MT NPS GLAC 11(3)_Binder_SWPPP.pdf

Stormwater Pollution Prevention Plan

SWPPP

For:

Camas Rd Slumps and 4 miles Roadway Rehabilitation

MT NPS GLAC 11(3)

Glacier National Park

Federal Highway Administration, Western Federal Lands Highway Division

Project Engineer:

General Contractor: ___

Table of Contents

SWPPP/ESCP 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: Revegetation Plan (if applicable)

TAB 8: SWPPP Amendment Log

TAB 9: Inspection Reports

TAB 10: Corrective Action Log

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

TAB 12: Training/Certification Log

TAB 13: Government-Selected Waste, Borrow, Staging Sites

TAB 14: Grading and Stabilization Log

TAB 15: Hazardous Spill Plan or Spill Prevention, Control, and Countermeasures (SPCC)

TAB 16: Endangered Species Act (ESA) & Cultural Resources (Section 106) Documentation

TAB 17: NPDES Quality Assurance Checklist

TAB 18: NPDES Notice of Termination (NOT)

Tab 1

CONTRACTOR:

Complete SWPPP narrative in accordance with contract 107.01A(b).

Revise SWPPP narrative as needed throughout construction.

ALASKA, IDAHO AND WASHINGTON PROJECTS ONLY:

SWPPP narrative must be signed by General Contractor’s responsible corporate officer as defined in permit.

File approved SWPPP narrative in Tab 1.

Form SWPPP Page 1 of 10

AGENCY USE ONLY

PERMIT NO.: Date Rec’d.: Amount Rec’d.: Check No.: Rec’d By:

WATER PROTECTION BUREAU

FORM

SWPPP

Storm Water Pollution Prevention Plan (SWPPP) Form Storm Water Discharge Associated With Construction Activity

MTR100000

READ THIS BEFORE COMPLETING FORM: The Form SWPPP is intended to assist operators in developing a SWPPP which complies with Part 3 of the General Permit for Storm Water Discharges Associated with Construction Activity (General Permit). It is the permittee’s responsibility to ensure all required items in the General Permit are adequately addressed and that the SWPPP is developed, implemented, and maintained.

Additional information may be needed to supplement the Form SWPPP. For additional information, please call:

(406) 444-3080 or visit: http://deq.mt.gov/wqinfo/mpdes/stormwaterconstruction.mcpx Section A - SWPPP Status: (Check one)

New No prior SWPPP submitted for this site.

Modificatio Permit Number: MTR10 __ __ __ __ (Please specify these four numbers) Section B - Facility or Site Information:

Site Name ________________________________________________________________________________

Site Location

Nearest City or Town County Section C - Applicant (Owner/Operator) Information:

Owner or Operator Name

Mailing Address

City, State, and Zip Code

Phone Number Section D SWPPP Preparer and SWPPP Administrator SWPPP Preparer:

Name or Position Title Mailing Address City, State, and Zip Code Phone Number _____________________ Email Training Course _________________________________ Date Completed____________________________

Form SWPPP Page 2 of 10

SWPPP Administrator: Same as above Name or Position Title Mailing Address City, State, and Zip Code Phone Number _____________________ Email Training Course _________________________________ Date Completed____________________________

Section E – Site Description (

1. Describe the nature of the construction activity and what is being constructed.

2. Describe all support activities and associated storm water discharges dedicated to the construction activity including but not limited to: material borrow areas, material fill areas, concrete or asphalt batch plants, equipment staging areas, access roads/corridors, material storage areas, and material crushing/recycling /processing areas.

3. Provide an estimate of the total area of the site, and an estimate of the area of the site expected to undergo construction-related disturbance (including all construction-related support activities).

Total Site Area (acres): ____________ Area of Construction-Related Disturbance (acres): ____________

4. Describe the character and erodibility of soil(s) and other earth material to be disturbed at the site, including cut/fill material to be used.

SWPPP Administrator:

Name or Position Title Mailing Address City, State, and Zip Code Phone Number _____________________ Email Training Course _________________________________ Date Completed____________________________

Form SWPPP Page 3 of 10

6. For a storm water discharge associated with construction activity with construction-related disturbance of five acres or more of total land area (based on the acreage provided in item E.3 above):

a. Provide an estimate of the runoff coefficient of the site, both before and after construction, and describe what supporting information this determination is based upon:

Runoff coefficient before construction: ____________ Runoff coefficient after construction: ____________ Supporting Information Source:

b. Provide an estimate of the increase in impervious area after the construction activity is completed:

________ Percent.

Outfall Number

Receiving Surface Water Drainage Area Associated with

Type of Discharge

Latitude and Longitude of Outfall

Discharge to Municipal Storm

5. Provide a brief description of the existing vegetation at the site and an estimate of the percent density of vegetative ground cover.

