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Home My WebLink About2015-01-06 Stormwater Pollution Prevention Plan 5.2015 nu Civil Engineering Land Surveying Environi'llental clonstiltnig Landscape ArchiteCtLite A S IS 0 C,'l E Stormwater Y'ol'iut*ioln. 'iw'*r""revention Plan For 70 Main, Strect North A ndover, MA Prepared By: Hancock- Associates #18090 Prepared For Bradstreet Partners, LL,C May 2,015 DANVERS OFFICE MARLBOROUGH OFFICE 18 5,Ceti tre Street,Dativeis,MA 0 1923 315 Elm Street,Marlborotigh,NIA 0,1752 Pholie:(978),777-3050 I""'ax:(978)774-7816 Phone:(508)460-111,1 Fax:(508)460-11,21 www,.Iiai,-i,cockassociates.coi�ii Page, I of 22 HANCOCK ASSOCIATEOS In 19 2, Congress passed the Federal, Water Pollution Control Act WPC , also known as, the Clean Water Act (GWA), to restore nd ni rat in the, quality of the n ti n.''s waterways. The ultir11 to goal was,to r iake SUre thatrivers and streanis were fishab,le, s irr illy l , and drinkable. In 1987, the titer Utility Act added provisions isions to the CWA that allowed the EPA to govern st r-m water discharges,froim construction sites.. In 2012313PA. published the final notice for the General al Permit for, St r m t r Discharges, fi-on-iConstr LICti Oil Acti ities disturbing one �1) acres Or gr e tet, (Volume 77 Federal Register* 12286, February 29, 2 12). The general l permit it includes, r isi ns for development ofa St �r m Water Pollution.Prevention Plan S PP) to i.iiax.t�n,Ijze the potential benefits of pollution revention and s il.tu r t and erosil.011 control nieces r e ,t constrUCh011 SitCS. The�2012 Constr a ti�rl Gen r� l I�er,t� it should reviewed i y al.l asap rl i l parties prior to l ir1trir19 constrLIC6011. The Permit is available here: htt " � t��r�.�� 1 t t 1 t r��r � t r4� t.r, l l l r l er niit. f Ge - i e l prllnt, implementation, and maintenance of the SW`PPP will provide the eloper wth the franiework for redu irig soil erosion and nu inli ing pollutants in storm water-dUr;ir g coil structI oil of the pr# t. The SWPPPwill: Define the har• t ri tic f the site and thie type of constrLlCtiffll which will be Describe the site plan for the development to be constrUcted# Describe the practices that will be implem ented to con try l erg ion and the release of pollutantsits t r*r ter; Create are implementation schedule to, ensure that the practices r i In this SW`PPPtine ire fact impleniented and to evaluate the pl n''s effectiveness its reiducung eros ion, sediment, an.d l ll rt rrt levels in storm eater*discharged r n-r the site, and Describe the final tal ilizat r terriiirr rti ri.Assign to mir i,mi e erosion and prevent, st rµrrl.water itril a is after COrl trLr ti rl is .otri l te. SW`PPP Content, This S I Pt 1`11Cl. r le the following: • Identification ofthe SWPIPP coordinator with a diescriptioil.of this der" wale duties',, • Identification of the torrrmiAter l llUti n I r ernti wti teatli that will -assist its iniplenlientation, of the SW PPP dUritig constructi,011. • Identification of the body oafwater(s) which will receive r°rrr tw r11 the 0IlStr*Lr ti0,,rl site, Including the ultirriate body of w t r�that receives tl e st rim wat� r Idenfification of endangered species habitats,, Identification fl i t� ri r rtie I enti ti n of drainage,areas and potential st rmw ter,contaminants,Des ril ti n.of storm m water ni nagen nt,controls and ari ll Best Managemei.1t Practices, BmPs) necessary to reduce rosi n, sed iment aild pollutants in storm water discharge; Description oftl roj t' nionlitoring plan and how controls will be coordinated with