ࡱ> %` "bjbjNN ,,UDPPPP4HHHh[<` $H(^``````$=h(*(*(*PPB000(*jP|:^0(*^00F0 ;|vH*T·۾[Jhat+a4a(*(*0(*(*(*(*(*.0j(*(*(*[(*(*(*(*b$$c$PPPPPP Industrial SWPPP Template Introduction To help you develop a SWPPP that is consistent with the 2008 MSGP, the U.S Environmental Protection Agency (EPA) has created this Industrial SWPPP Template (or, the Template). Use of the Template will help ensure that your SWPPP addresses all the necessary elements required in Part 5 of the 2008 MSGP. Before completing the Template, make sure you read and understand the requirements in the 2008 MSGP. A copy of the MSGP is available at  HYPERLINK "http://www.epa.gov/npdes/stormwater/msgp" www.epa.gov/npdes/stormwater/msgp. Using the Industrial SWPPP Template Tips for completing the Template: This Template is designed for use by all facilities eligible for coverage under the 2008 MSGP. The Template is NOT tailored to your individual industrial sector. Depending on which industrial sector you fall under (see Appendix D of the 2008 MSGP) and on where your facility is located (see Appendix C of the 2008 MSGP), you will need to address additional SWPPP requirements outlined in Part 8 and/or Part 9 of the permit, respectively. Complete a SWPPP before submitting your Notice of Intent (NOI) for permit coverage. Each section includes instructions and space for your facilitys specific information. You should read the instructions for each section before you complete that section. The Template was developed in Microsoft Word so that you can easily add tables and additional text. Some sections may require only a brief description while others may require several pages of explanation. To make it easier to complete, the Template generally uses blue text where the operator is expected to enter information. EPA notes that while EPA has made every effort to ensure the accuracy of all instructions and guidance contained in the Template, the actual obligations of regulated industrial facilities are determined by the relevant provisions of the permit, not by the Template. In the event of a conflict between the Template and any corresponding provision of the MSGP, the permit controls. EPA welcomes comments on the Template at any time and will consider those comments in any future revision of this document. Stormwater Pollution Prevention Plan for:  FORMTEXT Insert Facility Name  FORMTEXT Insert Facility Address  FORMTEXT Insert City, State, Zip Code  FORMTEXT Insert Facility Telephone Number (if applicable) SWPPP Contact(s):  FORMTEXT Insert Facility Operator  FORMTEXT Insert Name  FORMTEXT Insert Address  FORMTEXT Insert City, State, Zip Code  FORMTEXT Insert Telephone Number  FORMTEXT Insert Fax/Email SWPPP Preparation Date:  FORMTEXT __ __/  FORMTEXT __ __ /  FORMTEXT __ __ __ __ Contents  TOC \o "1-4" \h \z \u  HYPERLINK \l "_Toc219629093" SECTION 1: FACILITY DESCRIPTION AND CONTACT INFORMATION  PAGEREF _Toc219629093 \h 1  HYPERLINK \l "_Toc219629094" 1.1 Facility Information  PAGEREF _Toc219629094 \h 1  HYPERLINK \l "_Toc219629095" 1.2 Contact Information/Responsible Parties  PAGEREF _Toc219629095 \h 2  HYPERLINK \l "_Toc219629096" 1.3 Stormwater Pollution Prevention Team  PAGEREF _Toc219629096 \h 3  HYPERLINK \l "_Toc219629098" 1.4 Activities at the Facility  PAGEREF _Toc219629098 \h 3  HYPERLINK \l "_Toc219629099" 1.5 General Location Map  PAGEREF _Toc219629099 \h 4  HYPERLINK \l "_Toc219629100" 1.6 Site Map  PAGEREF _Toc219629100 \h 5  HYPERLINK \l "_Toc219629101" SECTION 2: POTENTIAL POLLUTANT SOURCES  PAGEREF _Toc219629101 \h 6  HYPERLINK \l "_Toc219629102" 2.1 Industrial Activity and Associated Pollutants  PAGEREF _Toc219629102 \h 6  HYPERLINK \l "_Toc219629103" 2.2 Spills and Leaks  PAGEREF _Toc219629103 \h 7  HYPERLINK \l "_Toc219629104" 2.3 Non-Stormwater Discharges Documentation  PAGEREF _Toc219629104 \h 7  HYPERLINK \l "_Toc219629105" 2.4 Salt Storage  PAGEREF _Toc219629105 \h 8  HYPERLINK \l "_Toc219629106" 2.5 Sampling Data Summary  PAGEREF _Toc219629106 \h 8  HYPERLINK \l "_Toc219629107" SECTION 3: STORMWATER Control Measures  PAGEREF _Toc219629107 \h 8  HYPERLINK \l "_Toc219629108" 3.1 Minimize Exposure  PAGEREF _Toc219629108 \h 9  HYPERLINK \l "_Toc219629109" 3.2 Good Housekeeping  PAGEREF _Toc219629109 \h 9  HYPERLINK \l "_Toc219629110" 3.3 Maintenance  PAGEREF _Toc219629110 \h 9  HYPERLINK \l "_Toc219629111" 3.4 Spill Prevention and Response  PAGEREF _Toc219629111 \h 10  HYPERLINK \l "_Toc219629112" 3.5 Erosion and Sediment Controls  PAGEREF _Toc219629112 \h 10  HYPERLINK \l "_Toc219629113" 3.6 Management of Runoff  PAGEREF _Toc219629113 \h 10  HYPERLINK \l "_Toc219629114" 3.7 Salt Storage Piles or Piles Containing Salt  PAGEREF _Toc219629114 \h 11  HYPERLINK \l "_Toc219629115" 3.8 MSGP Sector-Specific Non-Numeric Effluent Limits  PAGEREF _Toc219629115 \h 11  HYPERLINK \l "_Toc219629116" 3.9 Employee Training  PAGEREF _Toc219629116 \h 11  HYPERLINK \l "_Toc219629117" 3.10 Non-Stormwater Discharges  PAGEREF _Toc219629117 \h 11  HYPERLINK \l "_Toc219629118" 3.11 Waste, Garbage and Floatable Debris  PAGEREF _Toc219629118 \h 12  HYPERLINK \l "_Toc219629119" 3.12 Dust Generation and Vehicle Tracking of Industrial Materials  PAGEREF _Toc219629119 \h 12  HYPERLINK \l "_Toc219629120" SECTION 4: Schedules and Procedures FOR MONITORING  PAGEREF _Toc219629120 \h 13  HYPERLINK \l "_Toc219629122" SECTION 5: Inspections  PAGEREF _Toc219629122 \h 15  HYPERLINK \l "_Toc219629123" SECTION 6: Documentation to Support Eligibility Considerations under Other Federal Laws  PAGEREF _Toc219629123 \h 16  HYPERLINK \l "_Toc219629124" 6.1 Documentation Regarding Endangered Species.  