WY LCGP_CompiledSWPPP_OFWT_UPDATED.pdf

Stormwater Pollution Prevention Plan

SWPPP

For:

Federal Highway Administration Western Federal Lands Highway Division

WY NPS YELL 10(23)

Grand Loop Road, Old Faithful to West Thumb Teton County, WY, Yellowstone National Park

Project Engineer General Contractor

Table of Contents

SWPPP TABS

TAB 1: SWPPP Narrative

TAB 2: Permit ( Construction General Permit)

TAB 3: NOI, Acknowledgement, Other Applicable

TAB 4: Delegation of Authority

TAB 5: aps

TAB 6: Erosion/Sediment Control Plan Sheets ( lan et and BMP ypical etails)

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 Certificat 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 1 : Quality Assurance Checklist

TAB 1 : Notice of Termination (NOT)

Tab 1

STORM WATER POLLUTION PREVENTION PLAN

PLEASE READ THIS PRIOR TO COMPLETING FORM: This SWPPP template is intended to help operators in developing a SWPPPP that complies with Part 9.2 of the Wyoming Department of Environmental Quality WYPDES Storm Water Program Large or Small Construction General Permit. The SWPPP is a site specific, dynamic plan designed to control erosion and sedimentation, prevent storm water contamination, and comply with requirements of the Clean Water Act. It is the permittee’s responsibility to ensure all required items in the Large Construction General Permit are adequately addressed, and that the SWPPP is developed, implemented, and maintained.

Revisions to this SWPPP during construction are documented in the SWPPP Amendment Log in Tab 8 of the WFLHD SWPPP.

Project or Site Information:

Project Location as either Quarter/Quarter, Section, Township, Range OR Street Address and City:

Yellowstone National Park, Teton County, WY GPS Coordinates:

Lat/Long: 44.48329 / -110.85154 Township, Range, Section: 52N, 116W, Section 17

Permittee (Legally Responsible Entity) Information:

Company Name: FHWA, Western Federal Lands Highway Division

Legally Responsible Person Name: Scott Smithline

Mailing Address: 610 East Fifth Street

City, State, ZIP Code: Vancouver, WA 98661

Phone Number: 360-619-7700

Permit Number: WYR10-0000

Part 9.2.1 SWPPP - Administrator:

Company or Organization: FHWA, Western Federal Lands Highway Division

Name: Project Engineer (TBD)

Title: Project Engineer

Phone #:

Email:

Grand Loop Road, Old Faithful to West Thumb – WY NPS YELL 10(23)

Part 9.2.2 – Site Description:

9.2.2.1 Brief description of nature of the construction activity:

Pavement preservation and rehabilitation project for approximately 21.2 miles of the Grand Loop Road, including some areas of deep patch excavation within existing roadbed, paving pullouts, cleaning and replacing culverts. An existing Recreational Vehicle (RV) camping area located at Grant Village will be expanded as part of this project to create additional space needed for an additional 47 RV camping sites that is required to provide housing for Contractors working on projects in the park.

9.2.2.2 Proposed sequence of major activities and an estimated date final stabilization (defined in Part 2.9) is expected to be achieved.

Mobilization estimated May 2022 Survey, staking, and installation of soil erosion control Subexcavation Remove and Replace Drainage Facilities Reconstruct Parking Areas Paving/Striping

Construction complete estimated November 2023

Final stabilization estimated November 2026

9.2.2.3 Estimate of total area of the site: 99 acres and Estimate of total area of the site expected to undergo disturbance related to the construction activity including clearing, excavation, and grading as well as offsite borrow areas, access roads, areas for support activities and staging/storage areas. 29 acres (approx. 14.8 acres associated with staging areas, 5.5 acres associated with roadway rehabilitation activities, and approximately 7 acres associated with the RV expansion area)

9.2.2.4 A description of storm water discharges from support activities dedicated to the construction site including, but not limited to, off-site materials borrow areas, concrete or asphalt batch plants, equipment staging yards, material storage areas and access roads constructed for the project.

Stormwater from the roadway is currently carried via sheet flow away from the roadway, or in some areas is directed along asphalt curbing or down roadside ditches to paved waterway outfalls where it is then allowed to flow overland and infiltrate into soils.

