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Home My WebLink AboutPA2022-056_20220309_CPPP Report_06-02-17 CONSTRUCTION POLLUTION PREVENTION PLAN for 2038 E. Ocean Front, Newport Beach, California RISK LEVEL 2 Legally Responsible Person [LRP): Mark Becker 420 40th Street, Unit 1 Oakland, CA 94609 (510) 658-6889 Project Address: 2038 E. Ocean Front, Newport Beach, California Project Legal Description: Lot 10, Block D, of Tract Map No. 518 APN 048-262-21 CPPP Prepared by: Toal Engineering, Inc. 139 Avenida Navarro, San Clemente, CA, 92672 Adam L. Toal, P.E., CPPP PREPARER CPPP Preparation Date 6/2/17 Estimated Project Dates: Start of Construction September, 2017 Completion of Construction October, 2018 PA2022-056 CASQA SWPPP Template i July 2012 Table of Contents Table of Contents ........................................................................................................................... i Legally Responsible Person .......................................................................................................... 1 Amendment Log ............................................................................................................................ 2 Section 1 CPPP Requirements ................................................................................................. 3 1.1 Introduction ..................................................................................................................... 3 1.2 Permit/Application No. ................................................................................................... 3 1.3 CPPP Availability and Implementation .......................................................................... 3 1.4 CPPP Amendments ......................................................................................................... 3 1.5 Retention of Records....................................................................................................... 4 1.6 Required Non-Compliance Reporting ............................................................................ 6 1.7 Annual Report ................................................................................................................. 7 1.8 Changes to Permit Coverage ........................................................................................... 7 1.9 Notice of Termination ..................................................................................................... 7 Section 2 Project Information .................................................................................................. 8 2.1 Project and Site Description............................................................................................ 8 2.1.1 Site Description ........................................................................................................... 8 2.1.2 Existing Site Conditions ............................................................................................. 8 2.1.3 Soils and Geologic Conditions.................................................................................... 8 2.1.4 General Rainfall Patterns ............................................................................................ 8 2.1.5 Existing Drainage........................................................................................................ 8 2.1.6 Watershed and Receiving Water Information ............................................................. 8 2.1.7 Project Description...................................................................................................... 9 2.1.8 Proposed Drainage ...................................................................................................... 9 2.2 Permits and Governing Documents ................................................................................ 9 2.3 Stormwater Run-On from Offsite Areas ......................................................................... 9 2.4 Findings of the Construction Site Sediment and Receiving Water Risk Determination 9 2.5 Construction Schedule .................................................................................................. 11 2.6 Potential Construction Activity and Pollutant Sources ................................................. 11 2.7 Identification of Non-Stormwater Discharges .............................................................. 11 2.8 Site Map ........................................................................................................................ 12 Section 3 Best Management Practices ................................................................................... 13 PA2022-056 CASQA SWPPP Template ii July 2012 3.1 Schedule for BMP Implementation .............................................................................. 13 3.2 Erosion and Sediment Control ...................................................................................... 13 3.2.1 Erosion Control ......................................................................................................... 13 3.2.2 Sediment Controls ..................................................................................................... 15 3.3 Non-Stormwater Controls and Waste and Materials Management .............................. 17 3.3.1 Non-Stormwater Controls ......................................................................................... 17 3.3.2 Materials Management and Waste Management ...................................................... 19 3.4 Post construction Stormwater Management Measures ................................................. 22 Section 4 BMP Inspection, Maintenance and Rain Event Action Plans ............................ 24 4.1 BMP Inspection and Maintenance ................................................................................ 24 4.2 Rain Event Action Plans ............................................................................................... 24 Section 5 Training ................................................................................................................... 26 Section 6 Responsible Parties and Operators ....................................................................... 27 6.1 Responsible Parties ....................................................................................................... 27 6.2 Contractor List .............................................................................................................. 28 Section 7 Construction Site Monitoring Program ................................................................ 29 7.1 Purpose ...................................................................................................................... 29 7.2 Applicability of Permit Requirements ...................................................................... 29 7.3. Weather and Rain Event Tracking ............................................................................ 29 7.3.1 Weather Tracking.................................................................................................. 29 7.3.2 Rain Gauges .......................................................................................................... 29 7.4 Monitoring Locations................................................................................................ 30 7.5 Safety and Monitoring Exemptions .......................................................................... 30 7.6 Visual Monitoring ..................................................................................................... 31 7.6.1 Routine Observations and Inspections .................................................................. 31 7.6.1.1 Routine BMP Inspections ............................................................................. 31 7.6.1.2 Non-Stormwater Discharge Observations .................................................... 31 7.6.2 Rain-Event Triggered Observations and Inspections ........................................... 32 7.6.2.1 Visual Observations Prior to a Forecasted Qualifying Rain Event............... 32 7.6.2.2 BMP Inspections During an Extended Storm Event..................................... 32 7.6.2.3 Visual Observations Following a Qualifying Rain Event............................. 32 7.6.3 Visual Monitoring Procedures .............................................................................. 33 7.6.4 Visual Monitoring Follow-Up and Reporting....................................................... 33 PA2022-056 CASQA SWPPP Template iii July 2012 7.6.5 Visual Monitoring Locations ................................................................................ 33 7.7 Water Quality Sampling and Analysis ...................................................................... 35 7.7.1 Sampling and Analysis Plan for Non-Visible Pollutants in Stormwater Runoff Discharges ......................................................................................................................... 35 7.7.1.1 Sampling Schedule........................................................................................ 36 7.7.1.2 Sampling Locations ...................................................................................... 36 7.7.1.3 Monitoring Preparation ................................................................................. 37 7.7.1.4 Analytical Constituents ................................................................................. 38 7.7.1.5 Sample Collection ......................................................................................... 39 7.7.1.6 Sample Analysis............................................................................................ 39 7.7.1.7 Data Evaluation and Reporting ..................................................................... 41 7.7.2 Sampling and Analysis Plan for pH and Turbidity in Stormwater Runoff Discharges ......................................................................................................................... 41 7.7.2.1 Sampling Schedule........................................................................................ 41 7.7.2.2 Sampling Locations ...................................................................................... 42 7.7.2.3 Monitoring Preparation ................................................................................. 42 7.7.2.4 Field Parameters............................................................................................ 43 7.7.2.5 Sample Collection ......................................................................................... 44 7.7.2.6 Field Measurements ...................................................................................... 44 7.7.2.7 Data Evaluation and Reporting ..................................................................... 45 7.7.3 Sampling and Analysis Plan for pH, Turbidity, and SSC in Receiving Water ..... 46 7.7.4 Sampling and Analysis Plan for Non-Stormwater Discharges ............................. 46 7.7.4.1 Sampling Schedule........................................................................................ 46 7.7.4.2 Sampling Locations ...................................................................................... 46 7.7.4.3 Monitoring Preparation ................................................................................. 47 7.7.4.4 Analytical Constituents ................................................................................. 50 7.7.4.5 Sample Collection ......................................................................................... 48 7.7.4.6 Sample Analysis............................................................................................ 49 7.7.4.7 Data Evaluation and Reporting ..................................................................... 49 7.7.5 Sampling and Analysis Plan for Other Pollutants Required by the Regional Water Board 51 7.7.6 Training of Sampling Personnel ........................................................................... 51 7.7.7 Sample Collection and Handling .......................................................................... 51 PA2022-056 CASQA SWPPP Template iv July 2012 7.7.7.1 Sample Collection ......................................................................................... 51 7.7.7.2 Sample Handling ........................................................................................... 52 7.7.7.3 Sample Documentation Procedures .............................................................. 53 7.8 Active Treatment System Monitoring ...................................................................... 53 7.9 Bioassessment Monitoring ........................................................................................ 53 7.10 Watershed Monitoring Option .................................................................................. 54 7.11 Quality Assurance and Quality Control .................................................................... 54 7.11.1 Field Logs ............................................................................................................. 54 7.11.2 Clean Sampling Techniques ................................................................................. 54 7.11.3 Chain of Custody .................................................................................................. 54 7.11.4 QA/QC Samples.................................................................................................... 55 7.11.4.1 Field Duplicates............................................................................................ 55 7.11.4.2 Equipment Blanks ........................................................................................ 55 7.11.4.3 Field Blanks.................................................................................................. 55 7.11.4.4 Travel Blanks ............................................................................................... 56 7.11.5 Data Verification ................................................................................................... 56 7.12 Records Retention ..................................................................................................... 58 CSMP Attachment 1: Weather Records ................................................................................ 59 CSMP Attachment 2: Monitoring Records ........................................................................... 61 CSMP Attachment 3: Example Forms ................................................................................... 63 CSMP Attachment 4: Field Meter Instructions .................................................................... 71 CSMP Attachment 5: Supplemental Information................................................................. 73 CSMP Attachment 6: Annual Report Records ..................................................................... 73 Section 8 References ................................................................................................................ 75 Appendix A: Site Maps .......................................................................................................... 76 Appendix B: CPPP Amendment Certifications .................................................................... 78 Appendix C: Submitted Changes to CPPP ........................................................................... 79 Appendix D: Construction Schedule ..................................................................................... 81 Appendix E: Construction Activities, Materials Used, and Associated Pollutants ............. 85 Appendix F: CASQA Stormwater BMP Handbook Portal: Construction Fact Sheets ...... 88 Appendix G: BMP Inspection Form ......................................................................................... 86 Appendix H: Project Specific Rain Event Action Plan Template ............................................ 98 Rain Event Action Plan (REAP) ............................................Error! 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PA2022-056 CASQA SWPPP Template v July 2012 Date of REAP ......................................................................................................................... 105 BDate Rain Predicted to Occur: ....................................................................................... 105 Predicted % chance of rain: ............................................................................................ 105 Appendix I: Training Reporting Form .............................................................................. 105 Appendix J: Responsible Parties ........................................................................................ 105 Appendix K: Contractors and Subcontractors .................................................................... 105 Appendix L: Construction General Permit ........................................................................ 105 Appendix M: Annual Report Form ...................................................................................... 105 PA2022-056 CASQA SWPPP Template 1 July 2012 Legally Responsible Person Approval and Certification of the Construction pollution prevention plan Project Name: 2038 E. Ocean Front Residential Building Project Number/ID “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, to the best of my knowledge and belief, the information submitted is, 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." Mark Becker Legally Responsible Person Signature of Legally Responsible Person Date Mark Becker (510) 658-6889 Name of Legally Responsible Person Telephone Number PA2022-056 CASQA SWPPP Template 2 July 2012 Amendment Log Project Name: 2038 E. Ocean Front Residential Building Project Number/ID Amendment No. Date Brief Description of Amendment, include section and page number Prepared and Approved By Name: Name: Name: Name: Name: Name: Name: Name: Name: PA2022-056 CASQA SWPPP Template 3 July 2012 Section 1 CPPP Requirements 1.1 INTRODUCTION This CPPP has been prepared following the SWPPP Template provided on the California Stormwater Quality Association Stormwater Best Management Practice Handbook Portal: Construction (CASQA, 2012). In accordance with the General Permit, Section XIV, this CPPP is designed to address the following: • Pollutants and their sources, including sources of sediment associated with construction, construction site erosion and other activities associated with construction activity are controlled. • Where not otherwise required to be under a Regional Water Quality Control Board (Regional Water Board) permit, all non-stormwater discharges are identified and either eliminated, controlled, or treated. • Site BMPs are effective and result in the reduction or elimination of pollutants in stormwater discharges and authorized non-stormwater discharges from construction activity to the Best Available Technology/Best Control Technology (BAT/BCT) standard. 1.2 PERMIT/APPLICATION NO. ______________ 1.3 CPPP AVAILABILITY AND IMPLEMENTATION The discharger shall make the CPPP available at the construction site during working hours (see Section 7.5 of the Construction Site Monitoring Plan (CSMP) for working hours) while construction is occurring and shall be made available upon request by a City inspector. When the original CPPP is retained by a crewmember in a construction vehicle and is not currently at the construction site, current copies of the BMPs and map/drawing will be left at the site. The CPPP shall be implemented concurrently with the start of ground disturbing activities. 1.4 CPPP AMENDMENTS The CPPP should be revised when: • BMPs do not meet the objectives of reducing or eliminating pollutants in stormwater discharges. • When there is a reduction or increase in total disturbed acreage. Additionally, the CPPP shall be amended when: • There is a change in construction or operations which may affect the discharge of pollutants to surface waters, groundwater(s), or a municipal separate storm sewer system (MS4); • When there is a change in the project duration that changes the project’s risk level; or • When deemed necessary by the CPPP PREPARER. The CPPP PREPARER has determined that the changes listed in Table 1.1 can be field determined by the PA2022-056 CASQA SWPPP Template 4 July 2012 CONTRACTOR. All other changes shall be made by the CPPP PREPARER as formal amendments to the CPPP. The following items shall be included in each amendment: • Who requested the amendment; • The location of proposed change; • The reason for change; • The original BMP proposed, if any; and • The new BMP proposed. Amendments shall be logged at the front of the CPPP and certification kept in Appendix B. The CPPP text shall be revised replaced, and/or hand annotated as necessary to properly convey the amendment. CPPP amendments must be made by a CPPP PREPARER. The following changes have been designated by the CPPP PREPARER as "to be field determined” and constitute minor changes that the CONTRACTOR may implement based on field conditions. Table 1.1 List of Changes to be Field Determined Candidate changes for field location or determination by CONTRACTOR(1) Check changes that can be field located or field determined by CONTRACTOR Increase quantity of an Erosion or Sediment Control Measure ● Relocate/Add stockpiles or stored materials ● Relocate or add toilets ● Relocate vehicle storage and/or fueling locations ● Relocate areas for waste storage ● Relocate water storage and/or water transfer location ● Changes to access points (entrance/exits) Change type of Erosion or Sediment Control Measure Changes to location of erosion or sediment control Minor changes to schedule or phases ● Changes in construction materials ● (1) Any field changes not identified for field location or field determination by CONTRACTOR must be approved by CPPP PREPARER 1.5 RETENTION OF RECORDS Paper or electronic records of documents required by this CPPP shall be retained for a minimum of three years from the date generated or date submitted, whichever is later, for the following items: PA2022-056 CASQA SWPPP Template 5 July 2012 • CPPP Amendments • All records related to monitoring, maintenance, sampling, and analysis These records shall be available at the Site until construction is complete. Records shall be made available within a reasonable time, to the City of Newport Beach upon request. PA2022-056 CASQA SWPPP Template 6 July 2012 1.6 REQUIRED NON-COMPLIANCE REPORTING If a General Permit discharge violation occurs the CONTRACTOR shall immediately notify the LRP. The LRP shall include information on the violation with the Annual Report. Corrective measures will be implemented immediately following identification of the discharge or written notice of non-compliance from the City of Newport Beach. Discharges and corrective actions must be documented and include the following items: • The date, time, location, nature of operation and type of unauthorized discharge. • The cause or nature of the notice or order. • The control measures (BMPs) deployed before the discharge event, or prior to receiving notice or order. • The date of deployment and type of control measures (BMPs) deployed after the discharge event, or after receiving the notice or order, including additional measures installed or planned to reduce or prevent re-occurrence. Reporting requirements for Numeric Action Level (NAL) exceedances are discussed in Section 7.7.2.7. PA2022-056 CASQA SWPPP Template 7 July 2012 1.7 ANNUAL REPORT An Annual Report shall be submitted to the City of Newport Beach no later than July 1st of each year. A blank Annual Report Form is in Appendix M. Annual Report Records shall be filed in CSMP Attachment 6. 