n try r tin 'activities- and Page 2 of 22 i i HANCOCK Description of the impleinentiation schedule and pf'ovislions for; ni.endiner' t of the plan. Contact Iiifoi-i iNNINat1 'i s Ni-tiesll�is%1, a IWOi w prat rMa s 1llarPerkins', P Bi-adstri et Partners, f"I"iC 28 Arl . er Street Andover, MA 0 18 1 wperk,iii.s@li,car-,tl sto�iierealty.cori,i, Project ject Maria r s) or Site Supervisor(s): Mark Yanowitz Ver 1eco, Des.igris, 11c. 28 Andover, Street ndov M A 0 18 1, Office Ph. 978-409-221,7 Cell Ph. 19 8-85 -9191Mark, Yanowitz Verd,eco Designs, 111 w 28 Andove.r Street Office Ph. 978-409-22.17 C11 Ph. 9 - 57-9 191 rii a rM1 er 1 1 r-r: . r This SWPPP was Preoared by: Kath.erinie CruizP,E. Hancock Associates 185 Ceii.tre Street Danvers, MA 0 1923 97 - 7 -3 5 Mark Y r owlt Verideco Designs, In., 28 Andover Street t Cell h. 9 - 57-9191, Page 3 of 22 HANCOCK A S'."-o 0 ,. 1 NI"�, Will rc Per- iris, P 28, Andover Street Andover, MA 0 181 Oi wperkins,Oy St+ r niw tern Teaili Mark anowit 9 1- -221 ") of'Verdeco Diesigii, Inc. will be responstble for overseeing subcontractorsworking withiii, the S P parameters,andmaking sut'v they arc m compliance with the r equ r eine its of the 2012 ConstrLr tion General Pernia. Mark, ` rio itz 9 8- 9-221 of Verdeco Desigii,, hic. will be respoi.isible for overseeing modificatimis to the SWPPP. Mark Y rl wit - -221. ' of Verdeco,Design, Inc. will be responsible for overseeing modifications to the SWPPP'. 'rojj t Mia iri, Street 70 Main Street c North Atidover State: MA Zip Code: 01845 Counter Essex Comity Is the 'ect located in Indian, CO'L!!AM No prol NPD,,ES, project or tracki 11g,,IlLimber".1 MAR I 2B,696 florizoiltal Referience Datunil: Ui:iknown Ar rr lire r r•r it r r� l �r+ t r•l) as defined in A. ndi , of th 2 2 CG lip - a Ini-rru. tiolr Dogs urn roiect/site lis h r st rrpwat r* into a M"mu.gpa,l,,,,,,, rate St ri S w r System S,4 " Yes Are there e are Ur face waters located withir 5 &t of ur construction? Page 4 of 22 HANCOCK N' ine of the first surface Nvater that re li s storm ter irec"I 111, OUr site atid/or ftoni the Is t1il's surface water 11steda '41m va ,red" Yes has a TMDL been completed? 'No 1 this surface Nvater desi ij to l as a Tier 2 Tier 2.5 •Tier 3 water.? o "lie project consists of a ` sidential bUilding and a coni,niercial building. Associated site improveni,ents include paved dri'vewayl, parking, pedestrian areas, landscaped, ai as a st r niw to drainage system, and utility services. What s the function "tli constalCti nact" Residential and Coin i ercial. Size of Proper,W. L 13 Acres M ximuni Area to beDisturbed at Ong Tinwl1.1 3 Acres Con trUCtIon Stipport,ActivAtesL The pro*ect wlll not include off-site consti,tict- 1011 SLIpport ctl*tes. Sequence ud Esfimated Dates of Const ' r n Act1 1t1 es Estimated Project,Start Date*. June 2015 1-te clearing, sta siltation, conlrols (Aprl*l 27 2015) Ruilding de,molition, (May 4, 201-5 to June 8, 2015) Site work, (May 18,, 2015, to Marcli 31, 2017) Apartment buAllding collStIxICtion (June 1, 2015 to Novembei- 16 2015) t ,g COIlStrUCti011 (March, 21, 20,16 to March. 3 1 2O 17) 0 Project completion (June 20 17), Allowable Non-Stormw ter Discliames Ilk exlvto be resent: s l arges froni,emergency r - ighti ng activities filre hydrant flus pit s lalidscape irrigatioll. esters used, to wash vehicles and equipment, water used to control dust, watei- including uticontamin ted water lies "l ISllilig,S Lit iit iiiii t air con.ditioning or o r so- cloildensate, pavenlent wash waters,, fiotindation. 