Future conditions would remain similar to existing, but reconstructed outfalls would be treated with riprap energy dissipators to minimize erosion relation to overland flow.

Off-site staging and materials areas are located on flat ground, away from surface waters. All sites would be treated with perimeter BMPs to prevent turbid stormwater from leaving the area.

The RV expansion area is located in a relatively flat area. The location is currently vegetated and stormwater infiltrates on site.

9.2.2.5 Brief description of existing vegetation across the portion of the site to be disturbed. For vegetated areas also provide an estimate of the percent of the ground within that area that is covered by the leaf “canopy” of the existing plants (percent vegetative ground cover). (Pre-disturbance photos are helpful.):

Vegetation in the adjacent areas of the project (i.e., either side of the roadway prism) is dominated by conifers including ponderosa pine, spruce, and fir (vegetated areas have a range of 70 to 80% coverage). Some communities of cottonwood and aspen also thrive in the cool park temperatures.

Other vegetative ground cover and grass types vary throughout the project corridor. The proposed RV expansion area currently has a vegetative cover of 85 to 95%.

The project area consists primarily of the roadway surface and prism and/or previously disturbed areas (e.g., existing staging areas/pits) where vegetative coverage is zero within the proposed work areas.

9.2.2.6 List the location and description of any other potential pollution sources including, but not limited to vehicle fueling, equipment maintenance, fertilizer storage, chemicals, or paint:

All vehicle fueling and maintenance would occur at least 150 feet from surface waters. Proposed staging areas would be used for storage of any materials and for vehicle fueling and maintenance. These include Mesa Pit, Madison Landfill Pit, and Pumice Point Pit. All of these sites are existing pit locations that are disturbed and not located close to waterbodies. These areas will be covered as part of the overall project and included with the WYPDES coverage.

Other potential pollution sources include sanitary waste and associated chemicals, and trash/litter.

Contractor will be required to remove trash and litter from site on a daily basis.

9.2.2.7a Name of the drainage or water body (surface water(s) of the state) that may receive a storm water discharge from the construction activity and the size, type, and location of any outfall. Note: Where discharges are to unnamed drainages, provide the name of the first named drainage that will receive that discharge if the first named drainage is within 1000 feet of the discharge:

Firehole River. The roadway crosses or runs adjacent to the Firehole River for several miles within the project area, and there is potential to have a stormwater discharge into the river at these locations if the project’s BMPs fail during larger storm events.

9.2.2.7b If the storm water discharge is to a separate storm sewer, indicate the name of the municipal owner of that system, the location of the storm sewer outfall, and the name of the drainage or water body that will receive the storm water discharges from the municipal outfall:

N/A

9.2.2.8 Identify any water body listed as impaired under section 303(d) of the federal Clean Water Act due to sediment, suspended solids or turbidity or that has an approved TMDL for sediment, suspended solids or turbidity that is within 2000 feet of, and may receive storm water flow from the permitted construction activity. The state’s most recent 303(d) list can be found in the current Integrated 305(b) and 303(d) Report. The report can be found on the WDEQ Water Quality Division Watershed Management website under Water Quality Assessment at:

http://deq.wyoming.gov/wqd/water-quality-assessment/resources/reports/. Approved TMDLs can be found on another webpage at http://deq.wyoming.gov/wqd/tmdl/resources/completed-projects/ Name of impaired water body:

N/A

Part 9.2.3 -Site Maps.

Included Site Maps are found in Tab 5, ESCP Sheets in Tab 6, and Staging Area Sheets in Tab 13 of the WFLHD SWPPP. Sheets to be updated by Contractor.

One (or more) map(s) should be prepared that provide, at a minimum, the following information. The map(s) should be prepared so that all of the required information is clearly displayed and it is clear what BMPs will be installed in each major stage of construction, including the time between the cessation of active construction and final stabilization. Provide multiple maps as necessary to clearly describe BMP timing and placement. The scale of the map(s) must be sufficient to identify the location of all the items listed below:

9.2.3.1 Construction site boundaries.

9.2.3.2 All areas of soil disturbance and areas that are to remain undisturbed.

9.2.3.3 The location of surface waters of the state as defined in Part 2.21 of the Large

Construction General Permit (LCGP).