1.8 CHANGES TO PERMIT COVERAGE The Coastal Development Permit allows for the reduction or increase of the total acreage covered under the Permit when: a portion of the project is complete and/or conditions for termination of coverage have been met; when ownership of a portion of the project is purchased by a different entity; or when new acreage is added to the project. The CPPP shall be modified appropriately and shall be logged at the front of the CPPP, Certification of CPPP amendments shall be kept in Appendix B. 1.9 NOTICE OF TERMINATION A Notice of Termination (NOT) must be submitted by the LRP to the City of Newport Beach to terminate coverage. The NOT shall be submitted within 90 days of completion of construction. PA2022-056 CASQA SWPPP Template 8 July 2012 Section 2 Project Information 2.1 PROJECT AND SITE DESCRIPTION 2.1.1 Site Description The project site comprises approximately 0.073 acres (3,200 s.f.) and is located at 2038 E. Ocean Front, in Newport Beach, California. The project is located at 33°35'45.5"N 117°53'08.0"W and is identified on the Site Map in Appendix A. 2.1.2 Existing Site Conditions As of the initial date of this CPPP, the project site contains an existing single-story residential building with appurtenant hardscape improvements. The property abuts the sandy beach of the Balboa Peninsula. The finished floor grade is below the natural ground of the of the beach on the southern side of the site, and the side yards step down to meet the alley on the northern side of the site. 2.1.3 Soils and Geologic Conditions Soil and geological conditions are provided by Coast Geotechnical, Inc in the report titled Geotechnical Engineering Investigation of Proposed New Residence at 2038 E. Ocean Front Newport Beach, California. Soils are classified as Hydrologic Soil Group D by the Orange County Soil Survey. 2.1.4 General Rainfall Patterns Monthly average temperatures in the project site vicinity range from lows around 47oF in December and January to highs around 73.5o in August. Yearly average precipitation is approximately 11-inches, with most of that total falling in December (1.73-inches), January (2.21-inches), February (2.40 inches), and March (1.83-inches). Data from the Western Regional Climate Center (www.wrcc.dri.edu/htmlfiles/ca/ca.ppt.html). The rainy season runs from October 1st through April 30th. 2.1.5 Existing Drainage Under existing conditions, the runoff from the site flows into a gutter located on the northernly side of the site on E. Ocean Front. The gutter direct runoff to stormdrains north of the site that ultimately release water into the Lower Newport Bay water body. 2.1.6 Watershed and Receiving Water Information Lower Newport Bay is 303(d) listed by the State Water Resources Control Board for the following impairments: Chlordane, Copper, DDT, Indicator Bacteria, Nutrients, PCBs, Sediments and Pesticides. Total Maximum Daily Loads (TMDLs) have been established for Copper, Indicator Bacteria, Nutrients, Sediment and Pesticides; TMDLs are proposed for the remaining 303(d) listed pollutants, but are not currently in effect. PA2022-056 CASQA SWPPP Template 9 July 2012 2.1.7 Project Description The project consists of the demolition of all on-site improvements, including the existing residence, and the construction of a new, two-story custom residential building, together with appurtenant hardscape and landscape improvements. Table 2.2 Construction Site Estimates Construction site area 0.074 acres Percent impervious before construction 95 % Percent impervious after construction 100 % 2.1.8 Proposed Drainage Drainage will be discharged into the existing Alley. Storm water treatment will be provided prior to discharge as specified on the approved Precise Grading and Drainage Plan and the approved Water Quality and Hydrology Plan. 2.2 PERMITS AND GOVERNING DOCUMENTS In addition to the Coastal Development Permit, the following documents have been taken into account while preparing this CPPP: • Regional Water Board requirements • Basin Plan requirements • Contract Documents 2.3 STORMWATER RUN-ON FROM OFFSITE AREAS The project site does not receive run-on from adjacent residential development. 2.4 FINDINGS OF THE CONSTRUCTION SITE SEDIMENT AND RECEIVING WATER RISK DETERMINATION The site’s sediment risk and receiving water risk during periods of soil exposure (i.e. grading and site stabilization) and calculated risks determine a project Risk Level. The risk level is based on project duration, location, proximity to impaired receiving waters and soil conditions. Project sediment risk is determined using the Revised Universal Soil Loss Equation (RUSLE) to obtain an estimate of project-related bare ground soil loss expressed in tons/acre. The RUSLE equation can be expressed as follows: Total Predicted Sediment Loss = (R)(K)(LS)(C)(P) where R = rainfall-runoff erosivity factor K = soil erodibility factor LS = length-slope factor C = cover factor (erosion controls) PA2022-056 CASQA SWPPP Template 10 July 2012 P = management operations and support practices (sediment controls) Table 2.2 summarizes the sediment risk factors and documents the sources of the values used. Table 2.2 Summary of Sediment Risk RUSLE Factor Value Method for establishing value R 15.23 EI Map (EI zone 25) K 0.32 GIS LS 1.22 GIS C 1.0 Value specified by General Permit P 1.0 Value specified by General Permit Total Predicted Sediment Loss (tons/acre) 5.95 Overall Sediment Risk Low Sediment Risk < 15 tons/ acre Medium Sediment Risk >= 15 and < 75 tons/acre High Sediment Risk >= 75 tons/acre Low Medium High Table 2.3 summarizes the receiving water risk factors. Table 2.3 Summary of Receiving Water Risk Receiving Water Name 303(d) Listed for Sediment Related Pollutant(1) TMDL for Sediment Related Pollutant(1) Beneficial Uses of COLD, SPAWN, and MIGRATORY(1) Lower Newport Bay Yes No Yes No Yes No Overall Receiving Water Risk Low High (1) If yes is selected for any option the Receiving Water Risk is High The project Combined Risk Level is determined using the Combined Risk Level Matrix in General Permit Appendix 1, reproduced below as Table 2.4. Table 2.4 Combined Risk Level Matrix Sediment Risk Low Medium High Receiving Water Risk Low Level 1 Level 2 Level 2 High Level 2 Level 2 Level 3 PA2022-056 CASQA SWPPP Template 11 July 2012 The project Combined Risk Level is LEVEL 2. Numberic Action Level (NAL) is used as a warning to evaluate if best management practices are effective and take necessary corrective actions. Not an effluent limit. Table 2.4 Numeric Action Levels Parameter Unit Numeric Action Level Daily Average pH pH units Lower NAL = 6.5 Upper NAL = 8.5 Turbidity NTU 250 NTU 2.5 CONSTRUCTION SCHEDULE The site sediment risk was determined based on construction taking place between September 1, 2017 and October 1, 2018. Modification or extension of the schedule (start and end dates) may affect risk determination and permit requirements. The LRP shall contact the CPPP PREPARER if the schedule changes during construction to address potential impact to the CPPP. The estimated schedule for planned work can be found in Appendix D. 2.6 POTENTIAL CONSTRUCTION ACTIVITY AND POLLUTANT SOURCES Appendix E includes a list of construction activities and associated materials that are anticipated to be used onsite. These activities and associated materials will or could potentially contribute pollutants, other than sediment, to stormwater runoff. The anticipated activities and associated pollutants were used in Section 3 to select the Best Management Practices for the project. Location of anticipated pollutants and associated BMPs are show on the Site Map in Appendix A. For sampling requirements for non-visible pollutants associated with construction activity please refer to Section 7.7.1. For a full and complete list of onsite pollutants, refer to the Material Safety Data Sheets (MSDS), which are retained onsite at the construction trailer. 2.7 IDENTIFICATION OF NON-STORMWATER DISCHARGES Non-stormwater discharges into storm drainage systems or waterways which are not listed in this CPPP, or authorized under a separate NPDES permit, are prohibited. Non-stormwater discharges that may be authorized from this project site include those those that do not cause erosion or carry other pollutants. These authorized non-stormwater discharges will be managed with the stormwater and non-stormwater BMPs described in Section 3 of this CPPP and will be minimized by the CONTRACTOR. Activities at this site that may result in unauthorized non-stormwater discharges include: PA2022-056 CASQA SWPPP Template 12 July 2012 • Concrete curing associated with the construction of concrete hardscape, and building and retaining wall foundations. • Vehicle and equipment cleaning, fueling, and/or maintenance. Steps will be taken, including the implementation of appropriate BMPs, to ensure that unauthorized discharges are eliminated, controlled, disposed, or treated on-site. Discharges of construction materials and wastes, such as fuel or paint, resulting from dumping, spills, or direct contact with rainwater or stormwater runoff, are also prohibited. 2.8 SITE MAP The construction project’s Site Map(s) showing the project location, surface water boundaries, geographic features, construction site perimeter and general topography, etc. is located in Appendix A. PA2022-056 CASQA SWPPP Template 13 July 2012 Section 3 Best Management Practices 3.1 SCHEDULE FOR BMP IMPLEMENTATION The construction schedule will be provided when it becomes available. BMPs based on the phase of construction and expected weather conditions. 3.2 EROSION AND SEDIMENT CONTROL Erosion and sediment controls are required to provide effective reduction or elimination of sediment related pollutants in stormwater discharges and authorized non-stormwater discharges from the Site. Applicable BMPs are identified in this section for erosion control, sediment control, tracking control, and wind erosion control. 3.2.1 Erosion Control Erosion control, also referred to as soil stabilization, consists of source control measures that are designed to prevent soil particles from detaching and becoming transported in stormwater runoff. Erosion control BMPs protect the soil surface by covering and/or binding soil particles. This construction project will implement the following practices to provide effective temporary and final erosion control during construction: 1. Preserve existing vegetation where required and when feasible. 2. The area of soil disturbing operations shall be controlled such that the Contractor is able to implement erosion control BMPs quickly and effectively. 3. Stabilize non-active areas within 14 days of cessation of construction activities or sooner if stipulated by local requirements. 4. Control erosion in concentrated flow paths by applying erosion control blankets, check dams, erosion control seeding or alternate methods. 5. Prior to the completion of construction, apply permanent erosion control to remaining disturbed soil areas. Sufficient erosion control materials shall be maintained onsite to allow implementation in conformance with this CPPP. The following temporary erosion control BMP selection table indicates the BMPs that shall be implemented to control erosion on the construction site. Fact Sheets for temporary erosion control BMPs are provided in Appendix F. PA2022-056 CASQA SWPPP Template 14 July 2012 Table 3.2 Temporary Erosion Control BMPs CASQA Fact Sheet BMP Name Meets a Minimum Requirement(1) BMP Used If not used, state reason YES NO EC-1 Scheduling ✓ ✓ EC-2 Preservation of Existing Vegetation ✓ Entire site to be disturbed by construction. EC-3 Hydraulic Mulch ✓(2) ✓ Other BMPs chosen in lieu. EC-4 Hydroseed ✓(2) ✓ Disturbed areas will be planted immediately following construction. EC-5 Soil Binders ✓(2) ✓ Other BMPs chosen in lieu. EC-6 Straw Mulch ✓(2) ✓ Other BMPs chosen in lieu. EC-7 Geotextiles and Mats ✓(2) ✓ Other BMPs chosen in lieu. EC-8 Wood Mulching ✓(2) ✓ Other BMPs chosen in lieu. EC-9 Earth Dike and Drainage Swales ✓(3) ✓ No swales present. EC-10 Velocity Dissipation Devices ✓ No pipes discharging to erodible surface. EC-11 Slope Drains ✓ No work proposed on slopes. EC-12 Stream Bank Stabilization ✓ No streams present. EC-14 Compost Blankets ✓(2) ✓ Other BMPs chosen in lieu. EC-15 Soil Preparation-Roughening ✓ No work proposed on slopes. EC-16 Non-Vegetated Stabilization ✓(2) ✓ Other BMPs chosen in lieu. WE-1 Wind Erosion Control ✓ ✓ Alternate BMPs Used: If used, state reason: (1) Applicability to a specific project shall be determined by the CPPP PREPARER. (2) The CPPP PREPARER shall ensure implementation of one of the minimum measures listed or a combination thereof to achieve and maintain the Risk Level requirements. (3) Run-on from offsite shall be directed away from all disturbed areas, diversion of offsite flows may require design/analysis by a licensed civil engineer and/or additional environmental permitting PA2022-056 CASQA SWPPP Template 15 July 2012 These temporary erosion control BMPs shall be implemented in conformance with the following guidelines and as outlined in the BMP fact sheets provided in Appendix F. If there is a conflict between documents, the Site Map will prevail over narrative in the body of the CPPP or guidance in the BMP Fact Sheets. Site specific details in the Site Map prevail over standard details included in the Site Map. The narrative in the body of the CPPP prevails over guidance in the BMP Fact Sheets. EC-1 Scheduling The project Schedule in Appendix D includes details on the deployment of BMPs. The Contractor shall make reasonable efforts to schedule activities that have the potential to pollute storm runoff (e.g. excavation, concrete pours, asphalt paving and/or grinding) outside of forecast rain events. WE-1 Wind Erosion Control Wind erosion will be controlled primarily by watering. 3.2.2 Sediment Controls Sediment controls are temporary or permanent structural measures that are intended to complement the selected erosion control measures and reduce sediment discharges from active construction areas. Sediment controls are designed to intercept and settle out soil particles that have been detached and transported by the force of water. The following sediment control BMP selection table indicates the BMPs that shall be implemented to control sediment on the construction site. Fact Sheets for temporary sediment control BMPs are provided in Appendix F. Sufficient sediment control materials shall be maintained onsite to allow implementation in conformance with this CPPP. PA2022-056 CASQA SWPPP Template 16 July 2012 Table 3.3 Temporary Sediment Control BMPs CASQA Fact Sheet BMP Name Meets a Minimum Requirement(1) BMP used If not used, state reason YES NO SE-1 Silt Fence ✓(2) (3) ✓ Other BMPs chosen in lieu. SE-2 Sediment Basin ✓ Other BMPs chosen in lieu. SE-3 Sediment Trap ✓ Other BMPs chosen in lieu. SE-4 Check Dams ✓ Other BMPs chosen in lieu. SE-5 Fiber Rolls ✓(2)(3) ✓ Other BMPs chosen in lieu. SE-6 Gravel Bag Berm ✓(3) ✓ SE-7 Street Sweeping ✓ ✓ SE-8 Sandbag Barrier ✓ Other BMPs chosen in lieu. SE-9 Straw Bale Barrier ✓ Other BMPs chosen in lieu. SE-10 Storm Drain Inlet Protection ✓ RL2&3 ✓ No storm drain inlets present. SE-11 ATS ✓ Not necessary for this project. SE-12 Manufactured Linear Sediment Controls ✓ Other BMPs chosen in lieu. SE-13 Compost Sock and Berm ✓(3) ✓ Other BMPs chosen in lieu. SE-14 Biofilter Bags ✓(3) ✓ Other BMPs chosen in lieu. TC-1 Stabilized Construction Entrance and Exit ✓ ✓ TC-2 Stabilized Construction Roadway Project area too small for this BMP. TC-3 Entrance Outlet Tire Wash ✓ ✓ TC-1 used in lieu. Alternate BMPs Used: If used, state reason: (1) Applicability to a specific project shall be determined by the CPPP PREPARER (2) The CPPP PREPARER shall ensure implementation of one of the minimum measures listed or a combination thereof to achieve and maintain the Risk Level requirements (3)Risk Level 2 &3 shall provide linear sediment control along toe of slope, face of slope, and at the grade breaks of exposed slope PA2022-056 CASQA SWPPP Template 17 July 2012 These temporary sediment control BMPs shall be implemented in conformance with the following guidelines and in accordance with the BMP Fact Sheets provided in Appendix F. If there is a conflict between documents, the Site Map will prevail over narrative in the body of the CPPP or guidance in the BMP Fact Sheets. Site specific details in the Site Map prevail over standard details included in the Site Map. The narrative in the body of the CPPP prevails over guidance in the BMP Fact Sheets. SE-6 Gravel Bag Berm Shall be installed where shown on the Site Map. SE-7 Street Sweeping Shall be provided on a daily basis. TC-1 Stabilized Construction Entrance Shall be installed where shown on the Site Map. 3.3 NON-STORMWATER CONTROLS AND WASTE AND MATERIALS MANAGEMENT 3.3.1 Non-Stormwater Controls Non-stormwater discharges into storm drainage systems or waterways, which are not specifically authorized by this CPPP, are prohibited. Non-stormwater discharges for which a separate NPDES permit is required by the local Regional Water Board are prohibited unless coverage under the separate NPDES permit has been obtained for the discharge. The selection of non- stormwater BMPs is based on the list of construction activities with a potential for non- stormwater discharges identified in Section 2.7 of this CPPP. The following non-stormwater control BMP selection table indicates the BMPs that shall be implemented to control sediment on the construction site. Fact Sheets for temporary non- stormwater control BMPs are provided in Appendix F. PA2022-056 CASQA SWPPP Template 18 July 2012 Table 3.4 Temporary Non-Stormwater BMPs CASQA Fact Sheet BMP Name Meets a Minimum Requirement(1) BMP used If not used, state reason YES NO NS-1 Water Conservation Practices ✓ ✓ NS-2 Dewatering Operation ✓ No drilling or deep excavations proposed. NS-3 Paving and Grinding Operation ✓ No grinding or sawcutting proposed. NS-4 Temporary Stream Crossing ✓ No streams present. NS-5 Clear Water Diversion ✓ No streams present. NS-6 Illicit Connection/Discharge ✓ ✓ NS-7 Potable Water/Irrigation ✓ NS-8 Vehicle and Equipment Cleaning ✓ ✓ None allowed on site. NS-9 Vehicle and Equipment Fueling ✓ ✓ None allowed on site. NS-10 Vehicle and Equipment Maintenance ✓ ✓ None allowed on site. NS-11 Pile Driving Operation ✓ No pile driving proposed. NS-12 Concrete Curing ✓ ✓ Not necessary for this project. NS-13 Concrete Finishing ✓ ✓ Not necessary for this project. NS-14 Material and Equipment Use Over Water ✓ No nearby waterbodies. NS-15 Demolition Removal Adjacent to Water ✓ No nearby waterbodies. NS-16 Temporary Batch Plants ✓ No batch plants required for this project. Alternate BMPs Used: If used, state reason: (1) Applicability to a specific project shall be determined by the CPPP PREPARER PA2022-056 CASQA SWPPP Template 19 July 2012 Non-stormwater BMPs shall be implemented in conformance with the following guidelines and in accordance with the BMP Fact Sheets provided in Appendix F. If there is a conflict between documents, the Site Map will prevail over narrative in the body of the CPPP or guidance in the BMP Fact Sheets. Site specific details in the Site Map prevail over standard details included in the Site Map. The narrative in the body of the CPPP prevails over guidance in the BMP Fact Sheets. NS-1 Water Conservation Practices Applies to the entire construction area for the duration of the project. NS-6 Illicit Connection/Discharge The Contractor shall immediately notify the Owner, the City Inspector, and the CPPP PREPARER of any illicit connections, dumping, or discharges. NS-7 Potable Water/Irrigation Applies to the entire construction area for the duration of the project. NS-8 Vehicle and Equipment Cleaning Not permitted on site. NS-9 Vehicle and Equipment Fueling Not permitted on site. NS-10 Vehicle and Equipment Maintenance Not permitted on site. NS-12 Concrete Curing Contractor shall direct cure water away from inlets and watercourses to collection areas for evaporation or other means of removal. NS-13 Concrete Finishing Contractor shall sweep or vacuum up debris from sandblasting at the end of each shift or collect and properly dispose of water from high pressure water blasting. 