HomeMy WebLinkAbout10/07/2020 - Stormwater Pollution Prevention Plan (SWPPP) - 481 Sutton Street ...............................
NPDES A UNITED STATES ENVIRONMENTAL PROTECTION AGENCY FORM
FORM WASHINGTON,DC 20460 Approved OMB Nm
3510-9 NOTICE OF INTENT(Not)FOR THE 2017 NPDES CONSTRUCTION PERMIT 2040-0004
Submission of this Notice of Intent(NOI)constitutes notice that the operator identified in Section III of this farm requests authorization to discharge pursuant to the NPDES Construction General Permit(CGP)permit nurnber identified in
Section 11 of this form,Submission of this NOI also constitutes notice that the operator identified in Section III of this form meets the eligibility requirements of Part 1.1 CGP for the project identified in Section IV of this form.Permit coverage is
required prior to commencement of construction activity until you are eligible to terminate coverage as detailed in Part 8 of the CGP.To obtain authorization,you must submit a complete and accurate NOI form.Discharges are not authorized if
your N01 is incomplete or inaccurate or if you were never eligible for permit coverage.Refer to the instructions at the end of this form.
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NPDES ID:MAR1003G6
StatelTerritory,to which your project/site is discharging:MA
Is Your-project/site located are federally recognized Indian Country lands?No
Are you requesting coverage under this NOI as a"Federal O era#or"as defined 1n Appendix A(https:/Nvww.epa.govlsitesiproductionlfiles120IM5ldocumentslfinal 2017_cgp_appendix_a�-definitions.pdf)?No
Have stormwater discharges from your current construction site been covered previously under an NPDES permit?No
Will you use polymers,floccuIants,or other treatment chemicals at your construction site?No
Has a Stormwater Pollution Prevention Plan(SWPPP)been prepared in advance of filling this NOI,as required?Yes
Are you able to demonstrate that you meet one of the criteria listed in Appendix D(https:llwww.epa.govlsiteslproductionlfiles12017-02ldocuments/2017_cgp—final_appendix_d_ endangered_species_regs_508.pdf)with
respect to protection of threatened or endangered species listed under the Endangered Species Act(ESA)and federally designated critical habitat?
Yes
Have you completed the screening process in Appendix E(https:ltwuwr.epa.govlsiteslproductionlfi1es12017-02ldocuments120'17 c9p_final_appendix e__historic_properties_regs_SQS.pdf)relating to the protection of
historic properties?
Yes
Indicating"Yes"below,I confirm that I understand that CGP only authorized the allowable stormwater discharges in Part 1.2.1 and the allowable non-stormwater discharges listed in Part 1.2.2.Any discharges not
expressly authorized in this permit cannot become authorized or shielded from liability under CWA section 402(k)by disclosure to EPA,state or local authorities after issuance of this permit via any means,Including the
Notice of Intent(NOI)to be covered by the permit,the stormwater Pollution Prevention Plan(SWPPP),during an Inspection,etc.If any discharges requiring NPDES permit coverage other than the allowable stormwater
and non-stormwater discharges listed in Parts 1.2.1 and 1.2.2 will be discharged,they must be covered under another NPDES permit.
Yes
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Operator Information
Operator Name:Castagna Construction Corporation
Operator Mailing Address:
F
Address Line 1:100 Conifer Hill Drive '
Address Lime 2:Suite 507 City:DANVERS
ZIP1Postal Code:01923 State:MA
County or Similar Division:Essex
i
Operator Point of Contact Information
First Name Middle Initial Last Name:Abe Hafrani
Title:Senior Manager
Phone:978-239-4048 Ext.:
Email.ahafiani@castagnaconstruction.com
NOI Preparer Information
G This NO[is being prepared by someone other than the certifier.
First Name Middle Initial Last Name:Abderrahman Hafrani
Organization:Castagna Construction
Phone:978 465-2800 Ext.:
Email:ahafiani@castagnaconstruclton^corn
ProjectlSite Name:North Andover Adult Center
Project/Site Address
Address Line 1:481 Sutton Street
Address Line 2: City:North Andover
ZIP/Postal Code:01845 State:MA
Gount or Similar Division:Essex
L atitudelLongitude:42,691622*N,.71.11739g'W
LatitudelLongitude Data Source:Map Horizontal Reference Datum:WGS 84
Project Start Date: 0 910 1/2 02 1 Project End Date:12123J2022 Estimated Area to be Disturbed:1.25
Types of Construction Sites:
• Institutional
Will there be demolition of any structure built or renovated before January 1,1980?Yes
w Do any of the structures being demolished have at least 10,000 square feet of floor space?N❑
Was the pre-development land use used for agriculture?No
Have earth-disturbing activities commenced on your project/site?No
Is your projectlsite located on federally recognized Indian Country lands?No
Is your projectisite located on a property of religious or cultural significance to an Indian tribe?No
D i scharge:I n forrrratian
Does your projectlsite discharge stormwater into a Municipal Separate Storm Sewer System(MS4)7 No
Are there any waters of the U.S.within 50 feet of your project's earth disturbances?No
Are any of the waters of the U.S,to which you discharge designated by the state or tribal authority under its antidegradation policy as a Tier 2(or Tier 2.5)water(water quality exceeds levels necessary to support
propagation of fish,shellfish,and wildlife and recreation in and on the water)or as a Tier 3 water(Outstanding National Resource Water)?See Appendix F(https:Jlwww.epa.govlslteslproductiontfiles/2017-
021documents12017_cgp_final_appendix_f-_tier 3_tier 2_and_tier 2.5_waters_508.pdf)
No
001.none
LatitudelLong€tulle:42.689022'N,71.12507°W
Tier Designation:
Is this receiving water impaired(on the CWA 303(d)list)?No
Hasa TMDL been completed for this receiving waterbody?No
t water Pollution Prevention Plan SWPFF
5 arm.. € )
First Name Middle Initial Last Name:Abe Haflani
Organization:
Title:Project Manager
Phone:978-239-4048 Ext.:
Email:ahafiani@castagnaconstruction.com
Endangered S Protection"
Using the instructions in Appendix D of the CGP,under which criterion listed in Appendix D are you eligible for coverage under this permit?Criterion A
Provide a brief summary of the basis for criterion selection listed above(the necessary content for a supportive basis statement is provided under the criterion you selected.):
-------------
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far[a Preservation:: >: ...