PAGEREF _Toc219629124 \h 16  HYPERLINK \l "_Toc219629126" 6.2 Documentation Regarding Historic Properties  PAGEREF _Toc219629126 \h 16  HYPERLINK \l "_Toc219629128" 6.3 Documentation Regarding NEPA Review (if applicable)  PAGEREF _Toc219629128 \h 16  HYPERLINK \l "_Toc219629130" SECTION 7: SWPPP CERTIFICATION  PAGEREF _Toc219629130 \h 16  HYPERLINK \l "_Toc219629131" SECTION 8: SWPPP MODIFICATIONS  PAGEREF _Toc219629131 \h 18  HYPERLINK \l "_Toc219629132" SWPPP ATTACHMENTS  PAGEREF _Toc219629132 \h 19 Attachment A General Location Map Attachment B Site Maps Attachment C 2008 MSGP SECTION 1: FACILITY DESCRIPTION AND CONTACT INFORMATION 1.1 Facility Information  SHAPE \* MERGEFORMAT  Facility InformationName of Facility: Street: City: State: ZIP Code: County or Similar Subdivision: Permit Tracking Number: (if covered under a previous permit)Latitude/Longitude (Use one of three possible formats, and specify method)Latitude:Longitude:1. _ _ _ _ ' _ _'' N (degrees, minutes, seconds)1. _ _ _ _ ' _ _'' W (degrees, minutes, seconds)2. _ _ _ _ . _ _' N (degrees, minutes, decimal)2. _ _ _ _ . _ _' W (degrees, minutes, decimal)3. _ _ . _ _ _ _ N (decimal)3. _ _ . _ _ _ _ W (decimal)Method for determining latitude/longitude (check one):  FORMCHECKBOX  USGS topographic map (specify scale: ) FORMCHECKBOX  EPA Web site FORMCHECKBOX  GPS FORMCHECKBOX  Other (please specify): Is the facility located in Indian Country?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf yes, name of Reservation, or if not part of a Reservation, indicate "not applicable."  Is this facility considered a Federal Facility?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoEstimated area of industrial activity at site exposed to stormwater: (acres)Discharge InformationDoes this facility discharge stormwater into an MS4?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, name of MS4 operator: Name(s) of water(s) that receive stormwater from your facility Are any of your discharges directly into any segment of an impaired water?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf Yes, identify name of the impaired water (and segment, if applicable): Identify the pollutant(s) causing the impairment: For pollutants identified, which do you have reason to believe will be present in your discharge? For pollutants identified, which have a completed TMDL? Do you discharge into a receiving water designated as a Tier 2 (or Tier 2.5) water?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoAre any of your stormwater discharges subject to effluent guidelines?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If Yes, which guidelines apply? Primary SIC Code or 2-letter Activity Code: (refer to Appendix D of the 2008 MSGP)Identify your applicable sector and subsector: 1.2 Contact Information/Responsible Parties  SHAPE \* MERGEFORMAT  Facility Operator (s):Name:  FORMTEXT Insert NameAddress:  FORMTEXT Insert AddressCity, State, Zip Code:  FORMTEXT Insert City, State, Zip CodeTelephone Number:  FORMTEXT Insert Telephone NumberEmail address:  FORMTEXT Insert email addressFax number:  FORMTEXT Insert fax number (optional) Facility Owner (s):Name:  FORMTEXT Insert NameAddress:  FORMTEXT Insert AddressCity, State, Zip Code:  FORMTEXT Insert City, State, Zip CodeTelephone Number:  FORMTEXT Insert Telephone NumberEmail address:  FORMTEXT Insert email addressFax number:  FORMTEXT Insert fax number (optional) SWPPP Contact:Name:  FORMTEXT Insert SWPPP Contact NameTelephone number:  FORMTEXT Insert Telephone NumberEmail address:  FORMTEXT Insert email addressFax number:  FORMTEXT Insert fax number (optional)1.3 Stormwater Pollution Prevention Team  SHAPE \* MERGEFORMAT  Staff NamesIndividual Responsibilities FORMTEXT Insert name of SWPPP team member FORMTEXT Insert explanation of that staff persons responsibilities relating to compliance with the permit FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary]1.4 Activities at the Facility  SHAPE \* MERGEFORMAT   FORMTEXT Insert text here General Location Map  SHAPE \* MERGEFORMAT  Include a copy of the general location map for this facility in Attachment A. Site Map  SHAPE \* MERGEFORMAT  Include a copy of the site map for this facility in Attachment B. SECTION 2: POTENTIAL POLLUTANT SOURCES  SHAPE \* MERGEFORMAT  Industrial Activity and Associated Pollutants  SHAPE \* MERGEFORMAT  Industrial ActivityAssociated Pollutants FORMTEXT Insert specific industrial activity FORMTEXT Insert names of pollutants or pollutant constituents that could be associated with this activity and released in stormwater FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] 2.2 Spills and Leaks  SHAPE \* MERGEFORMAT  Areas of Site Where Potential Spills/Leaks Could Occur LocationOutfalls FORMTEXT Insert description of area where spill/leak could occur  FORMTEXT Specify which