Specify Percent Density of Existing Vegetation: _________________

Form SWPPP Page 4 of 10

Section – Identification and Summary of Potential Pollutant Sources (Part 3.4) Select the pollutants expected to be present on the construction project:

Additional Pollutants List any additional pollutants likely to be present at the construction project.

Non-Storm Water Discharges Select the types of allowable non-storm water discharges likely to be present at the construction project.

Type of Allowable Non-Storm Water Discharge Present at Construction Project Irrigation Drainage Landscape Watering Pavement Wash Waters Routine Building Wash Down Uncontaminated spring or ground water Water used for dust control Emergency fire-fighting activities Foundation or footing drains Incidental windblown mist from cooling towers Uncontaminated condensate from air conditioners, coolers, or other compressors Other Explain ___________________________

Soils Areas of Shallow Grade Areas of Steep Grade Slopes Ditch Stockpiles Contaminated Soils Import and Export Operations Entrance / Exit Locations Other Explain_______________________

Materials Loading and Unloading Operations Storage of building materials Storage of chemicals Portable Toilets Concrete Batch Plant Asphalt Batch Plant Worker Trash Demolition Materials / Debris Other Explain ____________________

Activities Concrete Truck Washout Masonry - Stone / Brick / Concrete Spray / Wand Applications Finish Work – Dry wall / Painting Equipment Washing Washing of Buildings Maintenance of Equipment Refueling Operations Application of herbicides, pesticides, fertilizers Application of solvents or detergents Construction Dewatering Other Explain_____________________

Form SWPPP Page 5 of 10

Section – Selection of Best Management Practices (BMPs) (Part 3.5) Select the BMPs to be used during the construction project. All selected BMPs are required to have a specification provided in the SWPPP. The specifications do not have to be submitted to DEQ. The specifications are required to be maintained by the SWPPP Administrator(s) and provided to DEQ, EPA, or other local permitting authority upon request.

Additional BMPs List any additional BMPs likely to be used at the construction project.

Erosion Control BMPs Surface Roughening Diversion Ditches Velocity Checks / Check Dams Preservation of Existing

Vegetation Minimizing Ground Disturbance Mulch – Straw / Compost Tackifiers / Soil Binders Temporary Seeding Erosion Control Blankets Rough Cut Street Controls / Water

Bars Channel Liner Stream Crossing Terracing Culvert Outfall / Outlet Protection (Rip

Rap) Other ______________________

Run On / Runoff Control BMPs Temporary Slope Drain Rock Run Down Clean Water Diversion Drainage Swales Other ______________________

Sediment Control BMPs Silt Fence Straw Wattles Rock Wattles / Rock Socks Curb Socks Straw Bales Earthen Berms Vegetative Buffers Drainage Ditch / Ditch Berm Gravel Pack Tarps, Plastic, Visqueen Compost Socks Brush Barrier Sandbag Barrier Inlet Protection Vehicle Tracking Control Pad Stabilized Vehicle Entrance Stabilized Parking Area Stabilized Construction Roadway Street Sweeping Sediment Trap Sediment Basin Other ________________________

Administrative Controls Concrete and Liquid Waste Washouts Worker Toilets Construction Fencing Dust Control Secondary Containment Dumpsters / Waste Receptacles Stabilized Staging Area Material Storage and Stockpile Area Paving and Painting Controls Saw Cutting and Grinding Controls Spill Prevention and Response

Procedures Traffic Control Back Charging / Penalties Other __________________________

Post Construction BMPs Detention Pond(s) Retention Pond(s) Drainage Swales Infiltration System(s) Dry Well(s) Other __________________________

Form SWPPP Page 6 of 10

Local Erosion and Sediment Controls Describe applicable local erosion and sediment control requirements.

Dewatering Activities (Part 3.6) Describe dewatering activities associated with the construction project. Identify the BMPs to be used to control dewatering activities and prevent discharges to state waters. If a separate authorization is obtained under the Construction Dewatering General Permit, include the dewatering plan with the SWPPP.

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Form SWPPP Page 8 of 10

Major Construction Activity Schedule List the major construction activities identified in the table above and provide an estimated timeframe for each major construction activity. For each major construction activity, identify all construction activities that will occur during the proposed major construction activity.

Section – Final Stabilization (Part 3.8) Identify the BMPs that will be used to achieve final stabilization. Information to be included is seed mix selection and application methods, soil preparation and amendments, soil stabilization practices, and any temporary BMPs.

Section – Post-Construction Storm Water Management (Part 3.9) Identify BMPs that will be used to control storm water discharges that will occur after the major construction activities are complete. Include a description of applicable local requirements.

Form SWPPP Page 9 of 10

Section – Site Map (Part 3.10) Develop and attach the required SWPPP site maps and plans with the SWPPP. The site maps or plans must clearly indicate all the required information in Part 3. of the General Permit. This means SWPPP site maps must be of sufficient size, scale, and legibility.

