Attachment 5 - Stormwater Pollution Prevention Plan Template.pdf

CONSTRUCTION STORMWATER POLLUTION PREVENTION

PLAN TEMPLATE

The following template may be used as a general guide for development of a

Stormwater Pollution Prevention Plan (SWPPP) for construction activities.

This template may not contain all applicable requirements for all construction sites. Please refer to the Department’s Generic Permit for

Stormwater Discharge from Large and Small Construction Activities, DEP

Document 62-621.300(4)(a) to verify that you are meeting all permit requirements. Part V of the above referenced generic permit specifically lists requirements of the Stormwater Pollution Prevention Plan.

• The SWPPP shall be completed prior to the submittal of the Notice of

Intent (NOI) to be covered under the Department’s Generic Permit for

Stormwater Discharge from Large and Small Construction Activities.

• The SWPPP shall be amended whenever there is a change in design, construction, operation, or maintenance, which has a significant effect on the potential for discharge of pollutants to surface waters of the state or a Municipal Separate Storm Sewer System (MS4). The

SWPPP also shall be amended if it proves to be ineffective in significantly reducing pollutants from sources identified in Part

V.D.1. of the permit. The SWPPP also shall be amended to indicate any new contractor and/or subcontractor that will implement any measure of the SWPPP. All amendments shall be signed, dated, and kept as attachments to the original SWPPP.

Stormwater Pollution Prevention Plan

"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 (Operator and/or Responsible Authority) Date

Project Name and location information:

A site map must be developed and must contain, at a minimum, the following information:

1. Drainage patterns,

2. Approximate slopes after major grading activities,

3. Areas of soil disturbance,

4. Outline all areas that are not to be disturbed,

5. Location of all major structural and non-structural controls,

6. The location of expected stabilization practices,

7. Wetlands and surface waters, and

8. Locations where stormwater may discharge to a surface water or MS4.

Kevin S. Rose

FW FLPA 419(1)

Project is located at and near the intersection of SR 29 and Fritz Road in Immokalee, FL

Site Description Describe the nature of the construction activity:

Describe the intended sequence of major soil disturbing activities:

Total area of the site: Acres Total area of the site to be disturbed: Acres Existing data describing the soil or quality of any stormwater discharge from the site:

Estimate the drainage area size for each discharge point:

Latitude and longitude of each discharge point and identify the receiving water or MS4 for each discharge point:

Widen SR 29 to construct left and right turn lanes at Frtiz Road. Reconstruct Fritz Road and construct pull-offs.

Install silt fence/waddles Install pipe culverts Recondition roadbed Remove and reset fence Mill and pave roadway Demobilize

3.75 3.75

See page M03 of project plans See hudraulics stormwater management memo

See hydraulics stormwater management memo and project plans.

Give a detailed description of all controls, Best Management Practices (BMPs) and measures that will be implemented at the construction site for each activity identified in the intended sequence of major soil disturbing activities section. Provide time frames in which the controls will be implemented. NOTE: All controls shall be consistent with performance standards for erosion and sediment control and stormwater treatment set forth in s. 62-40.432, F.A.C., the applicable Stormwater or Environmental Resource Permitting requirements of the Department or a Water Management District, and the guidelines contained in the Florida Development Manual: A Guide to Sound Land and Water Management (DEP, 1988) and any subsequent amendments.

Describe all temporary and permanent stabilization practices. Stabilization practices include temporary seeding, mulching, permanent seeding, geotextiles, sod stabilization, vegetative buffer strips, protection of trees, vegetative preservations, etc.

Describe all structural controls to be implemented to divert stormwater flow from exposed soils and structural practices to store flows, retain sediment on-site or in any other way limit stormwater runoff. These controls include silt fences, earth dikes, diversions, swales, sediment traps, check dams, subsurface drains, pipe slope drains, level spreaders, storm drain inlet protection, rock outlet protection, reinforced soil retaining systems, gabions, coagulating agents and temporary or permanent sediment basins.

See plans page M01-M09.