outfall(s) would be affected FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] Description of Past Spills/Leaks DateDescriptionOutfalls FORMTEXT Insert date of spill/leak FORMTEXT Insert description of spill/leak (where it occurred, what happened, types of pollutants, extent of damage) FORMTEXT Specify which outfall(s) were affected FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary] FORMTEXT [Repeat as necessary]2.3 Non-Stormwater Discharges Documentation  SHAPE \* MERGEFORMAT  Date of evaluation:  FORMTEXT Insert the date(s) of your evaluation. Description of the evaluation criteria used:  FORMTEXT Describe the method you used to conduct your evaluation and to determine for each non-stormwater sources whether it is prohibited or allowed under the permit. List of the outfalls or onsite drainage points that were directly observed during the evaluation:  FORMTEXT Insert outfalls/drainage points observed. Different types of non-stormwater discharge(s) and source locations:  FORMTEXT Describe types of non-stormwater discharges observed and the corresponding outfall or drainage point. Action(s) taken, such as a list of control measures used to eliminate unauthorized discharge(s), if any were identified. For example, a floor drain was sealed, a sink drain was re-routed to sanitary, or an NPDES permit application was submitted for an unauthorized cooling water discharge:  FORMTEXT Describe actions taken to eliminate unauthorized non-stormwater discharges and the corresponding outfall/drainage point affected. 2.4 Salt Storage  SHAPE \* MERGEFORMAT   FORMTEXT Insert description of the location of any storage piles containing salt. Sampling Data Summary  SHAPE \* MERGEFORMAT   FORMTEXT Insert summary of stormwater sampling data collected for the past permit, and/or attach discharge monitoring reports or laboratory results. SECTION 3: STORMWATER Control Measures  SHAPE \* MERGEFORMAT  3.1 Minimize Exposure  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF CONTROL MEASURES HERE. Good Housekeeping  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF CONTROL MEASURES HERE. 3.3 Maintenance  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF CONTROL MEASURES HERE. 3.4 Spill Prevention and Response  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF CONTROL MEASURES HERE. Erosion and Sediment Controls  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF CONTROL MEASURES HERE. 3.6 Management of Runoff  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF CONTROL MEASURES HERE. 3.7 Salt Storage Piles or Piles Containing Salt  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF CONTROL MEASURES HERE. 3.8 MSGP Sector-Specific Non-Numeric Effluent Limits  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF CONTROL MEASURES HERE. Employee Training  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF PLAN FOR TRAINING APPLICABLE STAFF HERE. 3.10 Non-Stormwater Discharges  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF YOUR APPROACH TO ELIMINATING UNAUTHORIZED NON-STORMWATER DISCHARGES HERE. 3.11 Waste, Garbage and Floatable Debris  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF CONTROL MEASURES HERE. 3.12 Dust Generation and Vehicle Tracking of Industrial Materials  SHAPE \* MERGEFORMAT   FORMTEXT INSERT DESCRIPTION OF CONTROL MEASURES HERE. SECTION 4: Schedules and Procedures FOR MONITORING  SHAPE \* MERGEFORMAT  For each type of monitoring, your SWPPP must include a description of: Sample Location(s). Describe where samples will be collected, including any determination that two or more outfalls are substantially identical.  FORMTEXT INSERT TEXT HERE Pollutant Parameters to be Sampled. Include a list of the pollutant parameters that will be sampled and the frequency of sampling for each parameter.  FORMTEXT INSERT TEXT HERE Monitoring Schedules. Include the schedule you will follow for monitoring your stormwater discharge, including where applicable any alternate monitoring periods to be used for facilities in climates with irregular stormwater runoff (2008 MSGP, Part 6.1.6).  FORMTEXT INSERT TEXT HERE Numeric Limitations. List here any pollutant parameters subject to numeric limits (effluent limitations guidelines), and which outfalls are subject to such limits. Note that numeric limits are only included for Sectors A, C, D, E, J, K, L, and O.  FORMTEXT INSERT TEXT HERE Procedures. Describe procedures you will follow for collecting samples, including responsible staff who will be involved, logistics for taking and handling samples, laboratory to be used, etc.  FORMTEXT INSERT TEXT HERE Note: It may be helpful to create a table with columns corresponding to # 1 - 5 above for each type of monitoring you are required to conduct. Inactive and Unstaffed sites exception (if applicable) If you are invoking the exception for inactive and unstaffed sites for benchmark monitoring, include information to support this claim.  