Section – Inspection and BMP Maintenance Procedures (Part 3.11) Select the inspection schedule for the construction project:

Once every 7 calendar days Once every 14 calendar days, and a post-storm event inspection within 24 hours of the end of a rainfall event of 0.25 inches or greater, and/or within 24 hours of runoff from snowmelt

Describe the inspection and maintenance procedures that will be used to maintain all erosion, sediment control, and other BMPs in good and effective operating condition. Identify how changes to the SWPPP will occur per Part

3.12 of the General Permit. If post construction BMPs will be used during major construction activities, include a maintenance plan that will transition the BMP from active construction to post construction.

Section – Water Quality Controls for Discharges to Impaired Water bodies (Part )

Form SWPPP Page 10 of 10

Section O - CERTIFICATION Permittee Information: This SWPPP must be completed, signed, and certified as follows:

For a corporation, by a principal officer of at least the level of vice president;

For a partnership or sole proprietorship, by a general partner or the proprietor, respectively; or For a municipality, state, federal, or other public facility, by either a principal executive officer or ranking elected official.

Alternatively, this SWPPP may be signed by a duly authorized representative of the person above. A person is a duly authorized representative only if:

The authorization is made in writing by a person described above;

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 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);

The written authorization is submitted to the department.

All Permittees Must Complete the Following Certification:

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 gather and evaluate the information submitted. Based on my inquiry of the 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. [75-5-

633, MCA]

A. Name (Type or Print)

B. Title (Type or Print) C. Phone No.

D. Signature E. Date Signed

The Department will not process this form until all of the requested information is supplied, and the appropriate fees are paid. Return this form and the applicable fee to:

Department of Environmental Quality Water Protection Bureau

PO Box 200901 Helena, MT 59620-0901

(406) 444-3080

Section – Miscellaneous Information Use this space to identify miscellaneous information that is to be included in the SWPPP.

Tab 2

NPDES Permit (Construction General Permit or appropriate State Permit)

Insert copy of EPA or applicable State CGP (Also included in Section H of the Contract)

September 10, 2020

Scott Smithline Camas Road Slumps and Resurface Remaining 4 Miles, MT NPS GLAC 11(3)

WESTERN FEDERAL LANDS HIGHWAY DIVISION FHWA

610 E Fifth St Vancouver, WA 98661

RE: Confirmation Letter, Notice of Intent (NOI) MTR108588 Camas Road Slumps and Resurface Remaining 4 Miles, MT NPS GLAC 11(3)

Dear Scott Smithline:

The Department of Environmental Quality (DEQ) acknowledges the receipt of your complete application package (NOI and SWPPP) to discharge under the January 01, 2018, General Permit for Storm Water Discharges Associated with Construction Activity (SWC-GP) on 9/11/2020. Your authorization number under the SWC-GP is MTR108588. Please include this number on any correspondence with DEQ regarding this site.

This letter confirms only that a complete NOI has been received. DEQ does not assess the validity of the information you provided other than project location as it relates to sage grouse habitat. Your signature on the NOI certifies that you have read, understand, and are implementing all applicable requirements.

Specifically, the SWC-GP:

Requires implementation of a Storm Water Pollution Prevention Plan (SWPPP), Defines the inspection process, and Defines record keeping requirements (refer to Part 2.5 of the General Permit).

The SWC-GP and additional guidance materials can be viewed and downloaded from out FACTS page at http://deq.mt.gov/Public/FACTS or the MT DEQ website at http://deq.mt.gov/Water/StormWater/StormSystems.

Authorization under the SWC-GP remains in effect until you submit a complete Notice of Termination (NOT).

Your signature on the NOT certifies that you have achieved final stabilization, removed your temporary Best Management Practices, and have paid all applicable fees. All effective authorizations are assessed annual fees each calendar year until a complete NOT is received.

Coverage under the SWC-GP does not waive your obligation to obtain coverage under other applicable permits.

If you have questions regarding SWC-GP requirements, please contact the Water Protection Bureau at (406) 444-3080.

Sincerely, Gina Self ICIS Data Coordinator

WATER

PROTECTION

BUREAU

Agency Use

Permit No.: MTR108588

Date ec Amount ec Check No.

ec By Date en 08/25/2020 App. Doc. Version No.: 1

FORM

NOI-SWC

Application: Notice of Intent Storm Water Discharges Associated with Construction Activity

General Permit

MTR100000

The NOI form is to be completed by the owner or operator of construction activity eligible for coverage under the Department s General Permit for Storm Water Discharges Associated with Construction Activities. You must print or type legibly; forms that are not legible or are not complete or are unsigned will be returned. You must maintain a copy of the completed NOI form for your records.

Section A - NOI Status (Check one):

X New No prior NOI submitted for this site.

