W912P821B0030 Sec J Attachments.pdf

SUBMITTAL REGISTER CONTRACT NO.

(ER 415-1-10)

CONTRACTOR SPECIFICATION NUMBERTITLE AND LOCATION

2021 CASTING ARTICULATED CONCRETE MATTRESS ED 21-009

TYPE OF SUBMITTAL CLASSI- CONTRACTORS CONTRACTOR GOVERNMENT

FICATION SCHEDULE DATES ACTION ACTION

I C

A N E O I

C S S R & N G

T T S T T M F O

I D R C A I O V A R

V TRANS- I SPECIFICATION DESCRIPTION OF R U H T R F S R M R E P E APPROVAL MATERIAL SUBMIT

I MITTAL T PARAGRAPH ITEM SUBMITTED A C E E E I A E A M R P V SUBMIT NEEDED NEEDED DATE TO DATE REMARKS

T NO. E NUMBER W T D M P C M C n. A N R I BY BY GOVERN-

Y M D I I U E O A P O U T O M O E C MENT C

A N O L N R T L R A I N E V W O O

N N T G N E T T E E D L O L N E E D D

O O A S S S S S S S S S N Y T D R E E

a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. q. r. s. t. u. v. w. x. y. z. aa.

1 C1-7.1.6 CEMENT, FLY ASH AND SLAG X EDS

2 C1-7.2.1 CALCIUM CHLORIDE X EDS

3 C1-7.3.1 AIR-ENTRAINING ADMIXTURE X EDS

4 C1-7.4.1 WATER-REDUCING ADMIXTURE X EDS

5 C1-7.5.2 AGGREGATES X X EDS

6 C1-7.7.1 CURING COMPOUNDS X EDS

7 C1-7.8.1 KRAFT PAPER X LAO

FORM RELEASE AGENT -

8 C1-11.2.3.1 COMMERCIAL PRODUCTS X X LAO

FORM RELEASE AGENT -

9 C1-11.2.3.2 OTHER THAN COMMERCIAL PRODUCTS X X X X LAO

10 C1-14 REPAIRING DEFICIENT MATTRESS PLAN X LAO

EDITION OF SEP 93 IS OBSOLETE PAGE 1 OF 1 (Proponent CEMP-CE)

NOTE: THIS REGISTER IS NOT NECESSARILY COMPLETE. THE CONTRACTOR SHALL BE RESPONSIBLE FOR DEVELOPING A COMPREHENSIVE REGISTER.

SECTION J ATTACHMENT #1

ENG FORM 4025, MAY 2017 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of 2

U.S. Army Corps of Engineers (USACE)

TRANSMITTAL OF SHOP DRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES, OR

MANUFACTURER'S CERTIFICATES OF COMPLIANCE

For use of this form, see ER 415-1-10; the proponent agency is CECW-CE.

DATE TRANSMITTAL NO.

SECTION I - REQUEST FOR APPROVAL OF THE FOLLOWING ITEMS (This section will be initiated by the contractor)

TO:

PROJECT TITLE AND LOCATIONSPECIFICATION SEC. NO. (Cover only one section with each transmittal)

FROM: CONTRACT NO. CHECK ONE:

THIS TRANSMITTAL IS FOR: (Check one)

THIS IS A NEW TRANSMITTAL

THIS IS A RESUBMITTAL OF

TRANSMITTAL

FIO GA DA CR DA/CR DA/GA

ITEM

NO.

(See

Note 3)

USACE

ACTION

CODE

(Note 9)

SUBMITTAL

TYPE CODE

(See Note 8)

NO.

OF

COPIES

SPEC.

PARA. NO.

DRAWING

SHEET NO.

CONTRACTOR

REVIEW

CODE

VARIATION

Enter "Y" if requesting a variation

(See Note 6)

DESCRIPTION OF SUBMITTAL ITEM

(Type size, model number/etc.)

a. i.c. d. e. f. g. h.b.

CONTRACT DOCUMENT

REFERENCE

REMARKS

SECTION II - APPROVAL ACTION

I certify that the above submitted items had been reviewed in detail and are correct and in strict conformance with the contract drawings and specifications except as otherwise stated.

NAME OF CONTRACTOR SIGNATURE OF CONTRACTOR

NAME AND TITLE OF APPROVING AUTHORITY SIGNATURE OF APPROVING AUTHORITY DATEENCLOSURES RETURNED (List by item No.)

SECTION J ATTACHMENT #2

ENG FORM 4025, MAY 2017 Page 2 of 2

INSTRUCTIONS

1. Section I will be initiated by the Contractor in the required number of copies.

2. Each Transmittal shall be numbered consecutively. The Transmittal Number typically includes two parts separated by a dash (-). The first part is the specification section number. The second part is a sequential number for the submittals under that spec section. If the Transmittal is a resubmittal, then add a decimal point to the end of the original Transmittal Number and begin numbering the resubmittal packages sequentially after the decimal.

3. The "Item No." for each entry on this form will be the same "Item No." as indicated on ENG FORM 4288-R.

4. Submittals requiring expeditious handling will be submitted on a separate ENG Form 4025-R.

5. Items transmitted on each transmittal form will be from the same specification section. Do not combine submittal information from different specification sections in a single transmittal.

6. If the data submitted are intentionally in variance with the contract requirements, indicate a variation in column h, and enter a statement in the Remarks block describing he detailed reason for the variation.

7. ENG Form 4025-R is self-transmitting - a letter of transmittal is not required.

8. When submittal items are transmitted, indicate the "Submittal Type" (SD-01 through SD-11) in column c of Section I.

Submittal types are the following:

SD-01 - Preconstruction SD-02 - Shop Drawings SD-03 - Product Data SD-04 - Samples SD-05 - Design Data SD-06 - Test Reports

SD-07 - Certificates SD-08 - Manufacturer's Instructions SD-09 - Manufacturer's Field Reports SD-10 - O&M Data SD-11 - Closeout

9. For each submittal item, the Contractor will assign Submittal Action Codes in column g of Section I. The U.S. Army Corps of Engineers approving authority will assign Submittal Action Codes in column i of Section I. The Submittal Action Codes are:

A -- Approved as submitted.

