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DNS RESUB1 BLD2024-0551+SWPPP+8.21.2024_10.49.49_AM+4454077Construction Stormwater General Permit (CSWGP) Stormwater Pollution Prevention Plan (SWPPP) for Reid SFR Prepared for: The Washington State Department of Ecology Northwest Region Permittee / Owner Developer Operator / Contractor Kevin and Carolyn Reid Kevin and Carolyn Reid TBD 326 Sunset Ave N. 326 Sunset Ave N. Edmonds, WA 98020 Edmonds, WA 98020 15501 Midvale Ave N Shoreline, WA Certified Erosion and Sediment Control Lead (CESCL) Name Organization Contact Phone Number TBD TBD TBD SWPPP Prepared By Name Organization Contact Phone Number Jean -Luc Vidal, EIT Furr Engineering, PLLC (206) 605-8017 SWPPP Preparation Date 7/29/2024 Project Construction Dates Activity / Phase Start Date End Date Project construction May 1st, 2025 May. 30th, 2026 Table of Contents 1 Project Information.............................................................................................................. 4 1.1 Existing Conditions...................................................................................................... 4 1.2 Proposed Construction Activities.................................................................................. 5 2 Construction Stormwater Best Management Practices(BMPs)........................................... 6 2.1 The 13 Elements.......................................................................................................... 6 2.1.1 Element 1: Preserve Vegetation / Mark Clearing Limits ........................................ 6 2.1.2 Element 2: Establish Construction Access............................................................ 7 2.1.3 Element 3: Control Flow Rates............................................................................. 8 2.1.4 Element 4: Install Sediment Controls.................................................................... 8 2.1.5 Element 5: Stabilize Soils..................................................................................... 9 2.1.6 Element 6: Protect Slopes....................................................................................10 2.1.7 Element 7: Protect Drain Inlets............................................................................11 2.1.8 Element 8: Stabilize Channels and Outlets..........................................................12 2.1.9 Element 9: Control Pollutants...............................................................................13 2.1.10 Element 10: Control Dewatering..........................................................................15 2.1.11 Element 11: Maintain BMPs.................................................................................16 2.1.12 Element 12: Manage the Project..........................................................................17 2.1.13 Element 13: Protect Low Impact Development (LID) BMPs.................................18 3 Pollution Prevention Team.................................................................................................18 4 Monitoring and Sampling Requirements............................................................................19 4.1 Site Inspection............................................................................................................19 4.2 Stormwater Quality Sampling......................................................................................19 4.2.1 Turbidity Sampling...............................................................................................19 4.2.2 pH Sampling........................................................................................................21 5 Discharges to 303(d) or Total Maximum Daily Load (TMDL) Waterbodies .........................22 5.1 303(d) Listed Waterbodies..........................................................................................22 5.2 TMDL Waterbodies.....................................................................................................22 6 Reporting and Record Keeping..........................................................................................23 6.1 Record Keeping..........................................................................................................23 6.1.1 Site Log Book......................................................................................................23 6.1.2 Records Retention...............................................................................................23 6.1.3 Updating the SWPPP...........................................................................................23 6.2 Reporting....................................................................................................................24 6.2.1 Discharge Monitoring Reports..............................................................................24 6.2.2 Notification of Noncompliance..............................................................................24 Page I 1 List of Tables Table 1 — Summary of Site Pollutant Constituents................................................................ 5 Table2 — Pollutants................................................................................................................13 Table 3 — pH -Modifying Sources............................................................................................14 Table4 — Dewatering BMPs....................................................................................................15 Table5 — Management............................................................................................................17 Table 6 — BMP Implementation Schedule..............................................................................18 Table 7 — Team Information....................................................................................................18 Table 8 — Turbidity Sampling Method....................................................................................19 Table 9 — pH Sampling Method..............................................................................................21 List of Appendices Appendix/Glossary A. Site Map B. BMP Detail C. Correspondence D. Site Inspection Form E. Construction Stormwater General Permit (CSWGP) F. 303 (d) List Waterbodies/TMDL Waterbodies Information G. Contaminated Site Information H. Engineering Calculations Page 12 List of Acronyms and Abbreviations Acronym / Abbreviation Explanation 303(d) Section of the Clean Water Act pertaining to Impaired Waterbodies BFO Bellingham Field Office of the Department of Ecology BMP(s) Best Management Practice(s) CESCL Certified Erosion and Sediment Control Lead COz Carbon Dioxide CRO Central Regional Office of the Department of Ecology CSWGP Construction Stormwater General Permit CWA Clean Water Act DMR Discharge Monitoring Report DO Dissolved Oxygen Ecology Washington State Department of Ecology EPA United States Environmental Protection Agency ERO Eastern Regional Office of the Department of Ecology ERTS Environmental Report Tracking System ESC Erosion and Sediment Control GUILD General Use Level Designation NPDES National Pollutant Discharge Elimination System NTU Nephelometric Turbidity Units NWRO Northwest Regional Office of the Department of Ecology pH Power of Hydrogen RCW Revised Code of Washington SPCC Spill Prevention, Control, and Countermeasure su Standard Units SWMMEW Stormwater Management Manual for Eastern Washington SWMMWW Stormwater Management Manual for Western Washington SWPPP Stormwater Pollution Prevention Plan TESC Temporary Erosion and Sediment Control SWRO Southwest Regional Office of the Department of Ecology TMDL Total Maximum Daily Load VFO Vancouver Field Office of the Department of Ecology WAC Washington Administrative Code WSDOT Washington Department of Transportation WWHM Western Washington Hydrology Model Page 13 1 Project Information Project/Site Name: Reid SFR Street/Location: 326 Sunset Ave N City: Edmonds State: WA Zip code: 98020 Subdivision: Receiving waterbody: Black River 1.1 Existing Conditions Total acreage (including support activities such as off -site equipment staging yards, material storage areas, borrow areas). Total acreage: 0.182 ac Disturbed acreage: 0.185 ac Existing structures: N/A Landscape Topography: Slopes 1-5% Drainage patterns: Stormwater generally sheet -flows east to west conveyed along gutter in Sunset Ave N. Enters catch basin along Sunset Ave N. and discharges via Municipal Storm System to the Puget Sound Existing Vegetation: Grass pasture Critical Areas (wetlands, streams, Seismic hazard area high erosion