3.3.2 Materials Management and Waste Management Materials management control practices consist of implementing procedural and structural BMPs for handling, storing and using construction materials to prevent the release of those materials into stormwater discharges. The amount and type of construction materials to be utilized at the Site will depend upon the type of construction and the length of the construction period. The materials may be used continuously, such as fuel for vehicles and equipment, or the materials may be used for a discrete period, such as soil binders for temporary stabilization. Waste management consist of implementing procedural and structural BMPs for handling, storing and ensuring proper disposal of wastes to prevent the release of those wastes into stormwater discharges. Materials and waste management pollution control BMPs shall be implemented to minimize stormwater contact with construction materials, wastes and service areas; and to prevent PA2022-056 CASQA SWPPP Template 20 July 2012 materials and wastes from being discharged off-site. The primary mechanisms for stormwater contact that shall be addressed include: • Direct contact with precipitation • Contact with stormwater run-on and runoff • Wind dispersion of loose materials • Direct discharge to the storm drain system through spills or dumping • Extended contact with some materials and wastes, such as asphalt cold mix and treated wood products, which can leach pollutants into stormwater. A list of construction activities is provided in Section 2.6. The following Materials and Waste Management BMP selection table indicates the BMPs that shall be implemented to handle materials and control construction site wastes associated with these construction activities. Fact Sheets for Materials and Waste Management BMPs are provided in Appendix F. PA2022-056 CASQA SWPPP Template 21 July 2012 Table 3.5 Temporary Materials Management BMPs CASQA Fact Sheet BMP Name Meets a Minimum Requirement(1) BMP used If not used, state reason YES NO WM-01 Material Delivery and Storage ✓ ✓ WM-02 Material Use ✓ ✓ WM-03 Stockpile Management ✓ ✓ No stockpiling anticipated. WM-04 Spill Prevention and Control ✓ ✓ WM-05 Solid Waste Management ✓ ✓ WM-06 Hazardous Waste Management ✓ ✓ No hazardous materials on site. WM-07 Contaminated Soil Management ✓ No known contaminated soils on site. WM-08 Concrete Waste Management ✓ ✓ WM-09 Sanitary-Septic Waste Management ✓ ✓ WM-10 Liquid Waste Management ✓ No liquid wastes anticipated. Alternate BMPs Used: If used, state reason: (1) Applicability to a specific project shall be determined by the CPPP PREPARER. PA2022-056 CASQA SWPPP Template 22 July 2012 Material management BMPs shall be implemented in conformance with the following guidelines and in accordance with the BMP Fact Sheets provided in Appendix F. If there is a conflict between documents, the Site Map will prevail over narrative in the body of the CPPP or guidance in the BMP Fact Sheets. Site specific details in the Site Map prevail over standard details included in the Site Map. The narrative in the body of the CPPP prevails over guidance in the BMP Fact Sheets. WM-01 Material Delivery and Storage Material delivery and storage shall be located away from drainage paths and waterways. All fertilizer and landscape materials shall be contained when not in use. Materials should be covered prior to and during rain events. WM-02 Material Use Dispose of latex paint and paint cans, used brushes, rags, absorbent materials, and drop cloths, when thoroughly dry and are no longer hazardous, with other construction debris. Keep an ample supply of spill clean up material near use areas. Train employees in spill clean up procedures. Application shall not commence within 24-hours of a predicted precipitation event with a 40% or greater probability. Weather tracking must be performed on a daily basis prior to termiticide application and during the period of termiticide application. WM-04 Spill Prevention and Control All semi-significant and significant/hazardous spills shall be reported to the Owner and the CONTRACTOR immediately after notification of appropriate emergency response (if required). WM-05 Solid Waste Management Construction waste containers shall be located away from existing drain inlets, swales, or sediment basins, and shall be surrounded with sediment controls to prevent contact with runoff from other portions of the site. Covered water-tight containers shall be used. Construction litter shall be collected daily. Spills from waste containers shall be cleaned up immediately. WM-08 Concrete Waste Management Do not wash out concrete trucks into storm drains, open ditches, streets, streams or onto the ground. Trucks should always be washed out into designated facilities. Washout wastes into the temporary washout where the concrete can set, be broken up, and then disposed properly. Do not wash sweepings from exposed aggregate concrete into the street or storm drain. Collect and return sweepings to aggregate base stockpile or dispose in the trash. WM-09 Sanitary-Septic Waste Management Sufficient sanitary facilities shall be provided on site at all time. Sanitary facilities shall be located away from existing inlets, swales, and sediment basins and shall be protected from contact with runoff from other portions of the site. 3.4 POST CONSTRUCTION STORMWATER MANAGEMENT MEASURES Post construction BMPs are permanent measures installed during construction, designed to reduce or eliminate pollutant discharges from the site after construction is completed. PA2022-056 CASQA SWPPP Template 23 July 2012 This site is located in an area subject to a Phase I or Phase II Municipal Separate Storm Sewer System (MS4) permit approved Stormwater Management Plan. Post construction runoff reduction requirements have been satisfied through the MS4 program. PA2022-056 CASQA SWPPP Template 24 July 2012 Section 4 BMP Inspection, Maintenance and Rain Event Action Plans 4.1 BMP INSPECTION AND MAINTENANCE Risk Level 2 dischargers shall perform periodic inspections and observations, and at least once each 24-hour period during extended storm events, to identify and record BMPs that need maintenance to operate effectively, that have failed, or that could fail to operate as intended. A BMP inspection checklist must be filled out for inspections and maintained on-site with the CPPP. The inspection checklist includes the necessary information covered in Section 7.6. A blank inspection checklist can be found in Appendix G. Completed checklists shall be kept in CSMP Attachment 2 “Monitoring Records.” BMPs shall be maintained regularly to ensure proper and effective functionality. If necessary, corrective actions shall be implemented within 72 hours of identified deficiencies and associated amendments to the CPPP shall be prepared by the CPPP PREPARER. Specific details for maintenance, inspection, and repair of Construction Site BMPs can be found in the BMP Factsheets in Appendix F. 4.2 RAIN EVENT ACTION PLANS Rain Event Action Plans (REAPs) are required for Risk Level 2 projects. The Rain Event Action Plans (REAP) is written document designed to be used as a planning tool by the CONTRACTOR to protect exposed portions of project sites and to ensure that the discharger has adequate materials, staff, and time to implement erosion and sediment control measures. These measures are intended to reduce the amount of sediment and other pollutants that could be generated during the rain event. It is the responsibility of the CONTRACTOR to be aware of precipitation forecast and to obtain and print copies of forecasted precipitation from NOAA’s National Weather Service Forecast Office. The CPPP includes REAP templates but the CONTRACTOR will need to customize them for each rain event. Site-specific REAP templates for each applicable project phase can be found in Appendix H. The CONTRACTOR shall maintain a paper copy of completed REAPs in compliance with the record retention requirements Section 1.5 of this SWPPP. Completed REAPs shall be maintained in Appendix H. The CONTRACTOR will develop an event specific REAP 48 hours in advance of a precipitation event forecast to have a 50% or greater chance of producing precipitation in the project area. The REAP will be onsite and be implemented 24 hours in advance of any the predicted precipitation event. At minimum the REAP will include the following site and phase-specific information: 1. Site Address; 2. Calculated Risk Level (2 or 3); 3. Site Stormwater Manager Information including the name, company and 24-hour emergency telephone number; PA2022-056 CASQA SWPPP Template 25 July 2012 4. Erosion and Sediment Control Provider information including the name, company and 24-hour emergency telephone number; 5. Stormwater Sampling Agent information including the name, company, and 24-hour emergency telephone number; 6. Activities associated with each construction phase; 7. Trades active on the construction site during each construction phase; 8. Trade contractor information; and Recommended actions for each project phase. PA2022-056 CASQA SWPPP Template 26 July 2012 Section 5 Training Appendix J identifies the CONTRACTORs for the project. To promote stormwater management awareness specific for this project, periodic training of job-site personnel shall be included as part of routine project meetings (e.g. daily/weekly tailgate safety meetings), or task specific trainings as needed. The CONTRACTOR shall be responsible for providing this information at the meetings, and subsequently completing the training logs shown in Appendix I, which identifies the site-specific stormwater topics covered as well as the names of site personnel who attended the meeting. Tasks may be delegated to trained employees by the CONTRACTOR provided adequate supervision and oversight is provided. Training shall correspond to the specific task delegated including: CPPP implementation; BMP inspection and maintenance; and record keeping. Documentation of training activities (formal and informal) is retained in CPPP Appendix I. PA2022-056 CASQA SWPPP Template 27 July 2012 Section 6 Responsible Parties and Operators 6.1 RESPONSIBLE PARTIES Approved Signatory(ies) who are responsible for CPPP implementation and have authority to sign permit-related documents [is/are] listed below. Written authorizations from the LRP for these individuals are provided in Appendix J. The Approved Signatory(ies) assigned to this project [is/are]: Name Title Phone Number Mark Becker LRP (510) 658-6889 The project CONTRACTOR is identified in Appendix J. The CONTRACTOR shall have primary responsibility and significant authority for the implementation, maintenance and inspection/monitoring of CPPP requirements. The CONTRACTOR will be available at all times throughout the duration of the project. Duties of the CONTRACTOR include but are not limited to: • Implementing all elements of the General Permit and CPPP, including but not limited to: o Ensuring all BMPs are implemented, inspected, and properly maintained; o Performing non-stormwater and stormwater visual observations and inspections; o Performing non-stormwater and storm sampling and analysis, as required; o Performing routine inspections and observations; o Implementing non-stormwater management, and materials and waste management activities such as: monitoring discharges; general Site clean-up; vehicle and equipment cleaning, fueling and maintenance; spill control; ensuring that no materials other than stormwater are discharged in quantities which will have an adverse effect on receiving waters or storm drain systems; etc.; • The CONTRACTOR may delegate these inspections and activities to an appropriately trained employee, but shall ensure adequacy and adequate deployment. • Ensuring elimination of unauthorized discharges. • The CONTRACTORs shall be assigned authority by the LRP to mobilize crews in order to make immediate repairs to the control measures. • Coordinate with the Contractor(s) to assure all of the necessary corrections/repairs are made immediately and that the project complies with the CPPP, the General Permit and approved plans at all times. • Notifying the LRP or Authorized Signatory immediately of off-site discharges or other non-compliance events. PA2022-056 CASQA SWPPP Template 28 July 2012 6.2 CONTRACTOR LIST The CPPP includes a list of names of all contractors, subcontractors, and individuals who will be directed by the CONTRACTOR. This list is included in Appendix K of this CPPP. PA2022-056 CASQA SWPPP Template 29 July 2012 Section 7 Construction Site Monitoring Program 7.1 Purpose This Construction Site Monitoring Program was developed to address the following objectives: 1. To determine whether non-visible pollutants are present at the construction site and are causing or contributing to exceedances of water quality objectives; 2. To determine whether immediate corrective actions, additional Best Management Practices (BMP) implementation, or CPPP revisions are necessary to reduce pollutants in stormwater discharges and authorized non-stormwater discharges; 3. To determine whether BMPs included in the CPPP and REAPs are effective in preventing or reducing pollutants in stormwater discharges and authorized non- stormwater discharges. 7.2 Applicability of Permit Requirements This project has been determined to be a Risk Level 2 project. The following types of monitoring are applicable for a Risk Level 2 project. • Visual inspections of Best Management Practices (BMPs); • Visual monitoring of the site related to qualifying storm events; • Visual monitoring of the site for non-stormwater discharges; 7.3. Weather and Rain Event Tracking Visual monitoring and inspection requirements are triggered by a qualifying rain event. A qualifying rain event is defined as any event that produces ½ inch of precipitation. A minimum of 48 hours of dry weather will be used to distinguish between separate qualifying storm events. 7.3.1 Weather Tracking The CONTRACTOR shall consult the National Oceanographic and Atmospheric Administration (NOAA) weather forecast daily. These forecasts can be obtained at http://www.srh.noaa.gov/. Weather reports shall be printed and maintained with the CPPP in CSMP Attachment 1 “Weather Reports.” 7.3.2 Rain Gauges The CONTRACTOR shall install 1 rain gauge on the project site. Locate the gauge in an open area away from obstructions such as trees or overhangs. Mount the gauge on a post at a height of 3 to 5 feet with the gauge extending several inches beyond the post. Make sure that the top of the gauge is level. Make sure the post is not in an area where rainwater can indirectly splash from sheds, equipment, trailers, etc. The rain gauge shall be read daily during normal site scheduled hours. The rain gauge should be read at approximately the same time every day and the date and time of each reading recorded. Log rain gauge readings in CSMP Attachment 1 “Weather Records”. Follow the rain gauge instructions to obtain accurate measurements. PA2022-056 CASQA SWPPP Template 30 July 2012 Once the rain gauge reading has been recorded, accumulated rain shall be emptied and the gauge reset. 7.4 Monitoring Locations Monitoring locations are shown on the Site Maps in Appendix A. Monitoring locations are described in the Sections 7.6 and 7.7. Whenever changes in the construction site might affect the appropriateness of monitoring locations, the monitoring locations shall be revised accordingly. All such revisions shall be implemented as soon as feasible and the CPPP amended. Temporary changes that result in a one- time additional monitoring location do not require a CPPP amendment. 7.5 Safety and Monitoring Exemptions Per General Permit Attachment D Section I.6.a, Risk Level 2 discharges are not required to collect samples or conduct visual observations (inspections) under the following conditions: • During dangerous weather conditions such as flooding and electrical storms. • Outside of scheduled site business hours. Scheduled site business hours are: 7:00 a.m. to 4:00 p.m. Monday through Friday, excepting Federal holidays. If monitoring (visual monitoring or sample collection) of the site is unsafe because of the dangerous conditions noted above then the CONTRACTOR shall document the conditions for why an exception to performing the monitoring was necessary. The exemption documentation shall be filed in CSMP Attachment 2 “Monitoring Records”. PA2022-056 CASQA SWPPP Template 31 July 2012 7.6 Visual Monitoring Visual monitoring includes observations and inspections. Inspections of BMPs are required to identify and record BMPs that need maintenance to operate effectively, that have failed, or that could fail to operate as intended. Visual observations of the site are required to observe storm water drainage areas to identify any spills, leaks, or uncontrolled pollutant sources. Table 7.1 identifies the required frequency of visual observations and inspections. Inspections and observations will be conducted at the locations identified in Section 7.6.3. Table 7.1 Summary of Visual Monitoring and Inspections Type of Inspection Frequency Routine Inspections BMP Inspections Weekly1 BMP Inspections – Tracking Control Daily Non-Stormwater Discharge Observations Quarterly during daylight hours Rain Event Triggered Inspections Site Inspections Prior to a Qualifying Event Within 48 hours of a qualifying event 2 BMP Inspections During an Extended Storm Event Every 24-hour period of a rain event3 Site Inspections Following a Qualifying Event Within 48 hours of a qualifying event2 1 Most BMPs must be inspected weekly; those identified below must be inspected more frequently. 2 Inspections are required during scheduled site operating hours. 3 Inspections are required during scheduled site operating hours regardless of the amount of precipitation on any given day. 7.6.1 Routine Observations and Inspections Routine site inspections and visual monitoring are necessary to ensure that the project is in compliance with the requirements of the Coastal Development Permit. 7.6.1.1 Routine BMP Inspections Inspections of BMPs are conducted to identify and record: • BMPs that are properly installed; • BMPs that need maintenance to operate effectively; • BMPs that have failed; or • BMPs that could fail to operate as intended. 7.6.1.2 Non-Stormwater Discharge Observations Each drainage area will be inspected for the presence of or indications of prior unauthorized and authorized non-stormwater discharges. Inspections will record: PA2022-056 CASQA SWPPP Template 32 July 2012 • Presence or evidence of any non-stormwater discharge (authorized or unauthorized); • Pollutant characteristics (floating and suspended material, sheen, discoloration, turbidity, odor, etc.); and • Source of discharge. 7.6.2 Rain-Event Triggered Observations and Inspections Visual observations of the site and inspections of BMPs are required prior to a qualifying rain event; following a qualifying rain event, and every 24-hour period during a qualifying rain event. Pre-rain inspections will be conducted after consulting NOAA and determining that a precipitation event with a 50% or greater probability of precipitation has been predicted. 7.6.2.1 Visual Observations Prior to a Forecasted Qualifying Rain Event Within 48-hours prior to a qualifying event a stormwater visual monitoring site inspection will include observations of the following locations: • Stormwater drainage areas to identify any spills, leaks, or uncontrolled pollutant sources; • BMPs to identify if they have been properly implemented; • Any stormwater storage and containment areas to detect leaks and ensure maintenance of adequate freeboard. Consistent with guidance from the State Water Resources Control Board, pre-rain BMP inspections and visual monitoring may be triggered by a NOAA forecast that indicates a probability of precipitation of 50% or more in the project area. BMP inspections and visual monitoring will be triggered by a NOAA quantitative predicted forecast (QPF) that indicates ½- inch or more of rain will occur in the project area. 7.6.2.2 BMP Inspections During an Extended Storm Event During an extended rain event BMP inspections will be conducted to identify and record: • BMPs that are properly installed; • BMPs that need maintenance to operate effectively; • BMPs that have failed; or • BMPs that could fail to operate as intended. If the construction site is not accessible during the rain event, the visual inspections shall be performed at all relevant outfalls, discharge points, downstream locations. The inspections should record any projected maintenance activities. 7.6.2.3 Visual Observations Following a Qualifying Rain Event Within 48 hours following a qualifying rain event (0.5 inches of rain) a stormwater visual monitoring site inspection is required to observe: • Stormwater drainage areas to identify any spills, leaks, or uncontrolled pollutant sources; • BMPs to identify if they have been properly designed, implemented, and effective; • Need for additional BMPs; • Any stormwater storage and containment areas to detect leaks and ensure maintenance of adequate freeboard; and PA2022-056 CASQA SWPPP Template 33 July 2012 • Discharge of stored or contained rain water. 7.6.3 Visual Monitoring Procedures Visual monitoring shall be conducted by the CONTRACTOR or staff trained by and under the supervision of the CONTRACTOR. The name(s) and contact number(s) of the site visual monitoring personnel are listed below and their training qualifications are provided in Appendix I. Assigned inspector: NAME Contact phone: TELEPHONE NUMBER Alternate inspector: NAME Contact phone: TELEPHONE NUMBER Stormwater observations shall be documented on the Visual Inspection Field Log Sheet (see CSMP Attachment 3 “Example Forms”). BMP inspections shall be documented on the site specific BMP inspection checklist. Any photographs used to document observations will be referenced on stormwater site inspection report and maintained with the Monitoring Records in Attachment 2. The completed reports will be kept in CSMP Attachment 2 “Monitoring Records”. 