESTERN FEDERAL LANDS

HIGHWAY DIVISION

SWPPP TRAINING LOG

Sediment aµd Erosion Control/NPDES Tr.aining

Project Name: _______________________________ _

Course Title: ------------------------"-----~-----'---- Instructor's Name(s)/Title(s): __________________ __,;... _______ _

Course Location: ________________ '-----------------

Course Date: ------------ Course Length (hours): ______ _

Training Topics:

D Erosion C~mtrol BMPs

D ~ediment Control BMPs

□ Non-Storm Water BMPs

D · Emergency Procedures

Good Housekeeping BMPs

·swPPP Provisions

Conducting Inspections

Turbidity Monitoring

Attendee Roster: [attach additional pagesas_necessary)

WFLHD 157-3 (5/2011)

□ Other (Specify)

FEDERAL IDGHWAY. ADMINISTRATION

WESTERN FEDERAL LANDS

HIGHWAY DIVISION

SWPPP TRAINING LOG

~ediment and Erosion Control/NPDES Training

Project Name; _______ ;....._ ______________________ _

Course Title: ______________________________ _

Instructor-'s Name(s)/Title(s): _________________________ _

Course Location: _____________________________ _

Course Date: ___________ _ Course Length (hours): ______ _

Training Topics: .

D Erosion Control BMPs D Other (Specify)

D · -Sediment Control BMPs

~c ) □ Non-Storm Water BMPs

D Good Housekeeping BMPs

D SWPPP Provisions

D Conducting Inspections

D Turbidity Monitoring ~- -· D Emergency Procedures

Attendee Roster: (attach additio_nal pages as necessary)

~c ~- 1-------------------'-------+------------------1

WFLHD 157-3 (5/2011)

FEDERAL IDGHWAY ADMINISTRATION

WESTERN FEDERAL LANDS

IDGHWAY DIVISION

SWPPP TRAINING LOG

Sediment and Erosion Contr-ol/NPDES Training

Project Name: _______________________________ _

Course Title:--------------------------------

Instructor's Name(s)/Title(s): _______________ ----'---~-------

Course Location: __________________________ ___. ___ _

Course Date: ___________ _ Course Length (hours): ______ _

Training Topics:

□ Erosion Control BMPs

□ Sediment Control BMPs

□ Non7Storm Water BMPs

□ Emergency Procedures

D Good Housekeeping BMPs

□ SWPPP Provisions

D . Conducting Inspections

D • Turbidity Monitoring·

Attendee Roster: (attach additional pages as necessary)

WFLIID 157-3 (5/2011)

D Other (Specify)

Tab 13

ALL STATES

Insert location maps and site maps for all Government-Selected Waste, Borrow, and Staging Areas.

On site maps, display the locations and types of BMPs used at each site.

Please Inse1i Waste or Borrow Site Plan

Sheets

L

Tab 14

CONTRACTOR:

ALL STATES

Record in the Grading and Stabilization Log the start and end dates of major grading activities and when temporary stabilization was initiated on these sites. ·

Temporary or permanent soil stabilization is required if no further disturbance of an area is expected within the next 14 days.

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Tab 15

CONTRACTOR:

ALL STATES

Insert Hazardous Spill Plan or SPCC, whichever is applicable to the project.

Please Insert !t!z~rdous SJQill Pl~

Tab 16

FHWA:

Insert Threatened and Endangered Species affects determinations. Reference source documentation such ns BA or CE (you may want to file a copy of the CE here, but don't include documents that have specific TES or Cultural Resource location information)

If Section 7 Consultation was performed, include U§FW§INMFS concurrence document.

Insert Section 106 Affects Determination. Include SHPO Concurrence document.

INCLUDE THE FOLLOWING STATEMENT:

This information is for SWPPP·d~cumentation only.

List "C" (undocumented) Categorical Exclusion (23 CFR 117[cl) Project Name

Medford District Road Repairs 2017

( - ) ct Number (FLH Accounts Table)

.. BLM ERFO 2017(1 )-32(2)

Project Manager

Helen Oppenheimer

Project Description (Briefly describe the project including need, purpose, location, limits, right-of-way requirements, and activities involved in this box. Attach map.)