risk, steep or difficult to stabilize slopes): List of known impairments for 303(d) listed or Total Maximum Daily Load (TMDL) for the receiving waterbody: N/A Table 1 includes a list of suspected and/or known contaminants associated with the construction activity. There are no known contaminants within the soil at this location. Page 14 Table 1 — Summary of Site Pollutant Constituents Constituent (Pollutant) Location Depth Concentration None known to exist on site 1.2 Proposed Construction Activities Description of site development: The project proposes the demolition of an existing single family residence and the construction of a new single-family residence. Stormwater will be conveyed on site towards the drainage system in the adjacent property and direct discharged to the Puget Sound. Description of construction activities: Site preparation, excavation, install BMPs, building construction, grading, equipment and piping installation , filling trenches, site stabilization. Description of site drainage (see Appendix A): Stormwater generally sheet -flows east to west conveyed along gutter in Sunset Ave N. Enters catch basin along Sunset Ave N. and discharges via Municipal Storm System to the Puget Sound Description of final stabilization: Fill trenches, pavement restoration, installation of walkway, soil amendment and revegetation. Contaminated Site Information: No contaminated soils or groundwater is anticipated for this project. Page 15 2 Construction Stormwater Best Management Practices (BMPs) The SWPPP is a living document reflecting current conditions and changes throughout the life of the project. These changes may be informal (i.e., hand-written notes and deletions). Update the SWPPP when the CESCL has noted a deficiency in BMPs or deviation from original design. 2.1 The 13 Elements 2.1.1 Element 1: Preserve Vegetation / Mark Clearing Limits The site will be delineated by silt fence. List and describe BMPs: BMP C101: Preserving Natural Vegetation BMP C102: Buffer Zone BMP C233: Silt Fence Installation Schedules: once prior to construction Inspection and Maintenance plan: Weekly and daily during storm events Responsible Staff: TBD Page 16 2.1.2 Element 2: Establish Construction Access Street washing is not permitted, even after shoveling or sweeping. Vehicles that use public roads will not go beyond the stabilized construction area Limit vehicle access limited to one route. During construction, if material is being deposited on off -site streets, consider implementing the following: 1. Regenerative -type vacuum sweepers and repeated or continuous sweeping. 2. Wheel wash (or an improved wheel wash if one already exists). 3. Special site procedures and provisions (such as transferring haul -outs to trucks that travel only on paved and maintained surfaces in the site). 4. Suspension of work until dry weather. List and describe BMPs: BMP C105: Stabilized Construction Entrance / Exit Inspection and Maintenance plan: Weekly It will be the responsibility to clean all roadway surfaces using regenerative vacuum sweepers. Installation Schedules: as needed. Responsible Staff: TBD Page 17 2.1.3 Element 3: Control Flow Rates Site driveway will be constructed using porous pavement. Will you construct stormwater retention and/or detention facilities? ❑ Yes ® No Will you use permanent infiltration ponds or other low impact development (example: rain gardens, bio-retention, porous pavement) to control flow during construction? ® Yes ❑ No List and describe BMPs: Installation Schedules:. Inspection and Maintenance plan: Weekly and after every storm event. Responsible Staff: 2.1.4 Element 4: Install Sediment Controls Silt fence will be installed downstream along the determined clearing limits. List and describe BMPs: BMP C233: Silt Fence Installation Schedules: once prior to construction activities Inspection and Maintenance plan: Weekly and daily during storm events. Responsible Staff: TBD If the standards are not being met, additional BMPs (including site -specific designs) shall be implemented. If additional BMPs are not implemented or are not successful, work may be suspended until the City approves a new SWPPP (see Vol. II: 2.3). Page 18 2.1.5 Element 5: Stabilize Soils All unworked exposed soil will be covered by mulching, plastic covering or permanently vegetated. West of the Cascade Mountains Crest Season Dates Number of Days Soils Can be Left Exposed During the Dry Season May 1 — September 30 7 days During the Wet Season October 1 — April 30 2 days Soils must be stabilized at the end of the shift before a holiday or weekend if needed based on the weather forecast. Anticipated project dates: Start date: TBD End date: TBD Will you construct during the wet season? ❑ Yes ® No List and describe BMPs: BMP C120: Temporary and Permanent Seeding BMP C121: Mulching BMP C123: Plastic Covering BMP C 140: Dust Control BMP C150: Materials on Hand - in the event that additional TESC materials are necessary during emergency situations. Installation Schedules: Once prior to construction activities Inspection and Maintenance plan: Weekly and daily during storm events Responsible Staff: TBD Page 19 2.1.6 Element 6: Protect Slopes Cut slopes of 2ft are expected during foundation construction. These slopes should be covered by plastic until foundation walls are set and the foundations should be immediately backfilled. Exposed soils will be covered with mulch then nets and blankets. Clearing/grading work shall comply with the Stormwater Manual, geotechnical recommendations, SEPA (State Environmental Policy Act) conditions, and other applicable regulations and standards. These project -specific requirements are in addition to and take priority over general standards. Will steep slopes be present at the site during construction? ® Yes ❑ No List and describe BMPs: BMP C121: Mulching BMP C122: Nets and Blankets BMP C123: Plastic Covering Installation Schedules: When cuts are made Inspection and Maintenance plan: Daily Responsible Staff: TBD Page 1 10 2.1.7 Element 7: Protect Drain Inlets Catch basins along Sunset Ave N. will have storm drain inlet protection. List and describe BMPs: BMP C220: Inlet Protection Installation Schedules: Once prior to construction activities Inspection and Maintenance plan: Weekly and daily during storm events Responsible Staff: TBD Page 111 2.1.8 Element 8: Stabilize Channels and Outlets Temporary conveyance channels are not anticipated for this project. List and describe BMPs: Installation Schedules: Inspection and Maintenance plan: Responsible Staff: Page 112 2.1.9 Element 9: Control Pollutants The following pollutants are anticipated to be present on -site Table 2 — Pollutants Pollutant (List pollutants and source, if applicable) Concrete from foundation construction Waste material All pollutants, including waste materials and demolition debris, that occur onsite shall be handled and disposed of in a manner that does not cause contamination of stormwater. Good housekeeping and preventative measures will be taken to ensure that the site will be kept clean, well -organized, and free of debris. Dust will be controlled and is in compliance with the Puget Sound Clean Air Agency and Work in Critical Areas conforms to requirements of the City's Critical Areas Ordinance (CAO). If required, BMPs to be implemented to control specific sources of pollutants are discussed below. BMP C151: Concrete Handling BMP C152: Saw cutting and Surfacing Pollution Prevention BMP C153: Material Delivery, Storage and containment Installation Schedules: Prior to construction and during foundation construction Inspection and Maintenance plan: Weekly and during storm events Responsible Staff: TBD Will maintenance, fueling, and/or repair of heavy equipment and vehicles occur on -site? ❑ Yes ❑ No List and describe BMPs: Installation Schedules: Inspection and Maintenance plan: Responsible Staff: Will wheel wash or tire bath system BMPs be used during construction? ❑ Yes ❑ No List and describe BMPs: Installation Schedules: Page 113 Inspection and Maintenance plan: Responsible Staff: Will pH -modifying sources be present on -site? ® Yes ❑ No If yes, check the source(s). Table 3 — pH -Modifying Sources ❑ None ® Bulk cement ❑ Cement kiln dust ❑ Fly ash ❑ Other cementitious materials ® New concrete washing or curing waters ❑ Waste streams generated from concrete grinding and sawing ❑ Exposed aggregate processes ❑ Dewatering concrete vaults ❑ Concrete pumping and mixer washout waters ❑ Recycled concrete ❑ Recycled concrete stockpiles ❑ Other (i.e., calcium lignosulfate) [please describe: ] Construction concrete washout is planned to be done