FORMTEXT INSERT TEXT HERE Substantially identical outfall exception (if applicable) If you plan to use the substantially identical outfall exception for your benchmark monitoring and/or quarterly visual assessment requirements, include the following information here to substantiate your claim that these outfalls are substantially identical: Location of each of the substantially identical outfalls:  FORMTEXT INSERT TEXT HERE Description of the general industrial activities conducted in the drainage area of each outfall:  FORMTEXT INSERT TEXT HERE Description of the control measures implemented in the drainage area of each outfall:  FORMTEXT INSERT TEXT HERE Description of the exposed materials located in the drainage area of each outfall that are likely to be significant contributors of pollutants to stormwater discharges:  FORMTEXT INSERT TEXT HERE An estimate of the runoff coefficient of the drainage areas (low=under 40%; medium=40 to 65%; high =above 65%):  FORMTEXT INSERT TEXT HERE Why the outfalls are expected to discharge substantially identical effluents:  FORMTEXT INSERT TEXT HERE SECTION 5: Inspections  SHAPE \* MERGEFORMAT  For the routine facility inspections and the comprehensive site inspections to be performed at your site, include a description of the following: The names of the person(s), or the positions of the person(s), responsible for inspection:  FORMTEXT INSERT TEXT HERE The schedules to be used for conducting inspections. Include here any tentative schedule that will be used for facilities in climates with irregular stormwater runoff discharges (2008 MSGP, Part 4.2.3):  FORMTEXT INSERT TEXT HERE and Specific areas of the facility to be inspected, including schedules for specific outfalls:  FORMTEXT INSERT TEXT HERE For the quarterly visual assessments to be performed at your site, include a description of the following: The names of the person(s), or the positions of the person(s), responsible for inspection:  FORMTEXT INSERT TEXT HERE The schedules to be used for conducting inspections. Include here any tentative schedule that will be used for facilities in climates with irregular stormwater runoff discharges (2008 MSGP, Part 4.2.3):  FORMTEXT INSERT TEXT HERE and Specific areas of the facility to be inspected, including schedules for specific outfalls:  FORMTEXT INSERT TEXT HERE Inactive and Unstaffed sites exception (if applicable) If you are invoking the exception for inactive and unstaffed sites for your routine facility inspections and quarterly visual assessments, include information to support this claim.  FORMTEXT INSERT TEXT HERE SECTION 6: Documentation to Support Eligibility Considerations under Other Federal Laws 6.1 Documentation Regarding Endangered Species.  SHAPE \* MERGEFORMAT   FORMTEXT INSERT TEXT HERE OR KEEP DOCUMENTATION WITH SWPPP. Documentation Regarding Historic Properties  SHAPE \* MERGEFORMAT   FORMTEXT INSERT TEXT HERE OR KEEP DOCUMENTATION WITH SWPPP. 6.3 Documentation Regarding NEPA Review (if applicable)  SHAPE \* MERGEFORMAT   FORMTEXT INSERT TEXT HERE OR KEEP DOCUMENTATION WITH SWPPP. SECTION 7: SWPPP CERTIFICATION  SHAPE \* MERGEFORMAT  I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name: Title:Signature: Date: SECTION 8: SWPPP MODIFICATIONS  SHAPE \* MERGEFORMAT   FORMTEXT INSERT LOG HERE or REFERENCE ATTACHMENT SWPPP ATTACHMENTS Attach the following documentation to the SWPPP: Attachment A General Location Map Include a copy of your general location map in Attachment A. Attachment B Site Map Include a copy of your site map(s) in Attachment B. Attachment C 2008 MSGP Note: It is helpful to keep a printed-out copy of the 2008 MSGP so that it is accessible to you for easy reference. However, you do not need to formally incorporate the entire 2008 MSGP into your SWPPP. As an alternative, you can include a reference to the permit and where it is kept at the site.      Stormwater Pollution Prevention Plan (SWPPP) INSERT FACILITY NAME and DATE EPA Industrial SWPPP Template, January 13, 2009  PAGE 19 Instructions: You will need the information from this section to complete your NOI. For further instruction, refer to the 2008 MSGP NOI form and instructions specifically sections C and D of the NOI. A copy of the 2008 MSGP NOI is available at  HYPERLINK "http://www.epa.gov/npdes/stormwater/msgp" www.epa.gov/npdes/stormwater/msgp (Appendix G of the permit) Detailed information on determining your sites latitude and longitude can be found at  HYPERLINK "http://www.epa.gov/npdes/stormwater/latlong" www.epa.gov/npdes/stormwater/latlong. You must include a copy of the 2008 MSGP, or a reference or link to where a copy can be found, in Attachment C of your SWPPP. Instructions: List the facility operator(s), facility owner, and 24 hour emergency contact. Indicate respective responsibilities, where appropriate. You will need the information from this section of the SWPPP Template for your NOI. Refer to Section B of the NOI instructions (available in Appendix G of the 2008 MSGP). Instructions (see 2008 MSGP Parts 2.1.2.9 and 5.1.5.1): Describe your plan for training the employees who work in areas where industrial materials or activities are exposed to stormwater, or who are responsible for implementing activities necessary to meet the conditions of the 2008 MSGP, including all members of your Pollution Prevention Team. Included in your description must be the frequency of training (note: recommended at least one time per year), and the schedule you will follow. Instructions (see 2008 MSGP Part 