STORMWATER POLLUTION PREVENTION PLAN

For
[Insert project name.]

Federal Aid No.:	[Insert no.]
ADOT Project No.:	[Insert no.]
ADOT District:	[Insert District Location]
Route:	[Insert no.]	Milepost (Start):	[Insert no.]	Milepost (End):	[Insert no.]
Latitude (Start):	[Insert degrees, minutes, seconds]	Latitude (End):	[Insert degrees, minutes, seconds]
Longitude (Start):	[Insert degrees, minutes, seconds]	Longitude (End):	[Insert degrees, minutes, seconds]

Submittal Date:
[Select Submittal Date.]

Identify Receiving Water:
[Select applicable text.]

Prepared by:
[Insert name.]
[Insert company/organization.]
[Insert street address.]
[Insert city, state zip code.]

Arizona Department of Transportation
205 S. 17th Avenue
Phoenix, AZ 85007-3213

Authorization Number: Click here to enter EPA and or ADEQ Authorization Number(s).

Contents

List of Attachments	iv

List of Figures	iv

Incorporated References	v

List of Abbreviations	vi

Contact Information / Responsible Parties	1

Operator	1

Stormwater Team	1

Subcontractor	1

Site Evaluation, Assessment, and Planning	2

Project Name and Location	2

Discharge Information	2

Receiving Waters	2

Nature of Construction Activity	3

General Description of the Project	3

Sequence and Estimated Dates of Construction Activities	3

Installation of Stormwater Control Measures	3

Construction Disturbance Area	3

Site Soils and Potential for Erosion	4

Site Description	4

Intended Use after the Notice of Termination Is Filed	4

Summary of Potential Pollutant Sources	4

Allowable Non-Stormwater Discharges	5

Documentation of Compliance with Other Federal Requirements	9

Threatened and Endangered Species	9

Historic Preservation	9

Safe Drinking Water Act Underground Injection Control Requirements	9

Erosion and Sediment Controls	9

Natural Buffers or Equivalent Sediment Controls	9

Stormwater Control Measures	9

Erosion Controls	10

Sediment Controls	10

Run-On Management	11

Pollution Prevention	11

Non-Stormwater Discharges	13

Waste Management	14

Minimization of Dust	14

Minimization of Disturbance To Steep Slopes	14

Topsoil	14

Soil Compaction	14

Chemical Treatment	15

Dewatering Practices	15

Site Stabilization	15

Inspections	15

Inspection Report Form	16

Scope of Inspections	16

Corrective Actions	17

Requirements for Taking Corrective Action	17

Corrective Action Deadlines	18

Corrective Action Report	18

Documentation and Reporting Requirements	18

Posting, SWPPP Review, and Making SWPPPs Available	19

Monitoring	19

Erosion Control Coordinator (ECC)	20

Certification and Notification	21

List of Attachments

Attachment 1: Control-Measure Detail Sheets and CMIS Sheets

Attachment 2: Project Site Maps (Design Segment) / Construction Sequence Schedule

Attachment 3: Copy of [Select Permit Type.]

Attachment 4: Notice of Intent, Authorization Certification, Notice of Termination Forms, PRE- and Post-Construction Photo Documentation Submitted to [Select Agency.]

Attachment 5: Construction Site Inspection Report

Attachment 6: Contractor Certification/Agreements

Attachment 7: Rain Event Log, Spill Log, Corrective Action/Maintenance Log, Records of Stabilization, and SWPPP Amendment Log

Attachment 8: [Select Title to Indicate Whether or Not Seed-Mix Records Are Applicable/Included.]

Attachment 9: Endangered Species and Historic Preservation Documentation [Select Title to Indicate Concurance and/or Clearance.]

Attachment 10: Inspector’s Certification, Delegation of Authority and Training Log

Attachment 11: Field Contacts/Subcontractor List

Attachment 12: U.S. Army Corps of Engineers [Select Permit Type.] Documentation

Attachment 13: [Select Title to Indicate Whether or Not Monitoring Sampling Analysis Plan Is Applicable/Included.]

List of Figures

Figure 1. State Location Map	4

Figure 2. Project Vicinity Map	5

Disclaimer: This SWPPP Template was designed with the intent to provide guidance and a format for SWPPP development and to assist a SWPPP writer with necessary elements required under the EPA-CGP, ADEQ-CGP, and the requirements of ADOT. It is the responsibility of the Contractor/Operator to include all correct and proper information, understand the EPA and ADEQ CGP requirements and create a document that meets regulatory compliance.

Incorporated References

The following documents are made a part of this SWPPP by reference:

[Select “Yes” or “No.” Do not leave blank.]	Project plans, specifications, and contract documents for [Insert project name] dated [Select date].
[Select “Yes” or “No.” Do not leave blank.]	National Pollutant Discharge Elimination System General Permit for Discharge from Construction Activities to Waters of the United States (NPDES). (February 17, 2022) https://www.epa.gov/npdes/2022-construction-general-permit-cgp
[Select “Yes” or “No.” Do not leave blank.]	Arizona Pollutant Discharge Elimination System General Permit for Discharge from Construction Activities to Protected Surface Waters (AZPDES). (Modified Sept 29, 2021) https://azdeq.gov/AZPDES/CGP
[Select “Yes” or “No.” Do not leave blank.]	Guidelines for Highways on BLM and US Forest Land. Draft. ADOT. (2008) https://azdot.gov/node/5383
[Select “Yes” or “No.” Do not leave blank.]	Post-Construction Best Management Practices Manual for Water Quality. ADOT. (2016). https://azdot.gov/sites/default/files/2019/06/post-construction-best-management-practices-%28bmp%29-manual.pdf
[Select “Yes” or “No.” Do not leave blank.]	Erosion and Pollution Control Manual for Highway Design and Construction. ADOT. (2021). https://apps.azdot.gov/files/roadway-engineering/erosion-pollution-control/2020-epcm-complete.pdf
[Select “Yes” or “No.” Do not leave blank.]	Stored and Standard Specifications for Road and Bridge Construction. ADOT. Red Book (2021). https://azdot.gov/business/contracts-and-specifications/specifications-pay-items-list
[Select “Yes” or “No.” Do not leave blank.]	Statewide Stormwater Management Plan. ADOT. (2019) https://azdot.gov/sites/default/files/2019/10/ms4-swmp-revised2019.pdf
[Select “Yes” or “No.” Do not leave blank.]	Stormwater Sampling and Analysis Plan for Construction Activities. ADOT. (2022) https://azdot.gov/sites/default/files/media/2020/09/Monitoring-SAP-Template-Sept2020.dotx
[Select “Yes” or “No.” Do not leave blank.]	Arizona Department of Transportation Statewide Stormwater Discharge Permit. Arizona Pollutant Discharge Elimination System Individual Permit. ADEQ. (May 13, 2022) https://azdot.gov/sites/default/files/media/2021/07/MS4-Final-Permit-Signed.pdf
[Select “Yes” or “No.” Do not leave blank.]	Additional References