onsite using an eco-pan type system. On a weekly basis the eco pans will be disposed of offsite at an approved facility. List and describe BMPs: BMP C151: Concrete Handling BMP C152: Saw cutting and Surfacing Pollution Prevention BMP C153: Material Delivery, Storage and containment Installation Schedules: Throughout the project Inspection and Maintenance plan: Inspection and Maintenance plan: Inspect weekly and dispose of eco pans weekly or more frequently. Dispose to an approved facility Responsible Staff: TBD Adjust pH of stormwater if outside the range of 6.5 to 8.5 su. Obtain written approval from Ecology and the City of Shoreline before using chemical treatment with the exception of COz or dry ice to modify pH. Concrete trucks must not be washed out onto the ground, or into storm drains, open ditches, streets, or streams. Excess concrete must not be dumped on -site, except in designated concrete washout areas with appropriate BMPs installed. Page 1 14 Will uncontaminated water from water -only based shaft drilling for construction of building, road, and bridge foundations be infiltrated provided the wastewater is managed in a way that prohibits discharge to surface waters? ❑ Yes ® No If yes, provide BMPs to contain the wastewater during infiltration. List and describe BMPs: Installation Schedules: Inspection and Maintenance plan: Responsible Staff: 2.1.10 Element 10: Control Dewatering Dewatering is not anticipated for this project. Check treatment of disposal option for dewatering water, if applicable: N/A Table 4 — Dewatering BMPs ❑ Infiltration ❑ Transport off -site in a vehicle (vacuum truck for legal disposal) ❑ Ecology -approved on -site chemical treatment or other suitable treatment technologies ❑ Sanitary or combined sewer discharge with local sewer district approval (last resort) ❑ Use of sedimentation bag with discharge to ditch or swale (small volumes of localized dewaterin List and describe BMPs: Installation Schedules: Inspection and Maintenance plan: Responsible Staff: Page 1 15 2.1.11 Element 11: Maintain BMPs All temporary and permanent Erosion and Sediment Control (ESC) BMPs shall be maintained and repaired as needed to ensure continued performance of their intended function. Maintenance and repair shall be conducted in accordance with each particular BMP specification (see Volume 11 of the SWMMWW or Chapter 7 of the SWMMEW). Visual monitoring of all BMPs installed at the site will be conducted at least once every calendar week and within 24 hours of any stormwater or non-stormwater discharge from the site. If the site becomes inactive and is temporarily stabilized, the inspection frequency may be reduced to once every calendar month. All temporary ESC BMPs shall be removed within 30 days after final site stabilization is achieved or after the temporary BMPs are no longer needed. Trapped sediment shall be stabilized on -site or removed. Disturbed soil resulting from removal of either BMPs or vegetation shall be permanently stabilized. Additionally, protection must be provided for all BMPs installed for the permanent control of stormwater from sediment and compaction. BMPs that are to remain in place following completion of construction shall be examined and restored to full operating condition. If sediment enters these BMPs during construction, the sediment shall be removed and the facility shall be returned to conditions specified in the construction documents. Page 1 16 2.1.12 Element 12: Manage the Project The project will be managed based on the following principles: • Projects will be phased to the maximum extent practicable and seasonal work limitations will be taken into account. • Inspection and monitoring: o Inspection, maintenance and repair of all BMPs will occur as needed to ensure performance of their intended function. o Site inspections and monitoring will be conducted in accordance with Special Condition S4 of the CSWGP. Sampling locations are indicated on the Site Map. Sampling station(s) are located in accordance with applicable requirements of the CSWGP. • Maintain an updated SWPPP. o The SWPPP will be updated, maintained, and implemented in accordance with Special Conditions S3, S4, and S9 of the CSWGP. • For CESCL requirements, and Rainy Season Requirements and Seasonal Suspension Plan, refer to EDM Chapter 22, Stormwater Pollution Prevention Plan. As site work progresses the SWPPP will be modified routinely to reflect changing site conditions. The SWPPP will be reviewed monthly to ensure the content is current. Check all the management BMPs that apply at your site: Table 5 — Management ® Design the project to fit the existing topography, soils, and drainage patterns ® Emphasize erosion control rather than sediment control ® Minimize the extent and duration of the area exposed ® Keep runoff velocities low ® Retain sediment on -site ® Thoroughly monitor site and maintain all ESC measures ® Schedule major earthwork during the dry season ❑ Other (please describe) Page 117 Table 6 — BMP Implementation Schedule Phase of Construction Stormwater BMPs Date Wet/Dry Project Season TBD TBD TBD TBD 2.1.13 Element 13: Protect Low Impact Development (LID) BMPs None. 3 Pollution Prevention Team Table 7 — Team Information Title Names Phone Number Certified Erosion and Sediment Control Lead (CESCL) TBD TBD Resident Engineer Dean A. Furr, P.E., CESCL 206.890.8291 Emergency Ecology Contact Report A Spill 425.649.7000 Emergency Permittee/ Owner Contact Kevin and Carolyn Reid Non -Emergency Owner Contact Kevin and Carolyn Reid Monitoring Personnel TBD Ecology Regional Office Northwest Regional Office 425.649.7000 Page 1 18 4 Monitoring and Sampling Requirements Monitoring includes visual inspection, sampling for water quality parameters of concern, and documentation of the inspection and sampling findings in a site log book. A site log book will be maintained for all on -site construction activities and will include: • A record of the implementation of the SWPPP and other permit requirements • Site inspections • Stormwater sampling data Create your own Site Inspection Form or use the Construction Stormwater Site Inspection Form found on Ecology's website. http://www. ecy.wa.gov/programs/wq/stormwater/construction/index. htmI File a blank form under Appendix D. The site log book must be maintained on -site within reasonable access to the site and be made available upon request to Ecology or the local jurisdiction. Numeric effluent limits may be required for certain discharges to 303(d) listed waterbodies. See CSWGP Special Condition S8 and Section 5 of this template. 4.1 Site Inspection Site inspections will be conducted at least once every calendar week and within 24 hours following any discharge from the site. For sites that are temporarily stabilized and inactive, the required frequency is reduced to once per calendar month. The discharge point(s) are indicated on the Site Map (see Appendix A) and in accordance with the applicable requirements of the CSWGP. 4.2 Stormwater Quality Sampling 4.2.1 Turbidity Sampling Requirements include calibrated turbidity meter or transparency tube to sample site discharges for compliance with the CSWGP. Sampling will be conducted at all discharge points at least once per calendar week. Method for sampling turbidity: Check the analysis method you will use: Table 8 — Turbidity Sampling Method ❑ Turbidity Meter/Turbidimeter (required for disturbances 5 acres or greater in size) ❑ Transparency Tube (option for disturbances less than 1 acre and up to 5 acres in size) The benchmark for turbidity value is 25 nephelometric turbidity units (NTU) and a transparency less than 33 centimeters. Page 1 19 If the discharge's turbidity is 26 to 249 NTU or the transparency is less than 33 cm but equal to or greater than 6 cm, the following steps will be conducted: 1. Review the SWPPP for compliance with Special Condition S9. Make appropriate revisions within 7 days of the date the discharge exceeded the benchmark. 2. Immediately begin the process to fully implement and maintain appropriate source control and/or treatment BMPs as soon as possible. Address the problems within 10 days of the date the discharge exceeded the benchmark. If installation of necessary treatment BMPs is not feasible within 10 days, Ecology may approve additional time when the Permittee requests an extension within the initial 10-day response period. 