Renewal Permit Number:

Resubmittal/Administrative Processing

NOI Fee: $1200.00

Section B - Facility or Site Information (See instruction sheet.):

Site Name: Camas Road Slumps and Resurface Remaining 4 Miles, MT NPS GLAC 11(3)

Site physical address: Project is located at the southern tip of Lake McD Start: 48.521740°, -113.988644°; End:

48.627458°

City, State, Zip: West Glacier, MT, 59936

County: Glacier

Township, Range, Section: 32N 19W 23SN

Latitude: 48.5217400 Longitude: -113.988644

Is this facility or site located on Indian Lands? No

Section C - Applicant (Owner/Operator) Information

Applicant (Operator) Name: WESTERN FEDERAL LANDS HIGHWAY DIVISION FHWA

Mailing Address: 610 E FIFTH ST

City: VANCOUVER State: WA Zip: 98661

Applicant Type: Owner and Operator

Organization Type: Federal Facility (U.S. Government)

Facility / Site Contact:

8/25/2020

Facility Contact: STEVE MORROW Title: Environmental Protection Specialist

Mailing Address: 610 E Fifth ST

City: VANCOUVER State: WA Zip: 98661

Telephone: 360-619-7811 Email: stephen.morrow@dot.gov

Section D - Existing or Pending Permits, Certifications, or Approvals

MPDES Permit: No 404 Permit (dredge & fill): No

UIC #: MGWPCS #: No

Plat Approval EQ #: Other: No

Local Sediment and Erosion Control Requirements:

1. Is the construction project located within a regulated Municipal Separate Storm Sewer System (MS4)?

No

2. The applicant must contact the MS4 to verify if additional local sediment and erosion controls are required:

Name of MS4:

MS4 Contact Name: Contact Date:

Submit the SWPPP to the MS4 if required. Any additional MS4 requirements must be incorporated into the

SWPPP.

Sage Grouse Habitat:

Visit the Montana Sage Grouse Habitat Conservation Program (Program) website to determine if the construction project is located in designated sage grouse habitat (core, general, and/or connectivity). No Yes: Submit application to the Program and attach resulting consultation letter.

No: Project is not located in a designated habitat.

Section E Nature of Business (provide a brief description) Construction of Glacier National Park entrance station and roadway and drainage reconditioning.

SIC CODES (4-digit, in order of priority)

Code Description 1611 Highway And Street Construction 1542 Nonresidential Construction 3531 Construction Machinery 9199 General Government

Section F - SWPPP Preparer and Administrator(s)

SWPPP Preparer:

Name STEVE MORROW Title: Environmental Protection Specialist Position Title Environmental

Protection Specialist

Mailing Address 610 E Fifth ST

City VANCOUVER State WA Zip 98661

Telephone 360-619-7811 Email stephen.morrow@dot.gov

Company WESTERN FEDERAL LANDS HIGHWAY DIVISION FHWA

Training Course StormWaterOne-CI241R (QCIS-R)-Qualified Compliance Inspector of Storm Water Refresher

Date Completed 30-Aug-2019

SWPPP Administrator:

Name STEVE MORROW Title: Environmental Protection Specialist Position Title Environmental

Protection Specialist

Mailing Address 610 E Fifth ST

City VANCOUVER State WA Zip 98661

Telephone 360-619-7811 Email stephen.morrow@dot.gov

Company WESTERN FEDERAL LANDS HIGHWAY DIVISION FHWA

Training Course StormWaterOne-CP241-R(QPSWPPP-R)-Qualified Preparer of Stormwater Pollution

Prevention Plans Refresh Date Completed 30-Aug-2019

Section G - Receiving Surface Water(s):

Storm Water Outfall/Discharge Locations: For each outfall, list latitude and longitude to the nearest 15 seconds and the name of the receiving waters

Outfall Latitude Longitude Receiving Surface Waters

001 48.5259900 -113.996620 MCDONALD CREEK

002 48.5315300 -114.000540 APGAR CREEK

003 48.5656400 -114.013710 FERN CREEK

004 48.5783000 -114.026210 Unnamed Intermittent Strm 005 48.5236700 -113.993480 Unnamed Intermittent Strm

MAP: Attach a USGS topographic quadrangle map extending one mile beyond the property boundaries of the site or activity identified in Section B depicting the facility or activity boundaries, major drainage patterns, and the receiving surface waters stated above.

Waterbodies with Impairments (see instructions):

Are any of the above waterbodies listed as impaired for potential pollutants from your construction activities.

(see instructions for accessing the Clean Water Act Information Center ) No If yes, have you updated the SWPPP to include BMPs that target and reduce discharges of the identified pollutants causing impairment of the waterbodies and any TMDL requirements?

Section H Describe the Construction Activity or Project Please Describe the Construction Activity or Project The project scope includes improvements to approximately 4.67 miles of Camas Road in Glacier National Park.

The road and trailhead parking areas will be repaved and turnout intersections improved, a park Entrance Station area with utilities, bathroom, and kiosk constructed, a 260-foot slide area repaired, Wolf Overlook reconditioned, and other areas associated with the road repaired. The project will begin in Apgar, at the T-intersection of Camas Road and Going-To-The-Sun Road (approximately 48.521764°, -113.988613°) and terminate at the previous FHWA-reconditioned segment terminus (approximately 48.578542°, -114.026650°).