B -- Approved, except as noted on drawings. Resubmission not required.

C -- Approved, except as noted on drawings. Refer to attached comments.

Resubmission required.

D -- Will be returned by separate correspondence.

E -- Disapproved. Refer to attached comments.

10. Approval of items does not relieve the contractor from complying with all the requirements of the contract.

F -- Receipt acknowledged.

X -- Receipt acknowledged, does not comply with contract requirements, as noted.

G -- Other action required (Specify)

K -- Government concurs with intermediate design. (For D-B contracts) R -- Design submittal is acceptable for release for construction. (For D-B contracts)

SECTION J ATTACHMENT #2

CESO Form A-02 MAR 15

Form A-02 U.S. Army Corps of Engineers

Accident Prevention Plan Checklist

Date of Inspection

Location (Plant or Facility) Contract Number

Contractor Name Project Name

Inspector Name (Print) Inspector Signature

This checklist serves as a guide only, it does not replace or eliminate the need to comply with the requirements set forth in Engineering Manual 385-1-1, Safety and Health Requirements Manual, dated 30 Nov 2014. The references included in this checklist correspond to the applicable sections of EM 385-1-1.

Item Description Yes No N/A Remarks (Any NO or N/A item)

a. Signature sheet

1. Includes the name, title, signature, telephone number, and qualifications of the Plan Preparer (Qualified person, i.e. corporate safety staff person, QC)

2. Includes the name, title, signature, telephone number, and qualifications of the Plan Approver (e.g. owner, company president, regional vice president) (HTRW activities require approval of a Certified Industrial Hygienist, a Certified Safety Professional may approve the plan for operations involving UST removal where contaminants are known to be petroleum, oils, or lubricants).

3. Includes the name(s), title(s), signature(s), telephone number(s), and qualifications for Plan Concurrence (provide concurrence of other applicable corporate and project personnel (contractor)) (e.g. Chief of Operations, Corporate Chief of Safety, Corporate Industrial Hygienist, project manager or superintendent, project safety professional, project QC.)

b. Background information

1. Includes the Contractor Name.

2. Includes the Contract Number.

3. Includes the Project Name.

4a. Includes the Brief Project Description.

4b. Includes a Discription of the Work to be Performed.

4c. Includes the Location of the Project (map).

4d. Includes the Equipment to be Used.

4e. Includes the Anticipated High Risk Activities.

5. Includes the Major Phases of Work Anticipated.

(Within these major phases of work identified, activities [includes Definable features of Work (DFOWs) and tasks] to be performed that will require an AHA shall be specifically highlighted. This information can then be used by QC, QA and Safety personnel to track AHA submittals. The AHAs for these activities, tasks of DFOWs are NOT submitted at this time (AHAs created/submitted at this time would not be activity-specific as they are intended to be). > See Sections 01.A.14 and 01.A.15.)

SECTION J ATTACHMENT #3

U.S. Army Corps of Engineers

Accident Prevention Plan Checklist (cont’d)

Date of Inspection

Item Description Yes No N/A Remarks (Any NO or N/A item)

c. Statement of Safety and Health Policy.

1. Provide a copy of current corporate/company Safety and Health Policy Statement, detailing commitment to providing a safe and healthful workplace for all employees. (In addition to the corporate policy statement, a copy of the corporate safety program may provide a portion of the information required by the accident prevention plan.)

2. Includes Contractor’s written safety program goals.

3. Includes Contractor’s written safety program objectives.

4. Includes the Contractor Accident Experience (Copy of OSHA 300 Forms, or equivalent documentation).

d. Responsibilities and Lines of Authority.

1. Includes statement of the employer’s ultimate responsibility for the implementation of his SOH program for his own employees, all sub-contractors and all others on the worksite (includes the strict enforcement of the program).

2. Includes the identification and accountability of personnel responsible for safety and health at both the corporate and project level – including their resumes. Qualifications shall be in accordance with Section 01.A.17. (Only official OSHA 30-Hour cards will be accepted or, if equivalent training is provided, appropriate instructor qualifications.)

3. Includes equivalent training to the OSHA 30-Hour classes is being presented as qualification, the training shall cover, as a minimum, the areas discussed in Appendix A, Section 3.d.3.(a-d).

4. Includes the names of Competent (CP) and/or Qualified Person(s) (QP) and proof of competency/qualification to meet specific OSHA CP/QP requirements. (Must include copies of proof of CP/QP).

5. Includes requirements and details of the employer’s Risk Management Process. (USACE uses the Activity Hazard Analysis (AHA) as part of a total risk management process. Contractors and other individual employer’s may use the AHAs or their own version [Job Safety Analyses (JSAs), Job Hazard Analyses (JHAs), or similar Risk Management assessment tools]. These documents are considered equivalent to, and acceptable substitutes for, the USACE’s AHA provided the data collected is the same as that required by the AHA.)

6. Includes requirements for initial activity-specific AHAs to be submitted and accepted at preparatory meetings, prior to work being performed;

7. Includes requirements that no work by the Contractor shall be performed unless a designated Competent Person/SSHO is present on the job site.

8. Includes policies and procedures regarding non-compliance with safety requirements (to include disciplinary actions for violation of safety requirements).

9. Lines of authority.

10. Includes written company procedures for holding managers and supervisors accountable for safety.

U.S. Army Corps of Engineers

Accident Prevention Plan Checklist (cont’d)

Date of Inspection

Item Description Yes No N/A Remarks (Any NO or N/A item)

e. Subcontractors and Suppliers.

