CEN-CEIE Plan Review Checklist.pdf

SBSA

PROJECT TITLE:

KRSM095002, wo54127 Construct Clubhouse near Bldg 720; KRSM150043, wo54127 Replace Piping Utilities near Bldg 720, KRSM130012, wo54127 Demo Golf Clubhouse Bldg 720.

DATE: 31 May 2016

HILL AIR FORCE BASE

CEN/CEIE PLAN REVIEW CHECKLIST FOR

NEW DEVELOPMENT AND REDEVELOPMENT CONSTRUCTION

General:

Submittal of the documents identified herein, completion of the site plan review by CEN and CEIE, and use of this checklist are required by the Utah Pollutant Discharge Elimination System (UPDES) permits issued by the Utah Division of Water Quality (DWQ), for construction projects disturbing an area one acre or greater in size. These permits include the Storm water General Permit for Construction Activities (obtained directly by the contractor from DWQ) and the General Permit for Discharges from Small Municipal Separate Storm Sewer Systems (MS4); a permit issued to the base. The attached checklist is required to be submitted by the contractor with the Storm water Pollution Prevention Plan (SWPPP) during the project review process.

The contractor is responsible for compliance with all Department of Defense (DoD), Air Force Instruction (AFI), Unified Facilities Criteria (UFC), and State of Utah DWQ requirements. In addition, the contractor is responsible for compliance with the DoD Implementation of Storm water Requirements under Section 438 of the Energy Independence and Security Act (EISA) and obtaining all necessary permits and approvals.

This form is intended for use by the design engineer in determining the necessary submittals for a plan review. It is also intended to be used by CEN and CEIE for review and approval of these documents. This checklist is not intended to be all-inclusive; consult with CEN and CEIE for site-specific issues. Proper completion of this checklist will expedite the approval processes.

Instructions:

The attached form is a list of typical storm water review criteria for all construction projects. The A-E’s responsible engineer is required to check each item on the list; if an item is not applicable to this project, the item will be noted as N/A.

Documents submitted to CEN and CEIE shall be organized according to the following general format:

A. Title and general Sheets (project name, vicinity map, sheet index, notes, etc.)

B. Boundary and topographical survey C. Grading/Drainage Plan D. Master Utility Plan E. Plan and Profile Sheet(s) (for final submittal) F. Detail Sheets G. Operation/Maintenance Plan for Post-Construction Stormwater Controls

Upon submittal for plan review, the A-E Project engineer must sign this form indicating the checklist and all required documents have been submitted by the responsible engineer. A copy of this checklist must accompany the plans with all subsequent reviews. Plans will not be accepted for review without this signed checklist.

In providing approvals, CEN and CEIE assumes that applicants have not made any errors and have complied with all applicable regulations. If after an approval, an error is discovered or it is discovered that some aspect of approved drawings does not comply with applicable regulations, the applicant shall, at his own expense, revise the drawings and modify any infrastructure as necessary to correct the problem. Applicants and their design professionals shall remain responsible for their projects at all times.

Suggested Resources: HAFB Guidance Document for Stormwater Management, 2006

SWPPP Guidance Document: http://www.waterquality.utah.gov/UPDES/stormwatercon.htm

Contact Information: Utah DWQ Construction Activities Stormwater Permit: 801-536-4391 http://www.waterquality.utah.gov/UPDES/stormwatercon.htm

SBSA

PROJECT TITLE:

KRSM095002, wo54127 Construct Clubhouse near Bldg 720; KRSM150043, wo54127 Replace Piping Utilities near Bldg 720, KRSM130012, wo54127 Demo Golf Clubhouse Bldg 720.

DATE: 31 May 2016

North Davis Sewer District: 801-825-0712 Davis Weber Canal Company: 801-774-6373 Fife’s Ditch Company: 801-540-0571 Corps of Engineers: 801-295-8380 CEN: Dave Murray 801-777-2118 CEIE: Mark Roginske 801-775-3651

CEN/CEIE PLAN REVIEW CHECKLIST

PROJECT NAME:

PROJECT NUMBER:

Required Submittals: (mark the appropriate box) CEN/CEIE USE ONLY AF Form 332 #

YES NO Accepted Initial N/A

Project name/title CEN Enter Date Init.

Project number CEN Enter Date Init.

Geotechnical report CEN Enter Date Init.

Boundary and topographical survey showing all relevant information

CEN Enter Date Init.

Stormwater Pollution Prevention Plan (SWPPP) CEIE Enter Date Init.

Storm drainage calculations (not on drawing) for pipe system, surface route and detention/retention ponds. Stamped and certified by a Utah-licensed professional engineer, with the following statement: “I hereby certify that this report for the onsite drainage of the project was prepared by me (or under my direct supervision) in accordance with the provisions of Specification Section 01 57 20 Environmental Protection and Section 438 of the EISA, and was designed to comply with the provisions thereof. I understand that the CEN/CEIE Project Manager does not and will not assume liability for drainage facility designs”

CEIE

Enter Date

Init.