7.6.4 Visual Monitoring Follow-Up and Reporting Correction of deficiencies identified by the observations or inspections, including required repairs or maintenance of BMPs, shall be initiated and completed as soon as possible. If identified deficiencies require design changes, including additional BMPs, the implementation of changes will be initiated within 72 hours of identification and be completed as soon as possible. When design changes to BMPs are required, the CPPP shall be amended to reflect the changes. Deficiencies identified in site inspection reports and correction of deficiencies will be tracked on the Inspection Field Log Sheet or BMP Inspection Report and shall be submitted to the CONTRACTOR and shall be kept in CSMP Attachment 2 “Monitoring Records”. The CONTRACTOR shall within 2 days of the inspection submit copies of the completed Inspection Field Log Sheet or BMP Inspection Report with the corrective actions to the Contractor. Results of visual monitoring must be summarized and reported in the Annual Report. 7.6.5 Visual Monitoring Locations The inspections and observations identified in Sections 7.6.1 and 7.6.2 will be conducted at the locations identified in this section. BMP locations are shown on the Site Maps in CPPP Appendix A. There are 2 drainage area(s) on the project site and the contractor’s yard, staging areas, and storage areas. Drainage area is shown on the Site Maps in Appendix A and Table 7.2 identifies the drainage area by location. PA2022-056 CASQA SWPPP Template 34 July 2012 Table 7.2 Site Drainage Areas Location No. Location 1 Southwesterly corner of site. 2 Northerly property line at stairs to existing dock. There are no storm water storage or containment areas on the project site. Storm water storage or containment areas, if any, are shown on the Site Plan in Appendix A. Table 7.3 identifies the storm water storage or containment area(s), if any, by location. Table 7.3 Storm Water Storage and Containment Areas Location No. Location n/a n/a n/a n/a There are 2 discharge location(s) on the project site. Site storm water discharge location(s) are shown on the Site Plan in Appendix A. Table 7.4 identifies each storm water discharge location. Table 7.4 Site Storm Water Discharge Locations Location No. Location 1 Southwesterly corner of site. 2 Northerly property line at stairs to existing dock. PA2022-056 CASQA SWPPP Template 35 July 2012 7.7 Water Quality Sampling and Analysis 7.7.1 Sampling and Analysis Plan for Non-Visible Pollutants in Stormwater Runoff Discharges This Sampling and Analysis Plan for Non-Visible Pollutants describes the sampling and analysis strategy and schedule for monitoring non-visible pollutants in stormwater runoff discharges from the project site. Sampling for non-visible pollutants will be conducted when (1) a breach, leakage, malfunction, or spill is observed; and (2) the leak or spill has not been cleaned up prior to the rain event; and (3) there is the potential for discharge of non-visible pollutants to surface waters or drainage system. The following construction materials, wastes, or activities, as identified in Section 2.6, are potential sources of non-visible pollutants to stormwater discharges from the project. Storage, use, and operational locations are shown on the Site Maps in Appendix A. • Chlorinated water • Portable Toilets • Concrete & Masonry curing compounds • Painting – Paint, resins, thinners, paint strippers, solvents, adhesives, sealants • Landscaping – pesticides, herbicides, fertilizers, lime/gypsum • Treated wood The following existing site features, as identified in Section 2.6, are potential sources of non- visible pollutants to stormwater discharges from the project. Locations of existing site features contaminated with non-visible pollutants are shown on the Site Maps in Appendix A. • NONE The following soil amendments have the potential to change the chemical properties, engineering properties, or erosion resistance of the soil and will be used on the project site. Locations of soil amendment application are shown on the Site Maps in Appendix A. • NONE The project has the potential to receive stormwater run-on from the following locations with the potential to contribute non-visible pollutants to stormwater discharges from the project. Locations of such run-on to the project site are shown on the Site Maps in Appendix A. • NONE PA2022-056 CASQA SWPPP Template 36 July 2012 7.7.1.1 Sampling Schedule Samples for the potential non-visible pollutant(s) and a sufficiently large unaffected background sample shall be collected during the first two hours of discharge from rain events that result in a sufficient discharge for sample collection. Samples shall be collected during the site’s scheduled hours and shall be collected regardless of the time of year and phase of the construction. Collection of discharge samples for non-visible pollutant monitoring will be triggered when any of the following conditions are observed during site inspections conducted prior to or during a rain event. • Materials or wastes containing potential non-visible pollutants are not stored under watertight conditions. Watertight conditions are defined as (1) storage in a watertight container, (2) storage under a watertight roof or within a building, or (3) protected by temporary cover and containment that prevents stormwater contact and runoff from the storage area. • Materials or wastes containing potential non-visible pollutants are stored under watertight conditions, but (1) a breach, malfunction, leakage, or spill is observed, (2) the leak or spill is not cleaned up prior to the rain event, and (3) there is the potential for discharge of non-visible pollutants to surface waters or a storm drain system. • A construction activity, including but not limited to those in Section 2.6, with the potential to contribute non-visible pollutants (1) was occurring during or within 24 hours prior to the rain event, (2) BMPs were observed to be breached, malfunctioning, or improperly implemented, and (3) there is the potential for discharge of non-visible pollutants to surface waters or a storm drain system. • Soil amendments that have the potential to change the chemical properties, engineering properties, or erosion resistance of the soil have been applied, and there is the potential for discharge of non-visible pollutants to surface waters or a storm drain system. • Stormwater runoff from an area contaminated by historical usage of the site has been observed to combine with stormwater runoff from the site, and there is the potential for discharge of non-visible pollutants to surface waters or a storm drain system. 7.7.1.2 Sampling Locations Sampling locations are based on proximity to planned non-visible pollutant storage, occurrence or use; accessibility for sampling, and personnel safety. Planned non-visible pollutant sampling locations are shown on the Site Maps in Appendix A and include the locations identified in Tables 7.5 through 7.9. Three (3) sampling location(s) on the project site and the contractor’s yard have been identified for the collection of samples of runoff from planned material and waste storage areas and areas where non-visible pollutant producing construction activities are planned. PA2022-056 CASQA SWPPP Template 37 July 2012 Table 7.5 Non-Visible Pollutant Sample Locations – Site and Contractors’ Yard Sample Location Number Sample Location Description Sample Location Latitude and Longitude (Decimal Degrees) One (1) sampling location has been identified for the collection of an uncontaminated sample of runoff as a background sample for comparison with the samples being analyzed for non-visible pollutants. This location(s) was selected such that the sample will not have come in contact with the operations, activities, or areas identified in Section 7.7.1 or with disturbed soils areas. Table 7.8 Non-Visible Pollutant Sample Locations – Background (Unaffected Sample) Sample Location Number Sample Location Sample Location Latitude and Longitude (Decimal Degrees) If a stormwater visual monitoring site inspection conducted prior to or during a storm event identifies the presence of a material storage, waste storage, or operations area with spills or the potential for the discharge of non-visible pollutants to surface waters or a storm drain system that is at a location not listed above and has not been identified on the Site Maps, sampling locations will be selected by the CONTRACTOR using the same rationale as that used to identify planned locations. Non-visible pollutant sampling locations shall be identified by the CONTRACTOR on the pre-rain event inspection form [and/or Rain Event Action Plan] prior to a forecasted qualifying rain event. 7.7.1.3 Monitoring Preparation Non-visible pollutant samples will be collected by: Contractor Yes No Consultant Yes No Laboratory Yes No Samples on the project site will be collected by the following contractor sampling personnel: Name/Telephone Number: Alternate(s)/Telephone Number: An adequate stock of monitoring supplies and equipment for monitoring non-visible pollutants will be available on the project site prior to a sampling event. Monitoring supplies and equipment will be stored in a cool temperature environment that will not come into contact with rain or direct sunlight. Sampling personnel will be available to collect samples in accordance with the sampling schedule. Supplies maintained at the project site will include, but are not PA2022-056 CASQA SWPPP Template 38 July 2012 limited to, clean powder-free nitrile gloves, sample collection equipment, coolers, appropriate number and volume of sample bottles, identification labels, re-sealable storage bags, paper towels, personal rain gear, ice, and Effluent Sampling Field Log Sheets and Chain of Custody (CoC) forms, which are provided in CSMP Attachment 3 “Example Forms”. Samples on the project site will be collected by the following [specify laboratory or environmental consultant]: Company Name: Street Address: City, State Zip: Telephone Number: Point of Contact: Name of Sampler(s): Name of Alternate(s): The CONTRACTOR or his/her designee will contact [specify name of laboratory or environmental consultant] 24 hours prior to a predicted rain event or for an unpredicted event, as soon as a rain event begins if one of the triggering conditions is identified during an inspection to ensure that adequate sample collection personnel and supplies for monitoring non-visible pollutants are available and will be mobilized to collect samples on the project site in accordance with the sampling schedule. 7.7.1.4 Analytical Constituents Table 7.10 lists the specific sources and types of potential non-visible pollutants on the project site and the water quality indicator constituent(s) for that pollutant. Table 7.10 Potential Non-Visible Pollutants and Water Quality Indicator Constituents Pollutant Source Pollutant Water Quality Indicator Constituent Water line flushing Chlorinated water Residual chlorine Portable toilets Bacteria Total/fecal coliform Concrete & Masonry Curing compounds pH, alkalinity, VOCs Painting Resins SVOCs Thinners Phenols, VOCs Paint Strippers VOCs Sealants SVOCs Landscaping Pesticides/Herbicides Check w/ lab Fertilizers NO3/NH3/P PA2022-056 CASQA SWPPP Template 39 July 2012 Table 7.10 Potential Non-Visible Pollutants and Water Quality Indicator Constituents Pollutant Source Pollutant Water Quality Indicator Constituent Lime and gypsum Acidity/alkalinity Treated wood Copper, arsenic, selenium Metals 7.7.1.5 Sample Collection Samples of discharge shall be collected at the designated non-visible pollutant sampling locations shown on the Site Maps in Appendix A or in the locations determined by observed breaches, malfunctions, leakages, spills, operational areas, soil amendment application areas, and historical site usage areas that triggered the sampling event. Grab samples shall be collected and preserved in accordance with the methods identified in the Table, “Sample Collection, Preservation and Analysis for Monitoring Non-Visible Pollutants” provided in Section 7.7.1.6. Only the CONTRACTOR, or personnel trained in water quality sampling under the direction of the CONTRACTOR shall collect samples. Sample collection and handling requirements are described in Section 7.7.7. 7.7.1.6 Sample Analysis Samples shall be analyzed using the analytical methods identified in the Table 7.11. Samples will be analyzed by: Laboratory Name: Sierra Analytical Laboratories, Inc. Street Address: 26052 Merit Circle, Suite 104 City, State Zip: Laguna Hills, CA 92653 Telephone Number: (949) 348-9389 Point of Contact: ELAP Certification Number: 2320 Samples will be delivered to the laboratory by: Driven by Contractor Yes No Picked up by Laboratory Courier Yes No Shipped Yes No PA2022-056 CASQA SWPPP Template 40 July 2012 Table 7.11 Sample Collection, Preservation and Analysis for Monitoring Non-Visible Pollutants Constituent Analytical Method Minimum Sample Volume Sample Containers Sample Preservation Reporting Limit Maximum Holding Time pH (1) EPA 150.1 50 mL Polypropylene N/A +/- 0.1 ASAP VOCs EPA 8020 2x40 vials Glass 4oC 0.5-50 g/L 14 days SVOCs EPA 8270 1000 mL Glass 4oC 10 g/L 14 days Coliform (Fecal) EPA 9211E 50 mL Polypropylene Na2SO2O3 2 MPN/100 mL 6 hours Coliform (Total) EPA 9221B 50 mL Polypropylene Na2SO2O3 2 MPN/100 mL 6 hours NO3-N EPA 300.0 100 mL Polypropylene 4oC 0.1 mg/L 48 hours NH3-N EPA 350.2 100 mL Polypropylene None 0.1 mg/L 28 days Total P EPA 365.2 100 mL Polypropylene HNO3 or H2SO4 to pH<2 0.03 mg/L 28 days Metals – Total Recoverable EPA 200.8 250 mL Polypropylene HNO3 or H2SO4 to pH<2 0.2-5 g/L (4) (5) Metals – Dissolved (2) EPA 200.8 250 mL Polypropylene HNO3 or H2SO4 to pH<2 (3) 0.2-5 g/L (4) (5) Notes: (1) Report pH to nearest 0.1 std. pH unit. Also report temperature at time of measurement. (2) Filter dissolved samples prior to analysis. (3) Dissolved metals preserved after filtration. (4) Target reporting limit varies by metal. (5) Filter for dissolved fraction and preserve within 48 hours; analyze within 6 months. PA2022-056 CASQA SWPPP Template 41 July 2012 7.7.1.7 Data Evaluation and Reporting The CONTRACTOR shall complete an evaluation of the water quality sample analytical results. Runoff/downgradient results shall be compared with the associated upgradient/unaffected results and any associated run-on results. Should the runoff/downgradient sample show an increased level of the tested analyte relative to the unaffected background sample, which cannot be explained by run-on results, the BMPs, site conditions, and surrounding influences shall be assessed to determine the probable cause for the increase. As determined by the site and data evaluation, appropriate BMPs shall be repaired or modified to mitigate discharges of non-visible pollutant concentrations. Any revisions to the BMPs shall be recorded as an amendment to the CPPP. The General Permit prohibits the storm water discharges that contain hazardous substances equal to or in excess of reportable quantities established in 40 C.F.R. §§ 117.3 and 302.4. The results of any non-stormwater discharge results that indicate the presence of a hazardous substance in excess of established reportable quantities shall be immediately reported to the Regional Water Board and other agencies as required by 40 C.F.R. §§ 117.3 and 302.4. Results of non-visible pollutant monitoring shall be reported in the Annual Report. 7.7.2 Sampling and Analysis Plan for pH and Turbidity in Stormwater Runoff Discharges Sampling and analysis of runoff for pH and turbidity is required for Risk Level 2 projects. Contact Sergio Gutierrez at the City of Newport Beach Community Development Department to determine which sampling is required for the site. This Sampling and Analysis Plan describes the strategy for monitoring turbidity and pH levels of stormwater runoff discharges from the project site and run-on that may contribute to an exceedance of a Numeric Action Level (NAL) [or the exceedance of a Receiving Water Monitoring Trigger]. Samples for turbidity will be collected from all drainage areas with disturbed soil areas and samples for pH will be collected from all drainage areas with a high risk of pH altering discharge. 7.7.2.1 Sampling Schedule Stormwater runoff samples shall be collected for turbidity from each day of a qualifying rain event that results in a discharge from the project site. At minimum, turbidity samples will be collected from each site discharge location draining a disturbed area. A minimum of three samples will be collected per day of discharge during a qualifying event. Samples should be representative of the total discharge from the project each day of discharge during the qualifying event. Typically representative samples will be spaced in time throughout the daily discharge event. Stormwater runoff samples shall be collected for pH from each day of qualifying rain events that result in a discharge from the project site. Note that pH samples are only required to be collected during project phases and from drainage areas with a high risk of pH altering discharge. A PA2022-056 CASQA SWPPP Template 42 July 2012 minimum of three samples will be collected per day of discharge during a qualifying event. Samples should be representative of the total discharge from the location each day of discharge during the qualifying event. Typically representative samples will be spaced in time throughout the daily discharge event. Stored or collected water from a qualifying storm event when discharged shall be tested for turbidity and pH (when applicable). Stored or collected water from a qualifying event may be sampled at the point it is released from the storage or containment area or at the site discharge location. Run-on samples shall be collected whenever the CONTRACTOR identifies that run-on has the potential to contribute to an exceedance of a NAL [or the exceedance of a Receiving Water Monitoring Trigger]. 7.7.2.2 Sampling Locations Sampling locations are based on the site runoff discharge locations and locations where run-on enters the site; accessibility for sampling; and personnel safety. Planned pH and turbidity sampling locations are shown on the Site Maps in Appendix A and include the locations identified in Table 7.13 and Table 7-14. For a Risk level 2 project, sampling is required. Table 7.12 Turbidity and pH Runoff Sample Locations Sample Location Number Sample Location Estimate of Site [Factor] (%) The project does not receive run-on with the potential to exceed NALs or Receiving Water Monitoring Triggers. 7.7.2.3 Monitoring Preparation Turbidity and pH samples will be collected and analyzed by: Contractor Yes No Consultant Yes No Laboratory Yes No Samples on the project site will be collected by the following contractor sampling personnel: Name/Telephone Number: Alternate(s)/Telephone Number: An adequate stock of monitoring supplies and equipment for monitoring turbidity and will be available on the project site prior to a sampling event. Monitoring supplies and equipment will be stored in a cool temperature environment that will not come into contact with rain or direct PA2022-056 CASQA SWPPP Template 43 July 2012 sunlight. Sampling personnel will be available to collect samples in accordance with the sampling schedule. Supplies maintained at the project site will include, but are not limited to, field meters, extra batteries; clean powder-free nitrile gloves, sample collection equipment, appropriate sample containers, paper towels, personal rain gear, and Effluent Sampling Field Log Sheets and CoC forms provided in CSMP Attachment 3 “Example Forms”. The contractor will obtain and maintain the field testing instruments, as identified in Section 7.7.2.6, for analyzing samples in the field by contractor sampling personnel. Samples on the project site will be collected by the following [specify laboratory or environmental consultant]: Company Name: Street Address: City, State, Zip: Telephone Number: Point of Contact: Name of Sampler(s): Name of Alternate(s): The CONTRACTOR or his/her designee will contact [specify name of laboratory or environmental consultant] 24 hours prior to a predicted rain event or for an unpredicted event, as soon as a rain event begins to ensure that adequate sample collection personnel, supplies for monitoring pH and turbidity are available and will be mobilized to collect samples on the project site in accordance with the sampling schedule. 7.7.2.4 Field Parameters Samples shall be analyzed for the constituents indicated in the Table 7.14. Table 7.14 Sample Collection and Analysis for Monitoring Turbidity and pH Parameter Test Method Minimum Sample Volume(1) Sample Collection Container Type Detection Limit (minimum) Turbidity Field meter/probe with calibrated portable instrument 500 mL Polypropylene or Glass (Do not collect in meter sample cells) 1 NTU pH Field meter/probe with calibrated portable instrument or calibrated pH test kit 100 mL Polypropylene 0.2 pH units PA2022-056 CASQA SWPPP Template 44 July 2012 Table 7.14 Sample Collection and Analysis for Monitoring Turbidity and pH Parameter Test Method Minimum Sample Volume(1) Sample Collection Container Type Detection Limit (minimum) Notes: 1 Minimum sample volume recommended. Specific volume requirements will vary by instrument; check instrument manufacturer instructions. L – Liter mL – Milliliter NTU – Nephelometric Turbidity Unit 7.7.2.5 Sample Collection Samples of discharge shall be collected at the designated runoff and run-on sampling locations shown on the Site Maps in Appendix A. Run-on samples shall be collected within close proximity of the point of run-on to the project. Only personnel trained in water quality sampling and field measurements working under the direction of the CONTRACTOR shall collect samples. Sample collection and handling requirements are described in Section 7.7.7. 7.7.2.6 Field Measurements Samples collected for field analysis, collection, analysis and equipment calibration shall be in accordance with the field instrument manufacturer’s specifications. Immediately following collection, samples for field analysis shall be tested in accordance with the field instrument manufacturer’s instructions and results recorded on the Effluent Sampling Field Log Sheet. The field instrument(s) listed in Table 7.15 will be used to analyze the following constituents: Table 7.15 Field Instruments Field Instrument (Manufacturer and Model) Constituent LaMotte Precision pH Kit Octa-Slide 2, pH 3.0 – 10.5 pH Orbeco Hellige TB200 Turbidimeter Turbidity The manufacturers’ instructions are included in CSMP Attachment 4 “Field Meter Instructions”. Field sampling staff shall review the instructions prior to each sampling event and follow the instructions in completing measurement of the samples. • The instrument(s) shall be maintained in accordance with manufacturer’s instructions. • The instrument(s) shall be calibrated before each sampling and analysis event. • Maintenance and calibration records shall be maintained with the CPPP. PA2022-056 CASQA SWPPP Template 45 July 2012 The CONTRACTOR may authorize alternate equipment provided that the equipment meets the Construction General Permit’s requirements and the manufacturers’ instructions for calibration and use are added to CSMP Attachment 4 “Field Meter Instructions”. 