01" footling drains, constrLICtIon dewaterilig water. Page 5 of 2 HANCOCK ASSOCIATES Site a Site maps arse incl ded in the appendix. r�ncl n er� Species Protection , "1 Ylt Cr It r i l feclerall -listed tl re ate tied or endangered ed species or their designated critical habitats are likely to occur a,s hidicated on the MassGIS OLIVER NIJES 'Priority flabitats R r Species nd ES11i1 iated Habitats of Rare Wildlife d talayers. Av pen x Elt late f llOW41r1. t r mwater controls will e l"nsta Hed , Catch basin, subsurface detention paid, dry,well � rr l Ste) prior � � � �l � t n I'id t l on theIte already teriiii that historic r r o rtl o not exist or t ll t )t lor disturbances at the site,have,precluded the existence of historic retie No Safe Drinking Water.act U nd r il-ou d Irll ction Control fie Lrirenie ants The r 'e t. 1 .. in lud coni i rciall:�.� nianufia. tUred or pre-bUilt ro r i t .r� ' subsurface leter�rti r�. UltS and a drywell. Et-osion and ks.e(li'ment C0,11ft-Ols here are r , u wars withi 5 f" t the pr- is e artli di ttUryba n . rwfence/straw Best ��ia n r mint practices BM fir roam n s 1'Illent ratio ntr c � are staked r at . � a wattles, and catch s�: inlet l�rttrr��r. Cor�strr.r ,trr r��j�r� t l r�i��nrritainl. hi developing the proposed project ce,rtain rii rr u r s will be m l n exit l to ran hiinii e inipacts both er# i+ of and sedlinentatioll, CoUld have on the surrounding reSOUrc areas. 'I"'his section addresses 'Items that tilvolve proper constrLICti011 to ffliq es, close surveillance of workmanship and iinniediate response to eniergency situations. riie developer must be p.repared to provide rye to en reasonable nab nieces.rr e are necessary to protect the envi.ronnient during constrUCtIon and to stabilize all. diStUrbed areas, as soon on trU tion erg �Well � of � � e� "Swot �i r� � t' �� " �� ' The PLIrposle ofthis s ctiot.1 is to identify pollutants nt that COUl l Inipa t storm water;dUring C01I.StIAICti,011 of the project. Pollutants ra th. t result fromclearing, grading, excavation, and l ril lir g si rater,-i l and h tlli potential to be present ire storiii wintery rUn ff are listed below. ni'l i list includes inforniation Page 16 of 22 M HANCOCK 4 iegarding material type, chemical and 1 ys,'ical description, and the specific regUlated storin water pollutants associated with each mater1a]. Polenflyl Ai-eys LSLow-ces St I-In Fjl�ltel- C0111(nnination Loi- q The following potential SOUrce areasf storm,water conta ill nation,were identified nd ° lu to l: Cleared mil graded areas Paved atoeas,and building COmI' tmll tl it Construction site entrance and asphaltparkingarea G0,11 StRm t. 0 All undiStUrbed areas. Potential ConstrLm tl m1 Site Storm Water "' ml mt nt Sources f I 7- Pesticides insectmm m l s, Variotis,Colored to Chlorinated hydrocarbons, ftmtIgl i le , colorless l l m'l 1, 7ganophosph t , , carbamates, herbicides, rodenticides) powder, Pellets, or grains arsetilc Fertilizer LiqUid Or solid grains Nitrogen, P110S, ho.i-ous White granUleS or powder I carbonate sulftirlic acid Cleaniiig solvents Colorless blite oryellow- " t�c l r tl ylene,methylene llqUl l p tm• l Um disfi,11ates Asphalt lac'' solid 011, petroleum list llat s Concrete White solid Limestone, sand Glue, adhesives WhAe Illow liqj!jq_I Polyrners, epoxies alma Various l re liquid, Metal oxides, stoddard solvent, talc, calcium carbonate, rsenm Curing 1011 S Creamy Mute fiquid Naphtha Wastewater',from Water Sofl, oil & grease, s l l l COJIStIAICtion equipniem t i w sl mmi Wood preservatives Clear aniber or dark brown Stoddard solvetit,petroleum c chromillill