List of Abbreviations

ADEQ	Arizona Department of Environmental Quality

ADOT	Arizona Department of Transportation

AZCGP	Arizona Construction General Permit

AZPDES	Arizona Pollutant Discharge Elimination System

BLM	Bureau of Land Management

BMP	Best Management Practice/Control Measures

CFR	Code of Federal Regulations

CMIS	Control Measure Index Sheet

CWA	Clean Water Act

EPCM	Erosion and Pollution Control Manual

ECC	Erosion Control Coordinator

Engineer	ADOT Engineer

EPA	Environmental Protection Agency

MS4	Municipal Separate Storm Sewer System

NOI	Notice of Intent

NOT	Notice of Termination

NPDES	National Pollutant Discharge Elimination System

OAW	Outstanding Arizona Water

SDS	Safety Data Sheet

SWPP	Surface Water Protection Program

SWPPP	Stormwater Pollution Prevention Plan

SWQS	Surface Water Quality Standard

T&E	Threatened and Endangered Species

USACE	United States Army Corps of Engineers

USGS	United States Geological Survey

The NPDES and AZPDES permitting systems and Construction General Permit(s) issued under these rules use the terminology “Discharge Point” and “Outfalls” seemingly interchangeable. For this SWPPP, ADOT has determined that the use of the term Discharge Point(s) are used to describe any point of the project (created or naturally existing low point) where any addition of any "pollutant" or combination of pollutants to protected surface waters from any "point source," or any addition of any pollutant or combination of pollutants could leave the project area. This includes additions of pollutants into protected surface waters from surface runoff which is collected or channeled by man. For this SWPPP, ADOT deems “Outfalls” to mean a discrete, and purposefully created " point sources" as defined by 40 CFR 122.2 at the point where construction, or post-construction stormwater discharges to protected surface waters or to a Municipal Separate Storm Sewer.

Contact Information / Responsible Parties

Operator
Company/Agency:	[Insert Company/Agency Name]
Responsible Party:	[Insert Responsible Party Name]
Address:	[Insert address (Street, Suite/Unit/etc., City, State abbrev. zip code)]
Phone:	[Insert phone number (111-222-3333)]
E-Mail:	[Insert hyperlinked e-mail address]
Responsibilities:	Supervise and direct activities pertaining to [Insert project name].
Signature:	See Certification and Notification section at the end of this SWPPP.
Stormwater Team
Company:	[Insert Company Name]
Responsible Party:	[Insert applicable name/names]
Address:	[Insert address (Street, Suite/Unit/etc., City, State abbrev. zip code)]
Phone:	[Insert phone number (111-222-3333)]
E-Mail:	[Insert hyperlinked e-mail address]
Responsibilities:	Supervise and direct activities pertaining to [Insert project name], Stormwater Pollution Prevention Plan (SWPPP), and implementation, including control measure installation and maintenance for stormwater and erosion control. The Team is responsible for conducting stormwater site inspections, conducting rain event inspections, and updating SWPPP documents and maps. Each Stormwater Team member is a current certified ADOT ECC.
Signature:	See Form in Attachment 10
Subcontractor
Owner:	[Insert owner name]
Name:	[Insert applicable name/names]
Address:	[Insert address (Street, Suite/Unit/etc., City, State abbrev. zip code)]
Phone:	[Insert phone number (111-222-3333)]
E-Mail:	[Insert hyperlinked e-mail address]
Responsibilities:	Control measure installation and maintenance for stormwater and erosion control measures.
Signature:	See Form in Attachment 6

Site Evaluation, Assessment, and Planning

Project Name and Location

Project Name:	[Insert project name]
Location:	[Insert Route/Project Info]
[Insert county location]

Discharge Information

This SWPPP has been prepared and will be implemented in accordance with good engineering practices and identifies potential sources of pollution that may reasonably be expected to affect the quality of stormwater discharges from the construction site. This SWPPP aims to ensure implementation of control measures that will be used to reduce pollutants in stormwater discharges from the project site, assures compliance with the terms and conditions of the [Select applicable Construction General Permit type], and identifies the responsible party or parties for on-site SWPPP implementation. Project limits are located entirely within [Select applicable landownership type] in [Insert county location] (see Figures 1 and 2).

The potential discharge(s) from this project will be wholly stormwater associated with earthmoving activities including the following: [Insert all applicable activities (geotechnical investigation, archaeological clearance, bridge construction, roadway construction, lane widening, etc.)]. Discharge points have been identified in the Project Site Map/Design Segments of Attachment 2.

Receiving Waters

The project may impact (reach) Waters of the United States/Surface Waters of Arizona, including ephemeral or intermittent streams, by receiving discharges, including sediment, from construction activities.

[Select applicable water-listing type. If both ADEQ and EPA Construction General Permits (CGPs) are applicable to your project, then select whichever is the more stringent language option from the drop-down list to satisfy requirements for both CGPs.]