Are you installing any stormwater controls as described in Appendix E(https:llw vw.epa.govlsiteslproduction/files/20'17-02/documents/20'17_cgp_final_appendix_e_-�h€storic_properties_regs_508.pdf)that require
subsurface earth disturbances?[Appendix E�https:lAmww.epa.gov/siteslproductiontfiles/2017-02/documents/2017_cgp_f€nal_appendix_a_-_historic_properties_regs_508.pdf),Step t)
Yes
w Have prior surveys or evaluations conducted on the site already determined historic properties do not exist,or that prior disturbances have precluded the existence of historic properties?(Appendix E
(https:/Amww.epa.gov/sit;es/productionlfiles]2017-021documents/2017_cgp_final_appendix e_-_historic_proper-ties_regs_508.pdf),Step 2):
Yes
Certification lrrFarrnati.rr..,........................
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.1 have no personal knowledge that the information submitted is other than true,accurate,and complete.I am aware that there are significant penalties for submitting false information,including the possibility of
fine and imprisonment for knowing violations.Signing an electronic document on behalf of another person is subject to criminal,civil,administrative,or other lawful action,
Certified By:Abderrahman Hafiani
Certifier Title:Manager
Certifier Email:ahafiani@castagnaconstruction.wrn
Certified On:0810212021 3:55 PM ET
Storm water Pollution Prevention Plan (SWPPP)
NorthAndover Adult Center
Construction SWPPP Template
Instructions
To help you develop your construction project Stormwater Pollution Prevention Plan (SWPPP), the
U.S Environmental Protection Agency (EPA) has created this SWPPP Template. The template is
designed to help you develop a SWPPP that is compliant with the minimum requirements of
EPA's 2012 Construction General Permit ("2012 CGP"), and is customizable to your specific
project and site.
Using the SWPPP Tempilate
Each section of the SWPPP Template includes "in,structionsi" and space for your project and site
information. You should read the instructions for each,section before you complete that section.
The SWPPP Template was developed as an suitable document file so that you can easily add
tables and additional text, and delete unneeded or non-appilicable fields. Note that some
sections may require only a brief description whiile others may require several pages of
explanation.
The following tips for using this template will!, help you ensure that the minimum permit
requirements, are met:
0 Read the.20 12 CGP thoroughly before you begin preparation of your SWPPP to ensure
that you have a working understanding of the permit's underlying requirements. You will
also need to consult Part 9 of the permit to determine if your state or tribe has included
additional requirements that affect you.
0 Complete the SWPPP prior to submitting your Notice of Intent (NOI) for permit coverage.
This is, required in Parts 1.4 and 7.1.1.
If you prepared a SWPPP for coverage under a previoluis version of EPA's CCAP, you must
review and update your SWPPP to ensure that the 2012 CGP requirements are addressed
prior to submitting your NOL
Note.* If your project is an "existing project" (see Part 1.4.2.b) or if you are a "new operator of
an existing project" (see Part 1.42c), and it is infeasible for you to comply with a specific
requirement in Part 2.1 and 2.3.3 through 2.3.5 of the permit(except for Parts 2.31.3.1,2.3.3.2bl
2.3.3.3c.i. and 2.3.3.4) because (1) the provision was not part of the permit you were previously
covered under(i.e., the 2003 or 2 'GPI, and (2) because you are prevented from,
compliance due to the nature or location of'earth disturbances that commenced prior to
February 16, 2012, or because you are unable to comply with the requirement due to the
manner in which stormwater controls have already been installed or were already designed
prior to February 16,2,012, you are required to include documentation in your SWPPP of the
reasons why it is infeasible for you to meet the specific requirement, and then you may be
waived from complying with the requirement. You must include a separate justification why it is
infeasible for you to meet each of the applicable requirements.