Hydraulic oll " ai is Brown oily petroleum Mineral oil, hydrocarboti Ga,solille Colorless, pale brown or petroleurn hydrocarbon pink Benzene, ethyl benzene, Diesel Fuel Clear, blue-green m to yellow Petr leUn distillate, oil. t �1,I'q Ull reas ,m hth lene lenes ll liquid � .Antifreeze/coolantC�l� m �m°� m�"� xl �,tl �l�m ,1� 1, "�" l�m�,� glyco],, heavy nietals, (copper, tead, zine) Erosioll Solid Particles Soil, S llm e t Page 7 f 2 . HANCOCK ASSOCIATES Locations of Potential Sources of Storm. Water Contaminati"011 Draina,ge Area Contaminatioll Potential Potential Problem Point Pollutatits Cleared nd Throughout site Sm.Sm.1 erosionErosion of sollsom cleared graded areas and graded areas have the Wetland areas and Vernal Pools Paved rea nd ThrOL1ghOL1t Site Plaster, 1 an,,u g A id iital. spills pits,and llydraulic oil, from construction equipment, gasoline,, gasoline a.nd antifteeze, soil diesel. ffiel spills while fueling cros lon, ferti li; 4,, conistructloll pes,tiil , i� � t, � exposed adhesives, curing w.id stockpiled 11 l n I , s I 1 �� l ti of scrap wood dry wall can. kierosene water. ,s i It chtmicals, can be released to storiii water if a rain event, occut-Is before curing is, complete. Coil Stru ti 11 Throughout site Asphalt, Leaking hydraulic oil and site entrant 1� t- ��li oil, antifreeze �* � clearing,, grading and asphialt appfication. antifteeze, soil t"Li ti n.equipment. e i Gasoline ani d diesel ftfel, spills while ffieling COJIStrtldioll equ ipni lt, al-id erosion of ex posed and stockpi'lled soils. Asplialt chemicals,cart be released to storm wateri rain event occurs beffire curing is complete,. Tracking of soil III nto the road through the n"stru tion. site e.ntrance. Page 22 6 FIANCOCK Sloi-i i wiet-Align 2cni nt Co t Jr-ols The purpose this section "is to identify the types ofteniporary and permanent erosion and, sediment t controls that will be Lised during construction activities. The controls,will provide soil st bilizatioll r diStUrbed areas and, Str UCtur 1, controls to divert 111110ff and, reiliove sediment. This section will also address Source,cotitrol, tl er,potential storm water Pollutant sources such r tr cacti 1rr in,aterlals (paints, concrete dust, sol° er t , plaster),r), waste disposal,, control vehicle traffic, an sanitary waste disposal. To prevent t soil from washingin,to the un li trrrrbed areas of the site, the following BMPs will b an le me me la Erosion ontr l (stiaw wattlesair l rw siltfence)will be placed as shown on the plans beforearty clearing or grading,tales place. Straw wattles are l r-silt fence will be utilized for top, slope erosi rl control prolection as, needed Duarte. After seedin1g,, each area will be nirrlched with 4,0100 pounds per acne of straw, Topsoil stockpiles and open slopes will be stabilized with teniporary seed and rr1r,rl lr rr later than rate t-i plays fi- rxr the last constmiction activities, H'i,that area., 'Th ten1porary seed shall b Rye (grain), applied at the rate of 1.20, pounds,per acre. All stockpile areas will be located a mini.1111111111 of 100 feet r ot-n tland areas. 