The operator will control discharges from the site as necessary to not cause or contribute to an exceedance of an applicable surface water quality standard (SWQS) identified in Arizona Administrative Code (A.A.C.) Title 18, Chapter 11, Article 1. If at any time the operator becomes aware, or ADEQ/EPA determines, that the construction site’s discharge causes or contributes to an exceedance of an applicable surface water quality standard, the operator shall take corrective action as required in the CGP, document the corrective actions as required, and report the corrective actions to ADEQ/EPA as required and after coordination with the engineer.

[Select applicable MS4 discharge text.]

The closest receiving surface waters are [Use ADEQ MyDEQ System (https://adeq.maps.arcgis.com/apps/webappviewer/index.html) or USGS Maps to determine closest receiving waters and insert those determinations here.]. The closest named receiving water is [Insert name of closest receiving water.], being [Select applicable distance in miles.] to the [Select applicable compass direction.].

Nature of Construction Activity

[Insert project-specific text regarding construction activity.]

General Description of the Project

[Insert general description of your project.]

Sequence and Estimated Dates of Construction Activities

This project has scheduled the installation of temporary and permanent controls as specified in the [Select applicable Construction General Permit type.]. The schedule below includes the sequence of construction for each 750,000-square-foot subarea and detailed description to indicate major activities sequenced with the implementation of construction site control measures, including:

[Select start date.] to [Select start date.]	Project start and finish dates

[Select start date.] to [Select start date.]	Dates for ancillary activities that may produce non-stormwater discharges, including any dewatering activities

[Select start date.] to [Select start date.]	[Select stage of stabilization activities.] stabilization activities staged over time for each subarea of the project

[Select start date.] to [Select start date.]	Contractor Off-Site (Demobilization)

The Operator will initiate construction activities in accordance with the schedule above, as well as with the construction sequence schedule illustrated in Attachment 2.

[Select applicable agency-specific project duration. If both ADEQ and EPA Construction General Permits (CGPs) are applicable to your project, then select whichever is the more stringent language option from the drop-down list to satisfy requirements for both CGPs.]

Installation of Stormwater Control Measures

This project will complete installation of control measures before each phase of earth disturbance has begun when feasible and as identified in Stormwater Pollution Prevention Plan Implementation Schedule (Attachment 2). In the event that it is infeasible to install one or more control measures prior to earth-disturbing construction activity, the Operator will install these controls as soon as possible. Following the installation of these initial control measures, other controls planned for this portion of the site and described in this SWPPP must be installed and made operational as soon as conditions on the site allow. This requirement does not apply to the earth disturbance associated with the actual installation of these controls.

Construction Disturbance Area

Total Combined Site Area:

[Insert acreage (0.0 acres).]

Total Area Disturbed:

[Insert acreage (0.0 acres).]

Estimate of Percent Impervious:

Before Construction: [Insert percentage (0.0%).]

After Construction: [Insert percentage (0.0%).]

Site Soils and Potential for Erosion

Surface Soils

[Insert applicable text regarding surface soils in the project area.]

Site Description

The purpose of this project is [Insert concise description of project purpose.]. All activity will occur within [Insert county location.] (see Figures 1 and 2).

Locations, lengths, and calculated disturbances for excavation trenches are based on plans, specifications, and contract documents for [Insert project name.].

Intended Use after the Notice of Termination Is Filed

The intended use of the project site after construction activities have ceased will be ADOT highway infrastructure managed by the State as part of the MS4. Repair and maintenance are subject to separate permitting after construction has been accepted by ADOT.

[Insert applicable intended use.].

Post-construction stormwater management control measures and maintenance requirements that will be installed during the construction process to control pollutants in stormwater discharges after construction has been completed include the following:

[Insert applicable type of stormwater control measure.] to be cleaned of sediment on the District Maintenance Schedule

Summary of Potential Pollutant Sources

The identification and description of pollutant sources, their location(s) and the measures meant to control discharges are identified below. This list includes allowable non-stormwater discharges expected to be associated with the project and from areas other than construction (i.e., support activities including stormwater discharges from dedicated asphalt or concrete plants and any other non-construction pollutant sources such as fueling and maintenance operations, materials stored on-site, waste piles, equipment staging yards, etc.). The operator will implement the control measures identified for these areas to minimize pollutant discharges. Control measures for the potential pollutant sources associated with soils are discussed in the Erosion and Sediment Control Section later in this document.

Project Location	Pollutant Source	Pollutant Type	Control Measure
[Insert location (e.g., Station 0000+00–0000+00, Staging Yard).]	[Select applicable pollutant source.]	[Select applicable pollutant type.]	[Select applicable control measure.]

Allowable Non-Stormwater Discharges

Project Location	Non-Stormwater Discharge Type	Control Measure
[Insert location (e.g., Station 0000+00–0000+00, Staging Yard).]	[Select applicable non-stormwater discharge type.]	[Select applicable control measure.]

Site Maps

For State Location and Project Vicinity Maps, see Figures 1 and 2, respectively.