If there is more than one construction operator for your project, consider coordinating
development of your SWPPP with the other operators. However,while multiple operators
may share the same SWPPP., make sure that responsibilities and scope of work are clearly
described for each operator.
Once you have been provided coverage under the CGP, include your NIOland
authorization email, as well as a copy of the CGP, as attachments to the SWPPP. See
Appendices B and C of the SWPPP Template.
EPA SWPPP North Andover Adult Center
Stormwater Pollution Prevention Plan SWPPP
North Andover, Adult Center
EPA notes that while EPA has made every effort to censure the accuracy of all instructions and
guidance contained in the S,WPPPI Template, the actual obligations of regulated construction:
activities are determined by the relevant provisions of the permit, not by the Template. In the
event of a conflict between the SWPPP Template and any corresponding rc visi n of the 2012
CGP, you must abide by the requirements in the permit. EPA welcomes comments on the SWPPP
Template at any time and will c onsider these comments in any future revision of this document.
You may contact EPA for CGP-related inquiries at
EPA SWPPP N rth Andover Adult Center
Stormwater Pollution Prevention Plain (SWPPP)
North Andover Adulf Center,
......................... ........
Stoirmwater Pollution Prevention Plan (SWPPP)
For Construction Acat vifies At:
North Anidlover It Center
481 Sutton Sf.
North Andolver, MA 0 18145
TeI 978-6,88-95001
SWPPP Prepared For:
Town of North Andover
Conservation Commission
120 Main Surest, Town Hall
North AndIover, MA 01845
Tel,- 978 6188 9530i
Email.- ccemaills@�nort over ma.golv
SWPPP Prepared By:
Casfagna Construction, Corporation
Jeff' Rollins
1010 Coinifer Hill Dr. U�nit 5017
Danvers, MA 01923
T'el.- 978 5100 5170
EmaiLi jef,tic astaginiaconsf,r c,tion.com
SWPPP Preparation Date:
10/ 7 / 2020
Esfimated Project Dates:
Project Start Dateg., 11 / 1 2020
Project Completion Date:, 02 1 /'21022
EPA SWPPP North Andover Adult Center
Stormwater Pollution Prevention Plan (SwPPP)
North over Adulf Center
..........
Contents
SECTION 1: CONTACT I ION/RESPONSIBLE PARTIES...................................................................I
1.1 Operator(s) /Subcontracfor(s) ....................................-...................................-........................... 1
1.2 S,tormwater Team........................................................................... ...............................................2
SECTION 2.- SITE EVALUATION, ASSESSMENT., AND PLANNING..................................................................3
2.1 Project/Site Information....................................................................................................................3
2.2 Discharge Information........................................................................................................................4
2.3 Nature of the Construction Activity ..................................................: ............................................5
2.4 Sequence and Estimated Dates of Construction Activities...................................................... 6
2.5 Allowable Non-Stormwater Discharges ........................................................................................ 7
2.6 Site Maps............................................................ ..................................................................8
SECTION 3: DOCUMENTATION OF COMPLIANCE WITH OTHER FEDERAL REQUIREMENTS......................9
3.1 Endangered Species Protection.............................................#..*.....0............................................9
3.2 Historic Preservation .... ............................................................................................................... 11
3.3 Safe Drinking Water Act Underground Injection, Control Requirements ............................. 13
SECTION 4: EROSION AND SEDIMENT CONTROLS...................................................................................14
4.1 Natural Buffers or Equivalent Sediment Controls..................................................................... 14
4.2 Perimeter Control's...00.......-.............................. .......................................................... 00... 16
4.3 Sediment Track-Out........................................................................................................................ 17
4.4 Stockpiled Sediment or Soil .... ........* .....*- 18
4.5 Minimize Dust........ ............... ................0........ .......................................... 19
4.6 Minimize the Disturbance of Steep Slopes.................................................................................. 19
4.7 Topsoil.................................................................................................................................................20
4.8 Soil Compaction ................................ ................--......................................:................................21
4.9 Storm Drain Inlets-..........................................................................................................................22
4.10 Constructed Stormwater Conveyance Channels-.......................................................*#..o....22
4.11 Sediment Balsins-..............................................................................................................................23
4.12 Chemica,l Treatment.............................................. ...................................................................24
4.13 Dewatering Practices.....................................................................................................................25
4.14 Other Stormwater Controls...................................................................................0........................25
4.15 Site Stabilization........................................................................-........ ..........................................26
SECTION 5: POLLUTION PREVENTION STANDARDS...so 000000moo me am as oo. an so as am oases emes*as**oeosoeoo 800000600 29
5.1 Potential Sources of Pollution...................................................................-...................................29
5.2 Spill Prevention and Response............................................. ....................................................30
5.3 Fueling and Maintenance of Equipment or Vehicles ..............................................................30
5.4 Washing of Equipment and Vehicles.........................................................................................31
5.5 Storage, Handling, and Disposal of Construction Products, Materials, and Wastes........32
5.6 Washing of Applicators and Containers used for Paint, Concrete or Other Materials ...35
5.7 Fertilizers............................................................................................................................................36
5.8 Other Pollution Prevention Practices.,...........................................................................................36
SECTION 6: INSPECTION AND CORRECTIVE ACTION...............................................................................38
6.1 Inspection Personnel and Procedures...........................................-...........................................38
6.2 Corrective Action ............................................................................................................................39
6.3 Delegation of Authority....... .......................................................................................................39
SECTION7-, TRAINING..................................................................................................................................41
SECTION 8-, CERTIFICATION AND NOTIFICATION .....................................................................................42
S�WPPP APPENDICES....................................................................................................................................43
EPA SWPPP North Andover Adult Center iv
Stormwater Pollution Prevention Plan (SWPPP)
North An,dover Ad'u,lt Center
SECTION 1: CONTACT INFORMATION/RESPONS,IBLE PARTIES
1.1 Operator(s) /Subconitractor(s)
Instructions (slee definition of"operator" at CGP Part 1.1.a):
— Identify the olperator(s) who will be engaged in con,sitructioln activities at the site.