0 Areas 'tl c site, which.are to be p ved, will be ternporarily stabilized 'if n d by applying store sub-b r a until asphalt 'is applied. rr p ra y sediment:basins in shall be constrUcted as dictated by site constrUG60,11. in low areas and around the perinitter of this site in areas where surface r utio '`rratur+ally for.nis ch.annel.s., See erosion control plan for a l liti real information. No temporary e lim,ent basin shall be located where trtrrrwe constrUCti,011, of an infiltration system isproposed. Areas used fiortemporary, se irr errtati n, control shall be f1flly' excavated and the excavated rir aterial replaced with natural materials at this eiid oftheir.,arse. Truck traffic houl l be i7outed around tejr-Iporary se linient basins and areas, wh r in ltr•ati , s 'steins are proposed Co t7s 4uct Pi-gaices to 11inillitzeSlot-lr 7" i-Contyminytion,' 0 All waster materials ials wi.11 be collected and stored iron a securely fidded .metal lr .nips er; Dunipster w ill be located r11111irr1rrr 'l ��t `r� rri any wet larrd resource area. 0 All trash, and constrUCtion debris r- m the site will be dieplosited rri the lr.rmstr•*, The lr:rnter• will be eniptied a Ii inin r.rrli Of twice,per,week. No con.structimi materials will. be buried on-site. All personnel l will b,einstrUCted regarding din the correct procedure f6r waste disposal. All sariit wry waste will be collected from.the portable units a ir1il1-rtrm of three times perweek.. Good housekeeping rid spill control practices will be followed during nstr UCti n to minilini stormwater colitamination, froni petrc l rrM products,palate, and cojicretie. All vehicles, on site will be monitored for leaks s rid receive regUlar*preventive n1aint nance t reduce the chance of leakage. Petroleum products will be stored iron tightly sealed containers, whicli, are,clear-l. labeled. Shill. .its will be included with all fu lir g sources,an.d I,.iiaintenance activities. Page 9 of 22 HANCOCK ASSOCIATIMS Any asphalt substances used oilsite,will be applied accordingto the mall.rf ctur* r*' r oni,retar d trors. All paint containers and curing compounds will be tightly sealed r t red Mien not required for use. Excess pain,t will not be discharged h rm sewers, but will be property disposed Materials ials r Uillp ent necessary for spill cleamip will be legit n theteilip rar* r�r� tei,ia,l storage trailer onsite. Equipment will in. lUde, but not be limited to, brootlis, dust pails, li'lops, rags,s, gloves, goggles, cat litter, sand,, saw dust, and plastic and r iet ul trash containers. All spills will e leaned tip ik"Il. edict l � upon. discovery. SpIlls large enough to reach the storm werr wj.11 l reported to the Massachusetts Departilieiit of Environmeiltal Protection, Office, stabi.lized C01IStrUCtion. entrailce will be constructed to reduce vehicle tracking f sediments epi t d on the praxis aild details, as required. • Dunip trucks hauling material fi om the onstr Li ti ll site will be covered e ith a t r paUl' designated, temporary, b - ,rad oncr t+ washout area will be con.strLICted. The temporary coilcrete washout area will be n tr ur to l wiltli a r ecomilmide l m nil Lr111, lengt1i and minimuni, width f 1 -feet, but witli SLIfficient,quantity and volunie to contain all HqUld and concrete waste generated by washout operations,., Th a l OLIt,area will be fined l with a plastic sti ll etin at least 10 rll is t1lick,andfree of any holes or terms. When the temp r aily washout area is no longei.- needed, for the nstr U ti r project,,t, the hardened concrete and materials used to,constrUCt til area will be removecl and disposed of according,to the n.i lr t r ance section, below, and the area will be stabilized. All rig j r quipmeilt/vehicle fueling n maintenance will be performed off-site. Wheii vehicle f �a lirr IIILISt occur ors-site, the fueling activity will occur In tile stagingat-ea. Only minor equipt' r t maintenance will OCCUr ors-site. All e UiP l+ llt fluids, generated fi-om maintenance activities will be,disposed of into desigilated CIIIIIIIS Stored oil. spill ,ll is Absorbent,t, spill- cleanup i-naterials and spill pits will be ,available at the rl1l it ed staging and nlaterials stmage area. Drip 1 r mill beplaced Under gall >uri � -ient receiving nlii r� rli irrtenarw . Visual 'Insp tions of all cleared and graded a,[-e,as a,[-as of the r Sh"LrCti r1, site will be performed daily and withiii 12 hours of the end of a stc rill witli rainfall l 1.11its r.