3. Document BMP implementation and maintenance in the site log book. If the turbidity exceeds 250 NTU or the transparency is 6 cm or less at any time, the following steps will be conducted: Telephone or submit an electronic report to the applicable Ecology Region's Environmental Report Tracking System (ERTS) within 24 hours. • Central Region (Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Yakima): (509) 575-2490 or http://www.ecy.wa.gov/programs/spills/forms/nerts online/CRO nerts online.html • Eastern Region (Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman): (509) 329-3400 or http://www.ecy.wa.gov/programs/spills/forms/nerts online/ERO nerts online.html • Northwest Region (King, Kitsap, Island, San Juan, Skagit, Snohomish, Whatcom): (425) 649-7000 or http://www.ecy.wa.gov/programs/spills/forms/nerts online/NWRO nerts online.html • Southwest Region (Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum,): (360) 407-6300 or http://www.ecy.wa.gov/programs/spills/forms/nerts online/SWRO nerts online.html 2. Immediately begin the process to fully implement and maintain appropriate source control and/or treatment BMPs as soon as possible. Address the problems within 10 days of the date the discharge exceeded the benchmark. If installation of necessary treatment BMPs is not feasible within 10 days, Ecology may approve additional time when the Permittee requests an extension within the initial 10-day response period 3. Document BMP implementation and maintenance in the site log book. 4. Continue to sample discharges daily until one of the following is true: • Turbidity is 25 NTU (or lower). • Transparency is 33 cm (or greater). • Compliance with the water quality limit for turbidity is achieved. 0 1 - 5 NTU over background turbidity, if background is less than 50 NTU 0 1 % - 10% over background turbidity, if background is 50 NTU or greater • The discharge stops or is eliminated. Page 120 4.2.2 pH Sampling Less than 1000 CY is anticipated being poured over the life of the project. pH monitoring is required for "Significant concrete work" (i.e., greater than 1000 cubic yards poured concrete over the life of the project). The use of recycled concrete or engineered soils (soil amendments including but not limited to Portland cement -treated base [CTB], cement kiln dust [CKD] or fly ash) also requires pH monitoring. For significant concrete work, pH sampling will start the first day concrete is poured and continue until it is cured, typically three (3) weeks after the last pour. For engineered soils and recycled concrete, pH sampling begins when engineered soils or recycled concrete are first exposed to precipitation and continues until the area is fully stabilized. If the measured pH is 8.5 or greater, the following measures will be taken: 1. Prevent high pH water from entering storm sewer systems or surface water. 2. Adjust or neutralize the high pH water to the range of 6.5 to 8.5 su using appropriate technology such as carbon dioxide (CO2) sparging (liquid or dry ice). 3. Written approval will be obtained from Ecology prior to the use of chemical treatment other than CO2 sparging or dry ice. Method for sampling pH: Check the analysis method you will use: N/A Table 9 — pH Sampling Method ❑ pH meter ❑ pH test kit ❑ Wide range pH indicator paper Page 121 5 Discharges to 303(d) or Total Maximum Daily Load (TMDL) Waterbodies 5.1 303(d) Listed Waterbodies Is the receiving water 303(d) (Category 5) listed for turbidity, fine sediment, phosphorus, or pH? ❑ Yes ❑ No List the impairment(s): N/A 5.2 TMDL Waterbodies Waste Load Allocation for CWSGP discharges: Describe the method(s) for TMDL compliance: List and describe BMPs: Discharges to TMDL receiving waterbodies will meet in -stream water quality criteria at the point of discharge. The Construction Stormwater General Permit Proposed New Discharge to an Impaired Water Body form is included in Appendix F. Page 122 6 Reporting and Record Keeping 6.1 Record Keeping This section does not need to be filled out. It is a list of reminders for the permittee. 6.1.1 Site Log Book A site log book will be maintained for all on -site construction activities and will include: • A record of the implementation of the SWPPP and other permit requirements • Site inspections • Sample logs 6.1.2 Records Retention Records will be retained during the life of the project and for a minimum of three (3) years following the termination of permit coverage in accordance with Special Condition S5.0 of the CSWGP. Permit documentation to be retained on -site: • CSWGP • Permit Coverage Letter • SWPPP • Site Log Book Permit documentation will be provided within 14 days of receipt of a written request from Ecology. A copy of the SWPPP or access to the SWPPP will be provided to the public when requested in writing in accordance with Special Condition S5.G.2.b of the CSWGP. 6.1.3 Updating the SWPPP The SWPPP will be modified if: • Found ineffective in eliminating or significantly minimizing pollutants in stormwater discharges from the site. • There is a change in design, construction, operation, or maintenance at the construction site that has, or could have, a significant effect on the discharge of pollutants to waters of the State. The SWPPP will be modified within seven (7) days if inspection(s) or investigation(s) determine additional or modified BMPs are necessary for compliance. An updated timeline for BMP implementation will be prepared. Page 123 6.2 Reporting 6.2.1 Discharge Monitoring Reports Cumulative soil disturbance is one (1) acre or larger; therefore, Discharge Monitoring Reports (DMRs) will be submitted to Ecology monthly. If there was no discharge during a given monitoring period the DMR will be submitted as required, reporting "No Discharge". The DMR due date is fifteen (15) days following the end of each calendar month. DMRs will be reported online through Ecology's WQWebDMR System. To sign up for WQWebDMR go to: http://www.ecV.wa.gov/programs/wq/permits/paris/webdmr.html 6.2.2 Notification of Noncompliance If any of the terms and conditions of the permit is not met, and the resulting noncompliance may cause a threat to human health or the environment, the following actions will be taken: 1. Ecology will be notified within 24-hours of the failure to comply by calling the applicable Regional office ERTS phone number (Regional office numbers listed below). 2. Immediate action will be taken to prevent the discharge/pollution or otherwise stop or correct the noncompliance. If applicable, sampling and analysis of any noncompliance will be repeated immediately and the results submitted to Ecology within five (5) days of becoming aware of the violation. 3. A detailed written report describing the noncompliance will be submitted to Ecology within five (5) days, unless requested earlier by Ecology. Specific information to be included in the noncompliance report is found in Special Condition S5.F.3 of the CSWGP. Anytime turbidity sampling indicates turbidity is 250 NTUs or greater, or water transparency is 6 cm or less, the Ecology Regional office will be notified by phone within 24 hours of analysis as required by Special Condition S5.A of the CSWGP. • Northwest Region at (425) 649-7000 for Island, King, Kitsap, San Juan, Skagit, Snohomish, or Whatcom County Include the following information: 1. Your name and / Phone number 2. Permit number 3. City / County of project 4. Sample results Page 124 5. Date / Time of call 6. Date / Time of sample 7. Project name In accordance with Special Condition S4.D.5.b of the CSWGP, the Ecology Regional office will be notified if chemical treatment other than CO2 sparging is planned for adjustment of high pH water. Page 125 Append ix/Glossary A. Site Map: 414, IV,3 126 B. BMP Detail Page 127 Joints in geotextile fabric shall be spliced at posts. Use staples, wire rings or equivalent to attach fabric to posts 2"x2" by 14 Ga. wire or equivalent, if standard strength fabric used I Minimum 6' max 4"x4" trench u Post spacing may be increased to 8' if wire backing is used 2"x2" wood posts, steel fence posts, or equivalent 00111! q9WFW& DEPARTMENT OF ECOLOGY 2"x2" by 14 Ga. wire or equivalent, if standard strength fabric used Geotextile fabric Backfill trench with native soil or %4" - 1.5" washed gravel Minimum 4"x4" trench 2"x2" wood posts, steel fence posts, or equivalent 2' min min Silt Fence NOT TO SCALE Revised July 2017 Please see http://www.ecy.wa.gov/copyright.html for copyright notice including permissions, limitation of liability, and disclaimer. State of Washington NOT TO SCALE cu roadsi Notes: 1. Driveway shall meet the requirements of the permitting agency. 