Project site maps (design segment) in Attachment 2 illustrate drainage patterns, areas of soil disturbance, and areas that will not be disturbed, temporary and permanent control measures that may be used, locations of stabilization control measures, on-site material storage areas, surface waterbodies, stormwater discharge to surface water locations, areas where final stabilization has been achieved, and locations of natural elements and/or sensitive areas to be preserved. These maps illustrate and include the following:

“Yes”, or “N/A”
Boundaries of the property and of the locations where construction will occur.
Locations where earth-disturbing activities will occur, noting any phasing of construction activities and each 750,000 ft2 sub area.
Approximate slopes before and after major grading activities. Identify areas of steep slopes, (15% grade as defined by the permit).
Locations where sediment, soil, or other construction materials will be stockpiled.
Locations of any crossings of surface waters.
Designated points on the site where vehicles will exit onto paved roads.
Locations of structures and other impervious surfaces upon completion of construction.
Locations of construction support activity areas covered by this SWPPP.
Locations of drywells that exists on, or near your site. [Select applicable text regarding whether or not any on-site registered drywells are within the project limits.]
Indicate which waterbodies are listed as impaired and which are identified by ADEQ or EPA.
The boundary lines of any natural buffer areas (see Erosion and Sediment Controls section of the SWPPP) including 50-foot undisturbed natural buffer(s) required by the CGP.
Areas of federally listed critical habitat within the site and/or at discharge locations.
Topography of the site, existing vegetative cover (e.g., forest, pasture, pavement, structures), and drainage pattern(s) of stormwater and allowable non-stormwater flow onto, over, and from the site property before and after major grading activities.
Locations of any storm drain inlets on the site and in the immediate vicinity of the site.
Locations where stormwater or allowable non-stormwater will be discharged to surface waters (including wetlands and dry washes). [Select applicable text regarding whether or not any dry washes are within the project limits.] [Select applicable text regarding whether or not any wetlands are within the project limits.]
Locations of potential pollutant-generating and waste disposal activities. [Select applicable text regarding whether or not any waste-disposal areas are within the project limits.]
Locations of stormwater control measures.
Areas of soil disturbance.
Areas not to be disturbed, including trees and boundaries of environmentally sensitive areas and buffer zones.
Locations of temporary and permanent control measures identified in the SWPPP.
Locations where soil stabilization practices are expected to occur.
Locations of stormwater and allowable non-stormwater discharge (outfalls) to a surface water (e.g., ephemeral waters, dry washes, or wetlands) and to Municipal Separate Storm Sewer Systems (MS4s). Use arrows to indicate discharge location. Where surface waters and/or MS4s receiving stormwater will not fit on the plan sheet, identify them with an arrow indicating the direction and distance to the surface water and/or MS4.
Areas where final stabilization has been accomplished and no further construction-phase permit requirements apply.

Figure 1. State Location Map

Figure 2. Project Vicinity Map

Documentation of Compliance with Other Federal Requirements

Threatened and Endangered Species

[Select applicable agency-specific T&E documentation text. If both ADEQ and EPA Construction General Permits (CGPs) are applicable to your project, then select whichever is the more stringent language option from the drop-down list to satisfy requirements for both CGPs.]

Historic Preservation

[Insert project-specific text regarding historic preservation documentation.]

Safe Drinking Water Act Underground Injection Control Requirements

[Select applicable text regarding whether or not subsurface water practices will be used for your project.]

Erosion and Sediment Controls

Natural Buffers or Equivalent Sediment Controls

The CGP requires that any discharges associated with construction activity to surface waters through the area between the disturbed portions of the property and surface waters located within 50 feet of the project are treated by an area of undisturbed natural buffer and/or additional erosion and sediment controls.

[Select applicable text regarding whether or not natural buffers or other sediment controls will be used for your project.]

Stormwater Control Measures

Implementation of temporary and permanent erosion control measures within the project area are identified in this SWPPP. Stormwater management will be provided by employing a combination of physical erosion and sediment control measures including gravel pads, sediment logs, and/or sediment wattles (see the erosion and sedimentation control structures sections below for descriptions). This SWPPP is designed to identify potential sources of pollutants and describe control measures to be implemented at the construction site. Proper selection, installation, and maintenance of structural control measures per the manufacturers’ specifications and good engineering practices will be performed in order for control measures to remain functional and effective. A combination of erosion and sediment control measures has been designed and will be implemented to keep sediment in place and to capture sediment to the extent practicable before it leaves the site.

The use of erosion controls and velocity dissipation devices within and along the length of any constructed stormwater conveyance channel, and at any outlet to provide a non-erosive flow velocity is required by the CGP.

Installation of sediment control/perimeter control measures will be performed before upgradient land is disturbed. Temporary control measures will not be removed until final stabilization is achieved. Activities have been phased or sequenced to minimize the area of disturbance at any one time.

Erosion and sediment control measures identified for this project are cross referenced for detail, inspection, maintenance and appropriate applications in Attachment 1 of this SWPPP via the control measure detail number (EC-1, SC-1, etc.) and are identifiable on the site maps by the same identification number. The Operator will insure that control measures required in this Part remain in effective operating condition during permit coverage and are protected from activities that would reduce their effectiveness.

The following control measures are detailed in the ADOT Erosion and Pollution Control Manual (EPCM) and, as such, have been selected to be used on this project to address stormwater and allowable non-stormwater discharges.

Erosion Controls

Below is the full suite of erosion control measures. Select any measures that are applicable to your project. If your project requires a nonstandard control measure, then use the “Other” category to number and describe such measure. Choose “N/A” for measures not used. Only print and insert in Attachment 1, the control measures selected.

EC-1	Preservation of Existing Vegetation

EC-2	Minibenches and Slope Roughening

EC-3	Mulch Cover

EC-4	Seeding

EC-5	Geotextiles/Erosion Control Blankets

EC-6	Soil Binders

EC-7	Crown Ditch

EC-[Insert no.] Other [Insert other measure text, as applicable.]

Sediment Controls

Control measures will remain in effective operating condition during permit coverage, that is, until final stabilization is met, and are protected from activities that would reduce their effectiveness. Removal of temporary control measures will be completed prior to submittal of the NOT. Sediment controls will not be positioned in such a way as to impede or encroach upon any water of the US, without prior authorization by another Clean Water Act permit, such as Section 404.

Below is the full suite of sediment control measures. Select any measures that are applicable to your project. If your project requires a nonstandard control measure, then use the “Other” category to number and describe such measure. Choose “N/A” for measures not used. Only print and insert in Attachment 1, the control measures selected.