Copy of UPDES NOI (required prior to pre-construction kickoff meeting controls

CEIE Enter Date Init.

Locations of materials/equipment/stockpile storage CEIE Enter Date Init.

Construction Plans on D-size sheets, stamped and signed by a licensed professional engineer

CEIE Enter Date Init.

North Davis County Sewer District permit for sanitary sewer connection

CEIE Enter Date Init.

Permit/coordination with Army Corps of Engineers if impacting wetlands

CEIE Enter Date Init.

Permit from Davis Weber Canal Company if impacting the canal CEIE Enter Date Init.

Coordination letter from water users if impacting Fife’s Ditch CEIE Enter Date Init.

Pothole data for storm drain crossing in existing roadways CEIE Enter Date Init.

Nature/sequence of construction activity (phasing) CEIE Enter Date Init.

Necessary easement and convenant documents CEIE Enter Date Init.

Operation/Maintenance Plan for Post-Construction stormwater CEIE Enter Date Init.

YES N/A CEN/CEIE USE ONLY

All Sheets Must Contain: Accepted Initial N/A

“Call red Stakes” note on site plans CEN Enter Date Init.

North arrow and drawing scale (when applicable) CEN Enter Date Init.

Abbreviations and Legend (when applicable) CEN Enter Date Init.

References to specific Standard Plan as applicable CEN Enter Date Init.

Title/General Sheets:

Project name, location and description of project CEN Enter Date Init.

A-E’s and contractor address and contact information CEN Enter Date Init.

Contact information for all project team members CEN Enter Date Init.

Vicinity map with north arrow CEN Enter Date Init.

Sheet index for all sheets and index figure CEN Enter Date Init.

Grading/Drainage Plan and Erosion Control Plan:

Davis/Weber County benchmark elevation relative to identified Section Corner

CEN

Enter Date Init.

Existing contour lines (in gray scale) at one-foot (1’) intervals CEIE Enter Date Init.

Proposed contour lines at one-foot (1’) intervals CEIE Enter Date Init.

Stamped and certified by a licensed professional engineer, with the following statement: “I hereby certify that this report for the onsite drainage of the project was prepared by me (or under my direct supervision) in accordance with the provisions of Section 01000 General Requirements, and was designed to comply with the provisions thereof. I understand that the CEN/CEIE Project Manager does not and will not assume liability for drainage facility designs”

CEIE Enter Date Init.

Storm drain system showing pipe sizes, clean-out boxes, combination boxed, catch basins and outfall(s)

CEIE Enter Date Init.

100-year flood overland route clearly shown terminating at a stormwater facility

CEIE Enter Date Init.

FEMA Flood Zone delineation and Davis/Weber County 100-year flood elevation

Overland runoff route for stormwater at all sag points CEIE Enter Date Init.

Separate detail sheets showing detention/retention ponds, sized orifice design, spillways, pollutant removal structural BMPs, interim & permanent stabilization BMPs, etc.

CEIE Enter Date Init.

Ditch master’s name, phone number and written coordination if altering existing irrigation ditches

I have personally reviewed this submittal and verify that it is complete and that all items have been addressed and comply with current Base Codes and Requirements.

A-E Project Engineer:

Print Name:

Date:

CEN/CEIE USE ONLY

The submittals for this project have been reviewed and approved by CEN/CEIE.

X CEN Plan Reviewer

X CENE Plan Reviewer

YES N/A CEN/CEIE USE ONLY

Operation/Maintenance Plan for Post-Construction Stormwater Controls: Accepted Initial N/A

Inventory of all post-construction stormwater controls CEIE Enter Date Init.

Description of the routine maintenance required for each control

CEIE Enter Date Init.

Schedule for maintenance of each control CEIE Enter Date Init.

Inspection requirements for each control CEIE Enter Date Init.

Master Utility Plan Sheet:

Stamped and signed by a licensed Professional Engineer CEN Enter Date Init.

Utility locations (e.g. manholes) don’t conflict with survey monuments

CEN Enter Date Init.

Locations of existing and proposed power poles CEN Enter Date Init.

Sewer, storm drain and irrigation systems to the next manhole beyond the project boundary

CEN Enter Date Init.

Plan and Profile Sheets:

Stamped and signed by a licensed Professional Engineer CEN Enter Date Init.

Vicinity map with project location for each sheet CEN Enter Date Init.

Storm drain pipe size, type, length and slope between manholes

CEN Enter Date Init.

Storm drain boxes with rim and flow-line elevations CEN Enter Date Init.

Sewer and irrigation systems CEN Enter Date Init.

Detail Sheets:

Custom details CEN Enter Date Init.