-cater than 01.51 inches based on local weather forecasts or a ram gaLlgrie installed at the + I"r tl'r4Ct% 11,' tr• 1.1 rk oilsite. Tlie SWPPP r lin ut r or leis le i VI. ,te l sta r ni waterteam nirembers shall condLI t the i,ilspection. Tile. inspection will vierify that the StrtlCtUral BmPs described above are in, good r liti n and are rmninii i.n rosi,oir. The inspection.will al,so verify that the procedures Used to prevent storm water 4 l contamination rr �trLICtwtiters etreer products r l i10,following jrif �ti�r� r�rl niirit+ nn ace pi"actices will be used to maintain erosioil, aild sedirilent controls: Built tip dir yre t will be removed fron.i silt fencing when it has reached ' t ! the h i lit oftile fares. 0 Built Caul sedlinent will be removed from tei.11porary sedinientation controls, before their capacity is i7educed by 5 . Silt fences will be inspected weekly for depth of sedIment, for tears, to see if the fabric securely attacheld to the fears posts, and to, see that thefience posts are fir nily in the ground. Temporary an.d perinatient seeding will be inspected for bare spots, washouts, and Ilealthy growth. 13age 10 of 22 HANCOCK, A S '..C N 'lam41 The stabilized coiistrUCtion entrance will beinspected daily for,seditiient tra,cked on the road, for clean gravel, and to niake sure that all traff[ Use the stabilized elitrance,w heil 1 ing the site. Sediment deposited onto the rface of off-site, street , other paved real, and sidewalks will be removed y the end of the saine work play I'li which the track- LIt occurs oi,• y the elid of tl e next. work day if track-out CUt'S on,a non-work day. Track-out will be removed y sweeping, sh.l veling, or uu.111". ng these. SLIt"filces, or by using otl elt-similarly effective nil ans of sediment, re�mioval., Sweeping of trackled-OLIf sediment into any, stornmater conveya�nce (unlessit is connected to a sediment basin,, sediment trap, or sinii4larly effective l.trol , storiii drain iti,let, or surface ater will be prohibited. Stone will be added to tl�e ei.itrancie as needed e to ensure proper ftinction. Thent ante will Aso be cleaned as required. Awater ti lick will beused to spray surfaces to nunin . e dLISt. Spraying will occur a t-egUired t maintain a niol'st nditiol.i at open .1s., Calcluni chloride maY also be spr ad over surfiaces as needed to control dust. Inspection an(l Clot-i-ective Action erson,lee Responsible forDelegation, offilspec,t,jons, Corrective ct ll o. Willard 'er1 itis, PE Bradstreet Partners, LLC 28 Andover Street wperkins Oci heart The maint i�a�� t�� ort will � l-na e after � c ins, �tI �� l t l forrns will be maintains n-sitte Uring the ntlree ll struct w' project. Following collSti"(,104011, the completed r ill be retained at t I� � t•actor's office for a niiiniiiiuni of 1, year. If construction activities or design modiffications are ma& to the site plan, whIC11, C LIld, Jmpact storm water, this SWPP " will be niende l ppropl,' tely., The am. l d d SW PPP will have escr t n of the new activities that Contribute tio the increased pollutant loadilig and the planned tiro nt of activities. Emj-_?1oj)ee i i All employee-traiiiing,program