2. It is recommended that the access be crowned so that runoff drains off the pad. Oka q9WFW& DEPARTMENT OF ECOLOGY 12 minimum thickness lb'min. Provide full width of ingress/egress area Stabilized Construction Access Revised June 2018 Please see http://www.ecy.wa.gov/copyright.html for copyright notice including permissions, limitation of liability, and disclaimer. State of Washington C. Correspondence Ecology EPA Local Government Page 130 D. Site Inspection Form Page 131 2022 Construction General Permit Site Inspection Report Project Name: NPDES ID Number: Section A — General Information (If necessary, complete additional inspection reports for each separate inspection location.) Inspector Information Inspector Name: Title: Company Name: Email: Address: Phone Number: Inspection Details Inspection Date: Inspection Location: Inspection Start Time: Inspection End Time: Current Phase of Construction: Weather Conditions During Inspection: Did you determine that any portion of your site was unsafe for inspection per CGP Part 4.5? ❑ Yes ❑ No If "Yes," provide the following information: Location of unsafe conditions: The conditions that prevented you inspecting this location: Indicate the required inspection frequency: (Check all that apply. You may be subject to different inspection frequencies in different areas of the site.) Standard Frequency (CGP Part 4.2): ❑ At least once every 7 calendar days; OR ❑ Once every 14 calendar days and within 24 hours of the occurrence of either: • A storm event that produces 0.25 inches or more of rain within a 24-hour period, or • A snowmelt discharge from a storm event that produces 3.25 inches or more of snow within a 24-hour period Increased Frequency (CGP Part 4.3.1) (If site discharges to sediment or nutrient -impaired waters or to waters designated as Tier 2, Tier 2.5, or Tier 3): ❑ Once every 7 calendar days and within 24 hours of the occurrence of either: • A storm event that produces 0.25 inches or more of rain within a 24-hour period, or • A snowmelt discharge from a storm event that produces 3.25 inches or more of snow within a 24-hour period Page 1 of 7 2022 Construction General Permit Site Inspection Report Project Name: NPDES ID Number: Reduced Frequency (CGP Part 4.4): ❑ For stabilized areas: Twice during first month, no more than 14 calendar days apart, then once per month after first month until permit coverage is terminated ❑ For stabilized areas on "linear construction sites": Twice during first month, no more than 14 calendar days apart; then once more within 24 hours of the occurrence of either: • A storm event that produces 0.25 inches or more of rain within a 24-hour period, or • A snowmelt discharge from a storm event that produces 3.25 inches or more of snow within a 24-hour period ❑ For arid, semi -arid, or drought -stricken areas during seasonally dry periods or during drought: Once per month and within 24 hours of the occurrence of either: • A storm event that produces 0.25 inches or more of rain within a 24-hour period, or • A snowmelt discharge from a storm event that produces 3.25 inches or more of snow within a 24-hour period ❑ For frozen conditions where construction activities are being conducted: Once per month Was this inspection triggered by a storm event producing 0.25 inches or more of rain within a 24-hour period? ❑ Yes ❑ No If "Yes," how did you determine whether the storm produced 0.25 inches or more of rain? ❑ On -site rain gauge ❑ Weather station representative of site. Weather station location: Total rainfall amount that triggered the inspection (inches): Was this inspection triggered by a snowmelt discharge from a storm event producing 3.25 inches or more of snow within a 24-hour period? ❑ Yes ❑ No If "Yes," how did you determine whether the storm produced 3.25 inches or more of snow? ❑ On -site rain gauge ❑ Weather station representative of site. Weather station location: Total snowfall amount that triggered the inspection (inches): Page 2 of 7 2022 Construction General Permit Site Inspection Report Project Name: NPDES ID Number: Section B - Condition and Effectiveness of Erosion and Sediment (E&S) Controls (CGP Part 2.2) (Insert additional rows if needed) If "Yes," How Many Conditions Conditions Times (Including Conditions Date on Which Type and Location of US Requiring Routine This Occurrence) Condition First Description of Conditions Observed Control Maintenance?' Has This Condition Corrective Observed (If Been Identified? Action?2, s Applicable)? 1. ❑ Yes ❑ No ❑ Yes ❑ No 2. ❑ Yes ❑ No ❑ Yes ❑ No 3. ❑ Yes ❑ No ❑ Yes ❑ No 4. ❑ Yes ❑ No ❑ Yes ❑ No 5. ❑ Yes ❑ No ❑ Yes ❑ No If the same routine maintenance was found to be necessary three or more times for the same control at the same location (including this occurrence), follow the corrective action requirements and record the required information in your corrective action log, or describe here why you believe the specific condition should still be addressed as routine maintenance: 1 Routine maintenance includes minor repairs or other upkeep performed to ensure that the site's stormwater controls remain in effective operating condition, not including significant repairs or the need to install a new or replacement control. Routine maintenance is also required for specific conditions: (1) for perimeter controls, whenever sediment has accumulated to half or more the above -ground height of the control (CGP Part 2.2.3.c.i); (2) where sediment has been tracked -out from the site onto paved roads, sidewalks, or other paved areas (CGP Part 2.2.4.d); (3) for inlet protection measures, when sediment accumulates, the filter becomes clogged, and/or performance is compromised (CGP Part 2.2.10.b); and (4) for sediment basins, as necessary to maintain at least half of the design capacity of the basin (CGP Part 2.2.12.f) 2 Corrective actions are triggered only for specific conditions (CGP Part 5. 1): 1. A stormwater control needs a significant repair or a new or replacement control is needed, or, in accordance with Part 2.1.4.c, you find it necessary to repeatedly (i.e., three (3) or more times) conduct the same routine maintenance fix to the same control at the same location (unless you document in your inspection report under Part 4.7.1.c that the specific reoccurrence of this same problem should still be addressed as a routine maintenance fix under 2.1.4); or 2. A stormwater control necessary to comply with the requirements of this permit was never installed, or was installed incorrectly; or 3. Your discharges are not meeting applicable water quality standards; or 4. A prohibited discharge has occurred (see CGP Part 1.3); or 5. During the discharge from site dewatering activities: a. The weekly average of your turbidity monitoring results exceeds the 50 NTU benchmark (or alternate benchmark if approved by EPA pursuant to Part 3.3.2.b); or b. You observe or you are informed by EPA, State, or local authorities of the presence of the conditions specified in Part 4.6.3.e. 3If a condition on your site requires a corrective action, you must also fill out a corrective action log found at https://www.epa.gov/npdes/construction-general-permit- resources-tools-and-templates. See CGP Part 5.4 for more information. Page 3 of 7 2022 Construction General Permit Site Inspection Report Project Name: NPDES ID Number: Section C - Condition and Effectiveness of Pollution Prevention (P2) Practices and Controls (CGP Part 2.3) (Insert additional rows if needed) If "Yes," How Many Conditions Date on Which Type and Location of P2 Conditions Times (Including Requiring Condition First Practices and Controls Requiring Routine This Occurrence) Corrective Observed (If Description of Conditions Observed Maintenance?' Has This Condition Action?2 3 Applicable)? Been Identified? 1. ❑ Yes ❑ No ❑ Yes ❑ No 2. ❑ Yes ❑ No ❑ Yes ❑ No 3. ❑ Yes ❑ No ❑ Yes ❑ No 4. ❑ Yes ❑ No ❑ Yes ❑ No 5. ❑ Yes ❑ No ❑ Yes ❑ No If the same routine maintenance was found to be necessary three or more times for the same control at the same location (including this occurrence), follow the corrective action requirements and record the required information in your corrective action log, or describe here why you believe the specific condition should still be addressed as routine maintenance: Page 4 of 7 2022 Construction General Permit Site Inspection Report Project Name: NPDES ID Number: Section D - Stabilization of Exposed Soil (CGP Part 2.2.14) (Insert additional rows if needed) Specific Location That Has Stabilization MethodStabilization Final Stabilization Final Stabilization Been or Will Be Stabilized and Applicable Initiated? Criteria Met? Photos Taken? Notes Deadline 1. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No If "Yes," date If "Yes," date initiated: criteria met: 2. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No If "Yes," date If "Yes," date initiated: criteria met: 3. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No If "Yes," date If "Yes," date initiated: criteria met: 4. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No If "Yes," date If "Yes," date initiated: criteria met: 5. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No If "Yes," date If "Yes," date initiated: criteria met: Page 5 of 7 2022 Construction General Permit Site Inspection Report Project Name: NPDES ID Number: Section E - Description of Discharges (CGP Part 4.6.2) (Insert additional rows if needed) --7a Was a discharge (not including dewatering) occurring from any part of your site at the time of the inspection?4 ❑ Yes ❑ No If "Yes," for each point of discharge, document the following: • The visual quality of the discharge. • The characteristics of the discharge, including color; odor; floating, settled, or suspended solids; foam; oil sheen; and other indicators of stormwater pollutants. • Signs of the above pollutant characteristics that are visible from your site and attributable to your discharge in receiving waters or in other constructed or natural site drainage features. Discharge Location Observations 1. 2. 3. 4. 5. 4 If a dewatering discharge was occurring, you must conduct a dewatering inspection pursuant to CGP Part 4.3.2 and complete a separate dewatering inspection report. Page 6 of 7 2022 Construction General Permit Site Inspection Report Project Name: NPDES ID Number: Section F - Signature and Certification (CGP Part 4.7.2) "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 contained therein. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information contained is, to the best of my knowledge and belief, true, accurate, and complete. I have no personal knowledge that the information submitted is other than 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." MANDATORY: Signature of Operator or "Duly Authorized Representative:" Signature: Date: Printed Name: Affiliation: OPTIONAL: Signature of Contractor or Subcontractor Signature: Date: Printed Name: Affiliation: Page 7 of 7 General Tips for Using This Template This Site Inspection Report Template is provided to assist you in preparing site inspection reports for EPA's 2022 Construction General Permit (CGP). If you are covered under the 2022 CGP, you can use this template to create a site inspection report form that is customized to the specific circumstances of your site and that complies with the minimum reporting requirements of Part 4.7 of the permit. Note that the use of this form is optional; you may use your own site inspection report form provided it includes the minimum information required in Part 4.7 of the CGP. This template does not address the CGP's inspection reporting requirements related to dewatering activities. A separate inspection template has been developed specifically for dewatering activities and is available at https://www.epa.gov/npdes/construction-general-permit-resources-tools-and-templates. Keep in mind that this document is a template and not an "off -the -shelf" inspection report that is ready to use without some modification. You must first customize this form to include the specifics of your project in order for it to be useable for your inspection reports. Once you have entered all of your site - specific information into the blank fields, you may use this form to complete inspection reports. The following tips for using this template will help you ensure that the minimum permit requirements are met: • Review the inspection requirements. Before you start developing your inspection report form, read the CGP's Part 4 inspection requirements. This will ensure that you have a working understanding of the permit's underlying inspection requirements. • Complete all required blank fields. Fill out all blank fields. Only by filling out all fields will the template be compliant with the requirements of the permit. (Note: Where you do not need the number of rows provided in the template form for your inspection, you may delete these or cross them off as you see fit. Or, if you need more space to document your findings, you may insert additional rows in the electronic version of this form or use the bottom of the page in the field version of this form.) • Use your site map to document inspection findings. In several places in the template, you are directed to specify the location of certain features of your site, including where stormwater controls are installed and where you will be stabilizing exposed soil. You are also asked to fill in location information for unsafe conditions and the locations of any discharges occurring during your inspections. Where you are asked for location information, EPA encourages you to reference the point on your SWPPP site map that corresponds to the requested location on the inspection form. Using the site map as a tool in this way will help you conduct efficient inspections, will assist you in evaluating problems found, and will ensure proper documentation. • Complete the inspection report within 24 hours of completing a site inspection. You must complete an inspection report in accordance with Part 4.7.1 of the CGP. • Include the inspection form with your SWPPP. Once your form is complete, make sure to include a copy of the inspection form in your SWPPP in accordance with Part 7.2.7.e of the CGP. • Retain copies of all inspection reports with your records. You must also retain in your records copies of all inspection reports in accordance with the requirements in Part 4.7.3 of the CGP. These reports must be retained for at least 3 years from the date your permit coverage expires or is terminated in accordance with the requirements in Part 4.7.4 of the CGP. Instructions for Section A Inspector Name Enter the name of the person that conducted the inspection. Include the person's contact information (title, affiliated company name, address, email, and phone number). Inspection Date and Time Enter the date you performed the inspection and the time you started and ended the inspection. Weather Conditions During Inspection Enter the weather conditions occurring during the inspection, e.g., sunny, overcast, light rain, heavy rain, snowing, icy, windy. Current Phase of Construction If this project is being completed in more than one phase, indicate which phase it is currently in. Inspection Location If your project has multiple locations where you conduct separate inspections, specify the location where this inspection is being conducted. If only one inspection is conducted for your entire project, enter "Entire Site." If necessary, complete additional inspection report forms for each separate inspection location. Unsafe Conditions for Inspection (CGP Part 4.5.7) Inspections are not required where a portion of the site or the entire site is subject to unsafe conditions. These conditions should not regularly occur and should not be consistently present on a site. Generally, unsafe conditions are those that render the site (or a portion of it) inaccessible or that would pose a significant probability of injury to applicable personnel. Examples could include severe storm or flood conditions, high winds, and downed electrical wires. If your site, or a portion of it, is affected by unsafe conditions during the time of your inspection, provide a description of the conditions that prevented you from conducting the inspection and what parts of the site were affected. If the entire site was considered unsafe, specify the location as "Entire Site." Inspection Frequency Check all the inspection frequencies that apply to your project. Note that you may be subject to different inspection frequencies in different areas of your site. Inspection Triggered by a Storm Event If you were required to conduct this inspection because of a storm event that produced 0.25 inches or more of rain within a 24-hour period, indicate whether you relied on an on -site rain gauge or a nearby weather station (and where the weather station is located). Also, specify the total amount of rainfall for this specific storm event. If you were required to conduct this inspection because of a snowmelt discharge from a storm event that produced 3.25 inches or more of snow within a 24- hour period, then indicate whether you relied on an on -site measurement or a nearby weather station (and where the weather station is located). Also, specify the total amount of snowfall for this specific storm event. Instructions for Section B Type and Location of Erosion and Sediment (E&S) Controls Provide a list of all erosion and sediment (E&S) controls that your SWPPP indicates will be installed and implemented