7.7.2.7 Data Evaluation and Reporting Immediately upon completing the measurements for the sampling event, provide the Effluent Sampling Field Log Sheets to the CONTRACTOR for evaluation. Numeric Action Levels This project is subject to NALs for pH and turbidity (Table 7.16). Compliance with the NAL for pH and turbidity is based on a [weighted] daily average. Upon receiving the field log sheets, the CONTRACTOR shall immediately calculate the [weighted] arithmetic average of the turbidity samples, and the [weighted] logarithmic average of the pH samples1 to determine if the NALs, shown in the table below, have been exceeded. Table 7.16 Numeric Action Levels Parameter Unit Daily Average pH pH units Lower NAL = 6.5 Upper NAL = 8.5 Turbidity NTU 250 NTU The CONTRACTOR shall within 5 days of the sample collection submit copies of the completed Effluent Sampling Field Log Sheets to the Owner’s Representative. In the event that the pH or turbidity NAL is exceeded, the CONTRACTOR shall immediately notify the Owner’s Representative and investigate the cause of the exceedance and identify corrective actions. Exceedances of NALs shall be electronically reported to the State Water Board by the Owner’s Representative through the SMARTs system within 10 days of the conclusion of the storm event. If requested by the Regional Board, a NAL Exceedance report will be submitted. The NAL Exceedance Report must contain the following information: • Analytical method(s), method reporting unit(s), and MDL(s) of each parameter; • Date, place, time of sampling, visual observation, and/or measurements, including precipitation; and • Description of the current BMPs associated with the sample that exceeded the NAL and the proposed corrective actions taken. Receiving Water Monitoring Triggers This project is not subject to Receiving Water Monitoring Triggers because it does not have a direct discharge to the receiving water. 1 Daily average pH values must be calculated through the logarithmic method. In order to calculate an average, you must: (1) Convert the pH measurements from logarithms to real numbers; (2) Take the average of the real numbers; and (3) Convert the average of the real numbers back to a logarithm. PA2022-056 CASQA SWPPP Template 46 July 2012 7.7.3 Sampling and Analysis Plan for pH, Turbidity, and SSC in Receiving Water This project is not subject to Receiving Water Monitoring. 7.7.4 Sampling and Analysis Plan for Non-Stormwater Discharges This Sampling and Analysis Plan for non-stormwater discharges describes the sampling and analysis strategy and schedule for monitoring pollutants in authorized and unauthorized non-stormwater discharges from the project site in accordance with the requirements of the Construction General Permit. Sampling of non-stormwater discharges will be conducted when an authorized or unauthorized non-stormwater discharge is observed discharging from the project site. In the event that non-stormwater discharges run-on to the project site from offsite locations, and this run-on has the potential to contribute to a violation of a NAL, the run-on will also be sampled. The following authorized non-stormwater discharges identified in Section 2.7, have the potential to be discharged from the project site. • None In addition to the above authorized stormwater discharges, some construction activities have the potential to result in an unplanned (unauthorized) non-stormwater discharge if BMPs fail. These activities include: • Concrete curing • Concrete finishing • Vehicle and equipment cleaning and maintenance • Concrete waste management 7.7.4.1 Sampling Schedule Samples of authorized or unauthorized non-stormwater discharges shall be collected when they are observed. 7.7.4.2 Sampling Locations Samples shall be collected from the discharge point of the construction site where the non-stormwater discharge is running off the project site. Site discharge locations are shown on the Site Maps in CPPP Appendix A and include the locations identified below. For a Risk level 2 project, sampling is required. PA2022-056 CASQA SWPPP Template 47 July 2012 Table 7.20 Non-stormwater Discharge Sample Locations Sample Location Number Sample Location Sample Location Latitude and Longitude (Decimal Degrees) 7.7.4.3 Monitoring Preparation Non-stormwater discharge samples will be collected by: Contractor Yes No Consultant Yes No Laboratory Yes No Samples on the project site will be collected by the following contractor sampling personnel: Name/Telephone Number: Alternate(s)/Telephone Number: An adequate stock of monitoring supplies and equipment for monitoring non-stormwater discharges will be available on the project site. Monitoring supplies and equipment will be stored in a cool temperature environment that will not come into contact with rain or direct sunlight. Personnel trained in sampling will be available to collect samples in accordance with the sampling schedule. Supplies maintained at the project site will include, but are not limited to, clean powder-free nitrile gloves, sample collection equipment, field meters, coolers, appropriate number and volume of sample bottles, identification labels, re-sealable storage bags, paper towels, personal rain gear, ice, and Effluent Sampling Field Log Sheets and CoC forms provided in CSMP Attachment 3 “Example Forms”. The contractor will obtain and maintain the field testing instruments, as identified in Section 7.7.2, for analyzing samples in the field by contractor sampling personnel. Samples on the project site will be collected by the following [specify laboratory or environmental consultant]: Company Name: Street Address: City, State Zip: Telephone Number: Point of Contact: Name of Sampler(s): Name of Alternate(s): PA2022-056 CASQA SWPPP Template 48 July 2012 The CONTRACTOR or his/her designee will contact [specify name of laboratory or environmental consultant], 24 hours prior to a planned non-stormwater discharge or as soon as an unplanned non-stormwater discharge is observed to ensure that adequate sample collection personnel, supplies for non-stormwater discharge monitoring are available and will be mobilized to collect samples on the project site in accordance with the sampling schedule. 7.7.4.4 Analytical Constituents All non-stormwater discharges that flow through a disturbed area shall, at minimum, be monitored for turbidity. All non-stormwater discharges that flow through an area where they are exposed to pH altering materials shall be monitored for pH. The CONTRACTOR shall identify additional pollutants to be monitored for each non-stormwater discharge incident based on the source of the non-stormwater discharge. If the source of an unauthorized non-stormwater discharge is not known, monitoring for pH, turbidity, MBAS, TOC, and residual chlorine or chloramines is recommended to help identify the source of the discharge. Non-stormwater discharge run-on shall be monitored, at minimum, for pH and turbidity. The CONTRACTOR shall identify additional pollutants to be monitored for each non-stormwater discharge incident based on the source of the non-stormwater discharge. If the source of an unauthorized non-stormwater discharge is not known, monitoring for pH, turbidity, MBAS, TOC, and residual chlorine or chloramines is recommended to help identify the source of the discharge. Table 7.22 lists the specific sources and types of potential non-stormwater pollutants on the project site and the water quality indicator constituent(s) for that pollutant. Table 7.22 Potential Non-Stormwater Discharge Pollutants and Water Quality Indicator Constituents Pollutant Source Pollutant Water Quality Indicator Constituent Disturbed Areas Sediment Turbidity Concrete Work pH pH 7.7.4.5 Sample Collection Samples shall be collected at the discharge locations where the non-stormwater discharge is leaving the project site. Potential discharge locations are shown on the Site Maps in Appendix A and identified in Section 7.7.4.2. PA2022-056 CASQA SWPPP Template 49 July 2012 Grab samples shall be collected and preserved in accordance with the methods identified in Table 7.23. Only personnel trained in water quality sampling under the direction of the CONTRACTOR shall collect samples. Sample collection and handling requirements are described in Section 7.7.7. 7.7.4.6 Sample Analysis Samples shall be analyzed using the analytical methods identified in Table 7.23. 7.7.4.7 Data Evaluation and Reporting The CONTRACTOR shall complete an evaluation of the water quality sample analytical results. Turbidity and pH results shall be evaluated for compliance with NALs as identified in Section 7.7.2.7. Runoff results shall also be evaluated for the constituents suspected in the non-stormwater discharge. Should the runoff sample indicate the discharge of a pollutant which cannot be explained by run-on results, the BMPs, site conditions, and surrounding influences shall be assessed to determine the probable cause for the increase. As determined by the site and data evaluation, appropriate BMPs shall be repaired or modified to mitigate discharges of non-visible pollutant concentrations. Any revisions to the BMPs shall be recorded as an amendment to the CPPP. Non-storm water discharge results shall be submitted with the Annual Report. The General Permit prohibits the non-storm water discharges that contain hazardous substances equal to or in excess of reportable quantities established in 40 C.F.R. §§ 117.3 and 302.4. The results of any non-stormwater discharge results that indicate the presence of a hazardous substance in excess of established reportable quantities shall be immediately reported to the Regional Water Board. PA2022-056 CASQA SWPPP Template 50 July 2012 Table 7.23 Sample Collection, Preservation and Analysis for Monitoring Pollutants in Non-Stormwater Discharges Constituent Analytical Method Minimum Sample Volume Sample Bottle Sample Preservation Reporting Limit Maximum Holding Time Notes: PA2022-056 CASQA SWPPP Template 51 July 2012 7.7.5 Sampling and Analysis Plan for Other Pollutants Required by the Regional Water Board The Regional Water Board has not specified monitoring for additional pollutants. 7.7.6 Training of Sampling Personnel Sampling personnel shall be trained to collect, maintain, and ship samples in accordance with the Surface Water Ambient Monitoring program (SWAMP) 2008 Quality Assurance Program Plan (QAPrP). Training records of designated contractor sampling personnel are provided in Appendix I. The stormwater sampler(s) and alternate(s) have received the following stormwater sampling training: Name Training (LIST) (LIST) The stormwater sampler(s) and alternates have the following stormwater sampling experience: Name Experience (LIST) (LIST) 7.7.7 Sample Collection and Handling 7.7.7.1 Sample Collection Samples shall be collected at the designated sampling locations shown on the Site Maps and listed in the preceding sections. Samples shall be collected, maintained and shipped in accordance with the SWAMP 2008 Quality Assurance Program Plan (QAPrP). Grab samples shall be collected and preserved in accordance with the methods identified in preceding sections. To maintain sample integrity and prevent cross-contamination, sample collection personnel shall follow the protocols below. • Collect samples (for laboratory analysis) only in analytical laboratory-provided sample containers; • Wear clean, powder-free nitrile gloves when collecting samples; • Change gloves whenever something not known to be clean has been touched; • Change gloves between sites; • Decontaminate all equipment (e.g. bucket, tubing) prior to sample collection using a trisodium phosphate water wash, distilled water rinse, and final rinse with distilled water. (Dispose of wash and rinse water appropriately, i.e., do not discharge to storm drain or receiving water). Do not decontaminate laboratory provided sample containers; PA2022-056 CASQA SWPPP Template 52 July 2012 • Do not smoke during sampling events; • Never sample near a running vehicle; • Do not park vehicles in the immediate sample collection area (even non-running vehicles); • Do not eat or drink during sample collection; and • Do not breathe, sneeze, or cough in the direction of an open sample container. The most important aspect of grab sampling is to collect a sample that represents the entire runoff stream. Typically, samples are collected by dipping the collection container in the runoff flow paths and streams as noted below. i. For small streams and flow paths, simply dip the bottle facing upstream until full. ii. For larger stream that can be safely accessed, collect a sample in the middle of the flow stream by directly dipping the mouth of the bottle. Once again making sure that the opening of the bottle is facing upstream as to avoid any contamination by the sampler. iii. For larger streams that cannot be safely waded, pole-samplers may be needed to safely access the representative flow. iv. Avoid collecting samples from ponded, sluggish or stagnant water. v. Avoid collecting samples directly downstream from a bridge as the samples can be affected by the bridge structure or runoff from the road surface. Note, that depending upon the specific analytical test, some containers may contain preservatives. These containers should never be dipped into the stream, but filled indirectly from the collection container. SSC samples should be taken as a normal grab sample, where the bottle is submerged facing upstream and filled. SSC samples need to be collected in a separate bottle because the analysis requires the entire volume of the bottle. Do not collect in a larger container and partition into the laboratory sample container. 7.7.7.2 Sample Handling Turbidity and pH measurements must be conducted immediately. Do not store turbidity or pH samples for later measurement. Samples for laboratory analysis must be handled as follows. Immediately following sample collection: • Cap sample containers; • Complete sample container labels; • Sealed containers in a re-sealable storage bag; • Place sample containers into an ice-chilled cooler; • Document sample information on the Effluent Sampling Field Log Sheet; and • Complete the CoC. All samples for laboratory analysis must be maintained between 0-6 degrees Celsius during delivery to the laboratory. Samples must be kept on ice, or refrigerated, from sample collection through delivery to the laboratory. Place samples to be shipped inside coolers with ice. Make sure the sample bottles are well packaged to prevent breakage and secure cooler lids with packaging tape. PA2022-056 CASQA SWPPP Template 53 July 2012 Ship samples that will be laboratory analyzed to the analytical laboratory right away. Hold times are measured from the time the sample is collected to the time the sample is analyzed. The General Permit requires that samples be received by the analytical laboratory within 48 hours of the physical sampling (unless required sooner by the analytical laboratory). Laboratory Name: Sierra Analytical Laboratories, Inc. Address: 26052 Merit Circle, Suite 104 City, State Zip: Laguna Hills, CA 92653 Telephone Number: (949) 348-9389 Point of Contact: 7.7.7.3 Sample Documentation Procedures All original data documented on sample bottle identification labels, Effluent Sampling Field Log Sheet, and CoCs shall be recorded using waterproof ink. These shall be considered accountable documents. If an error is made on an accountable document, the individual shall make corrections by lining through the error and entering the correct information. The erroneous information shall not be obliterated. All corrections shall be initialed and dated. Duplicate samples shall be identified consistent with the numbering system for other samples to prevent the laboratory from identifying duplicate samples. Duplicate samples shall be identified in the Effluent Sampling Field Log Sheet. Sample documentation procedures include the following: Sample Bottle Identification Labels: Sampling personnel shall attach an identification label to each sample bottle. Sample identification shall uniquely identify each sample location. Field Log Sheets: Sampling personnel shall complete the Effluent Sampling Field Log Sheet and Receiving Water Sampling Field Log Sheet for each sampling event, as appropriate. Chain of Custody: Sampling personnel shall complete the CoC for each sampling event for which samples are collected for laboratory analysis. The sampler will sign the CoC when the sample(s) is turned over to the testing laboratory or courier. 7.8 Active Treatment System Monitoring An Active Treatment System (ATS) will be deployed on the site? Yes No This project does not require a project specific Sampling and Analysis Plan for an ATS because deployment of an ATS is not planned. 7.9 Bioassessment Monitoring This project is not subject to bioassessment monitoring because it does not meet the permit specified trigger requirements. This project is Risk Level 3 Yes No This project will disturb more than30 acres Yes No PA2022-056 CASQA SWPPP Template 54 July 2012 This project directly discharges runoff to a freshwater wadeable stream (or streams) that is either: Yes No a) Listed by the State Water Board or EPA as impaired due to sediment or is tributary to any downstream waterbody that is listed for sediment impairments or b) Has the beneficial uses of SPAWN and COLD and MIGRATORY 7.10 Watershed Monitoring Option This project is not participating in a watershed monitoring option. 7.11 Quality Assurance and Quality Control An effective Quality Assurance and Quality Control (QA/QC) plan shall be implemented as part of the CSMP to ensure that analytical data can be used with confidence. QA/QC procedures to be initiated include the following: • Field logs; • Clean sampling techniques; • CoCs; • QA/QC Samples; and • Data verification. Each of these procedures is discussed in more detail in the following sections. 7.11.1 Field Logs The purpose of field logs is to record sampling information and field observations during monitoring that may explain any uncharacteristic analytical results. Sampling information to be included in the field log include the date and time of water quality sample collection, sampling personnel, sample container identification numbers, and types of samples that were collected. Field observations should be noted in the field log for any abnormalities at the sampling location (color, odor, BMPs, etc.). Field measurements for pH and turbidity should also be recorded in the field log. A Visual Inspection Field Log and an Effluent Sampling Field Log Sheet, are included in CSMP Attachment 3 “Example Forms”. 7.11.2 Clean Sampling Techniques Clean sampling techniques involve the use of certified clean containers for sample collection and clean powder-free nitrile gloves during sample collection and handling. As discussed in Section 7.7.7, adoption of a clean sampling approach will minimize the chance of field contamination and questionable data results. 7.11.3 Chain of Custody The sample CoC is an important documentation step that tracks samples from collection through analysis to ensure the validity of the sample. Sample CoC procedures include the following: PA2022-056 CASQA SWPPP Template 55 July 2012 • Proper labeling of samples; • Use of CoC forms for all samples; and • Prompt sample delivery to the analytical laboratory. Analytical laboratories usually provide CoC forms to be filled out for sample containers. An example CoC is included in CSMP Attachment 3 “Example Forms”. 7.11.4 QA/QC Samples QA/QC samples provide an indication of the accuracy and precision of the sample collection; sample handling; field measurements; and analytical laboratory methods. The following types of QA/QC will be conducted for this project: Field Duplicates at a frequency of [5 percent or 1 duplicate minimum per sampling event] (Required for all sampling plans with field measurements or laboratory analysis) Equipment Blanks at a frequency of [Insert frequency required by method] (Only needed if equipment used to collect samples could add the pollutants to sample) Field Blanks at a frequency of [Insert frequency required by method] (Only required if sampling method calls for field blanks) Travel Blanks at a frequency of [Insert frequency required by method] (Required for sampling plans that include VOC laboratory analysis) 7.11.4.1 Field Duplicates Field duplicates provide verification of laboratory or field analysis and sample collection. Duplicate samples shall be collected, handled, and analyzed using the same protocols as primary samples. The sample location where field duplicates are collected shall be randomly selected from the discharge locations. Duplicate samples shall be collected immediately after the primary sample has been collected. Duplicate samples must be collected in the same manner and as close in time as possible to the original sample. Duplicate samples shall not influence any evaluations or conclusion. 7.11.4.2 Equipment Blanks Equipment blanks provide verification that equipment has not introduced a pollutant into the sample. Equipment blanks are typically collected when: • New equipment is used; • Equipment that has been cleaned after use at a contaminated site; • Equipment that is not dedicated for surface water sampling is used; or • Whenever a new lot of filters is used when sampling metals. 