9.2.3.4 Areas used for storage of building materials, soils, wastes, fuel, and concrete washout.

9.2.3.5 Locations of all existing or planned temporary or permanent erosion and sedimentation controls.

9.2.3.6 Locations of all other structural best management practices for pollutants other than sediment, including but not limited to, fueling/maintenance areas and concrete washout disposal areas.

9.2.3.7 Site topography or storm water drainage patterns including lines showing boundaries between different drainage areas in the project area(s).

9.2.3.8 Identify areas where disturbed soils may be highly erodible due to soil type and/or slope.

Such areas may be identified prior to construction or discovered and addressed during construction.

9.2.3.9 Areas where dedicated support activities (e.g. operations producing earthen materials such as sand and gravel, staging areas, portable asphalt or concrete batch plants) occur and are to be covered under the same general permit authorization as the construction activity. See Part 1.2.2 of the LCGP for more information on what can be covered under an authorization. Activities covered under another WYPDES storm water authorization (such as a mineral mine with separate coverage) do not need to be included.

9.2.3.10 Storm water discharge locations. Show all points or areas where storm water will discharge from the site. Also include storm drain inlets where storm water entering the storm drain system may leave the construction site and any points where storm water will discharge directly to a surface water of the state within the construction site. Include discharge locations for offsite operations covered under this permit.

9.2.3.11 Also note all locations where storm water will run on to the construction site from areas outside the site boundaries.

9.2.3.12 Show the locations of any dewatering discharge points and all BMPs associated with dewatering.

9.2.3.13 North Arrow. Include a legend where needed for clarity.

Part 9.2.4 – Best Management Practices (BMPs) Please note: Storm water structural best management practices are expected to withstand and function properly during precipitation events up to a 2-year, 24-hour storm event. Visible and measurable erosion (see Part 7.5 of the LCGP) that leaves the construction site from such storm events should be minimal. The 2-year, 24-hour storm event in Wyoming ranges from 0.8 to 2.6 inches. An isopluvial map of the 2-year, 24-hour storm depth (for your location) is available on the DEQ storm water website. Permittees may substitute equivalent data published by the local municipality or regulatory agency.

9.2.4.1 Erosion and sediment controls.

9.2.4.1a Erosion prevention BMPs. Clearly describe in detail the storm water erosion control BMPs that will be used for erosion control during construction related earthwork activities. Indicate the location of these measures on the site map required above, or a similar separate map. Examples of BMPs for erosion prevention include, but are not limited to preserving existing vegetation, scheduling (e.g., minimizing site disturbance at a given time), surface roughening, permanent or temporary seeding and planting, mulches, soil binders or tackifiers, erosion control blankets and mats, wind erosion control, storm water diversion practices upslope of a construction site, pipe slope drains, and outlet protection.

Erosion prevention BMPs narrative:

Measure: Mulching Implementation: During active construction and within 14 days of last disturbance.

Maintenance: Maintain thickness of cover. Any areas showing signs of rilling or other erosive circumstances will be retreated and/or protected by a blanket or net.

9.2.4.1b Sedimentation Control BMPs. Clearly describe in detail the storm water sedimentation control BMPs that will be used for sediment control during construction related earthwork activities. Indicate the location of these measures on the site map required above, or a similar separate map. Examples of BMPs for sedimentation control include, but are not limited to sediment barriers such as straw bales, gravel berms, silt fences, fiber rolls, wattles; sediment traps and basins, storm drain inlet protection, entrance/exit tracking controls, undercut lots where curb and gutter are installed, vegetated buffer strips, grassed waterways, water bars, and water wings.

Sedimentation Control BMPs narrative:

Measure: Silt Fence Implementation: The silt fence shall be functional before other land disturbing activities take place. Silt fence should be functional throughout the duration of construction and for a long enough duration following construction to allow disturbed areas to stabilize following revegetation and seeding. Please also refer to Erosion Control plan sheets.

Maintenance: Silt fences should be inspected periodically for damage (such as tearing by wind, animals, or equipment) and for sediment that has accumulated. Remove the sediment when it reaches one-third the height of the silt fence.

Measure: Fiber rolls Implementation: All fiber rolls will be installed prior to any ground disturbing activities. Please also refer to Erosion Control plan sheets.