1. Includes the list of subcontractors and suppliers.

(If not known at the time of initial APP submittal, the contractor shall include the following statement in their initial APP: “The subcontractors for the following DFOWs/activities are not known at this time, but additional information will be submitted to the APP for acceptance prior to the start of any activities listed”)

2. Includes safety responsibilities of subcontractors and suppliers.

f. Training

1. Includes requirements for new hire SOH orientation training at the time of initial hire of each new employee.

2. Includes requirements for mandatory training and certifications that are applicable to this project (e.g., explosive actuated tools, confined space entry, crane operator, diver, vehicle operator, HAZWOPER training and certification, PPE) and any requirements for periodic retraining / recertification.

3. Includes procedures for periodic safety and health training for supervisors and employees.

4. Includes the requirements for emergency response training.

g. Safety and Health Inspections

1. Includes specific assignment of responsibilities for a minimum daily jobsite SOH inspection during periods of work activity.

1a. Includes the name(s) of individual(s) responsible for conducting safety inspections. (e.g., PM, safety professional, QC, supervisors, employees) 1b. Includes proof of inspector's training / qualifications.

1c. Indicates when inspections will be conducted.

1d. Indicates procedures for documentation. (Furnished sample forms upon which inspections will be recorded.)

1e. Indicates deficiency tracking system and follow-up procedures.

2. Includes any external inspections / certifications which may be required. (e.g., US Coast Guard)

h. Mishap Reporting and Investigation

1. The plan identifies how, when, and who shall complete the Exposure data (man-hours worked).

2a. The plan identifies how, when, and who shall complete mishap investigations, reports, and logs. (The contractor shall report, thoroughly investigate, and analyze all mishaps occurring incidentally to an operation, project or facility for which this manual is applicable.)

2b. The plan identifies how, when, and who shall make immediate notification of major mishaps. (Mishaps shall be reported as soon as possible but not more than 24 hours afterwards to the KO/COR.)

2c. Includes how, when, and who will provide notice to the KO/COR when corrective actions are completed. (Implement corrective actions as soon as reasonably possible.)

U.S. Army Corps of Engineers

Accident Prevention Plan Checklist (cont’d)

Date of Inspection

Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable safety and occupational health risks and associated compliance plans. Using the EM 385-1-1 as a guide, plans, programs, procedures (assessments and evaluations), may include but not be limited to:

(1)Include a project-specific compliance plan, as applicable to the work being performed, and as identified below. The plans shall incorporate project-wide procedures to control hazards to which the employees of all project employers may be exposed.

(2) These procedures shall be coordinated with all project employers and shall include project-specific, project-wide emergency response and evacuation procedures, PPE requirements, recordkeeping and reporting requirements, and training requirements.

(3) The plans shall be prepared prior to the start of any work activities on the job site (as much as the information can be known at that point in time). The plans shall be updated throughout the life of the project to include changes in personnel, equipment, conditions, etc. Additional revisions shall be incorporated as necessary to reflect changing site conditions, construction methods, personnel roles and responsibilities and construction schedules.

(4) No activity (DFOW) shall be started on site until the APP is revised and submitted to the GDA for acceptance, with the site-specific plans, programs and procedures required to complete the project.

Item Description Yes No N/A Remarks (Any NO or N/A item)

i. Plans (Programs, Procedures, Assessments, and Evaluations) required by the Safety Manual

1. Fatigue Management Plan (01.A.20)

2. Emergency Plans (01.E):

(a) Procedures & Test (01.E.01)

(b) Spill Plans (01.E.01, 06.A.02)

(c) Fire Fighting Plan (01.E.01; 19.A)

(d) Posting of Emergency Telephone Numbers (01.E.05)

(e) Man overboard/abandon ship (19.A.04)

(f) Plan for prevention of alcohol and drug abuse (01.C.02 & Specs)

3. Site Sanitation/Housekeeping Plan (02.B)

4. Medical Support Agreement. Outline on-site medical support and off-site medical arrangements including rescue and medical duties for those employees who are to perform them, and the name(s) of on-site Contractor personnel trained in first aid and CPR. A minimum of two employees shall be certified in CPR and first-aid per shift/site (03.A.01, 03.A.03)

5. Blood-borne Pathogen Program (03.A.05)

6. Exposure Control Plan (03.A.05)

7. Automatic External Defibrillator (AED) Program (03.B.04)

8. Site Layout Plan (04.A)

9. Access/Haul Road Plan (04.B)

10. Hearing Conservation Program (05.C)

11. Respiratory Protection Plan (05.G)

12. Health Hazard Control Program (06.A)

13. Hazard Communication Program (06.B.01)

14. Process Safety Management Plan (06.B.04)

15. Lead Compliance Plan (06.C.02 & Specifications)

16. Asbestos Abatement Plan (06.C.03 & Specifications)

U.S. Army Corps of Engineers

Accident Prevention Plan Checklist (cont’d)

Date of Inspection

Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable occupational risks and compliance plans. Using the EM 385-1-1 as a guide, plans, programs, procedures (assessments and evaluations), may include but not be limited to:

Item Description Yes No N/A Remarks (Any NO or N/A item)

i. Plans (Programs, Procedures) continued.