Many locations within the Medford District BLM were impacted by storm events spring 2017.

The locations of the storm events and the reasonable and foreseeable repair actions fall within FHWA's Categorical Exclusion criteria.

The list of sites are:

Site #1, Kerby-Reeves Creek BLM Road 39-8W-3 M.P. 3.14 Repairs: Reconstruct shoulder embankment with MSE Wall approximately 155 feet and install culvert. Aggregate surfacing will be replaced.

Site #2, Upper Trail Creek BLM Road 32-lW-33.01 M.P. 1.7 Repairs: Subexcavation and install ditch side underdrain System. Aggregate surfacing will be replaced.

Site #3, Buck Rock Road BLM Road 33-1 W-8.00 M.P. 6.10 Repairs: Subexcavation and install ditch side underdrain System. Aggregate surfacing will be replaced.

Site #4, Whiskey Creek Road BLM Road 33-8-26.0 M.P. 3.3 Repairs: Ditch and Shoulder Reconditioning. Aggregate surfacing will be replaced.

Site #5, Sardine Ridge BLM Road 35-3W-8.00 M.P. 0.54 Repairs: Reconstruct shoulder embankment with MSE Wall approximately 90 feet. Aggregate surfacing will be replaced.

-<;ite #6, Sardine Ridge BLM Road 35-3W-8.00 M.P. 0.94 / airs: Reconstruct shoulder embankment with MSE Wall approximately 65 feet. Aggregate surfacing will be replaced.

I

-Site #7, Granite Hill BLM Road 35-5-21 .0 M.P. 1.65 Repairs: Subexcavation and install ditch side underdrain System. Ditch reconditioning outside of areas with underdrain system.

· Aggregate base coarse and asphalt surfacing will be replaced.

Site #8, Stratton Creek BLM Road 35-7W-4.1 M.P. 0.90 Repairs: Reconstruct shoulder embankment with MSE Wall approximately 100 feet. Aggregate surfacing will be replaced.

Site #9, Angora Spur BLM Road 34-7W-11.1 M.P. 0.28 Repairs: Clean culvert inlet (remove deposited soils). Aggregate surfacing w ill be replaced.

Site #10, Hog Creek BLM Road 35-7W-1 l .O M.P. 0.63 Repairs: Reconstruct shoulder embankment with MSE Wall approximately 70 feet. Aggregate surfacing will be replaced. Extend Culvert about 5 Feet.

Site #11, Hog Creek BLM Road 35-7W-1 l .O M.P. 2.85 Repairs: Reconstruct shoulder embankment with MSE Wall approximately 150 feet. Aggregate surfacing will be replaced.

BLM is Sections 7 ESA and 106 lead for the project and have a March 3, 2017 signed Categorical Exclusion on file in the project folder on Projectwise at Western Federal Lands.

Anticipated construction in 2019.

List "C" (undocumented) Categorical Excl usion (23 CFR 117f c]}

Section 1: Type of List "C" (Undocumented) Categorical Exclusion (23 CFR 117[c]): 9

A. Use the information in this section to determine the applicable "C" list activity for this project.

':/ . I ne ro11owmg actions tor transportation taci1ItIes damaged by an incident resulting In an emergency declared by tne c.,overnor or tne ::,tate and concurred m by tne Secretary, or a disaster or emergency declared by the President pursuant to the RobertT. Stafford Act (42 U.S.C 5121 )2:

i. Emergency repai rs under 23 U.S.C 125;

ii. The repair, reconstruction, restoration, retrofitting, or replacement of any road, highway, bridge, tunnel, or transit facility (such as a ferry dock or bus transfer station), including ancillary transportation facilities (such as pedestrian/ bicycle paths and bike lanes), that is in operation or under construction when damaged and the action:

A. Occurs within the existing right-of-way and in a manner that substantially conforms to the preexisting design, function, and location as the original (which may include upgrades to meet existing codes and standards as well as upgrades warranted to address conditions that have changed since the original construction); and

B. ls commenced within a 2-year period beginning on the date of the declaration.

B. List of constraints

The project must meet the constraints below in order to use a CE under 771. 7 7 7(c)(26), (c)(27), or (c)(28). If these constraints cannot be met, the action MAY NOT be processed under

771 . 7 7 7(c)(26), (c)(27), or (c)(28); however, the project may qualify for a CE under 777. 7 7 7(d)(7 3).