Please provide a summary of Best Management Practices (BMPs) in the SWPPP BMPs include fiber roll check dams, fiber roll perimeter control, preservation of existing vegetation, straw mulch and/or temporary seeding over exposed soil, culvert inlet/outfall protection, vegetative buffer areas, drainage ditch installation, worker toilets, construction fencing, dust control, dumpsters/waste receptacles, material storage and stockpile areas, paving and painting controls, spill prevention and response procedures, traffic control, and permanent ditch underdrain systems. All BMPs will be installed prior to any project-associated ground disturbance and more BMPs may be implemented by the Contractor's on-site Certified Erosion and Sediment Control Lead.

Total site area (acres) 19.070 Area of Construction Related Disturbance (acres) 18.810 Estimated Project Start Date 01-Apr-2021 Estimated Project Completion Date 31-Oct-2021 Estimated Project Final Stabilization Date 31-Oct-2023

Project Type: Other History Property: Contacted the SHPO or THPO and received a response regarding measures to mitigate potential effect

Supplemental Information

CERTIFICATION

Applicant Information: This form must be completed, signed, and certified as follows:

For a corporation,

(i) a president, secretary, treasurer, or vice-president of the corporation.

(ii) the manager of one or more manufacturing, production, or operating facilities.

For a partnership or sole proprietorship, by a general partner or the proprietor, respectively; or For a municipality, state, federal, or other public facility, by either a principal executive officer or ranking elected official.

All Applicants Must Complete the Following Certification:

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 gather and evaluate the information submitted. Based on my inquiry of the 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. [75-5-633, MCA] A. Name (Type or Print)

B. Title (Type or Print) C. Phone No.

D. Signature E. Date Signed

The Department will not process this form until all of the requested information is supplied, and the appropriate fees are paid. Return this form and the applicable fee to:

Department of Environmental Quality Water Protection Bureau

PO Box 200901 Helena, MT 59620-0901

(406) 444-3080

Instructions for Form NOI Notice of Intent for Storm Water Discharges Associated with

Construction Activity (MTR100000)

Overview: An n or o r or of a or water discharge associated with construction acti it is required to obtain authorization under an MPDES permit. wner or operator means a person who owns, leases, operates, controls, or supervises a point source. In this General Permit, the owner or operator is also identified as the permittee .

A storm water discharge associated with construction activit regulated under this permit is determined by meeting both of the following two criteria:

There are areas of ground disturbance or other potential pollutant sources due to the construction activity where a storm water discharge to state surface waters can occur.

The construction activity has a total area of ground disturbance through clearing, excavating, grading, or placement/removal of earth material which is equal to or greater than one acre.

The total area must include all areas which are part of a larger common plan of development or sale .

Larger common plan of development or sale means a contiguous area where multiple separate and distinct construction activities are planned to occur at different times on different schedules under one plan. These separate and distinct construction activities which form a larger common plan of development or sale may have areas of disturbance which are not physically connected.

The permittee must consider support activities for the construction project which may be on or off the conventional construction project site . Support activities can include, but are not limited to, areas used for access-related work, earth material borrow areas, equipment staging areas, materials storage areas, temporary concrete or asphalt batch plants, and any areas used for fill placement.

For storm water discharges from support activities to be covered under this permit for a particular construction activity permit authorization, such support activities must:

Not be part of a larger commercial operation serving multiple unrelated construction activities, and not continue operation beyond the completion of the particular construction activity; and Have appropriate controls and measures identified for the particular support activity. All construction activities that disturb and are part of a larger common plan of development or sale are subject to permit coverage.

Please review Part I of the General Permit for all eligibility requirements for coverage.

A Notice of Intent (NOI) process is used for an owner or operator to obtain authorization to discharge under this permit. Through the submittal of a NOI, the owner or operator acknowledges eligibility for coverage under this permit and agrees to comply with the effluent limits and conditions of this permit.

The complete NOI Package submitted to:

Montana Department of Environmental Quality Water Protection Bureau P.O. Box 200901

Helena, MT 59620-0901

The complete NOI Package consists of:

A completed NOI form and attached USGS map;

A separate SWPPP completed in accordance with the requirements this General Permit;

A copy of the consultation letter from the Montana Sage Grouse Habitat Conservation Program (if applicable); and The appropriate application fee for the NOI.

Upon receipt of the NOI Package by the Department, it is stamped with the date of receipt. The Department then performs a check to ensure the NOI Form is complete, that a signed SWPPP is attached, and that the required fee is submitted. If the NOI Package is determined to be complete, authorization is effective upon the date it was stamped as received and the Department issues a Confirmation of Receipt letter to the permittee. If the NOI Package is incomplete, the Department provides notification as to what the deficiencies are, and permit authorization does not become effective under this permit until the deficiencies are addressed and the Department subsequently receives the complete NOI Package.