17. Radiation Safety Program (06.F)

18. Abrasive Blasting Plan (06.I)

19. Heat Stress Monitoring Plan (HSMP) (06.J.02)

20. Cold Stress Monitoring Plan (CSMP) (06.J.04)

21. Indoor Air Quality Management Plan (06.L)

22. Mold Remediation Plan (06.L.04)

23. Chromium (VI) Exposure Evaluation (06.M)

24. Crystalline Silica Assessment (06.N.02)

25. Lighting Plan for Night Operations (07.A.06)

26. Traffic Control Plan (08.C.05)

27. Fire Prevention Plan (09.A.01)

28. Wild Land Fire Management Plan (09.L)

29. Arc Flash Hazard Analysis (11.B)

30. Assured Equipment Grounding Control Program (AEGCP), (11.D.05, Appendix E)

31. Hazardous Energy Control Program and Procedures (12.A.01)

32. Standard Pre-Lift Plan – LHE (16.A.03)

33. Critical Lift Plan – LHE (16.H)

34. Naval Architectural Analysis – LHE (Floating) (16.L)

35. Floating Plant Inspection and Certification (19.A.01)

36. Severe Weather Plan for Marine Activities (19.A.03)

37. Emergency Plan for Marine Activities (19.A.04)

38. Man Overboard/Abandon Ship Procedures (19.A.04)

39. Float Plan for Launches, Motorboats, Skiffs (19.F.04)

40. Fall Protection and Prevention Plan (21.D)

41. Demolition/Renovation Plan (to include engineering survey) (23.A)

42. Rope Access Work Plan (24.H)

43. Excavation/Trenching Plan (25.A.01)

44. Fire Prevention and Protection Plan for Underground Construction (26.D.01)

45. Compressed Air Work Plan for Underground Construction (26.I.01)

46. Erection and Removal Plan for Formwork and Shoring (27.C)

47. Precast Concrete Plan (27.D)

U.S. Army Corps of Engineers

Accident Prevention Plan Checklist (cont’d)

Date of Inspection

Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable occupational risks and compliance plans. Using the EM 385-1-1 as a guide, plans, programs, procedures (assessments and evaluations), may include but not be limited to:

Item Description Yes No N/A Remarks (Any NO or N/A item)

i. Plans (Programs, Procedures) continued.

48. Lift-slab Plans (27.E)

49. Masonry Bracing Plan (27.F.01)

50. Steel Erection Plan (28.B)

51. Explosives Safety Site Plan (ESSP) (29.A)

52. Blasting Plan (29.A; 26.J)

53. Dive Operations Plan (30.A.14, 30.A.16)

54. Safe Practices Manual for Diving Activities (30.A.15)

55. Emergency Management Plan for Diving (30.A.18)

56. Tree Felling/Maintenance Program (31.A.01)

57. Aircraft/Airfield Construction Safety & Phasing Plan (CSPP) (32.A.02)

58. Aircraft/Airfield Safety Plan Compliance Document (SPCD) (32.A.02)

59. Site Safety and Health Plan (HTRW) (33.B)

60. Confined Space Entry Procedures (34.A.05)

61. Confined Space Program (34.A.06)

j. Risk Management Processes (AHAs). Detailed project-specific hazards and controls shall be provided by Activity Hazard Analysis for each activity (DFOW). No work will begin on an activity (DFOW) until the initial AHA has been accepted by the GDA addressing the project-specific hazards. (01.A.14 & 01.A.15) Note: USACE uses the Activity Hazard Analysis (AHA) as part of a total risk management process. Contractors and other individual employer’s may use the AHAs or their own version [Job Safety Analyses (JSAs), Job Hazard Analyses (JHAs), or similar Risk Management assessment tools].

These documents are considered equivalent to, and acceptable substitutes for, the USACE’s AHA provided the data collected is the same as that required by the AHA.

Remarks:

U.S. Army Corps of Engineers

Accident Prevention Plan Checklist (cont’d)

Date of Inspection

Other Remarks:

Activity Hazard Analysis (AHA) (Figure 1-2 in Section 1 “Program Management” of (Nov 2014) EM 385-1-1)

Activity/Work Task: Overall Risk Assessment Code (RAC) (Use highest code)

Project Location: Risk Assessment Code (RAC) Matrix Contract Number:

Severity Probability

Date Prepared: Frequent Likely Occasional Seldom Unlikely

Prepared by (Name/Title): Catastrophic E E H H M Critical E H H M L

Reviewed by (Name/Title): Marginal H M M L L Negligible M L L L L

Notes: (Field Notes, Review Comments, etc.) Step 1: Review each “Hazard” with identified safety “Controls” and determine RAC (See above)

“Probability” is the likelihood to cause an incident, near miss, or accident and identified as: Frequent, Likely, Occasional, Seldom or Unlikely. RAC Chart “Severity” is the outcome/degree if an incident, near miss, or accident did occur and identified as: Catastrophic, Critical, Marginal, or Negligible

E = Extremely High Risk H = High Risk

Step 2: Identify the RAC (Probability/Severity) as E, H, M, or L for each “Hazard” on AHA. Annotate the overall highest RAC at the top of AHA.

M = Moderate Risk L = Low Risk

Job Steps Hazards Controls RAC

Equipment to be Used Training Requirements/Competent or Qualified Personnel name(s) Inspection Requirements

SECTION J – ATTACHMENT #5

RESERVED

MVN Form 385-10R Proponent MVN-SS 15 Sep 2008

SECTION J ATTACHMENT #6

ACCIDENT PREVENTION PLAN

FUEL OIL TRANSFER -- FLOATING PLANT

U.S. Army Engineer District, New Orleans EM 385-1-1, Section 19.A.06

1) Contractor 2) Contract Name & Number 3) Date

4) Officer in Charge of Fuel Transfer 4a) Name of Vessel 4b) Fuel to be Transferred

5) Name of Vessel 5a) Names of Qualified Tankermen 5b) Type of Certification and expiration date

6) Name of Vessel 6a) Type of fill nozzle or connection on Vessel

6b) Location of fill pipes openings

6c) Location of vents openings

7) Type, number, and size of fire fighting equipment to be available during fuel transfer operations.

8) Sequential steps to be followed when taking on fuel.

Contractor's Signature

Date

C.O. or C.O.R. Signature

Date

SECTION J ATTACHMENT #7

PART I

SECTION A. APPLICABILITY

Coverage under this general permit is available for discharges of process wastewater and process area storm water; storm water and aggregate spray from sand and gravel unloading areas and stockpile areas; non-process area storm water; treated sanitary wastewater; and washrack and shop floor washdown wastewater associated with the operation of bulk cement storage and shipping terminals, concrete ready mix plants, precast concrete fabrication plants, concrete products specialty plants, process area storm water from hot mix asphalt/asphaltic concrete plants, combination plants, portable ready mix concrete plants, and portable hot mix asphalt/asphaltic concrete plants.