Maintenance: Sediment will be removed from fiber roll perimeter controls before deposits reach one third of the above ground height. It is the Contractor’s responsibility to upgrade erosion control measures as necessary if the sediment controls are ineffective and turbid water is observed discharging from the site. Fiber rolls will not be removed until vegetation is satisfactorily established.

Measure: Filter Berm Implementation: Installation of aggregate filter berm shall be completed according to the standard detail provided in the plan set.

Maintenance: Sediment will be removed from the aggregate filter berm before deposits reach one third of the above ground height. The aggregate filter berm will be maintained as-needed until construction in that area of the roadway has been completed.

Measure: Inlet Protection Implementation: Installation of inlet protection shall be completed according to the standard details provided in the plan set. Type of inlet protection will be selected based on field conditions.

Maintenance: Clean, or remove and replace the protection measures as sediment accumulates, the filter becomes clogged, and/or performance is compromised. Where there is evidence of sediment accumulation adjacent to the inlet protection measure, remove the deposited sediment by the end of the same business day in which it is found or by the end of the following business day if removal by the same business day is not feasible.

Measure: Check Dams Implementation: Installation of check dams shall be completed according to the standard details provided in the plan set. Type of check dam will be selected based on field conditions and application.

Maintenance: Check dams will be inspected periodically for damage and for accumulation of sediment.

Remove the sediment when it reaches one-third the height of the check dam.

9.2.4.1c Stabilization Measures. Describe temporary and permanent stabilization measures such as the BMPs listed in the previous Erosion Prevention and Sediment Control sections for exposed soil areas where activities have temporarily or permanently ceased. Refer to Part 7.12 for additional information on stabilization requirements and timing. Please note: temporary or permanent stabilization measures are required in areas where further work is not expected for 14 days or more Temporary and permanent stabilization narrative:

Temporary measures Measure: Mulching Implementation: During active construction and within 14 days of last disturbance.

Maintenance: Maintain thickness of cover. Any areas showing signs of rilling or other erosive circumstances will be retreated and/or protected by a blanket or net.

Permanent measures Measure: Revegetation with Park-approved seed mix (with Tackifier as needed) Implementation: In disturbed areas where permanent, long-lived vegetative cover is needed to stabilize the soil. To be completed by NPS Staff.

Maintenance: Frequent inspections until proper vegetative establishment has been made, then self-sustaining. Any long-term maintenance of vegetation will be completed by NPS Staff.

Measure: Lined Ditch Implementation: Installed during construction per plans.

Maintenance: Periodic inspections to ensure lined ditch is performing.

Measure: Paved Waterways Implementation: Paved waterways will be installed per plans and specifications Maintenance: Long-term maintenance of paved waterways will be conducted by NPS staff.

9.2.4.2 Construction Site Dewatering. Clearly describe the specific BMPs that will be used for discharges from construction site dewatering. Discharges must meet the conditions specified in Part 7.11 of the LCGP including the use of settling or filtration techniques as appropriate and the use of velocity dissipation devices at the outlet.

Construction Site Dewatering narrative:

The culvert cleanings and replacements are anticipated to be dry during construction and not require any dewatering. If water is present, it will be retained and pumped to an upland area where all pumped water can infiltrate. Ditch construction near a geothermal spring will require diversion activities, but it is not anticipated that pumping will be required as the flow will be very minimal during construction.

9.2.4.3 Operational Controls.

9.2.4.3a Good Housekeeping BMPs. Describe in detail the good housekeeping BMPs that will be implemented to maintain a clean and orderly facility. At a minimum, this plan shall address litter, debris, chemicals, fertilizers and sanitary waste. Include measures to remove sediment that has left the site:

Good Housekeeping narrative:

Provide proper containers for waste and garbage at the site. Store hazardous materials and chemicals so that they are not exposed to stormwater, and create a Hazardous Spill Plan or Spill Prevention, Control, and Countermeasure Plan (SPCC), whichever is applicable. (SPCC should be included in Tab 15 of the WFLHD SWPPP when required). Additional BMPs to be determined by Contractor, depending on materials anticipated to be on site.

9.2.4.3b Bulk Storage of Petroleum Products. Describe in detail the specific practices for bulk storage of petroleum products at the site. (See Part 9.2.4.3.b of the LCGP for more information). An SPCC plan may also be referenced.