SC-1	Sediment Control Berms

SC-2	Silt Fence

SC-3	Sediment Traps

SC-4	Sediment Basins

SC-5	Sediment Wattles

SC-6	Sediment Logs

SC-7	Gravel Bag Protection

SC-8	Storm Drain Inlet Protection

SC-9	Curb Inlet Protection

SC-10	Stabilized Construction Entrance

SC-11	Stabilized Construction Roadway

SC-12	Compost Sock

SC-13	Rock Berm

SC-14	Pipe Inlet Protection

SC-[Insert no.]Other [Insert other measure text, as applicable.]

Run-On Management

Off-site areas have the potential to direct flow onto the construction site, especially through washes identified in Attachment 2, at the construction staging area, and on freshly constructed cut/fill slopes. The run-on management control measures will not impede flows in banked areas of washes and will allow any flows in existing wash's unimpeded flow. Run-on management from off-site flows may be used on this project where flows from municipal drainage or unnamed washes may occur. The entire perimeter of the project is susceptible to sheet flow run-on occurrences, overland flows from off-site areas will be diverted or otherwise slowed/filtered through the use of listed control measures to account for off-site contributions of stormwater and non-stormwater flows.

Below is the full suite of run-on control measures. Select any measures that are applicable to your project. If your project requires a nonstandard control measure, then use the “Other” category to number and describe such measure. Choose “N/A” for measures not used. Only print and insert in Attachment 1, the control measures selected.

RC-1	Earth Dikes/Drainage Swales and Lined Ditches

RC-2	Cut to Fill Slope Transitions

RC-3	Erosion Protection at Structures

RC-4	Rock Outlet Protection/Velocity Dissipation Devices

RC-5	Slope Drains

RC-6	Check Dam

RC-[Insert no.] Other [Insert other measure text, as applicable.]

Pollution Prevention

Pollution prevention measures include non-structural practices designed to ensure a clean and orderly site and to reduce the possibility of contaminants and chemical pollutants from being introduced into the work area and off site. Pollution prevention procedures will be implemented to prevent litter, construction debris, and construction chemicals exposed to stormwater from becoming a pollutant source in stormwater discharges. These procedures include storage practices to minimize exposure of the materials to stormwater, and spill prevention and response practices.

The exposure to precipitation of building materials, building products, construction wastes, trash, landscape materials, fertilizers, pesticides, herbicides, detergents, sanitary waste and other materials will be minimized.

The pollution prevention measures for this project will include the following practices. Additional control measure descriptions can be found in Attachment 1.

Below is the full suite of pollution prevention control measures. Select any measures that are applicable to your project. If your project requires a nonstandard control measure, then use the “Other” category to number and describe such measure. Choose “N/A” for measures not used. Only print and insert in Attachment 1, the control measures selected.

PP-1	Vehicle and Equipment Cleaning

PP-2	Vehicle and Equipment Fueling

[Select applicable PP-2 control-measure text depending on whether or not your project site has a storage volume that exceeds 1,320 gallons.]

PP-3	Vehicle and Equipment Maintenance

PP-4	Street Sweeping and Vacuuming

PP-5	Material Delivery and Storage

Material delivery and storage practices establish steps for the proper handling, delivery, and storage of construction materials at the construction site. The operator will minimize the exposure to stormwater of any of the products, materials, or wastes specified below that are present at the site by complying with the requirements in the permit.

Storage, preparation, and mixing will be accomplished in temporary containment facilities. Each secondary containment facility will provide a spill containment volume with sufficient capacity to contain 10% of the volume of all containers or the volume of the largest container, whichever is greater and shall include a floor and wall constructed to be impervious to the materials contained therein for a minimum contact time of 72 hours. Bagged and boxed materials will be stored on pallets and will not be allowed to accumulate on the ground.

The operator will consider and implement the following control measures, as appropriate:

[Select full suite of potential pollutant groups. Delete those that are not applicable.]

PP-6	Material Use

Material use procedures and practices for construction material(s) will be performed in a manner that minimizes or eliminates the discharge of these materials to the storm drain system or watercourse from the project site. Compliance with federal, state and local material use requirements will be followed and procedures apply when the following materials are used or prepared on site:

•	Pesticides

•	Fertilizers

•	Detergents

•	Plaster

•	Petroleum products such as fuel, oil, and grease

•	Asphalt and other concrete components

•	Hazardous chemical such as acids, lime, glues, adhesives, paints, solvents, and curing compounds

•	Concrete compounds

•	Other materials that may be detrimental if released to the environment

Safety Data Sheets (SDS) for any of the listed material or any chemical compound located at the project will be centrally located, accessible and by personnel working in that location. An ample supply of spill cleanup material will be kept near use areas and employees handling these materials or working around these materials will be trained in spill cleanup procedures.

PP-7	Stockpile Management

PP -8	Spill Prevention and Control

Spill prevention and control procedures and practices will be used to prevent and control spills to minimize or prevent discharges of spilled materials to the drainage system or watercourse. Spill prevention and control is required whenever chemical and hazardous materials are stored.

Because the operator will be using [Select applicable chemical/hazardous substance.] a spill prevention and control plan has been included as an Attachment [X] to this SWPPP and will be implemented. The plan includes procedures for storage and use that will prevent spills; spill cleanup including minor and significant/hazardous spills; containment of spills; disposal of spilled materials and the material used for clean up; and employee education programs.

The operator will verify at every scheduled stormwater inspection that spill prevention and control measures are maintained and practices are being followed.

[Select applicable agency-specific spill prevention/response. If both ADEQ and EPA Construction General Permits (CGPs) are applicable to your project, then select whichever is the more stringent language option from the drop-down list to satisfy requirements for both CGPs.]

PP-9	Sanitary Waste

PP-[Insert no.] Other [Insert other measure text, as applicable.]

Non-Stormwater Discharges

Non-stormwater management control measures are source control measures intended to prevent pollution by limiting or reducing potential pollutants at the source before they come in contract with stormwater. These practices involve day-to-day operations of the construction site under the control of the operator. The non-stormwater management control measures for this project will include the following practices. Additional control measure descriptions can be found in Attachment 1.