at your site. This list must include at a minimum all E&S controls required by CGP Part 2.2. Include also any natural buffers established under CGP Part 2.2.1. Buffer requirements apply if your project's earth -disturbing activities will occur within 50 feet of a discharge to receiving water. You may group your E&S controls on your form if you have several of the same type of controls (e.g., you may group "Inlet Protection Measures," "Perimeter Controls," and "Stockpile Controls" together on one line), but if there are any problems with a specific control, you must separately identify the location of the control, whether routine maintenance or corrective action is necessary, and in the notes section you must describe the specifics about the problem you observed. Conditions Requiring Routine Maintenance? Answer "Yes" if the E&S control requires routine maintenance as defined in footnote 1 of this template. Note that in many cases, "Yes" answers are expected and indicate a project with an active operation and maintenance program. You should also answer "Yes" if work to fix the problem is still ongoing from the previous inspection, though necessary work must be initiated immediately and completed by the end of the next business day or within seven calendar days if documented in accordance with CGP Part 2.1.4.b. If "Yes," How Many Times (Including this Occurrence) Has this Condition Been Identified? Indicate how many times the routine maintenance has been required for the same control at the same location. Conditions Requiring Corrective Action? Answer "Yes" if you found any of the conditions listed in footnote 2 in this template to be present during your inspection (CGP Part 5.1). If you answer "Yes," you must take corrective action and complete a corrective action log, found at https://www.epa.gov/npdes/construction-general-permit-resources-tools- and-templates. You should also answer "Yes" if work to fix the problem from a previous inspection is still ongoing, though the operator must comply with the corrective action deadlines in CGP Part 5.2. Date on Which Condition First Observed (if Applicable)? Provide the date on which the condition that triggered the need for routine maintenance or corrective action was first identified. If the condition was just discovered during this inspection, enter the inspection date. If the condition is a carryover from a previous inspection, enter the original date of the condition's discovery. Description of Conditions Observed For each E&S control and the area immediately surrounding it, describe whether the control is properly installed and whether it appears to be working to minimize sediment discharge. Indicate also whether a new or modified control is necessary to comply with the permit. Describe any problem condition(s) you observed such as the following: 1. Failure to install or to properly install a required E&S control 2. Damage or destruction to an E&S control caused by vehicles, equipment, or personnel, a storm event, or other event 3. Mud or sediment deposits found downslope from E&S controls, including in receiving waters, or on nearby streets, curbs, or open conveyance channels 4. Sediment tracked out onto paved areas by vehicles leaving construction site 5. Noticeable erosion or sedimentation at discharge outlets or at adjacent streambanks or channels 6. Erosion of the site's sloped areas (e.g., formation of rills or gullies) 7. E&S control is no longer working due to lack of maintenance 8.Other incidents of noncompliance Describe also why you think the problem condition(s) occurred as well as actions (e.g., routine maintenance or corrective action) you will take or have taken to fix the problem. For buffer areas, make note of whether they are marked off as required, whether there are signs of construction disturbance within the buffer, which is prohibited under the CGP, and whether there are visible signs of erosion resulting from discharges through the area. If routine maintenance or corrective action is required, briefly note the reason. If routine maintenance or corrective action has been completed, make a note of the date it was completed and what was done. If corrective action is required, note that you will need to complete a separate corrective action log describing the condition and your work to fix the problem. Routine Maintenance Need Has Been Found to be Necessary Three (3) or More Times for the Same Control at the Same Location (Including this Occurrence) If routine maintenance has been required three (3) or more times for the same control at the same location, the permit requires (CGP Part 2.1.4.c) you to fix the problem using the corrective action procedures in CGP Part 5 or to document why you believe the reoccurring problem can be addressed as a routine maintenance fix. If you believe the problem can continue to be fixed as routine maintenance, describe why you believe the specific condition should still be addressed as routine maintenance. Instructions for Section C Type and Location of Pollution Prevention (P2) Practices and Controls Provide a list of all pollution prevention (P2) practices and controls that are implemented at your site. This list must include all P2 practices and controls required by CGP Part 2.3 and those that are described in your SWPPP. Conditions Requiring Routine Maintenance? Answer "Yes" if the P2 practice or control requires routine maintenance as defined in footnote 1 of this template. Note that in many cases, "Yes" answers are expected and indicate a project with an active operation and maintenance program. You should also answer "Yes" if work to fix the problem is still ongoing from the previous inspection, though necessary work must be initiated immediately and completed by the end of the next business day or within seven calendar days if documented in accordance with CGP Part 2.1.4.b. If "Yes," How Many Times (Including this Occurrence) Has this Condition Been Identified? Indicate how many times the routine maintenance has been required for the same practice or control at the same location. Conditions Requiring Corrective Action? Answer "Yes" if you found any of the conditions listed in footnote 2 in this template to be present during your inspection (CGP Part 5.1). If you answer "Yes," you must take corrective action and complete a corrective action log, found at https://www.epa.gov/npdes/construction-general-permit-resources-tools- and-templates. You should also answer "Yes" if work to fix the problem from a previous inspection is still ongoing, though the operator must comply with the corrective action deadlines in CGP Part 5.2. Date on Which Condition First Observed (If Applicable)? Provide the date on which the condition that triggered the need for maintenance or corrective action was first identified. If the condition was just discovered during this inspection, enter the inspection date. If the condition is a carryover from a previous inspection, enter the original date of the condition's discovery. Description of Conditions Observed For each P2 control and the area immediately surrounding it, describe whether the control is properly installed, and whether it appears to be working to minimize or eliminate pollutant discharges. Indicate also whether a new or modified control is necessary to comply with the permit. Describe any problem conditions) you observed such as the following: 1. Failure to install or to properly install a required P2 control 2. Damage or destruction to a P2 control caused by vehicles, equipment, or personnel, or a storm event 3. Evidence of a spill, leak, or other type of pollutant discharge, or failure to have properly cleaned up a previous spill, leak, or other type of pollutant discharge 4. Spill response supplies are absent, insufficient, or not where they are supposed to be located 5. Improper storage, handling, or disposal of chemicals, building materials or products, fuels, or wastes 6. P2 control is no longer working due to lack of maintenance 7.Other incidents of noncompliance Describe also why you think the problem conditions) occurred as well as actions (e.g., routine maintenance or corrective action) you will take or have taken to fix the problem. If routine maintenance or corrective action is required, briefly note the reason. If routine maintenance or corrective action has been completed, make a note of the date it was completed and what was done. If corrective action is required, note that you will need to complete a separate corrective action log describing the condition and your work to fix the problem. Routine Maintenance Need Was Found to be Necessary Three (3) or More