Coverage does not relieve the permittee from any other statute, regulation, permits, or other regulatory requirements for activities occurring within their area and not associated with permitted storm water discharges associated with construction activities.

Instructions for NOI Sections

Section A NOI Status Check the appropriate box. For resubmitted, renewal, and modification status provide the 9-digit authorization number (beginning with MTR10) assigned to your construction activity.

New: Use only if no prior NOI submitted for this facility/site.

Resubmitted: Use only if requested by DEQ to resubmit NOI and/or SWPPP.

Renewal: Use only if renewing an authorization before the expiration date of December 31, 2017.

Modification: Use only if this facility/site has General Permit coverage and the authorization needs to be updated. A permittee may not modify an authorization to add additional construction-related disturbance area(s) unless the new additional construction-related disturbance is directly contiguous to and directly associated with the original site, except for support activities.

Section B Facility or Site Information Enter the legal or official name and complete street address. If the street address is not available, include the nearest intersection or other identifying information. Provide the latitude and longitude for the location of the approximate center point of the construction activity site. It is preferred the latitude and longitude location be specified in decimal degrees, accurate to the fourth decimal place. If the preferred decimal degrees are not used, then the latitude and longitude must be provided in degrees, minutes, and seconds, accurate to the nearest second.

Indicate if any construction activity covered under this NOI will occur on Indian Reservations. This Permit applies to all areas of the State of Montana, except for Indian Reservations. Please contact EPA for construction activity within Indian Reservations.

Section C Applicant (Owner/Operator) Information An owner or operator is a person who owns, leases, operates, controls, or supervises the construction activity. The owner or operator can be identified as an organization or business name.

The owner or operator acknowledges eligibility for coverage under this General Permit and agrees to comply with the effluent limits and conditions of this permit.

Section D Existing or Pending Permits, Certifications, or Approvals Provide a list of permits, certifications, and/or approvals from state or federal regulatory agencies regarding the construction activity or project.

Local Sediment and Erosion Control Requirements: Verify if the construction activity is proposed within a regulated Municipal Separate Storm Sewer System (MS4) to include:

The Cities of Billings, Bozeman, Butte, Helena, Great Falls, Missoula, and Kalispell;

Yellowstone, Cascade, and Missoula Counties; and Others - Malmstrom Air Force Base, University of Montana-Missoula, Montana State University, and the Montana Department of Transportation (as applicable).

If the construction activity is located within a regulated MS4, verify contact and incorporate any additional MS4 requirements into the Storm Water Pollution Prevention Plan (SWPPP).

Sage Grouse Habitat: Visit https://sagegrouse.mt.gov/ and review the Sage Grouse Core Areas and General Habitat Map to determine whether your project would occur in sage grouse habitats designated as a core area, general habitat, or a connectivity area. Projects within sage grouse habitat must be submitted to the Montana Sage Grouse Habitat Conservation Program (the Program), through their website, for consultation. Any recommendations and mitigations determined by the Program are provided in a consultation letter. If the project is outside of sage grouse habitat, no consultation is required.

Section E Standard Industrial Classification (SIC) Codes Select at least one SIC code that best reflects the type of construction activities or description of the nature of the business applicable to General Permit coverage. SIC codes can be obtained at http://www.census.gov/epcd/www/naics.html or http://www.osha.gov/pls/imis/sicsearch.html.

Section F SWPPP Preparer and Administrator The permittee must identify a SWPPP Preparer and SWPPP Administrator and the requested contact information. The name of the training course(s) and date of completion(s) must be provided within the NOI form.

Valid certification documents or certificates of completion from the listed training courses must be maintained with the SWPPP. Valid certification that demonstrates the following concepts:

MPDES permitting requirements to include, but not limited to, applicability, application procedures, SWPPP elements, standard conditions, and termination conditions;

Local permitting requirements;

Sage Grouse requirements based on location of the project;

Knowledge of the principles and practices of erosion and sediment controls and pollution prevention practices;

Construction site assessment and planning skills to include knowledge and identification of major construction activities and the phases of construction activities and all support activities, and the potential pollutants generated based on the scope of the project;

Development, selection, and implementation skills for all storm water controls and BMPs on the site, including final stabilization measures, required by this permit based on appropriate design, installation, function, and location; and how they are to be maintained and/or repaired according to developed and/or manufacturers plans and specifications;

Development, selection, and implementation skills for pollution prevention controls and BMPs required by this permit;

Development and implementation skills for procedures and associated documentation for all inspections, maintenance, and required recordkeeping to include when and how to conduct;

inspections, record applicable findings, take corrective actions, and, when appropriate, report violations and/or noncompliance; and Ability to develop and update the site map(s) required by this permit.