will be developed nd Itlip en'i,ei ted to edule te employees,abotit the l7equireiiients ofthe SWPPIP. This education proglt-anl will include background on the c mponen.ts and goals ofth SWPPP and hati s-on tr ning in ero&io controls, spill preventioti and response, good 11 LISckee ing, proper ma erial nandl ng, disposal and control of NNvastc, equipment fueling, a u roper storage, washing, and ilispectioti procedures. All employees will. be traftied rilor to tl e'r first day 'n the slite. Page 1.1 of 22 YIANCOCK SS(")C� Mil" INSPECTION FORM St rmwat r management systemowner: Verde,c,o Designs,, inc., "I"he party or pat-ties responsible for o eration, and maintenance: Verdeco Designs, Inc. Required Inspectiolls: Straw wattles nd silt f6ice will be inspected weekly for depth of sediiiient, for tears, to see "th fiabric is securely attached to th nce posts, and to see that the secs posts,are ern-ily In the ground. BU It Up sedilmeilt 1x ll be rem.o e from. silt fencing when t has,reached e-tlllyd the height of the fence. S li e'l t will lie remo e from cat li b s'� gilt sacks as required to ensure proper drainage. Temporary and permanent seeding 11 be inspected weekly for biare spots, , 11 LIt , and healthy growth. The stabilize l struicti,o n entrance will be inspected for sedlinent tracked n the .1401ad, for clean gravel, and to, make SUre that all traffic use the stabilized ntran when laving the site, Date 111spectoi. Problem Ob t-vest Action taken Notes i Page 12 of22 m I certify under penalty of lawthat this document aild, all attaclu'llents wereprepared un. er my directioll or i Iy gathered and supervision,in acco,rdance with a systein designed to assUre that qualified personnel propei vak the iiifor tion.sou w°quitted. Based oil my nqU �� h p i# �persons who manage the system, r those erson� directly responsible oi-gathering the information,the � rill tin submitted is,to thebest of nly � ll `, tI'LI , accurate, ncomplete. I it awarethat there r i �iffica�t penalties r Ubi'mmin false I'llfo nl tion IIlClUdi ng tip possibility o fine and �� u��t ��knowing�� t � �� Name: Title: Signature:' Date: i i Page 13 22 HANCOCK App,endices 0 Site as Copy of NOI and . 1t 1 °1,z t n mama' 0 Corrective Acttati Form, 0 SWPPP A niendinen' Log Grading and Stabilization Activities Log ri i Log Delegation off'Authority Page 14 of 22 �d 4u qh HANCOC."K, slite ui Pagle 15 of 22 Page 16 of 22 k Company: Bradstreet Partners} LLc ATTIC: Willard Perkins 70 Main Street Borth Andover MA 01845 Project/site: 70 Main street 70 Main street Forth Andover MA 01845 Permit Tracking umber: MAR12B696 Thank you for using the eNol system to prepare your construction General Permit CGP Notice of Intent (NO]). This correspondence acknowledges that you have submitted a complete fool fora to be covered under PA"s 2012 CGP. Your Idol has been assigned permit tracking number MAR MARI 213696 Coverage under this permit begins at the conclusion of your 1 4- r waiting period on Friday, May 29, 2015, unless you are otherwise notified that a hold has been placed on your permit authorization. You will receive an email informing you of the date your coverage under the CGP is active. If you have any questions, please call the EPA Idol Processing center at 1- - 52- 755 (toll free) or send an email to nol@avanticorporation.com. EPA Nol Processing center Operated by Avanti corporation 1200 Pennsylvania Ave., N Mail code: 4203M Washington, DC 2040 HAN OCK ASS .)