Below is the full suite of non-stormwater control measures. Select any measures that are applicable to your project. If your project requires a nonstandard control measure, then use the “Other” category to number and describe such measure. Choose “N/A” for measures not used. Only print and insert in Attachment 1, the control measures selected.

NS-1	Water Conservation Practices

NS-2	Dewatering Operations

NS-3	Paving and Milling Operations

NS-4	Temporary Stream Crossings

NS-5	Water Diversion

NS-6	Structure Demolition/Removal Over or Adjacent to Water

NS-7	Material and Equipment Use Over Watercourses

NS-[Insert no.] Other [Insert other measure text, as applicable.]

Waste Management

Waste management procedures will be used to prevent stormwater or other pollutant source discharges into existing washes and waters from being exposed to. Waste management control measures also prevent pollution by limiting or reducing potential pollutants at the source before they come in contract with stormwater. The waste management control measures for this project will include the following practices. Additional control measure descriptions can be found in Attachment 1.

Below is the full suite of waste management control measures. Select any measures that are applicable to your project. If your project requires a nonstandard control measure, then use the “Other” category to number and describe such measure. Choose “N/A” for measures not used. Only print and insert in Attachment 1, the control measures selected.

WM-1	Solid Waste Management

WM-2	Hazardous Waste Management

WM-3	Contaminated Soil Management

WM-4	Concrete Waste Management

WM-5	Liquid Waste Management

WM-[Insert no.] Other [Insert other measure text, as applicable.]

Minimization of Dust

[Select applicable text regarding whether or not earth-disturbing activity will require dust permitting and control measures]

Minimization of Disturbance To Steep Slopes

[Select applicable text regarding slope disturbance.]

Topsoil

Soil compaction will be minimized where not required by civil construction and, unless infeasible, topsoil will be preserved for use in seeding for stabilization.

[Select applicable text regarding whether or not topsoil will be preserved/restored.]

Soil Compaction

This project will systematically excavate soils and have soil piles for temporary storage. Upon completion of the project, soil piles will be redistributed in the project area and may be compacted where fill and ground shaping are engineered.

Reclaimed water may be used for dust control, soil compaction, or landscape irrigation if a valid reuse permit is obtained and there are no discharges of reclaimed water off-site. Discharge any non-stormwater, except for emergency fire-fighting activities, is not allowed under the ADEQ-CGP unless specifically authorized by ADEQ when the project is within 1/4 mile upstream of an Outstanding Arizona Water (OAW), or Not-Attaining water.

[Select applicable text regarding whether or not soil-compaction criteria will be included for your project.]

Chemical Treatment

Polymers, flocculants, or other cationic treatment chemicals designed to treat stormwater for turbidity prior to discharge requires justification and in some cases preapproval from ADEQ/EPA prior to their use. Use and storage of these chemicals on-site for other than treating stormwater for turbidity prior to discharge is identified in the Potential Pollutant Source section, and is accordingly, subject to appropriate control measures.

[Select applicable agency-specific text regarding chemical treatments. If both ADEQ and EPA Construction General Permits (CGPs) are applicable to your project, then select whichever is the more stringent language option from the drop-down list to satisfy requirements for both CGPs.]

Dewatering Practices

Dewatering practices include discharging groundwater or accumulated stormwater that is removed from excavations, trenches, foundations, vaults, or other similar points of accumulation, when such waters are first effectively managed by appropriate controls and are therefore deemed uncontaminated. These uncontaminated, nonturbid dewatering waters can be discharged without being routed through a second control measure. Other permits may apply and are included in Attachments [X].

[Select applicable text regarding whether or not dewatering practices will be used for your project]

Site Stabilization

[Select applicable agency-specific text regarding site stabilization. If both ADEQ and EPA Construction General Permits (CGPs) are applicable to your project, then select whichever is the more stringent language option from the drop-down list to satisfy requirements for both CGPs.]

Inspections

The Contractor’s Erosion Control Coordinator (ECC) will serve as the stormwater inspector, being the qualified person to perform inspections. The ECC will have primary responsibility and significant authority for the implementation, inspection, maintenance, and amendments to the approved SWPPP in accordance with ADOT Specifications. The ECC will, at all times, be aware of the contractor’s work activities, schedule, and effect of the work on the environment, and will, at any time, be accessible to direct the contractor’s personnel to replace or repair sediment or erosion control measures as necessary.

In compliance with the regulations set forth in the CGP, the ECC will inspect the effectiveness of control measures, and make adjustments to the SWPPP and the erosion and sediment control measures that are used on the project. Erosion and sediment controls will be installed in accordance with the sequencing provisions of the SWPPP and will be coordinated with the related vegetation removal and construction activities. A variety of control measures have been identified for use on this project (refer to Attachment 1).

When possible, an inspection will be conducted before a predicted precipitation event. Inspections will be performed as outlined below to confirm that control measures are functional. Based on the inspection results, the SWPPP may be revised.

[Select applicable agency-specific text regarding inspection frequency. If both ADEQ and EPA Construction General Permits (CGPs) are applicable to your project, then select whichever is the more stringent language option from the drop-down list to satisfy requirements for both CGPs.]

Note: Within 24 hours of the occurrence of a "storm event" means that you must conduct an inspection within 24 hours once a storm event has produced the triggering inches of precipitation within a 24-hour period (for the permit covered under (i.e., 0.50 or 0.25 inches), even if the storm event is still continuing. If there is a storm event at your site that continues for multiple days, and each day of the storm produces the triggering inches or more of rain, you must conduct an inspection within 24 hours of the first day of the storm and within 24 hours after the end of the storm.

At a minimum, the ECC will conduct a site inspection in accordance with the schedule above and, when necessary, perform additional inspections before and/or during predicted storm events and spot inspections to ensure control measures will be effective.