SWPPP Preparer (Effective January 1, 2019): A SWPPP Preparer must be identified. A SWPPP Preparer is an individual or position title who is responsible for planning and development of the SWPPP prior to submission of the NOI. The SWPPP Preparer must develop and document all aspects of the SWPPP, initiating with the start of construction activities, and lasting until final stabilization is achieved and the permit authorization is terminated. The SWPPP Preparer minimum requirements and valid certification must be completed before the submittal of the NOI Package to the Department.

*If the NOI is submitted prior to January 1, 2019, a SWPPP Preparer is not required to be identified and this section may be left blank. Effective January 1, 2019, a SWPPP Preparer must be identified in this section and obtain valid certification prior to SWPPP preparation and NOI submittal.

SWPPP Administrator: The permittee must specify a primary SWPPP Administrator and a secondary SWPPP Administrator as applicable. Additional SWPPP Administrators can be identified in Attachment A. A SWPPP Administrator(s) is an individual or position title who is responsible for developing, implementing, maintaining, revising, and updating the SWPPP. The SWPPP Administrator(s) must address all aspects of the SWPPP, initiating with the start of construction activities, and lasting until final stabilization is achieved and the permit authorization is terminated.

This SWPPP Administrator(s) minimum requirements and valid certification must be completed before the start of earth-disturbing activities or potential pollutant-generating activities, whichever occurs first. For new employees hired after this time, the minimum requirements and valid certification must be completed before assuming SWPPP Administrator responsibilities.

Section G Receiving Surface Water(s) An outfall location is considered to be a discrete channel, conveyance, structure, or flow path from which storm water discharge leaves the boundary of the facility or site. Surface waters is any waters on the earth s surface including, but not limited to, streams, lakes, ponds, reservoirs, or other surface water including ephemeral and intermittent drainage ways and irrigation systems. Identify the immediate receiving surface water and the latitude and longitude of the outfall using decimal degrees.

Provide the following information in the table:

Outfall number assignment starts with 001. If the outfall is not discrete or well defined, the relative outfall location may be assigned to the relative flow path or drainage area.

If the immediate receiving surface water is unnamed, provide the latitude and longitude of the immediate receiving surface water and indicate the closest named surface water that the unnamed receiving waterbody flows into (i.e. unnamed tributary to Rock Creek or unnamed drainage to Clear Creek). This naming process will provides better clarification.

For existing permittees, ensure outfall numbers used are consistent with those identified in the past for the same outfall.

Waterbodies with Impairments Identify if storm water discharges from the construction activity will discharge to impaired waterbodies. Determine if the immediate receiving surface waters identified in Section G and/or other surface waters with connectivity and within one mile of the construction site boundaries identified in the map required in Section K are listed as impaired.

Information on impaired waterbodies may be obtained from the Department or from the Montana DEQ Clean Water Act Information Center website at http://svc.mt.gov/deq/dst/#/app/cwaic. An interactive map is located at: http://deq.mt.gov/Water/WQPB/CWAIC. Compare pollutant(s) of impairment to identified potential pollutant sources from your construction activities. Typical pollutants from construction activities include sediment, suspended solids and turbidity, and any secondary sources of pollutants based on materials and support activities.

Section H Nature of the Construction Activity or Project In your own words, briefly describe the overall construction activity that requires authorization under this General Permit. Provide a summary of the phases and associated Best Management Practices required to achieve final stabilization. Do not repeat the SIC Code description. Provide information regarding the actual project.

Enter the total site area of the project in acres. Enter the number of acres of construction related disturbance for the site. This calculation includes the common plan of development or sale and support activities. Enter the estimated project start date, completion date, and final stabilization date. These dates are recognized as estimated and provide a timeframe for the project.

Section I Supplemental Information *For Permit Modification Only. Leave this section blank except for modification.

Modification requests (including decreased or increased disturbance area) submitted by the permittee within six months of the date of issuance of the authorization are processed as a minor modifications. If the authorization requires modification after six months of the date of issuance (other than an ownership/name change using the Permit Transfer Notification form), the modification will be processed with a new project fee.

A permittee may not modify the NOI to add additional construction-related disturbance area(s) unless the new additional construction-related disturbance is directly contiguous to and directly associated with the original site, except for support activities.

Sage Grouse Consultation Requirements for Modifications: Any modification due to a change in disturbed acreage requires verification of the construction project boundaries being in designated sage grouse habitat that will result in a consultation letter and/or updates to a consultation letter. If the modification request is outside of sage grouse habitat, no consultation is required.

Section J Fee New Projects: The fee for new projects is based on the number of disturbed acres from Section H of this form. The fee for disturbing one to five acres (inclusive) is $900.00. The fee for over five acres up to and including ten acres is $1,000.00. The fee for over ten acres up to and including twenty-five acres is $1,200.00. The fee for over twenty-five acres up to and including one hundred acres is $2,000.00. The fee for any number of acres over one hundred is $3,500.00.

Modification: The fee for a minor modification to the original permit authorization is $500.00.

