SWPPP_OR_DOT_26(2)_Mirror_Lake_Tralhead_Relocation.pdf

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 Revegefation Pbm (plan sets and details)

TAB 8: SWPPP Amendment Log

TAB 9: Erosion/Sediment Control Inspection Reports and Requirements

TAB 10: Corrective Action Log

TAB 11: Water Quality Monitoring, Reporting Requirements, and Reports

TAB 12: Training Log

TAB 13: 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-Fm Permit)

TAB 17: NPDES Quality Assurance Checklist

TAB 18: NPDES Notice of Termination (NOT) f

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leas s such as from the lan Sheets

Inspection Requirements for NPDES Compliance

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

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

You must specify in your SWPPP which schedule 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. (If this option is chosen, a rain gauge is required to be on-site: The SWPPP should also include a daily rainfall log.)

Case-by-Case Reductions in Inspection Frequency: You may reduce your inspection frequency to at least once every month if: · · l . 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 seasonal arid periods in arid areas and semi-arid areas.

Inspection Waiver for Frozen Conditions: A waiver of the inspection requirements is av~ilable until one month before thawing conditions are expected 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 Personnel: Inspections must be .conducted by qualified personnel (provided by the operator or cooperatively 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 to assess the effectiveness of any sediment and erosion control measures · selected to control the quality of stormwater discharges from the construction 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 for evidence of, or the potential for, pollutants entering the stormwater conveyance system. Sedimentation and erosion control measures must be observed to ensure proper operation. Discharge .locations must be inspected to .aseertain 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 locations 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 the SWPPP, S.WPPP amendments, and inspection reports must be signed by a person described in Appendix G, Subsection 11.A (below) or by a duly authorized representative of that person.

1. For a corporation: By a responsible corporate officer. For the purpose of this Part, a responsible corporate officer means: (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 operating facilities, provided, the manager is authorized to make management decisions which govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure long term environmental 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(fly; or

· 3. For a municipality, state, federal, or other public agency: By either a principal executivtr officer or ranking 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 of the agency (e.g., Regional Administrator of EPA). ·

A person is a duly authorized representative only if:

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, positfon of equivalent responsibility, 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. · ft1[)DtALBIGBWAY .ADMOOS1:JlA110N WUTJQtM~BAL L.ANDS

BIGBWAY PM-11014

Type oflfllllspectiollll:

0Regular 0 Post-storm.event D Reduced inspection frequency period

Has 11:ibtere beellll Ill stor]!llll event since the lasfillllspection? No If yes, pnJ;vide:

Estimated Stoffi} Stan Date & Esti:i;nafod Storm Duratio:µ (hrs):

Approximate Amount of Precipitation

Weather at tillJIU'l oHbis mspediollll?

0 Clear 0Cloudy D Rain 0 Sleet 0Fog D Snowing 0 High Winds 0 Other:

WFLUD 157-2 (5/Wll)

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Site-specific BMPs

• BMP -Describe and give the location 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 precip'itation.

• 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?" column

• 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.

• Delay¢ Action Item Report - When a BMP 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 A9tion Item Report in the SWPPP. ·

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

· information for this action in the Corrective Action Log.

BMP & Location BMP BMP Action Describe BMP Action, if Needed Installed? Required?

0Yes 0No UYes 0No

Complete by Date:

LJYes 0No 0Yes 0No

Complete by Date:

0Yes 0No 0Yes 0No

Complete by Date:

0Yes 0No 0Yes LJNo

Complete by Date:

0Yes 0No LJYes 0No

Complete by Date:

0Yes 0No 0Yes 0No

Complete by Date:

lJYes 0No 0Yes 0No

Complete by Date:

UYes 0No 0Ye8 0No

Complete by Date:

Page2 Project Name:

Inspection Date:

BMP & Location BMP BMP Ac~ion Describe BMP Action, if Needed Installed? Required?

9 0Yes 0No 0Yes 0No

Complete by Date:

10 0Yes [)No 0Yes UNo

Complete by Date:

11 0Yes 0No UYes 0No

Complete by Date.:

12 0Yes 0No LJYes 0No

Complete by

Date:

13 0Yes 0No 0Yes LJNo

Complete by.

Date:

14 0Yes LJNo 0Yes UNo

Complete by' Date:

15 0Yes 0No 0Yes 0No

Complete by Date:

16 0Yes 0No 0Yes 0No

Complete by Date:

17 0Yes 0No 0Yes UNo

Gompleteby Date:

18 0Yes 0No 0Yes 0No

Complete by Date:

19 0Yes 0No 0Yes 0No

Complete by Date:

20 LJYes LJNo 0Yes 0No

Complete by Date:

21 0Yes 0No LJYes 0No

Complete by Date:

• Please use continuation sheets are additional to list.