Indicate respective responisibilities,where appropriate. Also include the 24-hour
emergency contact.
— List subcontractors expected to work on-si'te. Notify subcontractors of stormwater
requirements, applicable to their work.
— Consider using Subcontractor Agreements such, as the type included as a sample in
Appendix G of the Template.
per tors
Castagna Construction Corporation
Jeff Rollins,
100 Conifer Hill Dr. Unit 507
Danvers, MA 0 1923
978 500 5'170
emali'l-I Jeff@castagnaconsitruction.com
Subcontractor(s):
J. it Contracting
Jason it
3 Murray Hill Rd.
Andover, MA 01 1810
978 604 01860
EMAIL:jason@jw,hiteconfi-acting.com
Emergency 24-Hour Contact:
Castaigna Construction Corporation
Jeff Rollins cell: 97'8 5010 517'0
Jared Rollins cell 978 854 31300
EPA SWPPP North Andover Adult Center
Stormwater Pollution Prevenfion Plan (SWPPP)
North Andover Adulf Center
................. ..........
1.2 Stormwater Team,
Instructions (see CGP Part 7.2.1)1,-
- Identify the staff members y name or position) that comprise the project's sformwater
team as well as their individual responsibilities. At a minimum the stormwater team: i's
comprised of individuals who are responsible for overseeing the development of the
SWPPP, any later modifications,to it, and for compliance with the requirements in this
permit (i.e., installing and maintaining sformwater controls, conducting site inspections,
and faking corrective actions where required).
— Each member of the sformwafer team must have ready access to either an electronic
or paper copy of appl'icable portions of the 2012 CGP and your SWPPP.
Castagna Construction Corporation
Jeff Rollins
Plrojec�t Manager
Cell 9,78 500 5170
email.jeff@casfagna�construction.com
Castagna Construction Corporation
Jarecl Rollins
Superintendent
Cell 978 854 3300
email:jrollin,s@castallgnaconstruction.com
Whife Contracting
Jason White
Cell 9178 604 0860
EMAIL* Jasion@j'whi'teconfiactirig.com
EPA SWPPP North Andover Adult Center 2
Sformwafer Pollution Prevention Plan (SWPPP)
or Andover Adult Cenfer
SECTION 2--, SITE EVALUATION, ASSESSMENT, AND PLANNING
2.1 ProjectlSite Information
Instructions (see "'Project�/Site Informat'lon", section of Appendix J Ni011 form)*
- In this section, you are asked to, compile basic site information that will be helpful to you
when you file your NI.
- Def ailed rotor at ion on def ermining your site's latitude and longitude can be fo�und at
wy��w.e�q,qoy np des Lstorm waferL1gjtong
Project Name and Address
Projec f/S,ife Name.- North Andover Adult Center
Project Strout/Location: 481 Sutton Street
City: North Andover
State: MA
ZIP, Code: 0 1845
County or Similar Subdivision: ESSEX
Project Latitude/Longl'tude
oj
(Use one of three possib�le formats, and specify method)
Latif ude: Longitude-.,
1. 42' 42 ' 41.4" N (degrees, minutes, seconds) 11. 71 0 07 15.511 W (degrees, minutes,
seconds)
2. 0 N (degrees, minutes, decimal) 2.--0--0--' W (degrees, minutes,
de cimal)
3. 0 N (decimal) 3.-- -----0 W (decimal):
Method for determining lafifude/longifude-.
USES fopolgra,phic map (spec ify scale: EPA We site GPS
Other (please specify). G,00gle gps-
coordinates
Horizontal Reference Datum-.
F1 NIAD 27 E NA D 83 or WGS 84 El Unknown
If you used a, U.S.G.S topographic map, what was,the scale?