[SPCC is included in Tab 15 of the WFLHD SWPPP when required]

TBD by construction contractor. An SPCC plan will be required per the contract.

9.2.4.3c and d Concrete Waste. Clearly describe the specific practices that will be used to contain concrete wash waters, grindings or slurry from entering storm drains or surface waters of the state. Please note: Concrete grindings must be disposed of in accordance with the regulations and policies of the WDEQ Solid and Hazardous Waste Division. Include portable concrete batch plants and asphalt batch plants covered under this permit.

Concrete Waste narrative:

TBD by construction contractor.

9.2.4.3e Employee Training. Describe employee training that will be provided to inform personnel of their responsibility in implementing the practices and controls included in the SWPPP.

Employee Training narrative:

Training and Certification should be documented in Tab 12 of the WFLHD SWPPP.

The General Contractor will provide an Erosion Control Supervisor (ECS) for the project who meets one of the following criteria:

(a) Alaska Certified Erosion and Sediment Control Lead (AK-CESCL);

(b) Idaho Water Pollution Control Manager (WPCM);

(c) Montana Department of Environmental Quality (DEQ) SWPPP Administrator;

(d) Oregon Department of Transportation (ODOT) Certified Erosion Sediment Control Manager (ESCM);

(e) Washington State Certified Erosion and Sediment Control Lead (CESCL);

(f) Other State DOT-Approved Erosion and Sediment Control Certification;

(g) Certified Professional in Erosion and Sediment Control (CPESC);

(h) Certified Professional in Storm Water Quality (CPSWQ);

(i) Certified Erosion, Sediment and Storm Water Inspector (CESSWI);

(j) National Institute for Certification in Engineering Technologies (NICET) Erosion and Sediment Control Level 3 or 4; or

(k) Certified Inspector of Sediment and Erosion Control (CISEC).

Prior to earth-disturbing activities or pollutant-generating activities, the following construction personnel will receive training to understand the requirements of the State NPDES stormwater permit and their specific responsibilities:

Personnel responsible for installation, maintenance, or repair of stormwater control BMPs;

Personnel responsible for the application and storage of treatment chemicals (if applicable);

Personnel responsible for conducting inspections;

Personnel responsible for taking corrective actions

In addition, all personnel working on site will receive training prior to start of construction to understand their responsibility in implementing the SWPPP, including spill response, good housekeeping, and sediment control. All new hires will receive this training as they are brought onto the project as well. All staff will receive annual refresher training as to their roles and responsibilities in implementing the

SWPPP.

9.2.5 Maintenance

Maintenance Schedule. Describe the schedule or intervals and conditions upon which BMPs described in the SWPPP will be maintained. Please note: BMPs found to be in need of repair or maintenance shall be repaired or maintained in accordance with Appendix C, Part 2 of the LCGP. Repair and maintenance activities shall be documented and maintained in accordance with Part 10.7.

Maintenance Schedule/Conditions narrative:

SWPPP Amendments are documented in Tab 8 of the WFLHD SWPPP.

Document corrective action required in the Corrective Action Log in Tab 10 of the WFLHD SWPPP.

In the event of discharge of sediment or other pollutants, immediately take steps to prevent further discharge until a permanent solution is installed and made operational. Complete corrective maintenance of sediment and erosion control devices within 24 hours of discovery or as soon as field conditions allow access, but no later than 7 days from time of discovery. Make revisions to the SWPPP according to the CGP.

BMPs will be inspected for damage and for sediment that has accumulated. Sediment will be removed from sedimentation controls (e.g., silt fence, fiber rolls, berms and check dams) before deposits reach 1/3 of the above ground height.

9.2.6 Inspections

Inspection Schedule. Describe in detail an inspection program and schedule that meets the requirements of Part 10 of the LCGP.

Inspection reports are included in Tab 9 of the WFLHD SWPPP.

Inspection Schedule narrative:

The construction contractor will determine the inspection frequency and the project SWPPP will be updated to reflect the chosen frequency.

Inspections will occur at least once every 7 days, or once every 14 calendar days and within 24 hours of any precipitation that exceeds 0.5 inches or greater, as determined by an on-site rain gauge, and/or when there is runoff from a snow melt event which exceeds 0.5 inches.