2.1.2.8): Describe any controls or procedures that will be used at your site to comply with any sector-specific requirements that apply to you in Part 8 of the 2008 MSGP. Describe the location at your site where each control and/or procedure will be implemented. Note: Sector-specific effluent limits apply to Sectors A, E, F, G, H, I, L, M, N, O, P, Q, R, S, T, U, V, X, Y, Z, and AA. Instructions (see 2008 MSGP Part 2.1.2.7): If applicable, describe structures at your site that either cover or enclose salt storage piles or piles containing salt, or that prevent the discharge of stormwater from such piles. Also, describe any controls or procedures used to minimize exposure resulting from adding to or removing materials from the pile. Describe the location at your site where each control and/or procedure will be implemented. Instructions (See 2008 MSGP Part 2.1.2.6): Describe controls used at your site to divert, infiltrate, reuse, contain, or otherwise reduce stormwater runoff. Describe the location at your site where each control will be implemented. Instructions (see 2008 MSGP Part 2.1.2.5): Describe structural or non-structural controls used at your site to stabilize exposed areas and contain runoff to minimize onsite erosion and potential offsite discharges of sediment. Note: You must at a minimum implement flow velocity dissipation devices at outfalls and discharge channels. Describe the location at your site where each control will be implemented. Instructions (see 2008 MSGP Parts 2.1.2.4 and 5.1.5.1): Describe any structural controls or procedures used to minimize the potential for leaks, spills, and other releases. You must implement the following at a minimum: Procedures for plainly labeling containers (e.g., Used Oil, Spent Solvents, Fertilizers and Pesticides, etc.) that could be susceptible to spillage or leakage to encourage proper handling and facilitate rapid response if spills or leaks occur; Preventative measures such as barriers between material storage and traffic areas, secondary containment provisions, and procedures for material storage and handling; Procedures for expeditiously stopping, containing, and cleaning up leaks, spills, and other releases; and Procedures for notification of appropriate facility personnel, emergency response agencies, and regulatory agencies. Describe where each control is to be located or where applicable procedures will be implemented. Note: Some facilities may be required to develop a Spill Prevention Control and Countermeasure (SPCC) plan under a separate regulatory program (40 CFR 112). If you are required to develop an SPCC plan, or you already have one, you should include references to the relevant requirements from your plan. Instructions (see 2008 MSGP Parts 2.1.2.3 and 5.1.5.1): Describe procedures (1) to maintain industrial equipment so that spills/leaks are avoided, and (2) to maintain any of your sites control measures in effective operating condition. Include the schedule you will follow for such maintenance activities. Describe where each applicable procedure is being implemented at the site. Instructions (see 2008 MSGP Parts 2.1.2.2 and 5.1.5.1): Describe any practices you are implementing to keep exposed areas of your site clean. Describe where each practice is being implemented at your site. Include here your schedule for: (1) regular pickup and disposal of waste materials, and (2) routine inspections for leaks and of the condition of drums, tanks, and containers. Instructions (see 2008 MSGP Part 2.1.2.1): Describe any structural controls or practices used to minimize the exposure of industrial activities to rain, snow, snowmelt, and runoff. Describe where the controls or practices are being implemented at your site. Instructions (see 2008 MSGP Part 5.1.3.4): The questions below require you to provide documentation of the following: Your evaluation for the presence of non-stormwater discharges at your site; and Your elimination of any unauthorized non-stormwater discharges. Instructions (see 2008 MSGP Parts 5.1.3.1 and 5.1.3.2): Include a list of industrial activities exposed to stormwater (e.g., material storage; equipment/vehicle fueling, maintenance, and cleaning; cutting steel beams) and the pollutants or pollutant constituents (e.g., motor oil, fuel, battery acid, and cleaning solvents) associated with these activities. In your list of pollutants associated with your industrial activities, include all significant materials that have been handled, treated, stored, or disposed, and that have been exposed to stormwater in the 3 years prior to the date you prepare your SWPPP. Instructions (see 2008 MSGP Part 5.1.6.3): Include any documentation you have that supports your determination of eligibility consistent with MSGP 2008 Part 1.1.2.5 (Discharges Subject to Any New Source Performance Standards). Instructions (see 2008 MSGP Part 5.1.6.1): Include any documentation you have that supports your determination of eligibility consistent with 2008 MSGP, Part 1.1.4.5 (Endangered and Threatened Species and Critical Habitat Protection). Refer to Appendix E of the 2008 MSGP for specific instructions for establishing eligibility. Instructions (see 2008 MSGP Part 5.1.2): Provide a general