This general permit may provide either site-specific or statewide authorization to discharge.

Site owners or operators who have portable plants that are moved from one location to another in the state may obtain statewide coverage under this permit for discharges of wastewater and storm water generated during the operation of a portable plant at locations within the state. Statewide authorization numbers shall be designated LAG119XXX while the site-specific authorization numbers are LAG11YXXX, where X equals a numeral from 0 to 9 and Y equals a numeral from 0 to 8.

All persons operating a source or conducting an activity that results in a discharge as described above and who meet all eligibility conditions may be covered under this general permit and will become permittees authorized to discharge upon the receipt of a hand-delivered, correctly completed Notice of Intent (NOI) by the Office of Environmental Services, Water Permits Division, 48 hours after the postmark date on the envelope that contains the correctly completed NOI, upon permittee receipt of a Letter of Administrative Completeness, or 48 hours after receipt of an electronic NOI (e-NOI). Should e-NOIs become available during the term of this permit, the Department may suspend use of paper NOIs.

Each NOI received to request authorization under this LPDES general permit will be evaluated by the Agency to assess the reasonable potential for the discharge of pollutants from the facility to cause or contribute to a violation of water quality standards for any known impairments.

Coverage under the general permit may be denied and regulation under an individual permit required if more stringent limitations than the limitations contained in the general permit are required for protection of a receiving stream.

Submission of an NOI is an acknowledgement that the conditions of this general permit are applicable to the proposed discharge, and that the applicant agrees to comply with the conditions of this general permit. The applicant’s signature on the NOI legally certifies that the applicant qualifies for coverage under the permit and agrees to comply with all terms and conditions of the authorization to discharge to waters of the State of Louisiana. Unless notified otherwise by the Secretary or appropriate designee, eligible owners/operators are authorized to discharge wastewater and/or storm water under the terms and conditions of this permit.

Notice of Intent (NOI) to be covered under this general permit shall be made using Form CCAF-G, or an equivalent, which can be downloaded from the LDEQ website at http://www.deq.louisiana.gov/. Go through the following links to find the NOI form: WATER – http://www.deq.louisiana.gov/

Permits – LPDES Forms – LPDES Permit Application Forms – CCAF-G form. An NOI must be submitted for each portable plant and for each permanent site. If the NOI is being submitted for coverage for a portable plant, applicants shall indicate portable plant by checking the appropriate box on the NOI.

If activity is currently being conducted on a site-specific basis or a statewide basis and has not been permitted, an NOI shall be submitted immediately. Dischargers who are permitted under the LPDES version of this permit that expires on April 3, 2019, are not required to submit a new NOI.

Provided the applicability requirements of the reissued permit are met, these permitted dischargers will automatically be covered under the reissued LPDES permit. Per 40 CFR 122.28(b)(2)(vi) and LAC33:IX.2515.B.2.f, LDEQ will notify each permittee in writing after permit finalization. This written notification of coverage along with a link to the reissued permit will be sent to each permittee after permit finalization. Permit conditions in the reissued permit are effective for these automatically-authorized permittees on the postmark date of the notification of the facility’s coverage under the reissued general permit.

Any permittee covered by an individual permit or other general permit(s) may submit an NOI and request that the individual permit or other general permit(s) be canceled if the permitted source or activity is also eligible for coverage under this general permit. Upon approval by this Office, the permittee will be notified of coverage by this general permit and of cancellation of the previous permit(s).

The permittee must keep a copy of the NOI that it submitted to the Water Permits Division and a copy of the general permit at the permitted facility. A copy of the NOI that was submitted for statewide permit coverage must be kept at the site where the portable plant is located/operating.

If circumstances change in the future at a permitted facility that result in the addition or elimination of permitted outfalls, or a change in the composition of effluent from a permitted outfall, the permittee is required to notify the Water Permits Division of the elimination/change of any outfalls that were identified in the NOI or the addition of outfalls that were not identified in the NOI that was submitted for general permit coverage. Notification of the addition or elimination/change of permitted outfalls, or a change in the composition of effluent from a permitted outfall, must be made in writing and must be accompanied by a site diagram that clearly illustrates and identifies current outfall locations at the site. The permittee must receive the appropriate permit coverage prior to adding a new outfall or changing the effluent composition of effluent of a permitted outfall.

The permittee is required to submit a permit transfer request to the Permit Support Section either prior to or no later than 45 days after the permitted facility changes ownership/operator. The request must be made on the official LDEQ form NOC-1 which is available on the LDEQ website at:

http://www.deq.louisiana.gov/ - WATER – Permits – LPDES Forms – LPDES Permit Application Forms – NOC-1 form. Any questions related to making a permit transfer should be directed to the LDEQ Permit Application Administrative Review (PAAR) Group at (225) 219-3292.

A printed hard copy of this permit may be obtained by contacting LDEQ’s Water Permits Division at (225) 219-3590, or a copy can be downloaded from the LDEQ website at www.deq.louisiana.gov/. Go through the following links to find the permit: WATER – Permits – LPDES Permit Information – LAG110000.

Facilities covered by this general permit include those which operate a source or conduct an activity that results in discharges related to operating:

1. Bulk Cement Storage and Shipping Terminals

These facilities store bulk quantities of cement for shipping by rail, truck, barge, etc.

2. Concrete Ready Mix Plants

These plants consist of those operations whereby fine and coarse aggregate, Portland cement, admixtures and water are blended to produce concrete. These plants may be either fixed at a permanent location or portable (generally set up on or near a construction site).