9.2.7 Signature and Certification

Authorized signatories for this SWPPP are the following (see LCGP or SCGP Part 11.7.1):

For Corporations: A principal executive officer of at least the level of vice president or the manager of the site for which this SWPPP is being implemented who has day to day management control and decision making authority.

For partnerships: A general partner.

For a sole proprietorship: The proprietor For a municipal, state, federal or other public facility: Either a principal executive officer or ranking elected official.

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 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. In addition, I certify that I am aware of the terms and conditions of the large construction general permit and I agree to comply with those requirements.

Scott Smithline Environmental Manager Printed Name of Person Signing Title

360-619-7700

Signature Date Telephone

Delegation of Authority is located in Tab 4 of the WFLHD SWPPP.

SCOTT RUSSELL SMITHLINE Digitally signed by SCOTT RUSSELL SMITHLINE Date: 2021.08.16 11:50:04 -07'00'

Tab 2 ii iii iv v vi

This permit is effective only with separate written authorization

Tab 3

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:

Company:

Title:

Signature:

FHWA, Western Federal Lands Highway Division

610 East Fifth Street

Vancouver, WA 98661-3801

360-619-7700

By signing this authorization, I confirm that I meet the requirements to make such a designation as set forth in and that the designee above meets the definition of a “duly authorized representative” as set forth in

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.

Name:

WFLHD, Western Federal Lands Highway Division

Environmental Manager

Scott Smithline

Old Faithful to West Thumb

Project Engineer

WYPDES Permit WYR100000

Scott Smithline

SCOTT RUSSELL SMITHLINE Digitally signed by SCOTT RUSSELL SMITHLINE Date: 2021.08.16 11:50:36 -07'00'

Tab 5

Tab

WY NPS YELL 10(23) F.54

NPS PMIS No. 101/109186 NPS Drwg No. 54348

WY NPS YELL 10(23) F.55

WY NPS YELL 10(23) F.56

WY NPS YELL 10(23) F.57

WY NPS YELL 10(23) F.58

WY NPS YELL 10(23) F.59

Tab 7

Tab

WESTERN FEDERAL LANDS HIGHWAY DIVISION

SWPPP AMENDMENT LOG

Project Name: Page:

Amendment Number Description of Amendment/BMP

Location of Amendment/BMP, Page/Sheet Number

Date of Amendment

Amendment Approved by:

(Name, Title)

WFLHD 157-4 (5/2011)

Old Faithful to West Thumb

Tab 9 Inspection Reports

WESTERN FEDERAL LANDS

HIGHWAY DIVISION

SWPPP CONSTRUCTION SITE INSPECTION REPORT

General Information

Project Name:

Date of Inspection: Start/End Times:

Project Name:

Inspector’s Names: Inspectors Title:

Inspector’s Company:

Inspector’s Contact Information:

Inspector’s Qualifications (CESCL or other certification number): Inspector’s Qualifications expiration date:

Describe present phase of construction

Type of Inspection:

Regular Post-storm event Reduced inspection frequency period

Weather Information

Has there been a storm event since the last inspection? Yes No If yes, provide:

Estimated Storm Start Date & Time:

Estimated Storm Duration (hrs):

Approximate Amount of Precipitation (in):

Weather at time of this inspection?

Clear Cloudy Rain Sleet Fog Snowing High Winds Other:

Temperature:

WFLHD 157-2 (5/2011)

Page 2 Project Name:

Inspection Date:

Site-specific BMPs BMP - Describe and give the location of the structural and non-structural BMPs identified in your SWPPP in the BMP column below (add as many BMPs as necessary on the continuation sheets. Include areas that are required to be inspected by the CGP, such as material storage areas that are exposed to precipitation.

BMP Installed – If a BMP should be installed at the current phase of the project and you marked “No” in the “BMP Installed” column, then you must check “Yes” in the “BMP Action Required?” column BMP Action Required? - .If a BMP needs repair, modification, replacement, maintenance or a new BMP is needed or a SWPPP amendment is needed, then a BMP Action is required.

BMP Action Required, Complete by Date - Before certifying the report, fill in the date when the BMP Action can reasonably be expected to be completed. When a BMP Action is NOT required, leave the “Complete by Date” blank.

Describe BMP Action, if Needed – Anytime you check “Yes” for “BMP Action Required”, then you must also fill in the “Describe BMP Action” column.