Times for the Same Control at the Same Location (Including this Occurrence) If routine maintenance has been required three (3) or more times for the same control at the same location, the permit requires (CGP Part 2.1.4.c) you to fix the problem using the corrective action procedures in CGP Part 5 or to document why you believe the reoccurring problem can be addressed as a routine maintenance fix. If you believe the problem can continue to be fixed as routine maintenance, describe why you believe the specific condition should still be addressed as routine maintenance. Instructions for Section D Specific Location That Has Been or Will Be Stabilized List all areas where soil stabilization is required to begin because construction work in that area has permanently stopped or temporarily stopped (i.e., work will stop for 14 or more days), and all areas where stabilization has been implemented (CGP Part 2.2.14). Stabilization Method and Applicable Deadline For each area, specify the method of stabilization (e.g., hydroseed, sod, planted vegetation, erosion control blanket, mulch, rock). Specify also which of the following stabilization deadlines apply to this location: 1.5 acres or less of land disturbance occurring at any one time at site: Complete no later than 14 calendar days after stabilization initiated. 2. More than 5 acres of land disturbance occurring at any one time at site: Complete no later than 7 calendar days after stabilization initiated. 3. Arid, semi -arid, and drought -stricken areas: See CGP Part 2.2.14.b.i. 4. Unforeseen circumstances: See CGP Part 2.2.14.b.ii. 5. Discharges to a sediment- or nutrient -impaired water or to a water identified as Tier 2, 2.5, or 3 for antidearadation purposes: Complete no later than 7 days after stabilization initiated. Stabilization Initiated? For each area, indicate whether stabilization has been initiated. If "Yes," then enter the date stabilization was initiated. Final Stabilization Criteria Met? For each area, indicate whether the final stabilization criteria in CGP Part 2.2.14.c have been met. If "Yes," then enter the date final stabilization criteria were met. Final Stabilization Photos Taken? Answer "Yes" if you have taken photos before and after meeting the stabilization criteria as required in CGP Part 8.2.1.a. Notes For each area where stabilization has been initiated, describe the progress that has been made and what additional actions are necessary to complete stabilization. Note the effectiveness of stabilization in preventing erosion. If stabilization has been initiated but not completed, make a note of the date it is to be completed. If stabilization has been completed, make a note of the date it was completed. If stabilization has not yet been initiated, make a note of the date it is to be initiated and the date it is to be completed. Instructions for Section E You are only required to complete this section if a discharge is occurring at the time of the inspection (CGP Part 4.6.2). Was a discharge (not including dewatering) occurring from any part of your site at the time of the inspection? During your inspection, examine all points of discharge from your site, and determine whether a discharge is occurring. If a dewatering discharge was occurring, you must conduct a dewatering inspection pursuant to CGP Part 4.3.2. If there is a discharge, answer "Yes" and complete the questions below regarding the specific discharge. If there is not a discharge, answer "No" and skip to the next page. Discharge Location (Repeat as necessary if there are multiple points of discharge.) Specify the location on your site where the discharge is occurring. The location may be an outlet from a stormwater control or constructed stormwater channel, a discharge into a storm sewer inlet, or a specific point on the site. Be as specific as possible; it is recommended that you refer to a precise point on your site map. Observations Document the visual quality of the discharge and take note of the characteristics of the stormwater discharge, including color; odor; floating, settled, or suspended solids; foam; oily sheen; and other indicators of stormwater pollutants. Also, document signs of these same pollutant characteristics that are visible from your site and attributable to your discharge in receiving waters or in other constructed or natural site drainage features. Instructions for Section F Each inspection report must be signed and certified to be considered complete (CGP Part 4.7.2). Operator or "Duly Authorized Representative" - MANDATORY (CGP Appendix G Part G.1 1.2 and CGP Appendix H Section X) At a minimum, the site inspection report must be signed by either (1) the person who signed the NOI, or (2) a duly authorized representative of that person. The following requirements apply: If the signatory will be the person who signed the NOI for permit coverage, as a reminder, that person must be one of the following types of individuals: For a corporation: By a responsible corporate officer. For the purpose of this subsection, a responsible corporate officer means: (i) a president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any other person who performs similar policy- or decision - making functions for the corporation, or (ii) the manager of one or more manufacturing, production, or operating facilities, provided, the manager is authorized to make management decisions which govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure long term environmental compliance with environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures. • For a partnership or sole proprietorship: By a general partner or the proprietor, respectively. • For a municipality, State, Federal, or other public agency: By either a principal executive officer or ranking elected official. For purposes of this subsection, a principal executive officer of a Federal agency includes (i) the chief executive officer of the agency, or (ii) a senior executive officer having responsibility for the overall operations of a principal geographic unit of the agency (e.g., Regional Administrator of EPA). If the signatory will be a duly authorized representative, the following requirements must be met: • The authorization is made in writing by the person who signed the NOI (see above); • The authorization specifies either an individual or a position having responsibility for the overall operation of the regulated facility or activity such as the position of plant manager, operator of a well or a well field, superintendent, position of equivalent responsibility, or an individual or position having overall responsibility for environmental matters for the company. (A duly authorized representative may thus be either a named individual or any individual occupying a named position); and • The signed and dated written authorization is included in the SWPPP. A copy must be submitted to EPA, if requested. Sign, date and print your name and affiliation. Contractor or Subcontractor - OPTIONAL Where you rely on a contractor or subcontractor to complete the site inspection report, you should consider requiring the individual(s) to sign and certify each report. Note that this does not relieve you, the permitted operator, of the requirement to sign and certify the site inspection report as well. If applicable, sign, date, and print your name and affiliation. Note While EPA has made every effort to ensure the accuracy of all instructions contained in this template, it is the permit, not this template, that determines the actual obligations of regulated construction stormwater discharges. In the event of a conflict between this template and any corresponding provision of the CGP, you must abide by the requirements in the permit. EPA welcomes comments on this Site Inspection Report Template at any time and will consider those comments in any future revision. You may contact EPA for CGP-related inquiries at cqp@epa.gov E. Construction Stormwater General Permit (CSWGP) Download the CSWGP: http://www. ecy.wa.gov/programs/wq/stormwater/construction/index. html Page 137 F. 303(d) List Waterbodies / TMDL Waterbodies Information Proposed New Discharge to an Impaired Water Body form SWPPP Addendum addressing impairment G. Contaminated Site Information H. Engineering Calculations No sediment traps will be installed for this project Sediment Traps 2080 ft 2 SA= FS (Qz/ Vs) 'JS (QZ) FS= 2 Factor of Safety Vs= 0.00096 ft/sec Settling Velocity Q2= 0.0584 15-min Peak from WWHM2012 WWHM Input Landcover Basin A Type (AC) Imp. Area Grass Total Area Soil Type = Till Used 15 min. Time series Results Basin A Q 10 (cfs) SA REQD (fe) Page 138