�V IATE Corrective Action Form Inspection Inspector Description o Corrective Acdon NeededDate Action Tate ni BM " Deficiency, (including PlannedTalcen/Responsible date/iTsponsible )elllsoll) persoll .Page 13 of 22 HANCOCK ASSOCINFES . Description of the Amendment Date of Amendment Prepared Amendment N ,e(s) and Title] Page 18 of 22 HANCOCK Su con,fi- . Cep- ficat ll Ocelu nt's SUBCONTRACTOR CERTIFICATION STORMWATER, POLLUTION VENTION PLAN (sample fora) Project Number: Proj ect Title* Op r t+ r( As a subcontractor,you are required to comply with the Stormwater Pollution Prevention Plan ('SWPPP) for any work that you perform on-site. Any person r group who violates any condition of the SWPPP may be subject to substantial penalties or loss of contract. You are encourage ' t advise each of your m�ployees working on this project of the requirements,of the SWPPI . A, copy of the SWP'PP is available for yourreview at the f f'ice trailer. Each subcontractor engaged in acti itiest thie construction site that could it ,p ct stormwater rust identified and sign the following win certification t t mere t: I certify under the penalty of law that,I have read and understand the terms and conditions of the SWPPP for the above designated proJect and agree to follow the practices descri'bedin the SWPPP. This certification is hereby,signed in reference to the above name project* Company." Address: Telephone Number: Type of construction service to be provided: Signature* Title* Date: "age 1,9 of22 HANCOCK Grading mid S,tabil*lzat�'loji ,Acti'vities Log Date Descriptions i tion of Date radii Activity Date When, Gr i 'Grading St it z t w�� s C se� II IIc to Stabilization Activity Activity and Location Temporary or Permanent) Initiated Initiated Page 2 22 HANCOCK ASSOCINT'l-I-ISS vabilin� S,tormwater Pollution Prevention"fir i ing Lod Sample Form Project lre: Project Location: Instructor' i, Niame(s): Iris tractor's Ttl (s : Course Location: Gets: Course:, Length (hours): St rr w t er Training Topic: (check as appropriatie) LJ � rent and Erosion LJ Emergen Procedures controls LI Stabilization ilizatio Controls U Inspections/Corrective Actions LI Pollution Prevention Measures Specific Training Objective: dive: AttendeeRoster: (attach additional pages as necessary) No. Name of Atten CoMpan 11 Page 2 22 N i HANC.'.00K, A,S S(XI AT 111i Dellegatimi, of Atitho Delegation of Authority Sample Form 1, (rums), hereby 'esi n t the person or specifically described' position below to be a duly authorized representative for the purpose of oveirse i�ng,compliance with environmental r irements, including the Construction General Permit', at the construction site. The, l i nee is authorized to sign any reports, t rr w ter pollution prevention pleas and all other documents required y the ermit. (name of person or position), (company) - (address) (city, state,zip) phone) By signing this authorization, II confirm that I meet t the requirements to teaks such a,designation as set forth in Appendix I of EP 's Construction General Permit CG ,, and that the,designee above meets the definition of a "duly utl ri 1 representative" as set forth in Appen,di,x I. I certify sunder penalty of law that this document and all attachments chment were prepared under m direction or supervision in, accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submit-ted. Based on ray 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 lest f y Knowledge and belief, true;, accurate, and complete. I am aware that there, are si niti nt penalties for submitting false information, including the s ibilit f'fire and imprisonment for Knowingviolations,. Company., Title: Date Page 22 of 22