Delayed Action Item Report - When a BMP Action is required and the Complete by Date is not met, you must then fill out the Delayed Action Item Report to explain why the date was not met Keep the Delayed Action Item Report in the SWPPP.

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

BMP & Location BMP Installed?

BMP Action Required?

Describe BMP Action, if Needed

Yes No Yes No

Complete by Date:

Page 3 Project Name:

BMP & Location BMP Installed?

BMP Action Required?

Describe BMP Action, if Needed

Please use continuation sheets if there are additional BMPs to list.

Page 4 Project Name:

Overall Site Issues BMP or Activity -- These are some general site issues that must be assessed during inspections.

Implemented? – If a BMP or activity should be implemented at the current phase of the project and you check “No”, then you must mark “Yes” in the “Corrective Action Required?” column.

Corrective Action Required? - When maintenance or some other corrective action is required, check “Yes” in this column.

Corrective Action Required, Complete by Date - When a corrective action is required, before certifying the report, fill in the date when the corrective action can reasonably be expected to be completed. When a corrective action is NOT required, leave the “Complete by Date” blank.

Describe Corrective Action, if Needed – Anytime you check “Yes” in the “Corrective Action Required?”

column, you must fill in the “Describe Corrective Action” column as well.

Delayed Action Item Report – When a Corrective Action is required and the Complete by Date is not met, you must then fill out the Delayed Action Item Report to explain why the date was not met. Keep the Delayed Action Item Report in the SWPPP.

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

BMP or Activity Implemented? Corrective Action Required?

Describe Corrective Action and Location, if Needed

1 Have stabilization measures been initiated on slopes and disturbed areas not actively being worked?

Yes No Yes No

2 Are natural resource areas (e.g., streams, wetlands, mature trees, etc.) required by the SWPPP to be delineated in the field, identified with barriers or markings?

Yes No Yes No

Complete by Date:

3 Are perimeter controls and sediment barriers adequately installed (keyed into substrate) and maintained?

Yes No Yes No

4 Are storm drain inlets properly protected?

Yes No Yes No

5 Are the construction exits preventing sediment from being tracked into the street?

Yes No Yes No

6 Is trash/litter from work areas collected and placed in covered dumpsters?

Yes No Yes No

7 Are washout facilities (e.g., paint, concrete) available, clearly marked, and maintained?

Yes No Yes No

Page 5 Project Name:

BMP or Activity Implemented? Corrective Action Required?

Describe Corrective Action and Location, if Needed

8 Are vehicle and equipment fueling, cleaning, and maintenance areas free of spills, leaks, or any other deleterious material?

Yes No Yes No

Complete by Date:

9 Are materials that are potential stormwater contaminants stored inside or under cover?

Yes No Yes No Complete by Date:

10 Are non-stormwater discharges (e.g., wash water, dewatering) properly controlled?

Yes No Yes No Complete by Date:

Overall Site Issue Answer to Question

Corrective Action Required?

Describe Corrective Action and Location, if Needed

1 At the time of inspection, are the discharge points and receiving waters free of pollutant discharges (sediment deposits, sediment plume or oil sheen)? (See continuation page for list of discharge points)

Yes No Yes No

2 Since the last inspection, are the discharge points and receiving waters free of evidence that pollutants had left the project site (for example, sediment deposits, oily residue)? (See continuation page for list of discharge points)

Yes No Yes No

3 Has Spill Response kit been used since the last inspection? If yes, has stock been maintained?

Yes No Yes No Complete by Date:

4 Are any additional BMPs needed?

Yes No Yes No Complete by

5 (Other)

Page 6 Project Name:

Scope of Inspection

Did you inspect all areas of the project that are required to be inspected by the CGP (areas disturbed by construction activity, areas used for storage of materials that are exposed to precipitation, discharge locations and locations where vehicles enter or exit the site)?

Yes No If you did not inspect any required areas, list those locations here and explain why they weren’t inspected.

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

I certify that on the date of this inspection, this project was found to be in compliance with the terms of its Storm Water Pollution Prevention Plan and the current Construction General Permit.

If there are incidences of non-compliance, then do not check the box above.

When you don’t check the box above, then you must describe each incident of non-compliance and the actions that are needed to bring the project into compliance.