Addiffionall" Project Information
Is the project/site located on Indian country lands, or located on a property of religious or
cultural significance to an Indian tribe? E:1 Yes E No
EPA SWPPP North Andover Adult Center 31
Storm eater Pollution Prevention Plan (SWP,PP)
or Andover Adu�lt Center
If yes, provide the name of the Indian tribe associated with the area of Indian country
(including the name of Indian reservation if applicable), or if not in Indian country, provide
the name of the Indian tribe associated with the property: N/A
If you are conducting earth-disiturbing activities in, response to a public emergency,
document the cause of the public emergency (e.g.,, natural disaster, extreme flooding
conditions), information, substantiating its occurrenc e (e.g., state disaster declaration), and
I
a description of the construction necessary to reestablish effective public services: n/a
Are you applying for permit coverage as a "federal operator" as defined in Appendix A of
the 2012 CGP? o Yes E No
2.2 Discharge Information
"U'scharge Informaflon" section of Appendix J- NOI form):
Instructions (see I 1 11' 1
In this section, include information relating to your site's discharge. This information
corresponds to the "Discharge Information" section, of the NOI form. Because you may
be using EPA's mapping fool to answer some of these questions, and the tool is
accessed in the, eNOI system, you may find it necessary to leave some questions
unanswered until you have completed that portion of the NOI.
For Table 1, list the name of the first surface water that receives discharges from your
site. If your site has discharges to multiple surface waters, indicate the names of all such
waters.
- For Table 2,if'any of f he surface waters,you Ilisted out in Table I are listed as impaired by
the applicable State or Tribe, provide specified information about pollutants cau�sing
the impairment and whether or not a Total Maximum Daily Load (TMDL) has been,
completed for the surface water. For more information on TMDLs and impaired,waters,
including a list of TM contacts and links by state, visit
wVw.epa.goyLnpdes stormwatqrLtmdl.
L__ _
- For Table 3, indicate whether any of the surface waters you listed out in Table I are
designated as Tier 2, 2.5, or 3 waters by your State or Tribe. See Appendix F for more
information.
Does your projecf/sife discharge sformwafer into a Municipal Separate Storm Sewer System
(MS4)? [:] "es E No
Are there any surface waters that are located within 50 feet of your construction
disturbances?
F Yes No
EPA SWPPP North Andover Adult Center 4
Stormwater Pollution Prevention Plan SWPPP)
North Andover Adult Center
Table - Names of Receivingesters
Name s of the first surface water that receives starmwater directly from your site and/or from the MS
(rate. multiple raves provided where your site has more than one paint of discharge that flows to
different surface graters)
. None
.
3.
4,
.
Table 2_Impaired esters T DLL Answer the following for each surface water listed it Table I above
If you answered yes,then answer the fallawin
Is this surface Has a TML
water listed as ghat pollutant(s) are causing been Pollutant(s) for which
"impaired" the impairment? aarnpleted� Tale of the Til l_document there is a TM L
YES N YES N
2. YES NO YES N
3. YES Na - [:1 YES [-I N
. ❑YES NO YES NO
5. YES NO YES NO
6. YES NO YES N
Describe the method s you used to determine whether or not your project/site i ; V°
- - - discharges to � impaired water. Visual Inspection
a
Records review
Table 3-Tier 2, 2.5, or 3 Waters (Answer the following for each surface water listed in Table I above)
Is this surface water designated if you answered yes,specify which
as a Tier 2,Tien 2.5 or Tier 3 Tier 2,2.5, or 3 the surface water is
water? designated as?
see Appendix l
. [1 YEs EJ NO INSERT"Tier " "Tier .5", er' per -"
2. Y ES NO INSERT"Tier 2 "Tier 2. ", r"Tier
3. [:]YES [:] NO INSERT"Tier " "Tier . " r"Tier "
. J:]YES NO INSERT"Tier 2" "Tier 2.5", or ItTier
5. EI YES [:] NO INSERT"Ti r 2"."Tier 2.511, or"Tier "
6. YES ONO INSERT ItTier 2 r . , or"Tier
EPA SWPPP North Andover Adult Center 5
Stormwater Pollution Prevention Plan (SPP)
North Andover Adult Center
EPA SWPPP North Andover Adult Center 6
Sformwater Pollution, Prevention Plan (SWPPP)
North, Andover Adult Center
2.3, Nature of the Construction Activity
Instructions (see CGP Parts 1.3.c and 7.2.2):
Provide a general description of the nature of the construction activities at your project.
Describe the size of the property (in acres), and the fotal area expected to be disturbed
by the construction activities in acres), construction support activities covered by this
permit (see Part 1.3.,c of the p,ermif), and the, maximum, area expected' to be disturbed
at any one time.
General Description of Project
Provide a general description of the construction project:
Der olifion of Two single family dwellings an construction of new senJor center.
Size of Construction Plr 01*ect
What is the size of the property in acres,), the total area expected to be disturbed by the,
construction activities in acres), and the maximum area expected to be disturbed at any one
time?
1.6, acres
1.4 acres
0.7 acres
Construction: Support Activities (only provide if applicable)
Describe any construction support activities for the project (e.g., concrete or asphalt batch
plants, equipment staging yards, material storage areas, excavated material disposal areas,
borrow areas)
Equiprnent Staging Area
Latitude 42.711197
Longitude 71.121399
EPA SWPPP North Andover Adult Center 5
St rmw ter Pollution Prevention, Plan (SWPPP)
North, Andover t Center
Estimated2.4 Sequence and s of ConstructionActivities
Instructions Part
-- Describe the intended construction sequence e and tinning of major activities.