Silt fence and rolled erosion control product/waddles will be installed before commencement of ground disturbing work. After construction is complete, these BMPs will be removed.

See plans page M01-M09.

Stabilization will include applying turf establishment and sod to exposed areas;

rolled erosion control product.

See plans page M01-M09.

Structural controls include silt fence, fiber roll inlet protection.

Describe all sediment basins to be implemented for areas that will disturb 10 or more acres at one time. The sediment basins (or an equivalent alternative) should be able to provide 3,600 cubic feet of storage for each acre drained. Temporary sediment basins (or an equivalent alternative) are recommended for drainage areas under 10 acres.

Describe all permanent stormwater management controls such as, but not limited to, detention or retention systems or vegetated swales that will be installed during the construction process.

Describe in detail controls for the following potential pollutants Waste disposal, this may include construction debris, chemicals, litter, and sanitary wastes:

Offsite vehicle tracking from construction entrances/exits:

n/a n/a

See page M01 of plans. Garbage, chemicals, and other construction byproducts may not be discharged on site.

The proper application rates of all fertilizers, herbicides and pesticides used at the construction site:

The storage, application, generation and migration of all toxic substances:

Other:

Provide a detailed description of the maintenance plan for all structural and non-structural controls to assure that they remain in good and effective operating condition.

Controls will be installed/maintained/inspected by contractor and inspected regularly by government.

Inspections: Describe the inspection and inspection documentation procedures, as required by Part V.D.4. of the permit. Inspections must occur at least once a week and within 24 hours of the end of a storm event that is 0.50 inches or greater (see attached form).

Identify and describe all sources of non-stormwater discharges as allowed in Part IV.A.3.

of the permit. Flows from fire fighting activities do not have to be listed or described.

This SWPPP must clearly identify, for each measure identified within the SWPPP, the contractor(s) or subcontractor(s) that will implement each measure. All contractor(s) and subcontractor(s) identified in the SWPPP must sign the following certification:

“I certify under penalty of law that I understand, and shall comply with, the terms and conditions of the State of Florida Generic Permit for Stormwater Discharge from Large and Small Construction Activities and this Stormwater Pollution Prevention Plan prepared thereunder.”

Name Title Company Name, Address and Phone Number

Date

TBD

(contractor to complete)

N/A

Stormwater Pollution Prevention Plan Inspection Report Form

Inspections must occur at least once a week and within 24 hours of the end of a storm event that is 0.50 inches or greater.

Project Name:___________________________________________________________ FDEP NPDES Stormwater Identification Number: FLR10______

Location Rain data Type of control (see below)

Date installed / modified

Current Condition (see below)

Corrective Action / Other Remarks

Condition Code:

G = Good M = Marginal, needs maintenance or replacement soon P = Poor, needs immediate maintenance or replacement C = Needs to be cleaned O = Other

Control Type Codes

1. Silt Fence 10. Storm drain inlet protection 19. Reinforced soil retaining system 28. Tree protection

2. Earth dikes 11. Vegetative buffer strip 20. Gabion 29. Detention pond

3. Structural diversion 12. Vegetative preservation area 21. Sediment Basin 30. Retention pond

4. Swale 13. Retention Pond 22. Temporary seed / sod 31. Waste disposal / housekeeping

5. Sediment Trap 14. Construction entrance stabilization 23. Permanent seed / sod 32. Dam

6. Check dam 15. Perimeter ditch 24. Mulch 33. Sand Bag

7. Subsurface drain 16. Curb and gutter 25. Hay Bales 34. Other

8. Pipe slope drain 17. Paved road surface 26. Geotextile

9. Level spreaders 18. Rock outlet protection 27. Rip-rap Inspector Information:

Name Qualification Date The above signature also shall certify that this facility is in compliance with the Stormwater Pollution Prevention Plan and the State of Florida Generic Permit for Stormwater Discharge from Large and Small Construction Activities if there are not any incidents of non-compliance identified above.

"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 (Responsible Authority) Date