If there is an Action Item described in the non-compliance box that does not already have a “Complete by Date” assigned elsewhere in this report, then add a completion date within the box.

Non-Compliance

Incidence of Non-compliance:

Action Item and Complete by Date:

CERTIFICATION STATEMENT

“I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.”

Contractor’s Duly Authorized Representative FHWA’s Duly Authorized Representative

Print name: Print Name:

Title: Superintendent Title: Project Engineer Signature: Signature:

SWPPP CONST CTION SIT INSP CTION PO T

Continuation Sheets

Project Name and Number

P Location P Installed

P Action equired

Describe P Action, if Needed

P Location P Installed

P Action equired

Describe P Action, if Needed

CORRECTIVE ACTION LOG

Project Name: Page:

Inspection Date

Inspector Name Description of BMP Deficiency Location of BMP Deficiency Date Corrective Action Taken/

Responsible Person

WFLHD 157-5 (5/2011)

Tab 11

SWPPP TRAINING LOG

Sediment and Erosion Control/NPDES Training

Project Name:

Course Title:

Instructor’s Name(s)/Title(s):

Course Location:

Course Date: Course Length (hours):

Training Topics:

Erosion Control BMPs Good Housekeeping BMPs Other (Specify)

Sediment Control BMPs SWPPP Provisions

Non-Storm Water BMPs Conducting Inspections

Emergency Procedures Turbidity Monitoring

(attach additional pages as necessary)

Name of Attendee Company/Agency

WFLHD 157-3 (5/2011)

FEDERAL HIGHWAY ADMINISTRATION

WESTERN FEDERAL LANDS

HIGHWAY DIVISION

Tab 14

SWPPP GRADING AND STABILIZATION LOG

Project Name: Page:

Date Grading Activity Initiated

Description of Grading Activity and Location

Date Grading Activity Ceased

(Indicate Temporarily or Permanently)

Date When Stabilization Measures Initiated

Description of Stabilization Measures

WFLHD 157-6 (5/2011)

Tab 15

Quality Assurance Checklist

General Information Project Name:

Date of Inspection:

Project Reviewed by:

Contact Information:

Describe present phase of construction:

SWPPP Information

Date of Original SWPPP: Date of Most Recent Amendment or Modification:

Is the SWPPP signage properly and conspicuously posted? Yes No (Signage should include where the SWPPP is located, who to contact for viewing the SWPPP, and a copy of the NOI(s) if applicable)

Are the SWPPP narrative and plan sheets being updated to accurately reflect the progress of the project?

Yes No

If the answer is No to any of the above questions, the following corrective action is recommended:

Inspections (Review SWPPP documentation to assure required inspections are being performed as required)

Inspection Frequency Required by SWPPP:

At least once every 7 calendar days

At least once every 14 calendar days and within 24 hours of the end of a storm event of 0.5 inches or greater.

Are inspections being performed and documented at the above stated frequency? Yes No

Are inspection reports included in the SWPPP? Yes No Are borrow and/or waste sites dedicated to the project inspected as part of the SWPPP construction site inspection? Yes No

Are stormwater pollution controls effectively in place at borrow and/or waste sites? Yes No Are inspections and SWPPP documentation signed by the Signatory Official? Yes No (Ensure all SWPPP documentation is signed by the Signatory Official designated in Tab 4 of the SWPPP)

Stormwater Pollution Controls

Are perimeter controls installed before any ground disturbing activities take place? Yes No Are temporary and permanent erosion control practices properly installed and effectively maintained within the required timeframe? Yes No Are temporary and permanent sediment control practices properly installed and effectively maintained?

Yes No

If the answer is No to any of the above questions, the following corrective action is recommended:

Are BMPs being selected, installed, implemented, and maintained as stated in the SWPPP? Yes No

Is the SWPPP being updated and revised as needed to address problems and reflect changes in the contractor’s operations? Yes No (SWPPP must be updated within 7 days of revisions, amendments, and modifications)

Are the BMPs adequate to minimize pollutants in stormwater discharge necessary to meet water quality standards as stated by the State Water Quality Certification and/or NPDES? Yes No (State Water Quality Certification found in Tab 16 of the SWPPP; NPDES permit found in Tab 2 of the SWPPP)

WFLHD 157-1 (2/2011)