7.11.4.3 Field Blanks Field blanks assess potential sample contamination levels that occur during field sampling activities. De-ioninzed water field blanks are taken to the field, transferred to the appropriate container, and treated the same as the corresponding sample type during the course of a sampling event. PA2022-056 CASQA SWPPP Template 56 July 2012 7.11.4.4 Travel Blanks Travel blanks assess the potential for cross-contamination of volatile constituents between sample containers during shipment from the field to the laboratory. De-ioninzed water blanks are taken along for the trip and held unopened in the same cooler with the VOC samples. 7.11.5 Data Verification After results are received from the analytical laboratory, the CONTRACTOR shall verify the data to ensure that it is complete, accurate, and the appropriate QA/QC requirements were met. Data must be verified as soon as the data reports are received. Data verification shall include: • Check the CoC and laboratory reports. Make sure all requested analyses were performed and all samples are accounted for in the reports. • Check laboratory reports to make sure hold times were met and that the reporting levels meet or are lower than the reporting levels agreed to in the contract. • Check data for outlier values and follow up with the laboratory. Occasionally typographical errors, unit reporting errors, or incomplete results are reported and should be easily detected. These errors need to be identified, clarified, and corrected quickly by the laboratory. The CONTRACTOR should especially note data that is an order of magnitude or more different than similar locations, or is inconsistent with previous data from the same location. • Check laboratory QA/QC results. EPA establishes QA/QC checks and acceptable criteria for laboratory analyses. These data are typically reported along with the sample results. The CONTRACTOR shall evaluate the reported QA/QC data to check for contamination (method, field, and equipment blanks), precision (laboratory matrix spike duplicates), and accuracy (matrix spikes and laboratory control samples). When QA/QC checks are outside acceptable ranges, the laboratory must flag the data, and usually provides an explanation of the potential impact to the sample results. • Check the data set for outlier values and, accordingly, confirm results and re-analyze samples where appropriate. Sample re-analysis should only be undertaken when it appears that some part of the QA/QC resulted in a value out of the accepted range. Sample results may not be discounted unless the analytical laboratory identifies the required QA/QC criteria were not met and confirms this in writing. Field data including inspections and observations must be verified as soon as the field logs are received, typically at the end of the sampling event. Field data verification shall include: • Check field logs to make sure all required measurements were completed and appropriately documented; • Check reported values that appear out of the typical range or inconsistent; Follow-up immediately to identify potential reporting or equipment problems, if appropriate, recalibrate equipment after sampling; • Verify equipment calibrations; • Review observations noted on the field logs; and PA2022-056 CASQA SWPPP Template 57 July 2012 • Review notations of any errors and actions taken to correct the equipment or recording errors. PA2022-056 CASQA SWPPP Template 58 July 2012 7.12 Records Retention All records of stormwater monitoring information and copies of reports (including Annual Reports) must be retained for a period of at least three years from date of submittal or longer if required by the City of Newport Beach. Results of visual monitoring, field measurements, and laboratory analyses must be kept in the CPPP along with CoCs, and other documentation related to the monitoring. Records are to be kept onsite while construction is ongoing. Records to be retained include: • The date, place, and time of inspections, sampling, visual observations, and/or measurements, including precipitation; • The individual(s) who performed the inspections, sampling, visual observation, and/or field measurements; • The date and approximate time of field measurements and laboratory analyses; • The individual(s) who performed the laboratory analyses; • A summary of all analytical results, the method detection limits and reporting limits, and the analytical techniques or methods used; • Rain gauge readings from site inspections; • QA/QC records and results; • Calibration records; • Visual observation and sample collection exemption records; • The records of any corrective actions and follow-up activities that resulted from analytical results, visual observations, or inspections. PA2022-056 CASQA SWPPP Template 59 July 2012 CSMP Attachment 1: Weather Records PA2022-056 CASQA SWPPP Template 60 July 2012 PA2022-056 CASQA SWPPP Template 61 July 2012 CSMP Attachment 2: Monitoring Records PA2022-056 CASQA SWPPP Template 62 July 2012 PA2022-056 CASQA SWPPP Template 63 July 2012 CSMP Attachment 3: Example Forms PA2022-056 CASQA SWPPP Template 64 July 2012 PA2022-056 CASQA SWPPP Template 65 July 2012 Rain Gauge Log Sheet Construction Site Name: Faber Residence WDID #: Date (mm/dd/yy) Time (24-hr) Initials Rainfall Depth (Inches) Notes: PA2022-056 CASQA SWPPP Template 66 July 2012 Risk Level 1, 2, 3 Visual Inspection Field Log Sheet Date and Time of Inspection: Report Date: Inspection Type: □ Weekly □ Before predicted rain □ During rain event □ Following qualifying rain event □ Contained stormwater release □ Quarterly non- stormwater Site Information Construction Site Name: Construction stage and completed activities: Approximate area of exposed site: Weather and Observations Date Rain Predicted to Occur: Predicted % chance of rain: Estimate storm beginning: (date and time) Estimate storm duration:_________ (hours) Estimate time since last storm: ________ (days or hours) Rain gauge reading: _______ (inches) Observations: If yes identify location Odors Yes □ No □ Floating material Yes □ No □ Suspended Material Yes □ No □ Sheen Yes □ No □ Discolorations Yes □ No □ Turbidity Yes □ No □ Site Inspections Outfalls or BMPs Evaluated Deficiencies Noted (add additional sheets or attached detailed BMP Inspection Checklists) Photos Taken: Yes □ No □ Photo Reference IDs: Corrective Actions Identified (note if CPPP/REAP change is needed) Inspector Information Inspector Name: Inspector Title: Signature: Date: PA2022-056 CASQA SWPPP Template 67 July 2012 Risk Level 2 Effluent Sampling Field Log Sheets Construction Site Name: Date: Time Start: Sampler: Sampling Event Type: □ Stormwater □ Non-stormwater □ Non-visible pollutant Field Meter Calibration pH Meter ID No./Desc.: Calibration Date/Time: Turbidity Meter ID No./Desc.: Calibration Date/Time: Field pH and Turbidity Measurements Discharge Location Description pH Turbidity Time Grab Samples Collected Discharge Location Description Sample Type Time Additional Sampling Notes: Time End: PA2022-056 CASQA SWPPP Template 68 July 2012 NAL Exceedance Evaluation Summary Report Page __ of __ Project Name Project WDID Project Location Date of Exceedance Type of Exceedance NAL Daily Average pH Turbidity Other (specify) Measurement or Analytical Method Field meter (Sensitivity: ) Lab method (specify) (Reporting Limit: ) (MDL: ) Calculated Daily Average pH pH units Turbidity NTU Rain Gauge Measurement inches Compliance Storm Event inches (5-year, 24-hour event) Visual Observations on Day of Exceedance PA2022-056 CASQA SWPPP Template 69 July 2012 NAL Exceedance Evaluation Summary Report Page __ of __ Description of BMPs in Place at Time of Event Initial Assessment of Cause Corrective Actions Taken (deployed after exceedance) Additional Corrective Actions Proposed Report Completed By (Print Name, Title) Signature PA2022-056 CASQA SWPPP Template 70 July 2012 CHAIN-OF-CUSTODY DATE: Lab ID: DESTINATION LAB: REQUESTED ANALYSIS Notes: ATTN: ADDRESS: Office Phone: Cell Phone: SAMPLED BY: Contact: Project Name Client Sample ID Sample Sample Sample Container Date Time Matrix # Type Pres. SENDER COMMENTS: RELINQUISHED BY Signature: Print: Company: Date: TIME: LABORATORY COMMENTS: RECEIVED BY Signature: Print: Company: Date: TIME: PA2022-056 CASQA SWPPP Template 71 July 2012 CSMP Attachment 4: Field Meter Instructions PA2022-056 CASQA SWPPP Template 72 July 2012 PA2022-056 CASQA SWPPP Template 73 July 2012 CSMP Attachment 5: Supplemental Information PA2022-056 CASQA SWPPP Template 74 July 2012 CSMP Attachment 6: Annual Report Records PA2022-056 CASQA SWPPP Template 75 July 2012 Section 8 References Project Plans and Specifications No. dated _____, prepared by Toal Engineering, Inc. CASQA 2009, Stormwater BMP Handbook Portal: Construction, November 2009, www.casqa.org PA2022-056 CASQA SWPPP Template 76 July 2012 Appendix A: Site Maps PA2022-056 PROPOSED RESIDENCEF.F.=17.19OCEANFRONTALLEYLEGENDNOTEEROSION CONTROL BMPsTEMPORARY SEDIMENT CONTROLWIND EROSION CONTROLTRACKING CONTROLWASTE MANAGEMENT AND MATERIALS POLLUTION CONTROLNON-STORMWATER MANAGEMENTYEAR-ROUND BMP REQUIREMENTS13 9 A v e n i d a N a v a r r oS a n C l e m e n t e , C A 9 2 6 7 29 4 9 . 4 9 2 . 8 5 8 6w w w . t o a l e n g i n e e r i n g . c o mC I V I L E N G I N E E R I N GL A N D S U R V E Y I N GSTORMWATER QUALITYPA2022-056 CASQA SWPPP Template 77 July 2012 Appendix B: CPPP Amendment Certifications PA2022-056 CASQA SWPPP Template 78 July 2012 CPPP Amendment No. Project Name: Project Number: Qualified CPPP Developer’s Certification of the Construction pollution prevention plan Amendment “This Construction pollution prevention plan and attachments were prepared under my direction to meet the City of Newport Beach CPPP requirements. I certify that I am the CPPP Developer as signed below.” CPPP PREPARER’s Signature Date CPPP PREPARER Name Title and Affiliation Telephone Address Email PA2022-056 CASQA SWPPP Template 79 July 2012 Appendix C: Submitted Changes to CPPP PA2022-056 CASQA SWPPP Template 80 July 2012 Log of Updated CPPP The General Permit allows for the reduction or increase of the total acreage covered under the General Permit when a portion of the project is complete and/or conditions for termination of coverage have been met; when ownership of a portion of the project is purchased by a different entity; or when new acreage is added to the project. This appendix includes all of the following updated CPPP (check all that apply): Revised Site Map; Revised Risk Assessment; New landowner’s information (name, address, phone number, email address); and New signed certification statement. Legally Responsible Person [if organization] Signature of [Authorized Representative of] Legally Responsible Person or Approved Signatory Date Name of [Authorized Representative of] Legally Responsible Person or Approved Signatory Telephone Number PA2022-056 CASQA SWPPP Template 81 July 2012 Appendix D: Construction Schedule PA2022-056 CASQA SWPPP Template 82 July 2012 Appendix E: Construction Activities, Materials Used, and Associated Pollutants PA2022-056 CASQA SWPPP Template 83 July 2012 Table E.1 Construction Activities and Associated Pollutants Activity Specific Work Activity/Products With Potential Stormwater Pollutants Pollutant Category(1) Adhesives • Adhesives, glues, resins, epoxy synthetics, PVC cement • Caulks, sealers, putty, sealing agents and • Coal tars (naphtha, pitch) Oil and Grease, Synthetic Organics1 Asphalt paving/curbs • Hot and cold mix asphalt Oil and Grease Cleaners • Polishes (metal, ceramic, tile) • Etching agents • Cleaners, ammonia, lye, caustic sodas, bleaching agents and chromate salts Metals, Synthetic Organics Concrete / Masonry • Cement and brick dust • Colored chalks • Concrete curing compounds • Glazing compounds • Surfaces cleaners • Saw cut slurries • Tile cutting Metals, Synthetic Organics Drywall • Saw-cutting drywall Metals Framing/Carpentry • Sawdust, particle board dust, and treated woods • Saw cut slurries Metals, Synthetic Organics Heating, Ventilation, Air Conditioning • Demolition or construction of air condition and heating systems Metals, Synthetic Organics Insulation • Demolition or construction involving insulation, venting systems Metals, Synthetic Organics Liquid waste • Wash waters • Irrigation line testing/flushing Metals, Synthetic Organics Painting • Paint thinners, acetone, methyl ethyl ketone, stripper paints, lacquers, varnish, enamels, turpentine, gum spirit, solvents, dyes, stripping pigments and sanding Metals, Synthetic Organics Planting / Vegetation Management • Vegetation control (pesticides/herbicides) • Planting • Plant maintenance • Vegetation removal Nutrients, Metals, Synthetic Organics Plumbing • Solder (lead, tin), flux (zinc chloride), pipe fitting • Galvanized metal in nails, fences, and electric wiring Metals, Synthetic Organics Pools/fountains • Chlorinated water Synthetic Organics Removal of existing structures • Demolition of asphalt, concrete, masonry, framing, roofing, metal structures. Metals, Oil and Grease, Synthetic Organics Roofing • Flashing • Saw cut slurries (tile cutting) • Shingle scrap and debris Metals, Oil and Grease, Synthetic Organics Sanitary waste • Portable toilets • Disturbance of existing sewer lines. Nutrients PA2022-056 CASQA SWPPP Template 84 July 2012 Activity Specific Work Activity/Products With Potential Stormwater Pollutants Pollutant Category(1) Soil preparation/amendments • Use of soil additives/amendments Nutrients Solid waste • Litter, trash and debris • Vegetation Gross Pollutants Utility line testing and flushing • Hydrostatic test water • Pipe flushing Synthetic Organics Vehicle and equipment use • Equipment operation • Equipment maintenance • Equipment washing • Equipment fueling Oil and Grease (1) Categories per CASQA BMP Handbook (i.e., S=Sediment, N=Nutrients, B=Bacteria and Viruses, O=Oil and Grease, M=Metals, Y=Synthetic Organics, P=Pesticides, G=Gross Pollutants, and V=Vector Production) PA2022-056 CASQA SWPPP Template 85 July 2012 Appendix F: CASQA Stormwater BMP Handbook Portal: Construction Fact Sheets PA2022-056 CASQA SWPPP Template 86 July 2012 Appendix G: BMP Inspection Form PA2022-056 CASQA SWPPP Template 87 July 2012 BMP INSPECTION REPORT Date and Time of Inspection: Date Report Written: Inspection Type: (Circle one) Weekly Complete Parts I,II,III and VII Pre-Storm Complete Parts I,II,III,IV and VII During Rain Event Complete Parts I, II, III, V, and VII Post-Storm Complete Parts I,II,III,VI and VII Part I. General Information Site Information Construction Site Name: Construction stage and completed activities: Approximate area of site that is exposed: Photos Taken: (Circle one) Yes No Photo Reference IDs: Weather Estimate storm beginning: (date and time) Estimate storm duration: (hours) Estimate time since last storm: (days or hours) Rain gauge reading and location: (in) Is a “Qualifying Event” predicted or did one occur (i.e., 0.5” rain with 48-hrs or greater between events)? (Y/N) If yes, summarize forecast: Exemption Documentation (explanation required if inspection could not be conducted). Visual inspections are not required outside of business hours or during dangerous weather conditions such as flooding or electrical storms. Inspector Information Inspector Name: Inspector Title: Signature: Date: PA2022-056 CASQA SWPPP Template 88 July 2012 Part II. BMP Observations. Describe deficiencies in Part III. Minimum BMPs for Risk Level _____ Sites Failures or other short comings (yes, no, N/A) Action Required (yes/no) Action Implemented (Date) Good Housekeeping for Construction Materials Inventory of products (excluding materials designed to be outdoors) Stockpiled construction materials not actively in use are covered and bermed All chemicals are stored in watertight containers with appropriate secondary containment, or in a completely enclosed storage shed Construction materials are minimally exposed to precipitation BMPs preventing the off-site tracking of materials are implemented and properly effective Good Housekeeping for Waste Management Wash/rinse water and materials are prevented from being disposed into the storm drain system Portable toilets are contained to prevent discharges of waste Sanitation facilities are clean and with no apparent for leaks and spills Equipment is in place to cover waste disposal containers at the end of business day and during rain events Discharges from waste disposal containers are prevented from discharging to the storm drain system / receiving water Stockpiled waste material is securely protected from wind and rain if not actively in use Procedures are in place for addressing hazardous and non- hazardous spills Appropriate spill response personnel are assigned and trained Equipment and materials for cleanup of spills is available onsite Washout areas (e.g., concrete) are contained appropriately to prevent discharge or infiltration into the underlying soil Good Housekeeping for Vehicle Storage and Maintenance Measures are in place to prevent oil, grease, or fuel from leaking into the ground, storm drains, or surface waters All equipment or vehicles are fueled, maintained, and stored in a designated area with appropriate BMPs Vehicle and equipment leaks are cleaned immediately and disposed of properly PA2022-056 CASQA SWPPP Template 89 July 2012 Part II. BMP Observations Continued. Describe deficiencies in Part III. Minimum BMPs for Risk Level _____ Sites Adequately designed, implemented and effective (yes, no, N/A) Action Required (yes/no) Action Implemented (Date) Good Housekeeping for Landscape Materials Stockpiled landscape materials such as mulches and topsoil are contained and covered when not actively in use Erodible landscape material has not been applied 2 days before a forecasted rain event or during an event Erodible landscape materials are applied at quantities and rates in accordance with manufacturer recommendations Bagged erodible landscape materials are stored on pallets and covered Good Housekeeping for Air Deposition of Site Materials Good housekeeping measures are implemented onsite to control the air deposition of site materials and from site operations Non-Stormwater Management Non-Stormwater discharges are properly controlled Vehicles are washed in a manner to prevent non-stormwater discharges to surface waters or drainage systems Streets are cleaned in a manner to prevent unauthorized non- stormwater discharges to surface waters or drainage systems. Erosion Controls Wind erosion controls are effectively implemented Effective soil cover is provided for disturbed areas inactive (i.e., not scheduled to be disturbed for 14 days) as well as finished slopes, open space, utility backfill, and completed lots The use of plastic materials is limited in cases when a more sustainable, environmentally friendly alternative exists. Sediment Controls Perimeter controls are established and effective at controlling erosion and sediment discharges from the site Entrances and exits are stabilized to control erosion and sediment discharges from the site Sediment basins are properly maintained Linear sediment control along toe of slope, face of slope an at grade breaks (Risk Level 2 & 3 Only) Limit construction activity to and from site to entrances and exits that employ effective controls to prevent offsite tracking (Risk Level 2 & 3 Only) PA2022-056 CASQA SWPPP Template 90 July 2012 Ensure all storm, drain inlets and perimeter controls, runoff control BMPs and pollutants controls at entrances and exits are maintained and protected from activities the reduce their effectiveness (Risk Level 2 & 3 Only) Inspect all immediate access roads daily (Risk Level 2 & 3 Only) Run-On and Run-Off Controls Run-on to the site is effectively managed and directed away from all disturbed areas. Other Are the project CPPP and BMP plan up to date, available on-site and being properly implemented? Part III. Descriptions of BMP Deficiencies Deficiency Repairs Implemented: Note - Repairs must begin within 72 hours of identification and, complete repairs as soon as possible. Start Date Action 1. 2. 3. 4. Part IV. Additional Pre-Storm Observations. Note the presence or absence of floating and suspended materials, sheen, discoloration, turbidity, odors, and source(s) of pollutants(s). Yes, No, N/A Do stormwater storage and containment areas have adequate freeboard? If no, complete Part III. Are drainage areas free of spills, leaks, or uncontrolled pollutant sources? If no, complete Part VII and describe below. Notes: Are stormwater storage and containment areas free of leaks? If no, complete Parts III and/or VII and describe below. PA2022-056 CASQA SWPPP Template 91 July 2012 Notes: Part V. Additional During Storm Observations. If BMPs cannot be inspected during inclement weather, list the results of visual inspections at all relevant outfalls, discharge points, and downstream locations. Note odors or visible sheen on the surface of discharges. Complete Part VII (Corrective Actions) as needed. Outfall, Discharge Point, or Other Downstream Location Location Description Location Description Location Description Location Description Location Description Location Description Location Description Location Description PA2022-056 CASQA SWPPP Template 92 July 2012 Part VI. Additional Post-Storm Observations. Visually observe (inspect) stormwater discharges at all discharge locations within two business days (48 hours) after each qualifying rain event, and observe (inspect) the discharge of stored or contained stormwater that is derived from and discharged subsequent to a qualifying rain event producing precipitation of ½ inch or more at the time of discharge. Complete Part VII (Corrective Actions) as needed. Discharge Location, Storage or Containment Area Visual Observation Part VII. Additional Corrective Actions Required. Identify additional corrective actions not included with BMP Deficiencies (Part III) above. Note if CPPP change is required. Required Actions Implementation Date PA2022-056 CASQA SWPPP Template 93 July 2012 Appendix H: Project Specific Rain Event Action Plan Template PA2022-056 CASQA SWPPP Template 94 July 2012 0BRain Event Action Plan (REAP) Date: WDID Number: Date Rain Predicted to Occur: Predicted % chance of rain: Site Information: Site Name, City and Zip Code Project Risk Level: □ Risk Level 2 □ Risk Level 3 Site Stormwater Manager Information: Name, Company, Emergency Phone Number (24/7) Erosion and Sediment Control Contractor – Labor Force contracted for the site: Name, Company, Emergency Phone Number (24/7) Stormwater Sampling Agent: Name, Company, Emergency Phone Number (24/7) Current Phase of Construction Check ALL the boxes below that apply to your site.  