[Select applicable storm-event recorder] is used to determine if a storm event has occurred on the project site. Rainfall events measuring 0.25” or greater will be recorded in Rain Event Log and recorded in Attachment 7.

For each inspection, the ECC will use the Stormwater Inspection Form, provided in Attachment 5. The ECC will look for evidence of, or potential for, pollutants entering the drainage system at accessible discharge points or at nearby downstream locations if discharge points are inaccessible. The ECC will observe erosion and sedimentation controls for effectiveness and document the inspection, including making recommendations on improvements or repair of such controls, if needed, in the Stormwater Inspection Form. Documentation of maintenance and repairs performed on the control structures will be included in the SWPPP using the form provided in Attachment 5.

Following the inspection, the ECC will summarize the inspection findings in the Stormwater Inspection Form and document any noncompliance with the conditions of the permit(s) and any follow-up actions necessary to correct problems identified. If follow-up actions are necessary, the SWPPP will be modified within 7 calendar days. When deficiencies are noted during scheduled inspections, the contractor will take immediate steps to make the required corrections as soon as practicable. Deficiencies will be fully corrected within 7 calendar days or by the next anticipated storm event, whichever is sooner. Direct inflows of sediment into a watercourse will be corrected by the end of the same day or work shift in which the inflow is observed.

Copies of the completed and signed Stormwater Inspection Form will be inserted into the SWPPP in chronological order within 24 hours of the inspection and retained on-site in the SWPPP file.

Inspection Report Form

For each inspection, a Construction Site Inspection Report Form (Attachment 5) will be prepared and a copy will be placed in the jobsite SWPPP binder in chronological order within 24 hours after the stormwater inspection has been completed and signed.

Scope of Inspections

Control measures will be inspected to verify the effectiveness of control measure in disturbed areas and material storage areas, ingress/egress points, discharge points, and potentially affected receiving waters. For discharge points that are inaccessible, inspection of downstream locations should occur, where practicable. Inspections will review the following:

Structural controls identified in the SWPPP to ensure they are in place and functioning as intended. Repair, replace, or maintain any controls as necessary in accordance with the CGP;

The effectiveness of non-structural controls and practices (such as good housekeeping practices and pollution prevention measures);

Areas of the site used for storage of materials that are exposed to precipitation;

Locations where new or modified control measures are necessary to meet the requirements of the CGP;

Locations where vehicles and equipment enter or exit the site for evidence of tracking sediment, debris, and other pollutants onto and off the site;

Site conditions for evidence of, or the potential for, pollutants entering the municipal separate storm sewer;

The presence of conditions that could lead to spills, leaks, or other accumulations of pollutants on the site;

Accessible discharge locations or discharge points to ascertain whether erosion and sediment control measures are effective in preventing significant impacts to receiving waters;

Where discharge locations are inaccessible, nearby downstream locations to the extent that the inspections are practicable;

Locations where temporary stabilization measures have been implemented; and

When a discharge is occurring during an inspection, observe and note the physical characteristics (color, odor, clarity, floating, settled, or suspended solids, foam, oil sheen, and other obvious indicators of stormwater pollutants). In addition, when there is no discharge, examine each discharge location for evidence of erosion, sedimentation and other pollutants, and the presence of current (and indications of prior) discharges and the source.

The ECC will update this SWPPP as required and be capable of identifying existing and predictable effects of the activities of construction personnel and equipment (including subcontractors) as required, in order to correctly implement measures to minimize or eliminate contamination to downstream drainage resources. The ECC will be familiar with SWPPP measures that will be employed on the project and will ensure that emergency procedures, inspection reports and the SWPPP documents are up-to-date and available at the project site.

Corrective Actions

Corrective actions are actions taken to modify or replace any control measure that failed to meet the conditions of the CGP. Routine maintenance or repairs are not considered corrective actions.

Requirements for Taking Corrective Action

The ECC must complete corrective actions in accordance with the deadlines specified in this Part. In corrective action circumstances, you must immediately take reasonable steps to minimize or prevent the discharge of pollutants until a permanent solution is installed and made operational, including cleaning up any contaminated surfaces so that the material will not discharge in subsequent storm events.

For any of the following conditions on your site, the ECC must install a new or modified control and make it operational, or complete the repair, by no later than 7 calendar days from the time of discovery. If it is infeasible to complete the installation or repair within 7 calendar days, you must document in your records why it is infeasible to complete the installation or repair within the 7-calendar day timeframe and document your schedule for installing the stormwater control(s) and making it operational as soon as practicable after the 7-day timeframe.

1.	A necessary control measure was never installed, was installed incorrectly, or was not installed in accordance with the requirements in the CGP; or

2.	A stormwater control needs to be repaired or replaced (beyond required routine maintenance); or

3.	One of the prohibited discharges listed in the CGP is occurring or has occurred; or

4.	ADEQ or USEPA determines that revisions to the control measures are necessary to meet the requirements of the CGP; or

A discharge is causing an exceedance of an applicable surface water quality standard.

Corrective Action Deadlines

On the same day a condition requiring corrective action is discovered, the Operator shall take all reasonable steps to minimize or prevent the discharge of pollutants until a permanent solution is installed and made operational. However, if the problem is identified when it is too late in the workday to initiate a corrective action, the corrective action shall be initiated on the following work day, unless the condition poses imminent endangerment to human health or the environment, in which case the Operator shall take immediate action.

Any control measures or repairs required must be made operational, or be completed, by no later than 7 calendar days from the time of discovery. If infeasible to complete the necessary repairs or installation of controls within 7 calendar days, the SWPPP will include the following information:

The reason it is infeasible to complete the installation or repair within the 7-calendar day timeframe; and

The schedule for installing and making the control measure(s) operational as soon as practicable after the 7-day timeframe.

Any corrective actions that result in changes to any of the control measures or procedures will be documented in the SWPPP within 7 calendar days of completing the corrective action work (see Corrective Action Report).