— For each phase of construction include the following information.
Installation of stormwater controls, and when they will be made o,porational;
Commencement and duration of earth-disturbing activities, including clearing and
grubbing, mass grading, site preparation i.e., excavating,ting, cutting and filling), final
grading, and creation, of soil and vegetation stockpiles k Iles requiring stabilization;
Cessation, temporarily or permanently, of construction activities, on the site, or in
designated portions of the site;
Final or temporary stabilization of areas of exposed soil. The dates for stabilization
must reflect the applicable deadlines to which you are subject to in Part .2.1 and
Removal of temporary ry sform,water conveyances/channels and' other stormv ater
control measures, removal of construction equipment and vehicles, and cessation
f any pollutant-generating activities.
The construction sequence must reflect the following requirements.
" Part 2.1 1.1 (area of disturbance)*
Part .1.1.3.a (installation of storm water controls), and
Parts 2.2.1.1, 2.2.1.2, 2.2.1.3 (stabilization deadlines)
-- Also, see EPA 11s Construction Sequencing BMP Fact Sheep`at
h1,t v n st r t r nuc� tr ctlo cons s
Phase I
Site r ration Clearing rin ndemolition
11 t o, 12/31/20
l nsf all s,f orm WaAfer con f rol on 0 1 1 1
t a bilize Areas on 1 1
Phase II
Earfhwork, Utilities and foundations
In 1 1 1 to I 2 1
EPA S PPP Forth Andover Adult Center
Stormwater Pollution Prevention Plan (SWPPP)
North, A,ndo�ver Adult Center:
MENEM
...........
2.5 Allowable on-Storm ester DI*Scharges
Instructions (see CGP Parts 1.3.d and 7.2.8):
Identify all allowable sourc es of non-stormwater disch,arges.The allowable non,-
storm water discharges,identified in, Part 1.3.d of the 201'2 CG,P include:
Discharges from emergency fire-fighting activities,
Fire hydrant flushingst
Landscape irrigation
v/ Waters, used to wash vehicles and equipment, provided that there is, no discharge
of soaps, solvents, or detergents used for such purposes:
Water used to control dust;
Pota�ble water including uncontaminated wafer line flushings;
Routine external building wash down that does not use detergents-,
Pavement wash waters provided spills or leaks of toxic or hazardous materials have
not occurred (unless all spilled material has, been removed) and detergents are not
used. You are prohibited from directing pavement was wafers directly into any
surface wafer, storm drain inlet, or sformwafer conveyance, unless the conveyance
is connected to a sediment basin, sediment trap, or similarly effective control
Uncontaminated air conditioning or compressor condensafe,-
uncontaminated, non-turbid discharges of ground water or spring wafer;
Foundation or footing drains where flows are not contaminated'with process
and
materials,such as solvents or contaminated ground wafer,
Construction dewafering water that has been treated by an appropriate control.
List of Allowable N!on-Story wtiter Discharges Present at the Site
Type of Allowable Non-St ormwater Discharge Likely to be Present at
Your Site?
Discharges from emergency fire-fighting activities YES NO,
Fire hydrant flushings YES NO
Landscape irrigation YES NO
, N 1
Waters used to wash vehicles and e q uip.men YES 0
Water used to confroll dust YES N 01
Potable wafer including uncontaminated wafer line flushings YES NO,
Routine external building wash down 0 YES NO
Pavement wash wafers YES, NO,
Uncontaminated air conditioning or compressor condensate El YES 0 NO
Uncontaminated, noin-turbid discharges of ground water or spring water El YES 0 NO
Foundation or footing drains 0 YES E] NO,
Construction dewafering wafer El YES 2 NO
(Note,-, You are reminded of the requirement to identify the likely locations of these allowable, non-
stormwater discharges on your site map. See Section 2.6, below, of the SWPPP Template.)
I
EPA S,WPPP North Andover Adult Center 7
Stc rrnwater Pollution Prevention, Plan (SWPPP)
North n !aver Adult Center
Instructions (see CGP Part .
Attach site maps in Appendix A of the Template. For most projects, a series of site maps
is necessary and recommended. The first should show the undeveloped ,site and its
current features. An additional map or maps should be erected to show the
developed site or, for more complicated sites, show the major phases of development.
Theseust include the following features:
Boundaries of the property and of the locations where construction will occur,
including:
v"' Locations where earth-disturbing activities will occur, noting any phasing of
construction activities,-
Approximate slopes before and after major grading activities. hots areas of steep
slopes, as defined in Appendix A
Locations where sediment, soil, or other construction materials will be stockpiled,
Locations of any crossin �s of surface wafers,
Designated points on the site where vehicles will exit onto paved roads,
Locations of structures and other impervious surfaces upon completion of
construction, and
Locations of construction support activity areas covered by this permit.
Locations of all surface eaters, including wetlands, that exists on or near your site.
Indicate which waterlbodiies are listed as impaired, and which are identified by your
state, tribe, or EPA as Tier 2, Tier 2.5, or Tier 3 wafers.
The boundary lines of any natural buffer areas. See CGP Part 2.1.2.1.a.