description of the nature of the industrial activities at your facility. Instructions (see 2008 MSGP Part 2.1.2.12): Describe controls and procedures you will use at your site to minimize the generation of dust and off-site tracking of raw, final, or waste materials. Describe the location at your site where each control and/or procedures will be implemented. Instructions (see 2008 MSGP Part 5.1.2): Include a map showing the following information. The site map should be included as Attachment B of this SWPPP Template. the size of the property in acres; the location and extent of significant structures and impervious surfaces; directions of stormwater flow (use arrows); locations of all existing structural control measures; locations of all receiving waters in the immediate vicinity of your facility, indicating if any of the waters are impaired and, if so, whether the waters have TMDLs established for them; locations of all stormwater conveyances including ditches, pipes, and swales; locations of potential pollutant sources identified under MSGP, Part 5.1.3.2; locations where significant spills or leaks identified under MSGP, Part 5.1.3.3 have occurred; locations of all stormwater monitoring points; locations of stormwater inlets and outfalls, with a unique identification code for each outfall (e.g., Outfall No. 1, No. 2, etc), indicating if you are treating one or more outfalls as substantially identical under MSGP, Parts 4.2.3, 5.1.5.2, and 6.1.1, and an approximate outline of the areas draining to each outfall; municipal separate storm sewer systems, where your stormwater discharges to them; locations and descriptions of all non-stormwater discharges identified under MSGP, Part 2.1.2.10; locations of the following activities where such activities are exposed to precipitation: fueling stations; vehicle and equipment maintenance and/or cleaning areas; loading/unloading areas; locations used for the treatment, storage, or disposal of wastes; liquid storage tanks; processing and storage areas; immediate access roads and rail lines used or traveled by carriers of raw materials, manufactured products, waste material, or by-products used or created by the facility; transfer areas for substances in bulk; machinery; and locations and sources of run-on to your site from adjacent property that contains significant quantities of pollutants. Instructions (see 2008 MSGP Part 5.1.2): Provide a general location map (e.g., U.S. Geological Survey (USGS) quadrangle map) with enough detail to identify the location of your facility and all receiving waters for your stormwater discharges (include as Attachment A of this SWPPP Template). Instructions (see 2008 MSGP Part 5.1.7): The following certification statement must be signed and dated by a person who meets the requirements of Appendix B, Subsection 11.A or 11.B, of the 2008 MSGP. Note: This certification must be re-signed in the event of a SWPPP modification in response to a Part 3.1 trigger for corrective action. Instructions (See 2008 MSGP Part 5.1.3.3): Include the following in this section: Potential spills and leaks: A description of where potential spills and leaks could occur at your site that could contribute pollutants to your stormwater discharge, and specify which outfall(s) are likely to be affected by such spills and leaks. Past spills and leaks: A description of significant spills and leaks in the past 3 years of oil or toxic or hazardous pollutants that actually occurred at exposed areas, or that drained to a stormwater conveyance. Note: Significant spills and leaks include, but are not limited to, releases of oil or hazardous substances in excess of quantities that are reportable under CWA Section 311 (see 40 CFR 110.6 and 40 CFR 117.21) or Section 102 of the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA), 42 USC 9602. Instructions (see 2008 MSGP Part 5.1.3): In this section, you are required to describe areas at your facility where industrial materials or activities are exposed to stormwater or from which allowable non-stormwater discharges are released. Instructions (see 2008 MSGP Part 5.1.3.5): Document the location of any storage piles containing salt used for deicing or other commercial or industrial purposes. Note: You will be asked additional questions concerning salt storage in Section 3.7 of this SWPPP template, below. Instructions (See 2008 MSGP Parts 5.1.4.1 and 2.1.2): In Sections 3.1 - 3.12 of this SWPPP template, you are asked to describe the stormwater control measures that you have installed at your site to meet each of the permits non-numeric effluent limits in Part 2.1.2 of the 2008 MSGP. Instructions (See 2008 MSGP Part 5.1.3.6): Summarize all stormwater sampling data collected from your permitted outfalls during the previous permit term. Instructions (see 2008 MSGP Part 5.2): Your SWPPP is a living document and is required to be modified and updated, as necessary, in response to corrective actions. See Part 3.4 of the 2008 MSGP. If you need to modify the SWPPP in response to a corrective action required by Part 3.1 of the 2008 MSGP, then the certification statement in section 7 of this SWPPP template must be re-signed in accordance with 2008 MSGP Appendix B, Subsection 