C8J Not Applicable

D I certify that the project meets the following constraints:

D The project results in no acquisition of right-of-way

D The project results in acquisition of a minor amount of right-of-way and results in no residential or non-residential displacements

D The project does not require:

D U.S. Coast Guard bridge permit

D Army Corps of Engineers Section 404 of the Clean Water Act Individual Permit or Letter of Permission A permit required under Section 10 of the Rivers and Harbors Act of 1899

D The project does not result in a "likely to adversely affect" call for species or critical habitat under the Endangered Species Act;

D The project does not result in a finding of " adverse effect" to historic properties under the National Historic Preservation Act;

D The project does not use a resource protected under 23 U.S.C. 138 or 49 U.S.C. 303 [section 4(f)] except for actions resulting in de minimis impacts;

D The project does not include construction of temporary access, or the closure of existing road, bridge, or ramps, that would result in major traffic disruptions;

D The project does not result in changes in access control;

The project does not result in a floodplain encroachment other than functionally dependent uses (e.g., bridges, wetlands) or actions that facilitate open D space use (e.g., recreational trails, bicycle and pedestrian paths); OR construction activities in, across or adjacent to a river component designated or proposed for inclusion in the National System of Wild and Scenic Rivers

C. Independent Utility and Logical Termini

The project complies with NEPA requirements related to connected actions and segmentation (i.e. the project must have independent utility, C8J connect logical termini when applicable, be usable and be a reasonable expenditure even if no additional transportation improvements in the area are made and not restrict further consideration of alternatives for other reasonably foreseeable transportation improvements). (FHWA Final Rule, "Background," Federal Reg ister Vol. 79, No. 8, January 13, 2014.)

D. Categorical Exclusions Defined (23 CFR 771 .117[a])

FHWA regulation 23 CFR 771.117(a) defines categorical exclusions as actions which:

- do not induce significant impacts to planned growth or land use for the area;

- do not require the relocation of significant numbers of people;

-.do not have a significant impact on any natural, cultural, recreational, historic or other resources;

- do not involve significant air, noise, or water quality impacts;

- do not have significant impacts on travel patterns; or

- do not otherwise, either individually or cumulatively, have any significant environmental impacts.

C8J Checking this box certifies that the project meets the above definition for a Categorical Exclusion.

E. Exceptions to Categorical Exclusions/Unusual Circumstances (23 CFR 771 .117[bl)

List "C" (undocumented) Categorical Exclusion (23 CFR 117[c]) FHWA regulation 23 CFR 771 .117(b) provides that any action which normally would be classified as a CE but could involve unusual circumstances requires the Department to conduct appropriate environmental studies to determine if the CE classification is proper. Unusual circumstances include actions that involve: .

- Significant environmental impacts;

( ) - Substantial controversy on environmental grounds;

- Significant impact on properties protected by section 4(f) of the DOT Act or section 106 of the National Historic Preservation Act; or

- Inconsistencies with any Federal, State, or local law, requirement or administrative determination relating to the environmental aspects of the action.

All of the above unusual circumstances have been considered in conjunction with this project. (Please select one.)

~ Checking this box certifies that none of the above conditions apply and that the project qualifies for a Categorical Exclusion.

D Che~king this box certifies that unusual circumstances are involved. However, the appropriate studies/analysis have been completed, and it has been determined that the CE classification is still appropriate. ·

F. Required Federal Agency Consultation Processes

Please provide the anticipated results of the required federal consultation processes below if this project is determined to be a Categorical Exclusion prior to completing these processes, Confirmation of the results will be documented in Section 2 of this form.

~ Proceed to Section 2 if all federal processes are complete.

1st "C" ( un d ocumente d}C ategonca I E xc us,on (23 CFR 117[ ]} C Section 2: Compliance with FHWA NEPA policy to complete all other applicable environmental requirements prior to making the NEPA determination:

During the environmental review process for which this CE was prepared, all applicable environmental requirements were evaluated. Outcomes for the following requirements are identified below and fully documented in the project file.