Grading and Land Development  Vertical Construction  Inactive Site  Streets and Utilities  Final Landscaping and Site Stabilization  Other: Activities Associated with Current Phase(s) Check ALL the boxes below that apply to your site (some apply to all Phases). UGrading and Land Development:  Demolition  Vegetation Removal  Vegetation Salvage-Harvest  Rough Grade  Finish Grade  Blasting  Soil Amendment(s):  Excavation (_____ ft)  Soils Testing  Rock Crushing  Erosion and Sediment Control  Surveying  Equip. Maintenance/Fueling  Material Delivery and Storage  Other: UStreets and Utilities:  Finish Grade  Utility Install: water-sewer-gas  Paving Operations  Equip. Maintenance/Fueling  Storm Drain Installation  Material Delivery & Storage  Curb and Gutter/Concrete Pour  Masonry  Other: UVertical Construction:  Framing  Carpentry  Concrete/Forms/Foundation  Masonry  Electrical  Painting  Drywall/Interior Walls  Plumbing  Stucco  Equip. Maintenance/Fueling  HVAC  Tile  Exterior Siding  Insulation  Landscaping & Irrigation  Flooring  Roofing  Other: UFinal Landscaping & Site Stabilization:  Stabilization  Vegetation Establishment  E&S Control BMP Removal  Finish Grade  Storage Yard/ Material Removal  Landscape Installation  Painting and Touch-Up  Irrigation System Testing  Other:  Drainage Inlet Stencils  Inlet Filtration  Perm. Water Quality Ponds  Other: UInactive Construction Site:  E & S Control Device Installation  E & S Control Device Maintenance  Other:  Routine Site Inspection  Street Sweeping  Other:  Trash Removal  Other: PA2022-056 CASQA SWPPP Template 95 July 2012 Rain Event Action Plan (REAP) Date: WDID Number: Trades Active on Site during Current Phase(s) Check ALL the boxes below that apply to your site  Storm Drain Improvement  Grading Contractor  Surveyor- Soil Technician  Street Improvements  Water Pipe Installation  Sanitary Station Provider  Material Delivery  Sewer Pipe Installation  Electrical  Trenching  Gas Pipe Installation  Carpentry  Concrete Pouring  Electrical Installation  Plumbing  Foundation  Communication Installation  Masonry  Demolition  Erosion and Sediment Control  Water, Sewer, Electric Utilities  Material Delivery  Equipment Fueling/Maintenance  Rock Products  Tile Work- Flooring  Utilities, e.g., Sewer, Electric  Painters  Drywall  Roofers  Carpenters  HVAC installers  Stucco  Pest Control: e.g., termite prevention  Exterior Siding  Masons  Water Feature Installation  Insulation  Landscapers  Utility Line Testers  Fireproofing  Riggers  Irrigation System Installation  Steel Systems  Utility Line Testers  Other: 16BTrade Contractor Information Provided Check ALL the boxes below that apply to your site.  Educational Material Handout  Tailgate Meetings  Training Workshop  Contractual Language  Fines and Penalties  Signage  Other:  Other:  Other: 17BContinued on next page. PA2022-056 CASQA SWPPP Template 96 July 2012 Rain Event Action Plan (REAP) Date of REAP BWDID Number: Date Rain Predicted to Occur: Predicted % chance of rain: Predicted Rain Event Triggered Actions Below is a list of suggested actions and items to review for this project. Each active Trade should check all material storage areas, stockpiles, waste management areas, vehicle and equipment storage and maintenance, areas of active soil disturbance, and areas of active work to ensure the proper implementation of BMPs. Project-wide BMPs should be checked and cross- referenced to the BMP progress map. Trade or Activity Suggested action(s) to perform / item(s) to review prior to rain event  Information & Scheduling  Inform trade supervisors of predicted rain  Check scheduled activities and reschedule as needed  Alert erosion/sediment control provider  Alert sample collection contractor (if applicable)  Schedule staff for extended rain inspections  Check Erosion and Sediment Control (ESC) material stock  Review BMP progress map  Other:___________________________________  ________________________________________  ________________________________________  Material storage areas  Material under cover or in sheds (ex: treated woods and metals)  Perimeter control around stockpiles  Other:___________________________________  ________________________________________  __________________________________  Waste management areas  Dumpsters closed  Drain holes plugged  Recycling bins covered  Sanitary stations bermed and protected from tipping  Other:___________________________________  ________________________________________  ________________________________________  Trade operations  Exterior operations shut down for event (e.g., no concrete pours or paving)  Soil treatments (e.g.,: fertilizer) ceased within 24 hours of event  Materials and equipment (ex: tools) properly stored and covered  Waste and debris disposed in covered dumpsters or removed from site  Trenches and excavations protected  Perimeter controls around disturbed areas  Fueling and repair areas covered and bermed  Other:___________________________________  ________________________________________  __________________________________  Site ESC BMPs  Adequate capacity in sediment basins and traps  Site perimeter controls in place  Catch basin and drop inlet protection in place and cleaned  Temporary erosion controls deployed  Temporary perimeter controls deployed around disturbed areas and stockpiles  Roads swept; site ingress and egress points stabilized  Other:___________________________________  ________________________________________  __________________________________ PA2022-056 CASQA SWPPP Template 97 July 2012  Concrete rinse out area  Adequate capacity for rain  Wash-out bins covered  Other:___________________________________  ________________________________________  __________________________________  Spill and drips  All incident spills and drips, including paint, stucco, fuel, and oil cleaned  Drip pans emptied  Other:___________________________________  ________________________________________  __________________________________  Other / Discussion / Diagrams  ________________________________________  ________________________________________  ________________________________________  ________________________________________  ________________________________________  ________________________________________  ________________________________________  ________________________________________  ________________________________________  ________________________________________  ________________________________________  ________________________________________  ________________________________________ Attach a printout of the weather forecast from the NOAA website to the REAP. I certify under penalty of law that this Rain Event Action Plan (REAP) will be performed in accordance with the General Permit by me or 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 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. ______________________________________________________Date: __________________________ Qualified SWPPP Practitioner (Use ink please) PA2022-056 CASQA SWPPP Template 98 July 2012 Appendix I: Training Reporting Form PA2022-056 CASQA SWPPP Template 99 July 2012 Trained Contractor Personnel Log Stormwater Management Training Log and Documentation Project Name: Stormwater Management Topic: (check as appropriate) Erosion Control Sediment Control Wind Erosion Control Tracking Control Non-Stormwater Management Waste Management and Materials Pollution Control Stormwater Sampling Specific Training Objective: Location: Date: _ Instructor: Telephone: Course Length (hours): Attendee Roster (Attach additional forms if necessary) Name Company Phone PA2022-056 CASQA SWPPP Template 100 July 2012 As needed, add proof of external training (e.g., course completion certificates, credentials for CONTRACTOR, CPPP PREPARER). PA2022-056 CASQA SWPPP Template 101 July 2012 Appendix J: Responsible Parties PA2022-056 CASQA SWPPP Template 102 July 2012 Optional Authorization of Approved Signatories Project Name: Name of Personnel Project Role Company Signature Date ____________________________ ______________________________ LRP’s Signature Date ____________________________ ______________________________ LRP Name and Title Telephone Number PA2022-056 CASQA SWPPP Template 103 July 2012 Identification of CONTRACTOR Project Name: The following are CONTRACTORs associated with this project Name of Personnel(1) Company Date (1) If additional CONTRACTORs are required on the job site add additional lines and include information here PA2022-056 CASQA SWPPP Template 104 July 2012 Appendix K: Contractors and Subcontractors PA2022-056 CASQA SWPPP Template 105 July 2012 Appendix L: Construction General Permit PA2022-056 CASQA SWPPP Template 106 July 2012 Appendix M: Annual Report Form PA2022-056 2017-2018 ANNUAL REPORT FOR CPPP Reporting Period July 1, 2017 through June 30, 2018 An annual report is required to be available on-site by July 1 of each year. This document must be certified and signed, under penalty of perjury, by the appropriate official of your company. Many of the Annual Report questions require an explanation. Please provide explanations on a separate sheet as an attachment. Retain a copy of the completed Annual Report for your records. Please circle or highlight any information contained in Items A, B, and C below that is new or revised so we can update our records. Please remember that a Notice of Termination and new Notice of Intent are required whenever a facility operation is relocated or changes ownership. Please fill out "Not Applicable" for any testing/information that is not applicable to the project and give supporting reason/information for this determination. This form template is based on the State of California Resources Control Board Annual Report form for Storm Water Discharges Associated with Industrial Activities. Please contract Sergio Gutierrez at the City of Newport Beach Community Development Department for any questions in filling out this form. GENERAL INFORMATION: A. Facility Information: Facility Business Name: Contact Person: Physical Address:e-mail: City:CA Zip: Phone: Standard Industrial Classification (SIC) Code(s): B. Facility Operator Information: Operator Name: Contact Person: Mailing Address:e-mail: City:State: Zip: Phone: C. Facility Billing Information: Operator Name: Contact Person: Mailing Address:e-mail: City:State: Zip: Phone: ______________ PA2022-056 -2- 2017-2018 ANNUAL REPORT SPECIFIC INFORMATION MONITORING AND REPORTING PROGRAM D.SAMPLING AND ANALYSIS EXEMPTIONS AND REDUCTIONS 1.For the reporting period, was your facility exempt from collecting and analyzing samples from two storm events in accordance with sections B.12 or 15 of the General Permit? YES Go to Item D.2 NO Go to Section E 2.Indicate the reason your facility is exempt from collecting and analyzing samples from two storm events. Attach acopy of the first page of the appropriate certification if you check boxes ii, iii, iv, or v. i.Participating in an Approved Group Monitoring Plan Group Name: ii.Submitted No Exposure Certification (NEC)Date Submitted: Re-evaluation Date: _ Does facility continue to satisfy NEC conditions?YES NO iii.Submitted Sampling Reduction Certification (SRC) Date Submitted: Re-evaluation Date: _ Does facility continue to satisfy SRC conditions?YES NO iv.Received Regional Board Certification Certification Date: v.Received Local Agency Certification Cetification Date: 3.If you checked boxes i or iii above, were you scheduled to sample one storm event during the reporting year? YES Go to Section E NO Go to Section F 4.If you checked boxes ii, iv, or v, go to Section F. E.SAMPLING AND ANALYSIS RESULTS 1.How many storm events did you sample?If less than 2, attach explanation (if you checked item D.2.i or iii. above, only attach explanation if youanswer “0”). 2.Did you collect storm water samples from the first storm of the wet season that produced a discharge duringscheduled facility operating hours? (Section B.5 of the General Permit) YES NO,attach explanation (Please note that if you do not sample the first storm event, you are still required to sample 2 storm events) 3.How many storm water discharge locations are at your facility? PA2022-056 -3- 4.For each storm event sampled, did you collect and analyze asample from each of the facility's storm water discharge locations? YES, go to Item E.6 NO 5.Was sample collection or analysis reduced in accordance with Section B.7.d of the General Permit?YES NO, attach explanation If “YES”, attach documentation supporting your determinationthat two or more drainage areas are substantially identical. Date facility’s drainage areas were last evaluated _ 6.Were all samples collected during the first hour of discharge?YES NO, attach explanation 7.Was all storm water sampling preceded by three (3) working days without a storm water discharge?YES NO, attach explanation 8.Were there any discharges of stormwater that had been temporarily stored or contained? (such as from a pond)YES NO, go to Item E.10 9.Did you collect and analyze samples of temporarily stored or contained storm water discharges from two storm events? (or one storm event if you checked item D.2.i or iii. above)YES NO, attach explanation 10.Section B.5. of the General Permit requires you to analyze storm water samples for pH, Total Suspended Solids (TSS),Specific Conductance (SC), Total Organic Carbon (TOC) or Oil and Grease (O&G), other pollutants likely to be present in storm water discharges in significant quantities, and analytical parameters listed in Table D of the General Permit. a.Does Table D contain any additional parametersrelated to your facility's SIC code(s)?YES NO, Go to Item E.11 b.Did you analyze all storm water samples for theapplicable parameters listed in Table D?YES NO c.If you did not analyze all storm water samples for the applicable Table D parameters, check one of thefollowing reasons: In prior sampling years, the parameter(s) have not been detected in significant quantities from two consecutive sampling events. Attach explanation The parameter(s) is not likely to be present in storm water discharges and authorized non-storm water discharges in significant quantities based upon the facility operator’s evaluation. Attach explanation Other. Attach explanation 11.For each storm event sampled, attach a copy of the laboratory analytical reports and report the sampling and analysisresults using Form 1 or its equivalent. The following must be provided for each sample collected: ·Date and time of sample collection ·Testing results. ·Name and title of sampler.·Test methods used. ·Parameters tested.·Test detection limits. ·Name of analytical testing laboratory.·Date of testing. ·Discharge location identification.·Copies of the laboratory analytical results. PA2022-056 -4- F.QUARTERLY VISUAL OBSERVATIONS 1.Authorized Non-Storm Water Discharges Section B.3.b of the General Permit requires quarterly visual observations of all authorized non-storm waterdischarges and their sources. a.Do authorized non-storm water discharges occur at your facility? YES NO Go to Item F.2 b.Indicate whether you visually observed all authorized non-storm water discharges and their sources during the quarters when they were discharged. Attach an explanation for any “NO” answers. Indicate “N/A” for quarters without any authorized non-storm water discharges. July -September YES NO N/A October-December YES NO N/A January-March YES NO N/A April-June YES NO N/A c.Use Form 2 to report quarterly visual observations of authorized non-storm water discharges or provide the following information. i.name of each authorized non-storm water discharge ii.date and time of observationiii.source and location of each authorized non-storm water discharge iv.characteristics of the discharge at its source and impacted drainage area/discharge locationv.name, title, and signature of observer vi.any new or revised BMPs necessary to reduce or prevent pollutants in authorized non-storm water discharges. Provide new or revised BMP implementation date. 2.Unauthorized Non-Storm Water DischargesSection B.3.a of the General Permit requires quarterly visual observations of all drainage areas to detect the presence of unauthorized non-storm water discharges and their sources. a.Indicate whether you visually observed all drainage areas to detect the presence of unauthorized non- storm water discharges and their sources. Attach an explanation for any “NO” answers. July -September YES NO October-December YES NO January-March YES NO April-June YES NO b.Based upon the quarterly visual observations, were any unauthorized non-storm water discharges detected? YES NO Go to item F.2.d c.Have each of the unauthorized non-storm water discharges been eliminated or permitted? YES NO Attach explanation d.Use Form 3 to report quarterly unauthorized non-storm water discharge visual observations or provide thefollowing information. i.name of each unauthorized non-storm water discharge. ii.date and time of observation.iii.source and location of each unauthorized non-storm water discharge. iv.characteristics of the discharge at its source and impacted drainage area/discharge location.v.name, title, and signature of observer.vi.any corrective actions necessary to eliminate the source of each unauthorized non-storm waterdischarge and to clean impacted drainage areas. Provide date unauthorized non-storm water discharge(s) was eliminated or scheduled to be eliminated. PA2022-056 -5- G.MONTHLY WET SEASON VISUAL OBSERVATIONS Section B.4.a of the General Permit requires you to conduct monthly visual observations of storm waterdischarges at all storm water discharge locations during the wet season. These observations shall occur during the first hour of discharge or, in the case of temporarily stored or contained storm water, at the time of discharge. 1.Indicate below whether monthly visual observations of storm water discharges occurred at all discharge locations. Attach an explanation for any “NO” answers. Include in this explanation whether any eligiblestorm events occurred during scheduled facility operating hours that did not result in a storm waterdischarge, and provide the date, time, name and title of the person who observed that there was no stormwater discharge. YES NO YES NO October February November March December April January May 2.Report monthly wet season visual observations using Form 4 or provide the following information. a.date, time, and location of observationb.name and title of observer c.characteristics of the discharge (i.e., odor, color, etc.) and source of any pollutants observed. d.any new or revised BMPs necessary to reduce or prevent pollutants in storm water discharges.Provide new or revised BMP implementation date. ANNUAL COMPREHENSIVE SITE COMPLIANCE EVALUATION (ACSCE) H.ACSCE CHECKLIST Section A.9 of the General Permit requires the facility operator to conduct one ACSCE in each reporting period (July 1-June 30). Evaluations must be conducted within 8-16 months of each other. The CPPP and monitoring program shall be revised and implemented, as necessary, within 90 days of the evaluation. The checklist below includes the minimum steps necessary to complete a ACSCE. Indicate whether you have performed each step below. Attach anexplanation for any “NO” answers. 1.Have you inspected all potential pollutant sources and industrial activities areas?YES NO The following areas should be inspected: ·areas where spills and leaks have occured duringthe last year. ·outdoor wash and rinse areas. ·process/manufacturing areas. ·loading, unloading, and transfer areas. ·waste storage/disposal areas. ·dust/particulate generating areas. ·erosion areas. YES NO2.Have you reviewed your CPPP to assure that its BMPs address existingpotential pollutant sources and industrial activities areas? 3.Have you inspected the entire facility to verify that the CPPP’s site map, isup-to-date? The following site map items should be verified: YES NO ·facility boundaries ·outline of all storm water drainage areas ·areas impacted by run-on ·building repair, remodeling, and construction ·material storage areas ·vehicle/equipment storage areas ·truck parking and access areas ·rooftop equipment areas ·vehicle fueling/maintenance areas ·non-storm water discharge generating areas ·storm water discharges locations ·storm water collection and conveyance system ·structural control measures such as catch basins, berms, containment areas, oil/water separators, etc. PA2022-056 -6- 4.Have you reviewed all General Permit compliance records generatedsince the last annual evaluation?YES NO The following records should be reviewed: ·quarterly authorized non-storm waterdischarge visual observations ·monthly storm water dischargevisual observation ·records of spills/leaks and associatedclean-up/response activities YES NO ·pollution prevention team ·list of significant materials YES NO 5.Have you reviewed the major elements of the SWPPP to assure compliance with the General Permit? The following CPPP items should be reviewed: ·description of potential pollutant sources 6.Have you reviewed your SWPPP to assure that a) the BMPs are adequate inreducing or preventing pollutants in storm water discharges and authorized non-storm water discharges, and b) the BMPs are being implemented? The following BMP categories should be reviewed: ·good housekeeping practices ·spill response ·employee training ·erosion control ·quality assurance 7.Has all material handling equipment and equipment needed toimplement the SWPPP been inspected?YES NO I.ACSCE EVALUATION REPORT The facility operator is required to provide an evaluation report that includes: ·identification of personnel performing the evaluation ·the date(s) of the evaluation ·necessary SWPPP revisions Use Form 5 to report the results of your evaluation or develop an equivalent form. J.ACSCE CERTIFICATION The facility operator is required to certify compliance with the Industrial Activities Storm Water General Permit. To certify compliance, both the CPPP and Monitoring Program must be up to date and be fully implemented. Based upon your ACSCE, do you certify compliance with the Industrial Activities Storm Water General Permit?YES NO If you answered “NO” attach an explanation to the Evaluation Report why you are not incompliance with the Industrial Activities Storm Water General Permit. ·quarterly unauthorized non-stormwater discharge visual observations ·Sampling and Analysis records ·preventative maintenance inspectionand maintenance records ·preventative maintenance ·material handling and storage practices ·waste handling/storage ·structural BMPs ·assessment of potential pollutant sources ·identification and description of the BMPs to beimplemented for each potential pollutant source ·schedule for implementing CPPP revisions ·any incidents of non-compliance and the corrective actions taken. PA2022-056 -7- ATTACHMENT SUMMARY Answer the questions below to help you determine what should be attached to this annual report. Answer NA (NotApplicable) to questions 2-4 if you are not required to provide those attachments. 