Minor modifications must be made within six months of the original issue date. Examples of a minor modification include changing the number of disturbed acres within one of the ranges above, or changing or adding outfall locations. If the acreage increases to a new fee range, the permittee must pay the difference from the original fee amount submitted. Updating administrative information (examples: addresses, phone numbers and changing the SWPPP administrator) are examples that do not require an NOI or fee.

If the modification is made after the first six months from the original issue date, the full fee applies.

See the correct amount under New Projects above.

Renewal: A renewal is only for permittees requiring continued authorization beyond the December 31, 2017, expiration date. The fee is based on the number of disturbed acres under new projects.

Resubmittal: A resubmittal is only used if the entity was required to resubmit by request of DEQ.

The fee is $500.00.

Permit Transfer Fee: The permit transfer is to change ownership of the permit authorization to another entity. The fee is $500.00. Do not use this form, use the PTN Form.

Section K Attachments Map: Attach a USGS topographic map extending one mile beyond the project boundaries of the site or activity in Section B depicting the facility or activity boundaries, the receiving surface waters in Section G, and other major drainage patterns to include connectivity from the receiving surface waters.

SWPPP and Site Map: Indicate and attach these documents as outlined in the General Permit.

Section L Certification Authorized Signatories: This form must be completed, signed, and certified as follows:

For a corporation, by a principal officer of at least the level of vice president;

For a partnership or sole proprietorship, by a general partner or the proprietor, respectively;

or For a municipality, state, federal, or other public facility, by either a principal executive officer or ranking elected official.

Office Managers or bookkeepers are not authorized signatories unless they are also one of the above persons.

Tab 3

ALASKA PROJECTS ONLY:

File electronic or hard-copy NOI with Alaska Department of Environmental Conservation (ADEC) following instructions at http://dec.alaska.gov/water/wastewater/stormwater/apdesenoi.aspx

If you do not have an existing myAlaska account, follow ADEC instructions to register.

When filling out your NOI, use the same information as the FHWA NOI in tab 3 AND the following:

Section I. Single/Multiple NOI Project. Fee has been paid by FHWA.

Section II. Operator Information. Complete this section using information for

YOUR COMPANY.

After your NOI has been signed or paid, you will receive an email certifying that your application was signed or paid and another after being both signed and paid that your application was successfully submitted.

If you submitted a hard-copy signature page, it may take a few days to process.

Provide a copy of this acknowledgement email to the CO.

File copy of Contractor’s NOI and ADEC Acknowledgement e-mail in Tab 3.

Tab 3

WASHINGTON AND IDAHO PROJECTS ONLY:

File electronic NOI with EPA at https://www.epa.gov/npdes/electronic-notice-intent-enoi

If you do not have an existing CDX account with EPA, follow EPA instructions to register.

When filling out your NOI, use the same information as the FHWA NOI in tab 3 AND the following:

Section III. Operator Information. Complete this section using information for

YOUR COMPANY.

Section IV. Project/Site Information. Question. Are you requesting coverage under this NOI as a "federal operator" as defined in Appendix A? ANSWER

YES.

Section IV. Project/Site Information. Question. Have stormwater discharges from your project/site been covered previously under an NPDES permit? ANSWER YES. Provide the FHWA Permit Tracking Number in the EPA acknowledgement email in Tab 3.

Section VII. Stormwater Pollution Prevention Plan (SWPPP) Information. Use contact information for YOUR COMPANY

Section X. Certification Information. NOI must be certified by YOUR responsible corporate officer as defined in CGP I.11.1. If your Certifying Official is a different person than the one preparing the NOI, then the Certifying Official must also have an EPA CDX account.

When the NOI has been completed, it will be electronically delivered to the email address of your Certifying Official. Follow the instructions in the email to complete the Certification of the NOI.

When you have successfully completed and certified your NOI, the preparer and Certifying Official will receive an email from EPA acknowledging that your CGP NOI Certification is complete.

Provide a copy of the EPA acknowledgement email to the CO.

File copy of Contractor’s NOI and EPA Acknowledgement e-mail in Tab 3.

Tab 4

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) or 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.

FEDERAL HIGHWAY ADMINISTRATION

WESTERN FEDERAL LANDS

HIGHWAY DIVISION

DELEGATION OF AUTHORITY

I, , hereby designate the person or specifically described position below to be a duly authorized representative for the purpose of overseeing compliance with environmental requirements, including the Construction General Permit, at the construction site.

The designee is authorized to sign any reports, stormwater pollution prevention plans and all other documents required by the permit.

Name or Position:

Company:

Address:

City, State, Zip:

Phone:

By signing this authorization, I confirm that I meet the requirements to make such a designation as set forth in and that the designee

Name:

Company:

Title:

Signature:

FHWA, Western Federal Lands Highway Division

610 East Fifth Street

Vancouver, WA 98661-3801

360-619-7700

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.

WFLHD, Western Federal Lands Highway Division

Environmental Manager

Tab 5

ALL STATES

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

Indicate locations of wetlands, rivers, and other waterbodies.

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