Cultural Resources

[8J Section 106 compliance is complete-select appropriate finding: BLM Categorical Exclusion with BLM as Section 106 lead, signed March 3, 2017.

D Screened Undertaking [8J No Historic Properties Affected D No Adverse Effect_ D Adverse Effect/MOA

D SHPO Concurrence Date:

Waters, Wetlands

• Section 404 of the Clean Water Act

Impacts to Waters of the US: 0Yes [glNo

If yes, approval anticipated:

D Nationwide Permit D Individual Permit D Regional General Permit D Letter of Permission

• Section 401 of the Clean Water Act

□Exemption □certification [glNot Applicable

Floodplains

• Floodplains (Executive Order #l 19B8)

[8J No Floodplain Encroachment

D No Significant Encroachment

D Significant Encroachment

Biology

D No Section 7 Needed

• Section 7 (Federal Endangered Species Act) Consultation Findings (Effect determination)

[8J No Effect D Not Likely to Adversely Affect with FWS/NOAA Concurrence Date:

D Likely to Adversely Affect with Biological Opinion Date:

[8J Programmatic BO held by Partner Agency; File Number: Routine Actions and Maintenance BiOp Date: March 2017

• Essential Fish Habitat (Magnuson-Stevens Act) Findings (Effect determination):

D No Effect D No Adverse Effect D Adverse Effect and Consultation with NOAA Fisheries [8J Not Applicable

Section 4(f) Transportation Act (23 CFR 774)

• Section 4(1) regulation was considered as a part of the review for this project and a determination was made:

[8J Section 4(1) does not apply .

(Project file includes documentation that property is not a Section 4(1) property, that project does not use a Section 4(1) property, or that project meets the criteria for the temporary occupancy exception.)

D Section 4(1) applies

D Exception

D De minimis - O.WJ. concurrence date .

D Programmatic: Type (List one of the five appropriate categories as defined in 23 CFR 774.3)

D Individual: D Legal Sufficiency Review Complete D HQ Coordinator Review Complete

• Section 6(1) - Was the above property purchased with grant funds from the Land and Water Conservation Fund?

[8J No, Section 6(f) does not apply. No additional documentation required.

0Yes D Documentation of approval from National Park Service Director (through California State Parks) has been received for the conversion/and replacement of 6(1) property.

Coastal Zone

Coastal Zone Management Act of 1972

[8J Not in Coastal Zone D Qualifies for Exemption D Qualifies for Waiver D Coastal Permit Required

D Consistent with Federal State and Local Coastal Plans D Federal Consistency Determination list "C" (undocumented) Cat egorical Exclusion (23 CFR 117k]) Relocation and Right of Way

~ No Relocations

(~~ D Project involves (#) relocations and will follow the provisions of the Uniform Relocation Act.

D No right of way acquisitions or easements . ' D Project involves - (#) acquisitions and (#) easements.

Hazardous Waste and Materials

• Are hazardous materials or contamination exceeding regulatory thresholds (as set by U.S. EPA, County Environmental He~lth, etc) present? 0Yes ~No

• If yes, is the nature and extent of the hazardous materials or contamination fully known? 0Yes □No

If no, briefly discuss the plan for securing information:

Wild and Scenic Rivers

• Are there wild and scenic river designations in the project area? ~Yes □No

• Describe any impacts.

The Rogue Wild and Scenic River is nearby, but because this is an in kind repair of existing transportation (road) structures, there will be no visual or other impacts to the resource. Temporary construction impacts may occur.

Land Management Agency Consistency

- • Is a consistency statement needed from the Federal Land Management Agency? ~Yes □No □NIA

( l Please attach.

.,laterials, Disposal and Staging Areas

• Any materials sources, disposal or staging areas? ~Yes LJNo If yes, please describe.

These will be contractor located sources.

• Have clearances been obtained?

Please explain.