1. Have you attached Forms 1,2,3,4, and 5 or their equivalent?YES (Mandatory) 2. If you conducted sampling and analysis, have you attached the laboratory analytical reports?YES NO NA 3. If you checked box II, III, IV, or V in item D.2 of this Annual YES NO NAReport, have you attached the first page of theappropriate certifications? 4.Have you attached an explanation for each “NO” answer in items E.1, E.2, E.5-E.7, E.9, E.10.c, F.1.b, F.2.a, F.2.c,G.1, H.1-H.7, or J?YES NO NA ANNUAL REPORT CERTIFICATION I am duly authorized to sign reports required by the INDUSTRIAL ACTIVITIES STORM WATER GENERALPERMIT (see Standard Provision C.9) and 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 ensure that qualifiedpersonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those person directly responsible for gathering the information, the informationsubmitted 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 forknowing violations. Printed Name: Signature: Date: Title: PA2022-056 -8- 2017-2018 ANNUAL REPORT DESCRIPTION OF BASIC ANALYTICAL PARAMETERS The Industrial Activities Storm Water General Permit (General Permit) requires you to analyze storm water samples for at least four parameters. These are pH, Total Suspended Solids (TSS), Specific Conductance (SC),and Total Organic Carbon (TOC). Oil and Grease (O&G) may be substituted for TOC. In addition, you must monitor for any other pollutants which you believe to be present in your storm water discharge as a result of industrial activity and analytical parameters listed in Table D of the General Permit. There are no numeric limitations for the parameters you test for. The four parameters which the General Permit requires to be tested are considered indicator parameters. In other words, regardless of what type of facility you operate, these parameters are nonspecific and general enough to usually provide some indication whether pollutants are present in your storm water discharge. The following briefly explains what each of these parameters mean: pH is a numeric measure of the hydrogen-ion concentration. The neutral, or acceptable, range is within 6.5 to 8.5. At values less than 6.5, the water is considered acidic; above 8.5 it is considered alkaline or basic. An example of an acidic substance is vinegar, and a alkaline or basic substance is liquid antacid. Pure rainfall tends to have a pH of a little less than 7. There may be sources of materials or industrial activities which could increase or decrease the pH of your storm water discharge. If the pH levels of your storm water discharge are high or low, you should conduct a thorough evaluation of all potential pollutant sources at your site. Total Suspended Solids (TSS) is a measure of the undissolved solids that are present in your storm water discharge. Sources of TSS include sediment from erosion of exposed land, and dirt from impervious (i.e. paved) areas. Sediment by itself can be very toxic to aquatic life because it covers feeding and breeding grounds, and can smother organisms living on the bottom of a water body. Toxic chemicals and other pollutants also adhere to sediment particles. This provides a medium by which toxic or other pollutants end up in our water ways and ultimately in human and aquatic life. TSS levels vary in runoff from undisturbed land. It has been shown that TSS levels increase significantly due to land development. Specific Conductance (SC) is a numerical expression of the ability of the water to carry an electric current. SC can be used to assess the degree of mineralization, salinity, or estimate the total dissolved solids concentration of a water sample. Because of air pollution, most rain water has a SC a little above zero. A high SC could affect the usability of waters for drinking, irrigation, and other commercial or industrial use. Total Organic Carbon (TOC) is a measure of the total organic matter present in water. (All organic matter contains carbon) This test is sensitive and able to detect small concentrations of organic matter. Organic matter is naturally occurring in animals, plants, and man. Organic matter may also be man made (so called synthetic organics). Synthetic organics include pesticides, fuels, solvents, and paints. Natural organic matter utilizes the oxygen in a receiving water to biodegrade. Too much organic matter could place a significant oxygen demand on the water, and possibly impact its quality. Synthetic organics either do not biodegrade or biodegrade very slowly. Synthetic organics are a source of toxic chemicals that can have adverse affects at very low concentrations. Some of these chemicals bioaccumulate in aquatic life. If your levels of TOC are high, you should evaluate all sources of natural or synthetic organics you may use at your site. Oil and Grease (O&G) is a measure of the amount of oil and grease present in your storm water discharge. At very low concentrations, O&G can cause a sheen (that floating "rainbow") on the surface of water (1 qt. of oil can pollute 250,000 gallons of water). O&G can adversely affect aquatic life and create unsightly floating material and film on water, thus making it undrinkable. Sources of O&G include maintenance shops, vehicles, machines and roadways. If you have any questions regarding whether or not your constituent concentrations are too high, please contact your local Regional Board office. The United States Environmental Protection Agency (USEPA) has published stormwater discharge benchmarks for a number of parameters. These benchmarks may be helpful when evaluating whether additional BMPs are appropriate. These benchmarks can be accessed at our website at http://www.swrcb.ca.gov. It is contained in the Sampling and Analysis Reduction Certification. See Storm Water Contacts at http://www.waterboards.ca.gov/water_issues/programs/stormwater/contact.shtml PA2022-056 SIDE A 2017-2018 ANNUAL REPORT FORM 1-SAMPLING & ANALYSIS RESULTS FIRST STORM EVENT ·If analytical results are less than the detection limit (or non detectable), show the value as less than the numerical value of the detection limit (example: <.05)·If you did not analyze for a required parameter, do not report “0”. Instead, leave the appropriate box blank NAME OF PERSON COLLECTING SAMPLE(S):_TITLE: _SIGNATURE: _ DESCRIBE DISCHARGELOCATION Example: NW Out Fall DATE/TIME OF SAMPLECOLLECTION TIME DISCHARGESTARTED pH TSS SC O&G TOC _AM______ PM AM _ PM _AM ______ PM AM _ PM _AM ______ PM AM _ PM _ AM______ PM AM _ PM TEST REPORTING UNITS:pH Units mg/l umho/cm mg/l mg/l TEST METHOD DETECTION LIMIT: TEST METHOD USED: ANALYZED BY (SELF/LAB): TSS - Total Suspended Solids SC - Specific Conductance O&G - Oil & Grease TOC - Total Organic Carbon ·When analysis is done using portable analysis (such as portable pH meters, SC meters, etc.), indicate “PA” in the appropriate test method used box.·Make additional copies of this form as necessary. ANALYTICAL RESULTS For First Storm Event BASIC PARAMETERS OTHER PARAMETERS PA2022-056 SIDE B 2017-2018 ANNUAL REPORT FORM 1-SAMPLING & ANALYSIS RESULTS SECOND STORM EVENT ·If analytical results are less than the detection limit (or non detectable), show the value as less than the numerical value of the detection limit (example: <.05)·If you did not analyze for a required parameter, do not report “0”. Instead, leave the appropriate box blank NAME OF PERSON COLLECTING SAMPLE(S):_ TITLE: _SIGNATURE: _ DESCRIBE DISCHARGELOCATION Example: NW Out Fall DATE/TIME OF SAMPLECOLLECTION TIME DISCHARGESTARTED pH TSS SC O&G TOC _AM______ PM AM _ PM _AM ______ PM AM _ PM _AM ______ PM AM _ PM _ AM______ PM AM _ PM TEST REPORTING UNITS:pH Units mg/l umho/cm mg/l mg/l TEST METHOD DETECTION LIMIT: TEST METHOD USED: ANALYZED BY (SELF/LAB): TSS - Total Suspended Solids SC - Specific Conductance O&G - Oil & Grease TOC - Total Organic Carbon ·When analysis is done using portable analysis (such as portable pH meters, SC meters, etc.), indicate “PA” in the appropriate test method used box.·Make additional copies of this form as necessary. ANALYTICAL RESULTS For First Storm Event BASIC PARAMETERS OTHER PARAMETERS PA2022-056 SIDE A 2017-2018 ANNUAL REPORT FORM 2-QUARTERLY VISUAL OBSERVATIONS OF AUTHORIZED NON-STORM WATER DISCHARGES (NSWDs) · Quarterly dry weather visual observations are required of each authorized NSWD. ·Observe each authorized NSWD source, impacted drainage area, anddischarge location. QUARTER: JULY-SEPT. DATE: _ Observers Name: _ Title: _ Signature: _ YES WERE ANY AUTHORIZED NSWDsDISCHARGED DURING THIS QUARTER?NO QUARTER: OCT.-DEC. DATE: _ Observers Name: _ Title: _ Signature: _ YESWERE ANY AUTHORIZED NSWDsDISCHARGED DURING THIS QUARTER?NO QUARTER: JAN.-MARCH DATE: _ Observers Name: _ Title: _ Signature: _ YES WERE ANY AUTHORIZED NSWDs DISCHARGED DURING THIS QUARTER? NO QUARTER: APRIL-JUNE DATE: _ Observers Name: _ Title: _ Signature: _ YESWERE ANY AUTHORIZED NSWDsDISCHARGED DURING THIS QUARTER?NO If YES, complete reverse side ofthis form. If YES, complete reverse side ofthis form. If YES, completereverse side ofthis form. If YES, complete reverse side ofthis form. If YES, complete reverse side ofthis form. If YES, complete reverse side ofthis form. ·Authorized NSWDs must meet the conditions provided in Section D (pages 5-6),of the General Permit. ·Make additional copies of this form as necessary. PA2022-056 SIDE B 2017-2018 ANNUAL REPORT FORM 2-QUARTERLY VISUAL OBSERVATIONS OF AUTHORIZED NON-STORM WATER DISCHARGES (NSWDs) DATE /TIME OF OBSERVATION SOURCE AND LOCATION OF AUTHORIZED NSWD EXAMPLE:Air conditioner Unitson Building C NAME OF AUTHORIZED NSWD EXAMPLE:Air conditionercondensate DESCRIBE AUTHORIZED NSWD CHARACTERISTICSIndicate whether authorized NSWD is clear, cloudy, ordiscolored, causing staining, contains floating objectsor an oil sheen, has odors, etc. At the NSWD At the NSWD DrainageSourceArea and Discharge Location DESCRIBE ANY REVISED OR NEW BMPs AND PROVIDE THEIR IMPLEMENTATION DATE _ AM PM _ AMPM _ AMPM _ AMPM _ AMPM PA2022-056 SIDE A 2017-2018 ANNUAL REPORT FORM 3-QUARTERLY VISUAL OBSERVATIONS OF UNAUTHORIZED NON-STORM WATER DISCHARGES (NSWDs) ·Unauthorized NSWDs are discharges (such as wash or rinse waters) that do not meet the conditions provided inSection D (pages 5-6) of the General Permit. ·Quarterly visual observations are required to observe current and detect prior unauthorized NSWDs. ·Quarterly visual observations are required during dry weather and at all facility drainage areas. ·Each unauthorized NSWD source, impacted drainage area, and discharge location must be identified and observed. ·Unauthorized NSWDs that can not be eliminated within 90 days of observation must be reported to the Regional Board in accordance with Section A.10.e of the General Permit. ·Make additional copies of this form as necessary. QUARTER: JULY-SEPT. DATE/TIME OF OBSERVATIONS AMPM Observers Name: _ Title: _ Signature: _ WERE UNAUTHORIZED NSWDs OBSERVED? YES NO WERE THERE INDICATIONS OFPRIOR UNAUTHORIZED NSWDs? YES NO QUARTER: OCT.-DEC. DATE/TIME OF OBSERVATIONS AMPM Observers Name: _ Title: _ Signature: _ WERE UNAUTHORIZED NSWDs OBSERVED? YES NO WERE THERE INDICATIONS OF PRIOR UNAUTHORIZED NSWDs? YES NO QUARTER: JAN.-MARCH DATE/TIME OF OBSERVATIONS AM PM Observers Name: _ Title: _ Signature: _ WERE UNAUTHORIZED NSWDs OBSERVED? YES NO WERE THERE INDICATIONS OF PRIOR UNAUTHORIZED NSWDs? YES NO QUARTER: APRIL-JUNE DATE/TIME OF OBSERVATIONS AM PM Observers Name: _ Title: _ Signature: _ WERE UNAUTHORIZEDNSWDs OBSERVED? YES NO WERE THERE INDICATIONS OFPRIOR UNAUTHORIZED NSWDs? YES NO If YES to either question,complete reverseside. If YES toeitherquestion,completereverse side. If YES toeither question,complete reverseside. If YES to eitherquestion,completereverseside. PA2022-056 SIDE B 2017-2018 ANNUAL REPORT FORM 3 QUARTERLY VISUAL OBSERVATIONS OF UNAUTHORIZED NON-STORM WATER DISCHARGES (NSWDs) OBSERVATION DATE (FROMREVERSE SIDE) NAME OF UNAUTHORIZED NSWD EXAMPLE: Vehicle WashWater SOURCE AND LOCATION OF UNAUTHORIZED NSWD EXAMPLE: NW Corner ofParking Lot DESCRIBE UNAUTHORIZED NSWD CHARACTERISTICS Indicate whether unauthorized NSWD is clear, cloudy,discolored, causing stains; contains floating objects or an oilsheen, has odors, etc. AT THE UNAUTHORIZED AT THE UNAUTHORIZED NSWD SOURCE NSWD AREA AND DISCHARGE LOCATION DESCRIBE CORRECTIVE ACTIONS TO ELIMINATE UNAUTHORIZED NSWD AND TO CLEAN IMPACTED DRAINAGE AREAS. PROVIDE UNAUTHORIZED NSWD ELIMINATION DATE. _ AMPM _ AM PM _ AMPM _ AMPM PA2022-056 2017-2018 ANNUAL REPORT FORM 4-MONTHLY VISUAL OBSERVATIONS OF SIDE A STORM WATER DISCHARGES ·Storm water discharge visual observations are required for at least one storm event per month between October 1 and May 31. ·Visual observations must be conducted during the first hour of discharge at all discharge locations. ·Discharges of temporarily stored or contained storm water must be observed at the time of discharge. Observation Date: October 2014 Drainage Location Description #1 #2 #3 #4 Observers Name:_ Observation Time P.M.A.M.P.M.A.M.P.M.A.M.P.M.A.M. Title:_ Time Discharge Began P.M.A.M.P.M.A.M.P.M.A.M.P.M.A.M. Signature:_Were Pollutants Observed(If yes, complete reverse side) Observation Date: November 2014 Drainage Location Description #1 #2 #3 #4 Observers Name:_ Observation Time P.M. A.M. P.M. A.M. P.M. A.M. P.M. A.M. Title:_ Time Discharge Began P.M. A.M. P.M. A.M. P.M. A.M. P.M. A.M. Signature:_Were Pollutants Observed (If yes, complete reverse side) Observation Date: December 2014 Drainage Location Description #1 #2 #3 #4 Observers Name:_ Observation Time P.M. A.M. P.M. A.M. P.M. A.M. P.M. A.M. Title:_ Time Discharge Began P.M. A.M. P.M. A.M. P.M. A.M. P.M. A.M. Signature:_Were Pollutants Observed(If yes, complete reverse side) Observation Date: January 2015 Drainage Location Description #1 #2 #3 #4 Observers Name:_ Observation Time P.M.A.M.P.M.A.M.P.M.A.M.P.M.A.M. Title:_ Time Discharge Began P.M.A.M.P.M.A.M.P.M.A.M.P.M.A.M. Signature:_Were Pollutants Observed(If yes, complete reverse side) ·Indicate “None” in the first column of this form if you did not conduct a monthly visual observation. ·Make additional copies of this form as necessary. ·Until a monthly visual observation is made, record any eligible storm events that do not result in a storm waterdischarge and note the date, time, name, and title of who observed there was no storm water discharge. NO YES NO YES NO YES NOYES NO YES NO YES NO YES NOYES NO YES NO YES NO YES NOYES NO YES NO YES NO YES NOYES PA2022-056 SIDE B 2017-2018 ANNUAL REPORT FORM 4-MONTHLY VISUAL OBSERVATIONS OF STORM WATER DISCHARGES DATE/TIME OF OBSERVATION(From Reverse Side) DRAINAGE AREA DESCRIPTION EXAMPLE: Discharge frommaterial storage Area #2 DESCRIBE STORM WATER DISCHARGE CHARACTERISTICS Indicate whether storm water discharge is clear, cloudy, or discolored; causing staining; containingfloating objects or an oil sheen, has odors, etc. IDENTIFY AND DESCRIBE SOURCE(S) OF POLLUTANTS EXAMPLE: Oil sheen caused by oil dripped bytrucks in vehicle maintenance area. DESCRIBE ANY REVISED OR NEW BMPs AND THEIR DATE OFIMPLEMENTATION _ AMPM _ AM PM _ AMPM _ AMPM _ AM PM PA2022-056 2017-2018 ANNUAL REPORT FORM 4 (Continued)-MONTHLY VISUAL OBSERVATIONS OF SIDE A STORM WATER DISCHARGES ·Storm water discharge visual observations are required for at least one storm event per month between October 1 and May 31.·Visual observations must be conducted during the first hour of discharge at all discharge locations.·Discharges of temporarily stored or contained storm water must be observedat the time of discharge. Observation Date: February 2015 Drainage Location Description #1 #2 #3 #4 Observers Name:_ Observation Time P.M.A.M.P.M.A.M.P.M.A.M.P.M.A.M. Title:_ Time Discharge Began P.M.A.M.P.M.A.M.P.M.A.M.P.M.A.M. Signature:_Were Pollutants Observed(If yes, complete reverse side) Observation Date: March 2015 Drainage Location Description #1 #2 #3 #4 Observers Name:_ Observation Time P.M.A.M.P.M.A.M.P.M.A.M.P.M.A.M. Title:_ Time Discharge Began P.M.A.M.P.M.A.M.P.M.A.M.P.M.A.M. Signature:_Were Pollutants Observed(If yes, complete reverse side) Observation Date: April 2015 Drainage Location Description #1 #2 #3 #4 Observers Name:_ Observation Time P.M.A.M.P.M.A.M.P.M.A.M.P.M.A.M. Title:_ Time Discharge Began P.M.A.M.P.M.A.M.P.M.A.M.P.M.A.M. Signature:_Were Pollutants Observed (If yes, complete reverse side) Observation Date: May 2015 Drainage Location Description #1 #2 #3 #4 Observers Name:_ Observation Time P.M. A.M. P.M. A.M. P.M. A.M. P.M. A.M. Title:_ Time Discharge Began P.M. A.M. P.M. A.M. P.M. A.M. P.M. A.M. Signature:_Were Pollutants Observed (If yes, complete reverse side) NO NO NO NO YES YES YES YES NO NO NO NO YES YES YES YES NO NO NO NO YES YES YES YES NO NO NO NO YES YES YES YES ·Indicate “None” in the first column of this form if you did not conduct a monthly visual observation. ·Make additional copies of this form as necessary. ·Until a monthly visual observation is made, record any eligible storm events that do not result in a storm waterdischarge and note the date, time, name, and title of who observed there was no storm water discharge. PA2022-056 SIDE B 2017-2018 ANNUAL REPORT FORM 4 (Continued)-MONTHLY VISUAL OBSERVATIONS OF STORM WATER DISCHARGES DATE/TIME OF OBSERVATION(From Reverse Side) DRAINAGE AREA DESCRIPTION EXAMPLE: Discharge frommaterial storage Area #2 DESCRIBE STORM WATER DISCHARGE CHARACTERISTICS Indicate whether storm water discharge is clear, cloudy, or discolored; causing staining; containingfloating objects or an oil sheen, has odors, etc. IDENTIFY AND DESCRIBE SOURCE(S) OF POLLUTANTS EXAMPLE: Oil sheen caused by oildripped by trucks in vehicle maintenance area. DESCRIBE ANY REVISED OR NEW BMPs AND THEIR DATE OF IMPLEMENTATION _ AM PM _ AMPM _ AMPM _ AM PM _ AMPM PA2022-056 SIDE A 2017-2018 ANNUAL REPORT FORM 5-ANNUAL COMPREHENSIVE SITE COMPLIANCE EVALUATION POTENTIAL POLLUTANT SOURCE/INDUSTRIAL ACTIVITY BMP STATUS EVALUATION DATE: INSPECTOR NAME: TITLE: SIGNATURE: POTENTIAL POLLUTANTSOURCE/INDUSTRIAL ACTIVITY AREA (as identified in your SWPPP)HAVE ANY BMPs NOT BEEN YESFULLY IMPLEMENTED?NO ARE ADDITIONAL/REVISED YES BMPs NECESSARY?NO Describe deficiencies in BMPs or BMPimplementation Describe additional/revised BMPs orcorrective actions and their date(s) of implementation POTENTIAL POLLUTANT SOURCE/INDUSTRIAL ACTIVITY AREA(as identified in your SWPPP)HAVE ANY BMPs NOT BEEN YES FULLY IMPLEMENTED?NO ARE ADDITIONAL/REVISED YES BMPs NECESSARY?NO Describe deficiencies in BMPs or BMP implementation Describe additional/revised BMPs or corrective actions and their date(s) ofimplementation POTENTIAL POLLUTANTSOURCE/INDUSTRIAL ACTIVITY AREA(as identified in your SWPPP)HAVE ANY BMPs NOT BEEN YESFULLY IMPLEMENTED?NO ARE ADDITIONAL/REVISED YESBMPs NECESSARY?NO Describe deficiencies in BMPs or BMPimplementation Describe additional/revised BMPs orcorrective actions and their date(s) ofimplementation POTENTIAL POLLUTANTSOURCE/INDUSTRIAL ACTIVITY AREA (as identified in your SWPPP)HAVE ANY BMPs NOT BEEN YESFULLY IMPLEMENTED?NO ARE ADDITIONAL/REVISED YES BMPs NECESSARY?NO Describe deficiencies in BMPs or BMPimplementation Describe additional/revised BMPs orcorrective actions and their date(s) of implementation If yes, to eitherquestion, completethe next two columns of thisform If yes, to eitherquestion, complete the next twocolumns of thisform If yes, to either question, complete the next twocolumns of this form If yes, to either question, completethe next two columns of thisform PA2022-056 SIDE B 2017-2018 ANNUAL REPORT FORM 5 (Continued)-ANNUAL COMPREHENSIVE SITE COMPLIANCE EVALUATION POTENTIAL POLLUTANT SOURCE/INDUSTRIAL ACTIVITY BMP STATUS EVALUATION DATE: INSPECTOR NAME: TITLE: SIGNATURE: POTENTIAL POLLUTANTSOURCE/INDUSTRIAL ACTIVITY AREA(as identified in your SWPPP)HAVE ANY BMPs NOT BEEN YESFULLY IMPLEMENTED?NO ARE ADDITIONAL/REVISED YESBMPs NECESSARY?NO Describe deficiencies in BMPs or BMPimplementation Describe additional/revised BMPs orcorrective actions and their date(s) ofimplementation POTENTIAL POLLUTANTSOURCE/INDUSTRIAL ACTIVITY AREA(as identified in your SWPPP)HAVE ANY BMPs NOT BEEN YESFULLY IMPLEMENTED?NO ARE ADDITIONAL/REVISED YESBMPs NECESSARY?NO Describe deficiencies in BMPs or BMPimplementation Describe additional/revised BMPs orcorrective actions and their date(s) ofimplementation POTENTIAL POLLUTANTSOURCE/INDUSTRIAL ACTIVITY AREA (as identified in your SWPPP)HAVE ANY BMPs NOT BEEN YESFULLY IMPLEMENTED?NO ARE ADDITIONAL/REVISED YESBMPs NECESSARY?NO Describe deficiencies in BMPs or BMPimplementation Describe additional/revised BMPs orcorrective actions and their date(s) of implementation POTENTIAL POLLUTANTSOURCE/INDUSTRIAL ACTIVITY AREA (as identified in your SWPPP)HAVE ANY BMPs NOT BEEN YESFULLY IMPLEMENTED?NO ARE ADDITIONAL/REVISED YES BMPs NECESSARY?NO Describe deficiencies in BMPs or BMPimplementation Describe additional/revised BMPs orcorrective actions and their date(s) of implementation If yes, to either question,complete thenext two columns of thisform If yes, to eitherquestion, complete thenext two columns of thisform If yes, to either question,complete thenext two columns of thisform If yes, to eitherquestion,complete the next twocolumns of thisform PA2022-056