11.A or 11.B. For any other SWPPP modification, you should keep a log with a description of the modification, the name of the person making it, and the date and signature of that person. See 2008 MSGP Appendix B, Subsection 11.C. Instructions (see 2008 MSGP Part 5.1.6.2): Include any documentation you have that supports your determination of eligibility consistent with 2008 MSGP, Part 1.1.4.6 (Historic Properties Preservation). Refer to Appendix F of the 2008 MSGP for specific instructions for establishing eligibility. Instructions: Describe your procedures for performing the three types of inspections required by the 2008 MSGP, including: Routine facility inspections (2008 MSGP, Part 4.1); Quarterly visual assessment of stormwater discharges (2008 MSGP, Part 4.2); and Comprehensive site inspections (2008 MSGP, Part 4.3). If you are invoking the exception for inactive and unstaffed sites relating to routine facility inspections and quarterly visual assessments, you must include in your SWPPP the information to support this claim as required by 2008 MSGP, Parts 4.1.3 and 4.2.3. A sample routine facility inspection and quarterly visual assessment form is available on EPAs MSGP website ( HYPERLINK "http://www.epa.gov/npdes/stormwater/msgp" www.epa.gov/npdes/stormwater/msgp) in the Additional MSGP Documentation file. Appendix I of the 2008 MSGP includes a comprehensive site inspection form (Annual Reporting Form). Instructions (see 2008 MSGP Part 5.1.5.2): Describe your procedures for conducting the five types of analytical monitoring specified by the MSGP, where applicable to your facility, including: Benchmark monitoring (2008 MSGP, Part 6.2.1 and relevant requirements in Part 8 and/or Part 9); Effluent limitations guidelines monitoring (2008 MSGP, Part 6.2.2 and relevant requirements in Part 8); State- or Tribal-specific monitoring (2008 MSGP, Part 6.2.3 and relevant requirements in Part 9); Impaired waters monitoring (2008 MSGP, Part 6.2.4); and Other monitoring as required by EPA (2008 MSGP, Part 6.2.5). Depending on the type of facility you operate, and the monitoring requirements to which you are subject, you must collect and analyze stormwater samples and document monitoring activities consistent with the procedures described in 2008 MSGP, Part 6 and Appendix B, Subsections 10 12, and any additional sector-specific or State/Tribal-specific requirements in 2008 MSGP, Parts 8 and 9, respectively. Refer to 2008 MSGP, Part 7 for reporting and recordkeeping requirements. Note: All monitoring must be conducted in accordance with the relevant sampling and analysis requirements at 40 CFR Part 136. Include in your description procedures for ensuring compliance with these requirements. If you are invoking the exception for inactive and unstaffed sites for benchmark monitoring, you must include in your SWPPP the information to support this claim as required by 2008 MSGP, Part 6.2.1.3. If you plan to use the substantially identical outfall exception for your benchmark monitoring requirements in 2008 MSGP, Part 6.2.1 and/or your quarterly visual assessment requirements in 2008 MSGP, Part 4.2.3, you must include the following documentation: Location of each of the substantially identical outfalls; Description of the general industrial activities conducted in the drainage area of each outfall; Description of the control measures implemented in the drainage area of each outfall; Description of the exposed materials located in the drainage area of each outfall that are likely to be significant contributors of pollutants to stormwater discharges; An estimate of the runoff coefficient of the drainage areas (low = under 40%; medium = 40 to 65%; high = above 65%); and Why the outfalls are expected to discharge substantially identical effluents. Instructions (see 2008 MSGP Part 5.1.1): Identify the staff members (by name or title) that comprise the facilitys stormwater pollution prevention team as well as their individual responsibilities. Your stormwater pollution prevention team is responsible for assisting the facility manager in developing and revising the facilitys SWPPP, implementing and maintaining control measures/BMPs, and taking corrective actions where required. Each member of the stormwater pollution prevention team must have ready access to either an electronic or paper copy of applicable portions of the MSGP and your SWPPP. Instructions (see 2008 MSGP 2.1.2.10): Describe how you eliminated any unauthorized non-stormwater discharges at your site. The unauthorized non-stormwater discharges include any non-stormwater discharges that are not specifically identified in Part 1.1.3 of the 2008 MSGP. Note: If this section is already addressed by your documentation for Section 2.3 of the SWPPP template, you can simply include a cross-reference to that section of your SWPPP. Instructions (see 2008 MSGP Part 2.1.2.11): Describe controls and procedures that will be used at your site to minimize discharges of waste, garbage, and floatable debris. 