— Areas of federally-listed critical habitat for endangered or threatened species.
Topography of the site, existing vegetative cover (e.g., forest, pasture, pavement,
structures), and drainage patterns of storm water and allowable non stormwater floe
onto, over, and from the site property before and after major grading activities..
— Stormv ater and allowable non-stoirmwater discharge locations, including.
v/ Locations of any storm drain inlets on the site and in the immediate vicinity of the
site, and
Locations where sformwater or allowable non stormwater will be discharged to
surface waters (including wetlands).
Locations of all potential pollutant-generating activities.
Locations of sformwater control measures..
Locations where polymiers, flocculants, or other treatment chemicals will be used and
stored
EPA SWPPP North Andover Adult Center
Stormwater Pollution Prevention Plan (SW PPP),
North Andover Adult, Center
SECTION 3: DOCUMENTATION OF COMPLIANCE WITH OTHER FEDERAL REQUIREMENTS
3.1 Endangered Species Protection
Instructions (see CGP Parts 1.1.e, 7.2.14.1, Appendix D, and the "Endangered Species
Protection" section of the Appendix JI -I form):
Follow the process in Appendix D of the permit for determining which eligibility criterion (A-E)
you have met with respect to the protection of endangered species. You will
- Include documentation supporting your determination of eligibility,.
- Additional information on Endangered Species Act (ESA) provisions for EPA 11 s
Construction general Permit is at,www.,elo�a..qlov iesi/stoiornwaterLesa
Eligibility CriteriOn
Under which criterion listed in Appendix D are you eligible for coverage under this permif?
E C [:1 D, 0 E
For reference purposes, the eligibility criteria listed in Appendix D are as follows..
Criterion A. No federally--listed threatened or endangered species or their designated c6fical
habitats) are likely to occur in your site's "action area"as,defined in Appendix A of this
permit.
Criterion B. The construction site's discharges and discharge-related activities were already
addressed in another operator's valid certification of eligibility for your action area
under eligilibilify Criterion A, C, D, E, or F andl there is no reason to believe that federally
listed species or federally-designated critical habitat not considered in the prior
certification may be present or located in the "action area"'. To certify your eligibility
under this Criterion, there must be no lapse of NPIES permit coverage in the other
operal,tor"s certification. By certifying eligibility under this Criterion,you agree to comply
with any effluent limitations or conditions upon which the other operator's certification
was based. You must include in your N01 the tracking number from the other operator's
notification of authorization under this permit. If your certification is based on another
operator's,certification under Criterion C,you must provide EPA with the relevant
supporting information required of existing dischargers in Criterion,,C in your N01 form.
Criterion C. Federally-listed threatened or endangered species or their designated critical:, habitat(s)
are likely to,occur in, or near your site's "action area,"' and your site"s discharges and
discharge-related activities are not likely to adversely affect listed threatened or
endangered species or critical habitat. This determination may include consideration of
any stormwater controls and/or management practices you will adopt to ensure that
your discharges and discharge-rel'afed activities are not likely to adversely affect listed
species and critical habitat. To make this certification,,you must include the following in
your NOI: 1) any federally listed species and/or designated habitat located in your
"acJion area"; and 2): the distance between your site and the, listed species or
designated critical habitat (in miles). You must also include a copy of your site map with
your NOI.
I
EPA SWPPP North, Andover Adult Center 9
Stormwater Pollution Prevention Plan SWPPP
North Andover i dult center
Criterion D. Coordination between you and the Services has been concluded. The coordination
must have addressed the effects of your site's discharges and discharge-related
activities on federally-listed threatened or endangered species and federally
designated critical habitat, and must have resuilted in a written concurrence from the
relevant Service(s) that your site's discharges and discharge-related activities are not
likely to adversely affect listed species or critical habitat.. You must include copies of the
correspondence between yourself and the Services in your SWPPP and your NOL
Criterion E. consultation between a Federal Agency and the U.S. Fish and Wildlife Service and/or
the National Marine Fisheries Service under section 7 of the ESA has been concluded.
The consultation must have addressed the effects of the construction site's discharges
and discharge-related activities on federally-listed threatened or endangered species
and federally-designated critical habitat. The result of this consultation must be either,
L a biological opinion that concludes that the action in question (taking into account
the effects of your site's discharges and discharge-related activities) is not likely to.
jeopardize the continued existence of listed species, nor the destruction or adverse
modification of critical habitat; or
ii. written concurrence from the applicable Service( ) with a finding that the site's
discharges and discharge-rellated activities are not likely to adversely affect
federally-listed species or federally-designated habitat.
You must include copies of the correspondence between yourself and the.services in
your SWPPP and your NOL
Criterion F. Your construction activities are authorized through the issuance of a permit under
section 10 of the ESA, and this authorization addresses the effects of the site's discharges
and discharge-related activities on federally-listed species and federally-designated
critical habitat. You mint include copies of the correspondence between yourself and
the Services in your SWPPP and your NOL
rting! Documentation
Provide documentation for the applicable le eligibility criterion you select in Appendix D, as
follows:
r criterion A, indicate the basis for your determination that no federally-listed threatened or
endangered species or their designated critical habitat(s) are likely to occur in your site's action
area. (as defined in Appendix A of the permit). check the applicable source of information you
relied upon:
EJ, Specific communication with staff of the U.S. Fish & Wildlife Service or National Marine
Fisheries Service.