3. Precast Concrete Fabrication Plants

At these plants, the concrete ready mix is placed into molds or forms at the plant site to become component parts that are later shipped to construction sites to form permanent concrete structures. These plants manufacture three basic products:

a. Precast Concrete Components

b. Precast – Pre-stressed Concrete Components

c. Precast – Post-stressed Concrete Components

4. Concrete Products Specialty Plants

These plants make special products from various concrete ready mix formulas. All work is completed at the plant site and products include:

a. Concrete Masonry Block

b. Concrete Pipe

c. Architectural Precast Panels

5. Hot Mix Asphalt/Asphaltic Concrete Plants

These plants manufacture hot mix asphalt/asphaltic concrete for paving roads from sand, gravel, and asphalt liquid at fixed sites and portable plants.

6. Combination Plants

Sites with a combination of activities (i.e., hot mix asphalt/asphaltic concrete plant and concrete ready mix plant operated by the same operator and located on the same site) are also eligible for coverage under this permit.

7. Portable Plants

All persons operating a portable ready mix concrete plant or hot mix asphalt/asphaltic concrete plant are eligible for coverage under this general permit on a statewide basis.

All discharges from the facility are covered by this general permit provided all conditions of this permit are met, notably Part II, Other Conditions, Section B (Reporting to the Regional Office by Portable Plants). Portable plants at a given location more than six months will be treated as permanent facilities, unless supplying concrete for a single construction project or for the same contractor for related project segments, but not other unrelated projects. Portable plants may be required to receive a site-specific permit or, if deemed necessary, an individual permit.

All wastewaters covered by this permit must be treated, if necessary, to meet the effluent limitations in the applicable Outfall # before being discharged from the site of origin. Wastewater types other than those described herein are not authorized under this general permit and discharge of such wastewaters at a site covered under this general permit will constitute a violation of the permit unless authorization to discharge has been granted under a separate LPDES permit.

Discharges of the following wastewaters are covered by this general permit:

1. process wastewater and process area storm water from cement and concrete facilities;

2. process area storm water discharges from hot mix asphaltic concrete facilities with no discharge of process wastewater;

3. storm water and aggregate spray from sand and gravel unloading areas and stockpiles of washed sand and gravel;

4. non-process area storm water from cement, concrete and asphalt facilities;

5. treated sanitary wastewater (less than 5,000 GPD); and

6. wash rack and shop floor washdown wastewater discharges from cement, concrete, and asphalt facilities.

This general permit shall not apply to:

1. facilities which have no discharge of process wastewater and/or storm water from a 10-year, 24-hour rain event;

2. facilities which discharge substances that are not addressed by or would not be adequately regulated by the effluent limitations of this permit;

3. discharges that are mixed with other, non-covered discharge types unless those other discharges are in compliance with another LPDES permit;

4. discharges of wastewaters which have limits assigned to them in the Louisiana Water Quality Management Plan or an approved Waste Load Allocation which are different from the limits contained in this permit;

5. discharges which are likely to have adverse effects upon threatened or endangered species, or on the critical habitat for these species as determined in conjunction with the U.S. Fish and Wildlife Service (USFWS); (Discharges into certain sensitive water bodies require the approval of the USFWS before being eligible for automatic general permit coverage. See the Guidance Document for Determining if your Discharges Require Approval from the US Fish and Wildlife Service attached to the NOI form for details and instructions. The following website will access the need to contact the USFWS for more detailed information:

https://www.fws.gov/southeast/lafayette/project-review/)

6. discharges which adversely affect properties listed or eligible for listing in the National Register of Historic Places, unless they are in compliance with requirements of the National Historic Preservation Act and any necessary activities to avoid or minimize impacts have been coordinated with the Louisiana State Historic Preservation Officer;

(for questions, the operator should contact the Section 106 Review Coordinator, Office of Cultural Development, P. O. Box 44247, Baton Rouge, LA 70804-44247 or telephone (225) 342-8160.)

7. discharges of wastewater determined by this Office to present an environmental risk or potential risk of discharging pollutants other than is intended to be regulated by this permit;

8. facilities discharging into a waterbody designated as an outstanding natural resource water, as defined in LAC 33:IX.1123.Table 3, except in accordance with LAC

33:IX.1119.C.4;

9. discharges from operations classified as new sources or new dischargers, if the discharge will cause or contribute to the violation of water quality standards not addressed by the terms, conditions and schedules of this general permit (LAC 33:IX.2317.A.9); and

10. discharges from onshore facilities associated with production, field exploration, drilling, well completion, or well treatment, where the discharge is potentially contaminated with raw material, intermediate products, finished products, byproducts, or waste products (see 40 CFR Part 435.30).

At the discretion of this Office, coverage under this general permit may not be available to:

1. discharges from facilities not in compliance with a previously issued individual or general wastewater discharge permit;

2. discharges from facilities which have previously been in violation of state water quality regulations;

3. discharges from facilities which are located in an environmentally sensitive area;

4. discharges into water bodies designated by the State pursuant to Section 303(d) of the Clean Water Act;

https://www.fws.gov/southeast/lafayette/project-review/

5. discharges into waters that are likely to contain rare, threatened, or endangered species;

or

6. discharges from facilities which owe any outstanding fees or fines to the Department.

The Department may deny coverage under this permit and require submittal of an application for an individual LPDES permit based on a review of the NOI or other information. This Office reserves the right to issue such facilities an individual LPDES permit with more appropriate limitations and conditions.

The LDEQ may require any discharger authorized by a general permit to apply for and obtain an individual LPDES permit. Any interested person may petition the LDEQ to take action under this Paragraph. Cases where an individual LPDES permit may be required include the following:

i. the discharger or treatment works treating domestic sewage is not in compliance with the conditions of the general LPDES permit;

ii. a change has occurred in the availability of demonstrated technology or practices for the control or abatement of pollutants applicable to the point source or treatment works treating domestic sewage;

iii. effluent limitation guidelines are promulgated for point sources covered by the general LPDES permit;

iv. a water quality management plan containing requirements applicable to such point sources is approved;

v. circumstances have changed since the time of the request to be covered so that the discharger is no longer appropriately controlled under the general permit, or either a temporary or permanent reduction or elimination of the authorized discharge is necessary;

vi. the discharge(s) is a significant contributor of pollutants. In making this determination, the LDEQ may consider the following factors:

(a) the location of the discharge with respect to waters of the state;

(b) the size of the discharge;

(c) the quantity and nature of the pollutants discharged to waters of the state; and

(d) other relevant factors (such as, but not limited to, critical flow and harmonic mean flow determinations, environmental considerations, site operational data, designated uses, water quality characteristics and other applicable water quality and regulatory requirements).