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number (optional)$$If!vh5h%#vh%:V5l t065h%ytn $$If!vh5h%#vh%:V5l t065h%ytn DText6 Insert Name$$If!vh5h%#vh%:V5l t065h%ytn DInsert Address$$If!vh5h%#vh%:V5l t065h%ytn DText11Insert City, State, Zip Code$$If!vh5h%#vh%:V5l t065h%ytn DText9Insert Telephone Number$$If!vh5h%#vh%:V5l t065h%ytn DText23Insert email address$$If!vh5h%#vh%:V5l t065h%ytn DText24Insert fax number (optional)$$If!vh5h%#vh%:V5l t065h%ytn $$If!vh5h%#vh%:V5l t065h%ytn DText25Insert SWPPP Contact Name$$If!vh5h%#vh%:V5l t065h%ytn DText8Insert Telephone Number$$If!vh5h%#vh%:V5l t065h%ytn DText23Insert email address$$If!vh5h%#vh%:V5l t065h%ytn DText24Insert fax number (optional)$$If!vh5h%#vh%:V5l t065h%ytn Dd$D  3 @@"?$$If!vh5 5#v #v:V5l t0  65 5ytY2DText26 Insert name of SWPPP team member8DText27aInsert explanation of that staff person s responsibilities relating to compliance with the permit$$If!vh5 5#v #v:V5l t0  65 5ytY2DText28[Repeat as necessary]DText28[Repeat as necessary]$$If!vh5 5#v #v:V5l t0  65 5ytY2DText28[Repeat as necessary]DText28[Repeat as necessary]$$If!vh5 5#v #v:V5l t0  65 5ytY2DText28[Repeat as necessary]DText28[Repeat as necessary]$$If!vh5 5#v #v:V5l t0  65 5ytY2DText28[Repeat as necessary]DText28[Repeat as necessary]$$If!vh5 5#v #v:V5l t0  65 5ytY2DText28[Repeat as necessary]DText28[Repeat as necessary]$$If!vh5 5#v #v:V5l t0  65 5ytY2Dd$" (D  3 @@"?DText29Insert text hereDd$ D  3 @@"?Dd$ D  3 @@"?Dd$3 D  3 @@"?Dd$ D  3 @@"?$$If!vh55#v:V5l t0  65ytxDText30#Insert specific industrial activitylDText32{Insert names of pollutants or pollutant constituents that could be associated with this activity and released in stormwater$$If!vh55#v:V5l t0  65ytxDText31[Repeat as necessary]DText31[Repeat as necessary]$$If!vh55#v:V5l t0  65ytxDText31[Repeat as necessary]DText31[Repeat as necessary]$$If!vh55#v:V5l t0  65ytxDText31[Repeat as necessary]DText31[Repeat as necessary]$$If!vh55#v:V5l t0  65ytxDText31[Repeat as necessary]DText31[Repeat as necessary]$$If!vh55#v:V5l t0  65ytxDText31[Repeat as necessary]DText31[Repeat as necessary]$$If!vh55#v:V5l t0  65/  yt[@DText31[Repeat as necessary]DText31[Repeat as necessary]$$If!vh55#v:V5l t65/ /  / yt[@Dd$D   3 @@"?$$If!vh55 #v#v :V5l t0  655 ytTDText338Insert description of area where spill/leak could occur DText35*Specify which outfall(s) would be affected$$If!vh55 #v#v :V5l t0  655 ytTDText34[Repeat as necessary]DText34[Repeat as necessary]$$If!vh55 #v#v :V5l t0  655 ytTDText34[Repeat as necessary]DText34[Repeat as necessary]$$If!vh55 #v#v :V5l t0  655 ytTDText34[Repeat as necessary]DText34[Repeat as necessary]$$If!vh55 #v#v :V5l t0  655 ytT$$If!vh55F5b #v#vF#vb :V5l t0  655F5b yt5DText36Insert date of spill/leakJDText38jInsert description of spill/leak (where it occurred, what happened, types of pollutants, extent of damage)DText39&Specify which outfall(s) were affected$$If!vh55F5b #v#vF#vb :V5l t0  655F5b yt5DText37[Repeat as necessary]DText37[Repeat as necessary]DText37[Repeat as necessary]$$If!vh55F5b #v#vF#vb :V5l t0  655F5b yt5DText37[Repeat as necessary]DText37[Repeat as necessary]DText37[Repeat as necessary]$$If!vh55F5b #v#vF#vb :V5l t0  655F5b yt5DText37[Repeat as necessary]DText37[Repeat as necessary]DText37[Repeat as necessary]$$If!vh55F5b #v#vF#vb :V5l t0  655F5b yt5Dd$ ED   3 @@"? DText40&Insert the date(s) of your evaluation.DText41Describe the method you used to conduct your evaluation and to determine for each non-stormwater sources whether it is prohibited or allowed under the permit.DText42)Insert outfalls/drainage points observed.@DText43eDescribe types of non-stormwater discharges observed and the corresponding outfall or drainage point.xDText44Describe actions taken to eliminate unauthorized non-stormwater discharges and the corresponding outfall/drainage point affected.Dd$ D   3 @@"? DText45HInsert description of the location of any storage piles containing salt.Dd$RD   3 @@"? DText46Insert summary of stormwater sampling data collected for the past permit, and/or attach discharge monitoring reports or laboratory results.Dd$<vD   3 @@"? Dd$*D  3 @@"? DText47,INSERT DESCRIPTION OF CONTROL MEASURES HERE.Dd$*_D  3 @@"?D,INSERT DESCRIPTION OF CONTROL MEASURES HERE.Dd$RD  3 @@"?D,INSERT DESCRIPTION OF CONTROL MEASURES HERE.Dd$ D  3 @@"?D,INSERT DESCRIPTION OF CONTROL MEASURES HERE.Dd$D  3 @@"?D,INSERT DESCRIPTION OF CONTROL MEASURES HERE.Dd$v OD  3 @@"?D,INSERT DESCRIPTION OF CONTROL MEASURES HERE.Dd$ D  3 @@"?D,INSERT DESCRIPTION OF CONTROL MEASURES HERE.Dd$@ OD  3 @@"?D,INSERT DESCRIPTION OF CONTROL MEASURES HERE.Dd$D  3 @@"?D>INSERT DESCRIPTION OF PLAN FOR TRAINING APPLICABLE STAFF HERE.Dd$: =D  3 @@"?(D_INSERT DESCRIPTION OF YOUR APPROACH TO ELIMINATING UNAUTHORIZED NON-STORMWATER DISCHARGES HERE.Dd$aD  3 @@"?D,INSERT DESCRIPTION OF CONTROL MEASURES HERE.Dd$D  3 @@"?D,INSERT DESCRIPTION OF CONTROL MEASURES HERE.Dd$_D  3 @@"?DINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDd$hD  3 @@"?DINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDINSERT TEXT HEREDd$ D  3 @@"?D2INSERT TEXT HERE OR KEEP DOCUMENTATION WITH SWPPP.Dd$D  3 @@"?D2INSERT TEXT HERE OR KEEP DOCUMENTATION WITH SWPPP.Dd$D  3 @@"?D2INSERT TEXT HERE OR KEEP DOCUMENTATION WITH SWPPP.Dd$F D  3 @@"?$$Ifl!vh5555@#v#v#v#v@:V5 t0$5555@/ / 4 alyt|n$$Ifl!vh5U5@55 #vU#v@#v#v :V5 t0$5U5@55 / / 4 alyt|nDd$A D   3 @@"?D'INSERT LOG HERE or REFERENCE ATTACHMENTDd+t ! 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