Pag~3 Project Name:

l

Overall Site Issues

• BMP or Activity · -- These are some general ?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.

• Correcflve Action Required,· Complete by Date - When a corrective action is required, before certifying the report, fill in the date when the corrective action can reasonably be expected to be completed. When a corrective 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 "Describe Corrective Action" column as well.

• Delayed Action 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 Item Report in the SWPPP. ·

• Corrective Action Log - When a Corrective Action is required as noted in this report, you must also enter all the information for this action in the Corrective Action Log.

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

Have stabilization 0Yes 0No 0Yes 0No measures been initiated on slopes and disturbed Complete by areas not actively being Date:

worked?

Are natural resource 0Yes 0No 0Yes 0No 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 LJYes 0No 0Yes LJNo and sediment barriers adequately installed Complete by (keyed into substrate) .Date:

and maintained?

Are storm drain inlets LJYes LJNo LJYes 0No properly protected? Complete by

Date:

Are the construction 0Yes 0No UY~s 0No exits preventing sediment from being Complete by tracked into the street? Date:

Is trash/litter from work 0Yes 0No 0Yes LJNo areas collected and placed in covered Complete by dumpsters? Date:

Are washout facilities 0Yes LJNo LJYes 0No (e.g., paint; concrete) available, clearly Complete by marked, and maintained? Date:

Page 4 Project Name:

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

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

of spills, leaks, or 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 0Yes 0No discharges (e.g., wash Complete by water, dewatering) Date:

properly controlled?

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

Required?

l· At the time of 0Yes 0No 0Yes UNo inspection, are the Complete by discharge points and Date:

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

2 Since the last inspection, 0Yes UNo UYes UNo 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)? (See continuation page for list of disi;:harge ooints)

3 Has Spill Response kit 0Yes LJNo 0Yes UNo been used since the last Complete by inspection? If yes, has Date:

stock been maintained?

4 · Aie any additional 0Yes UNo UYes 0No BMPs needed? Complete by

Date:

5 (Other) 0Yes QNo UYes 0No

0 Complete by Date:

· Page 5 Project Name:

Scope of Inspection

Did you inspect all areas of the project that are LJYes LJNo If you did not inspect any required .areas, list those required to be inspected by the 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 vehides enter or exit the site)?

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

0 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 currc;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 describe each incident of non-compliance and the· 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" assigned elsewhere in this report, then add a completion date 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 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."

Contractor's Duly Authorized Representative FHW A's Duly Authorized Representative

Print name: Print Name:·

Title: Superintendent Title: Project Engineer

Signature: Signature:

Page6 Project Name:

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Samples and measurements taken for the purpose of monitoring will be representative of the monitored activity. Records of all monitoring information will be retained, including all calibration and maintenance records and all original strip chart recordings for continuous monitoring instrumentation, copies of all reports required by this permit, and records of all data used to complete application for permit, for a period of at least 3 years from the date of the sample, measurement, report or application.

Records of monitoring information will include:

1. date, exact place, and time of sampling or measurements;

2. The individual(s) who performed the sampling or measurements;

3. The date(s) analyses were performed

4. The individual(s) who performed the analyses;

5. analytical techniques .or methods used; and

6. The results of such analyses. ·

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P1ease I11sert · ater ·ualit 1 Monitorin Reouirements and 401 Permit

FEDERAL HIGHWAY ADMINISTRATION.

WESTERN FEDERAL LANDS

IDGHWAYDMSION

SWPPP TRAINING LOG

Sedim.ent find Er.@~101& Control/NPDES T:raini:ni

Project Name:---,....--~~-----~---------~-~-~---~

Cmrrse Tii1l:le: ~-~--------~~~-=~======--·------

Course L®1cautm1:: ___ ...,,,,.....,..,_ ______ ~-----------------

Trainhllg Topics:'

D Erosion Control BMPs

D Emergency Proced1unres

WFLRD 157-3 (5/2011)

Crnmrse Length

D Good Housekeeping BMPs

D SWf'PP lP'rovisfons

D CoJI11.ducting Inspections

D Turbidify Monitoring

D 01l:her (Specily)

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Please Insert Hazardous S ill Plan i· i· f

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Please Insert NPDES Notice of Termination