The file's text, extracted by GovTribe without its formatting.
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 Stormwater 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 Stormwater 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 Stormwater 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 stormwater 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 |
| 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 #
| |_| |
| |_| |
| 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. |
| |_| |
CEN/CEIE USE ONLY
All Sheets Must Contain:
| |_| |
| |_| |
| “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
| |_| |
| |_| |
| 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 |
| CEIE |
| Enter Date |
| Init. |
| |_| |
| |_| |
| |_| |
| 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 |
| CEIE |
| Enter Date |
| Init. |
| |_| |
| YES |
| N/A |
| CEN/CEIE USE ONLY |
Operation/Maintenance Plan for Post-Construction Stormwater Controls:
| |_| |
| |_| |
| 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. |
| |_| |
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.
image1.emf image2.emf