SECTION B. EFFLUENT LIMITATIONS

During the period beginning with the written notification of coverage under this permit and lasting through the termination of authorization to discharge under this general permit, all permittees covered under this general permit are authorized to discharge:

process wastewater and process area storm water from cement and concrete facilities;

process area storm water discharges from hot mix asphaltic concrete facilities with no discharge of process wastewater;

storm water and aggregate spray from sand and gravel unloading areas and stockpiles of washed sand and gravel;

non-process area storm water from cement, concrete and asphalt facilities;

treated sanitary wastewater (less than 5,000 GPD);

wash rack and shop floor washdown wastewater discharges from cement, concrete, and asphalt facilities;

or a combination of these discharges as specified in a facility-specific Appendix A of the cover letter granting authorization to discharge under this permit. Other requirements applicable to the wastewater discharge and location will also be identified in Appendix A.

OUTFALL 001: PROCESS WASTEWATER AND PROCESS AREA STORM WATER

FROM CEMENT AND CONCRETE FACILITIES 1, 2

Outfall numbers used in the NOI must correspond to the appropriate outfall numbers in the permit. The permittee shall designate a process wastewater and/or process area storm water discharge point as Outfall 001. If more than one outfall of this type occurs at a facility, then each separate discharge point must be clearly identified as Outfall 01A, Outfall 01B, etc. Each outfall location for discharges of process wastewater and process area storm water shall be identified in the NOI and shall be monitored in accordance with the following table. In accordance with the Monitoring and Reporting Requirements section of the permit, DMRs shall be submitted for each outfall location.

EFFLUENT

CHARACTERISTICS

DISCHARGE

LIMITATIONS

MONITORING

REQUIREMENTS

MONTHLY

AVERAGE

DAILY

MAXIMUM

MEASUREMENT

FREQUENCY

SAMPLE

TYPE

Flow (GPD) Report Report 1/month estimate

TSS ---- 50 mg/L 1/month grab

Oil & Grease ---- 15 mg/L 1/month grab pH - Allowable Range (Standard Units)

6.0 (Minimum)

9.0 (Maximum) 1/month grab

1 For washed sand and gravel stockpiles limitations see Outfall 003, STORM WATER AND AGGREGATE

SPRAY FROM SAND & GRAVEL UNLOADING AREAS AND STOCKPILES OF WASHED SAND &

GRAVEL.

2 Outfall 003 - STORM WATER AND AGGREGATE SPRAY FROM SAND & GRAVEL UNLOADING

AREAS AND STOCKPILES OF WASHED SAND & GRAVEL – may be applied to process area storm water outfalls in place of Outfall 001 where the permittee has a strong housekeeping program to maintain a clean plant site and has segregated process wastewaters from process area storm water. Deminimus amounts of potable water from a concrete batch plant used for daily housekeeping or housekeeping performed to place a site on inactive status shall not constitute a process wastewater discharge provided this water does not leave the site or enter the receiving stream. (This option is not available for process wastewater outfalls or commingled discharges of process wastewater and process area storm water.)

There shall be no discharge of floating solids or visible foam in other than trace amounts, or of free oil or other oily materials, or of toxic materials in quantities such as to cause acute toxicity to aquatic organisms. Furthermore, there shall be no visible sheen or stains attributable to this discharge. There shall be no accumulation of solids in the receiving stream which has the potential to negatively impact aquatic life or hinder natural drainage. The use of dilution (see Part III, Standard Conditions, Section A.13) or flow augmentation (LAC 33:IX.3705.F) to achieve effluent concentration limitations is prohibited.

OUTFALL 002: PROCESS AREA STORM WATER DISCHARGES FROM HOT MIX

ASPHALT/ASPHALTIC CONCRETE FACILITIES WITH NO

DISCHARGE OF PROCESS WASTEWATER 1, 2, 3

permit. The permittee shall designate a process area storm water discharge from hot mix asphalt/asphaltic concrete facilities as Outfall 002. If more than one outfall of this type occurs at a facility, then each separate discharge point must be clearly identified as Outfall 02A, Outfall 02B, etc. Each outfall location for discharges of process area storm water from hot mix asphalt/asphaltic concrete facilities shall be identified in the NOI and shall be monitored in accordance with the following table. In accordance with the Monitoring and Reporting Requirements section of the permit, DMRs shall be submitted for each outfall location.

DISCHARGE

LIMITATIONS

MONITORING

REQUIREMENTS

MONTHLY

AVERAGE

DAILY

MAXIMUM

MEASUREMENT

FREQUENCY

SAMPLE

TYPE

Flow (GPD) Report Report 1/month estimate

TSS ---- 45 mg/L 1/month grab

TOC ---- 50 mg/L 1/month grab

Oil & Grease ---- 15 mg/L 1/month grab pH - Allowable Range (Standard Units)

6.0 (Minimum)

9.0 (Maximum) 1/month grab

1 Hot Mix/Asphalt Concrete Plants shall have no discharge of process wastewater.

2 For washed sand and gravel stockpile limitations see Outfall 003, STORM WATER AND AGGREGATE

SPRAY FROM SAND & GRAVEL UNLOADING AREAS AND STOCKPILES OF WASHED SAND &

GRAVEL.

3 The effluent limitations in this outfall are not applicable if the facility implements an effective pollution prevention plan for capturing and retaining the asphalt releaser used to keep working parts moving. Asphalt releasers used for this purpose must be captured by a drip pan, absorbent material, or other appropriate means and removed from the process area for proper disposal on a daily basis so as to prevent the asphalt releaser from coming in contact with storm water. Facilities using these methods may follow the effluent page for storm water from stockpile areas (Outfall 003) in lieu of this effluent page for process area storm water discharges.