0Yes ~No

Other Relevant Approvals/Processes

• Are there other relevant approvals or processes needed for this project? 0Yes ~No If yes, please describe. (e.g. Migratory Bird Trea.ty Act, Bald and Golden Eagle Protection Act, 303[d) list of impaired waters)

Section 3: Certification Based on the information obtained during environmental review process and included in this checklist, the project is determined to be a Categorical Exclusion pursuant to the National Environmental Policy Act and is in compliance with all other applicable environmental laws, regulations, and Executive Orders.

Prepared By: ,Denise .Steele Title: Environmental Protection Specialist Print Name

Signature: DENISE E STEELE Digitally signed by DENISE E STEELE Date: April 23, 2019 Date: 201 9.04.23 10:20:45-0TOO'

) Approved By: Scott Smith line Title: Environmental Manager -~ PrmtName

Signature: SCOTT RUSSELL SMITH LINE Digitally signed by SCOTT RUSSELL SM ITHUNE Date: April 23, 2019 Date: 2019.04.231 6:10:41-0TOO'

0.

Tab 17

Thfa Tab fo for GOVERNMENT USE ONLY.

· NPDES Quality Assurance.C~ecklist

Project Name:

J)ate of Inspection:

Project Reviewed by:

Descrjbe .present ph_ase of ~onstru\Ctirnra: ·

Amen.dment or fyiodjficatfon:

Js the §WPJ>J,1' stgmnge propedy and conspkuou§ly po§ted? □Yei; □No (Signage should include where ~e SWPPl' is loc11ted, who to contact for viewing ~e SwPPl', and a co y of the NOI s if ft :Iica:ble

Are the SWPPP ~~rative ani!l plan sheets being updated to accurately reflect t~e p.rogre§§ of the project?

□Yes ONo . , · · ·· ·

If the answer is No to any of the above questions, the fol.owing corrective ·action js recom.ntended:

Inspectiol!ll Fiequnency Required by SWPPP: □ At least once every 14 calendar days and. within 24 hours of the end of a stonn event of 0.5 inches or reater.

~e inspection§ being perform.eirll and docume~ted at the above stl,lted frequency? □Yes □No

· . Are ins ection reports included in the SWPPP? □Yes ONo Are borrow and/or wa§te sites dedicated to the project in.spected as part of the SWPPP col!llstiruct.ion site· in§pection? □Yes QNo · ·

Are stormwater ollution contr~ls effective! in lace at borrow and/or waste sltes? □Yes □No Are inspection~ ~n~ SWPPP do.cum.entation signed by·the Signatory Of:fic,ia.l? □Yes □No (Ensure all SWPPP d9ciµnen:tatioh is signed by the Signato:ry Of-fic;ial designated in T11-b 4 of ~e· SWPPP)

.Are-perimeter controls ins'talled before any ground disturbing activlti~s take place? □Yes ClNo

Are temporary and permanent erosion control practices properly iB!stalled and effectively ~ab1tained within th~ require<J. timeframe? ·□Yes □N0 ·

Are temporary and permanent sediment.control practices·properly in.stalled and effectively maintained?

□Yes □No · ·

If tbe answer is No to any oft~e a~ove qu~tions, the following corrective action is recommended:

Are BMPs being selected, installed, implemented, and maintained as stated in the SWPPP? □Yes □No

·is the SWPPP being updated and revised as needed to address problems and reflect changes in the contractor's operations? □Yes IJNo . __ (SWPPP must be updated within 7 days of revisions, amendments, and modifications)

Are the BMPs adequate .to minim.ize pollutants in stormwater discharge-ne':essary to nieet water qua~ty s(andards as stated by the State Water Quality Certification i,ind/or NPDES? □Yes □No (SJate Water Quality Certification found in Tab 16 of the SWPPP; N].>DES permit found in Taq 2 of the SWPPP)

WFLHD 157-1 (2/2011)

.n

Tab 18

FHWA

File NOT when construction is concluded and project site is stabilized as defined in

CGP.

Insert copies of NOT and EPA/State Acknowledgement in this Tab.

CONTRACTOR:

ALASKA, IDAHO, AND WASHINGTON PROJECTS ONLY:

File NOT in accordance with contract 107.0lA(g).

Insert copies of NOT and EPA/State Acknowledgement in this Tab.

Please Insert NPDES Notice of Termination