Corrective Action Report

The details of each corrective action identified in the Inspection Report will be documented in the Corrective Action Report and maintained with the SWPPP (Attachment 7).

Documentation and Reporting Requirements

Inspection, monitoring, and certification records will be complete and up-to-date, and retained in the SWPPP unless otherwise specified.

A copy of the CGP(s) (Attachment 3).

A copy of the NOI submitted to ADEQ and or EPA, and any correspondence exchanged between the Operator and the regulator specific to coverage under this permit (Attachment 4).

A copy of the authorization certificate received from ADEQ and or EPA (Attachment 4).

Identification of any municipality that received a copy of the authorization certificate (see Receiving Waters section of this SWPPP).

Copies of any other agreements with any state, local, tribal, or federal agencies that would affect the provisions or implementation of the SWPPP (Attachment 9).

Descriptions and dates of any incidences of significant spills, leaks, or other releases that resulted in discharges of pollutants in stormwater (Attachment 7).

Documentation of repairs of structural control measures, including the date(s) of discovery of areas in need of repair/replacement, date(s) that the structural control measure(s) returned to full function, and the justification for any extended repair schedules (Attachment 7).

Inspection Reports (Attachment 5).

Posting, SWPPP Review, and Making SWPPPs Available

The authorization number(s) must be posted in a conspicuous location near the main entrance of the construction site (for linear projects, near the entrance where most of the construction activity is occurring). For this project the authorization number(s) will be posted near [Insert location.].

The site-specific SWPPP will be on-site [Select site-specific location of SWPPP.] whenever construction or support activities are actively underway, and will be available to the [Select ADEQ, EPA, or both.] or to any other federal, state, tribal, or local authority having jurisdiction over the project at any reasonable time (generally Monday through Friday, 8:00 a.m. to 5:00 p.m.).

Monitoring

[Select applicable monitoring text regarding whether or not your project is within ¼ mile upstream of a listed Outstanding Arizona Water (OAW) or Impaired Water, or whether the project is within ¼ mile but has no potential to discharge to the listed waterbody, to contribute to the listed impairment, or dewatering to an EPA Listed Waterbody.]

Erosion Control Coordinator (ECC)

The duly authorized representative for this project is [Insert ECC name.]. The Delegation of Authority Form and documented experience is located in Attachment 10 of this SWPPP.

Name:	[Insert ECC name.]
Address:	[Insert ECC address (Street, Suite/Unit/etc., City, State abbrev. zip code).]
Telephone:	[Insert ECC phone number (111-222-3333).]
E-Mail Address:	[Insert hyperlinked ECC e-mail address.]

Responsibilities

Supervise and direct activities pertaining to [Insert project name.], Stormwater Pollution Prevention Plan (SWPPP), implementation, including control measure installation and maintenance for stormwater and erosion control, conducting stormwater site inspections, and rain event inspections (see page 3, Intended Sequence of Disturbance Activities).

Training

The ECC has met and understands the requirements of this permit and their specific responsibilities with respect to those requirements and has successfully completed the 16-hour ECC training class provided by the Associated General Contractors (Arizona Chapter) and refresher course (as applicable) and is knowledgeable in the principles and practice of erosion and sediment controls and pollution prevention, who possess the skills and training to assess conditions at the construction site that could impact stormwater quality, and the skills and training to assess the effectiveness of any control measures selected to control the quality of stormwater discharges from the construction activity.

In addition, the ECC has documented experience equal to a minimum of 1 year from either of the following two categories:

Experience in the development and implementation of SWPPPs, as specified in the ADEQ CGP, or the EPA CGP for highway construction projects. The proposed ECC’s experience will demonstrate full-time responsibility for directly supervising construction personnel in the installation, monitoring, and maintenance of erosion control items.

Experience in revegetation or restoration of disturbed areas in environments similar to those on the project. Experience in temporary or permanent stabilization of disturbed areas will also be considered. The proposed ECC’s experience will demonstrate full-time responsibility for directly supervising personnel in temporary or permanent revegetation or restoration of disturbed areas.

[Select and customize the suggested text in this drop-down menu if your project is within ¼ mile of an Outstanding Arizona Water (OAW), Impaired, or Not-Attaining water or if your project is deemed “sensitive.”]

Certification and Notification

Operator Certification

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

Company:	[Insert applicable company name.]
Name:	[Insert applicable responsible-party name.]
Title:	[Insert applicable title.]

Operator’s Signature	Date Certified

ADOT Approval and Certification of the SWPPP

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering 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.

Project Name:	[Insert project name.]
Federal Aid No.:	[Insert Fed Aid no.]
ADOT Project No.: ADOT Engineer’s Name:	[Insert applicable ADOT project no.] [Engineer’s name.]

ADOT Engineer’s Signature ADOT Engineer’s Phone Number: [Insert applicable phone no. (111-222-3333).]	Date Approved

Control-Measure Detail Sheets and CMIS Sheets

Project Site Maps (Design Segment) /
Construction Sequence Schedule

Construction Sequence Schedule

Copy of [Select Permit Type.]

Notice of Intent, Authorization Certification, Notice of Termination Forms, PRE- and Post-Construction Photo Documentation Submitted to [Select Agency.]

Construction Site Inspection Report

Attachment 6: Contractor Certification/Agreements

Rain Event Log, Spill Log, Corrective Action/Maintenance Log, Records of Stabilization, and SWPPP Amendment Log

[Select Title to Indicate Whether or Not Seed-Mix Records Are Applicable/Included.]

Endangered Species and Historic Preservation Documentation [Select Title to Indicate Concurance and/or Clearance.]

Inspector’s Certification, Delegation of Authority and Training Log

Field Contacts/Subcontractor List

U.S. Army Corps of Engineers [Select Permit Type.] Documentation

[Select Title to Indicate Whether or Not Monitoring Sampling Analysis Plan Is Applicable/Included.]