There shall be no discharge of floating solids or visible foam in other than trace amounts, or of free oil or other oily materials, or of toxic materials in quantities such as to cause acute toxicity to aquatic organisms. Furthermore, there shall be no visible sheen or stains attributable to this discharge. There shall be no accumulation of solids in the receiving stream which has the potential to negatively impact aquatic life or hinder natural drainage. The use of dilution (see Part III, OUTFALL 003: STORM WATER AND AGGREGATE SPRAY FROM SAND &

GRAVEL UNLOADING AREAS AND STOCKPILES OF WASHED

SAND & GRAVEL 1, 2

permit. The permittee shall designate a discharge of storm water and aggregate spray from sand and gravel unloading areas and stockpiles of washed sand and gravel as Outfall 003. If more than one outfall of this type occurs at a facility, then each separate discharge point must be clearly identified as Outfall 03A, Outfall 03B, etc. Each outfall location for discharges of storm water and aggregate spray from sand and gravel unloading areas and stockpiles of washed sand and gravel shall be identified in the NOI and shall be monitored in accordance with the following table. In accordance with the Monitoring and Reporting Requirements section of the permit, DMRs shall be submitted for each outfall location.

DISCHARGE

LIMITATIONS

MONITORING

REQUIREMENTS

MONTHLY

AVERAGE

DAILY

MAXIMUM

MEASUREMENT

FREQUENCY

SAMPLE

TYPE

Flow (GPD) Report Report 1/month estimate

1 TSS: Daily Maximum Concentration of 100 mg/L will be used as a benchmark level (not a limitation) for pollution prevention practices to be either initiated or modified by the facility. The discharge from this permitted outfall shall not exceed a Daily Maximum Concentration of 50 mg/L TOC, 15 mg/L Oil and Grease, or have a pH less than 6.0 or greater than 9.0 standard units. Sampling and analysis on a regular basis is not required. In accordance with Part II, Other Conditions, Section J, Number 1, a through c, an annual visual inspection and report are required.

2 This outfall includes the discharge of storm water from the unloading hopper and scales used for rail and truck transport of sand and gravel materials where the materials are transported by conveyor to the material storage area and the discharge of potable water used to wet down aggregate storage piles. Wastewater from these activities that percolates into the ground or is evaporated so that wastewater does not leave the facility or enter a receiving stream does not constitute a discharge.

free oil or other oily materials, or of toxic materials in quantities such as to cause acute toxicity to aquatic organisms. Furthermore, there shall be no visible sheen or stains attributable to this discharge. There shall be no accumulation of solids in the receiving stream which has the potential to negatively impact aquatic life or hinder natural drainage. The use of dilution (see Part III, Standard Conditions, Section A.13) or flow augmentation (LAC 33:IX.3705.F) to achieve effluent

OUTFALL 004: NON-PROCESS AREA STORM WATER FROM CEMENT,

CONCRETE, AND ASPHALT FACILITIES 1

permit. The permittee shall designate a non-process area storm water from cement, concrete, and asphalt facilities discharge point as Outfall 004. If more than one outfall of this type occurs at a facility, then each separate discharge point shall be clearly identified as Outfall 04A Outfall 04B, etc.

Each outfall location for discharges of non-process area storm water from cement, concrete, and asphalt facilities shall be identified in the NOI and shall be monitored in accordance with the

DISCHARGE

LIMITATIONS

MONITORING

REQUIREMENTS

MONTHLY

AVERAGE

DAILY

MAXIMUM

MEASUREMENT

FREQUENCY

SAMPLE

TYPE

Flow (GPD) Report Report 1/month estimate

1 The discharge from this permitted outfall shall not exceed a Daily Maximum Concentration of 50 mg/L TOC, 15 mg/L Oil and Grease, or have a pH less than 6.0 or greater than 9.0 standard units. Effluent sampling and analysis on a regular basis are not required. In accordance with Part II, Other Conditions, Section J, Number 1, a through c, an annual visual inspection and report are required.

free oil or other oily materials, or of toxic materials in quantities such as to cause acute toxicity to aquatic organisms. Furthermore, there shall be no visible sheen or stains attributable to this discharge. There shall be no accumulation of solids in the receiving stream which has the potential to negatively impact aquatic life or hinder natural drainage. The use of dilution (see Part III, OUTFALL 005: TREATED SANITARY WASTEWATER (Less Than 5,000 gpd) permit. The permittee shall designate a treated sanitary wastewater discharge point as Outfall 005. If more than one outfall of this type occurs at a facility, then each separate discharge point shall be clearly identified as Outfall 05A, Outfall 05B, etc. Each outfall location for discharges of treated sanitary wastewater shall be identified in the NOI and shall be monitored in accordance with the

DISCHARGE LIMITATIONS

MONITORING

REQUIREMENTS

MONTHLY

AVERAGE

DAILY

MAXIMUM

MEASUREMENT

FREQUENCY

SAMPLE

TYPE

Flow (GPD) Report Report 1/6 months estimate

BOD5 30 mg/L 45 mg/L 1/6 months grab

TSS1 30 mg/L 45 mg/L 1/6 months grab Fecal Coliform2, 3 number/100 mL

200 400 1/6 months grab pH - Allowable Range (Standard Units)

6.0 (Minimum)

9.0 (Maximum) 1/6 months Grab

Enterococci, number/100 mL4 35 135 1/6 months Grab

1 For an oxidation pond treatment unit, the monthly average shall be 90 mg/L and the daily maximum shall be 135 mg/L.

2 If chlorination is chosen as a disinfection method, see Part II, Other Conditions, Section H.

3 If this discharge is directly to a water body which is named in the LAC 33:IX.1123 Table 3, and which has a designated use of Oyster Propagation, the Fecal Coliform limitation will be…