Publicly available species list. U.S. Fish AND Wildlife EGOS system at
HTTP�// 'vWW. ECOS.FWS.GOV/ECPO/REPORTS
Other source. TT .
r criterion B, ,provide the Tracking lumber from the other operator's notification of ermit
authorization:
Provide a brief summary of the basis used by the other operator for selecting criterion A, Bt c, DI
E, or F: Same a�s, above
EPA SWPPP North Andover Adult center 1:0
Stormwater Pollution Prevention Plan (SWPPP)
North Andover Adult Center
.........
For criterion C, provide the following information-.
Also, provide a brief summary of the basis used for determining that your site's discharges and
disc harge-related activities are not likely to adversely affect listed species or crifica�l hiabifaf:
For criterion D, E, or F, attach copies of any letters or other communication between you and
the U.S. Fish & Wildlife Service or National] Marine Fisheries Service concluding consultation or
coordination activities.
3.2, Historic Preservation
Instructions (see CGP Part I.I.f., 7.2,14.211, Appendix E, are the "Historic Preservation" section of,
the,Appendix J- N01 form):
Follow the screening process in Appendix E of the permit for determining whether your
installation of subsurface earth-disturbing stormwater controls will have an effect on historic
properties.
- Include documentation supporting your determination of eligibility.
- To contact your applicable state or tribal historic preservation office, information is
available at www.aLbp.govj ro rams htmi.
Appendix E, Step 1
Do you plan on installing any of the foillowing s,formwa:ter controls at your site? Check all that
apply below, and proceed', to, Appendix E, Step 2.
Dike
Berm
Catch Basin
El Pond
Sformwafer Conveyance Channel (e.g., ditch, french, perimeter drain, wale, etc.)
Culvert
Other type of ground disturbing sformwafer control-. Siltation Barrier and Silt Fencing
(Note: If you will not be installing any ground-disturbing stormy ater controls, no,further
documentation is required for Section 3.2 of the Template.)
Appendix E,, Step 2
If you answered yes in Step 1, have prior surveys or evaluations conducted on the site already
determined that historic properties do not exist, or that prior disturbances at the site have
precluded the existence of historic properties? Z YES F_] NO
EPA SWP,PP North Andover Adult Center
Stormwater Pollution Prevention Plan (SWPPP
North Andover Adult Center
• It yes, no further documentation is require l for Section 3.2 of the Template.
• It no, proceed to Appendix endix E, Stepp 3.
Appendix E, Step 3
It you answered no in Stepp 2, have you determined that your installation at subsurface earth
iot rk inc stormwater controls will have no effect are historic toric properties? [:1 YES [] NO
If'yes, provide documentation of the basis for your determination.
It no, proceed to Appendix E, Stepp 4..
Appendix E, Step 4
It you answered ered no in Stepp 3, did the State Historic Preservation Officer SHPO), Tribal Historic
Preservation Office e (THPO), or other trial representative (whichever applies) respond one to you
within 15 calendar days to indicate whether er the subsurface earthy disturbances caused by the
installation of storm water controls affect historic properties? [:] YES E] NO
It no, no further documentation is required for Section 3.2 of the Template.
It yes, describe the nature of their response.-
El
Written indication that adverse effects to historic properties from the installation of
stormvater controls can be mitigated by agreed upon actions.
o agreement has been reached regarding measures to mitigate effects to historic
ric
properties from the installation of stormwater controls
Other: National Register of Historic places
t . ' I a .r s. ov
EPA, SWPPP North ndover Adult Center 12
S,tormwater Pollution Prevention Plan (SWPPP)
No:rth Aridover Adult Center
........
3.3 Safe Dn*nki*ng Water Act Underground Injection Control Requirements
Instructilons (see CGP Plart 7.2.14.3):
— If you will ulse any of the identified controls in this section, include documentation of
contact between you and the applicable state agency or EPA Regional Office
responsible for implementing the requirements for underground injection wells in the
Safe Drinking Water Act and EPA's implementing regulations at 40 CFR Parts 144-147.
— For state UIC program contacts, refer to the f oillowing EPA we site
r.elpa.-I'li'llil''ll�l ill ill ij iller rul I.M.1ro undWN0 to uic whore ygulive.cfm.
htt *1LW_0tQ
Do you plan to install any of the following controlls? Check all that apply below.
El Infiltration trenches (if stormwater is directed to any bored, drilled, driven shaft or dug
hole that is deeper than its widest surface dimension, or has, a subsurface fluid distribution
system)
F1 Commercially manufactured pre-cast or pre-built proprietary subsurface detention
vaults, chambers,, or other devices designed to capture and infiltrate sformwater flow
i
Drywells,, seepage pits, or improved sinkholes if s,torm�water is directed to any bored,
drilled, driven shaft or dug hole that is deeper than its widest surface dimension, or has a
subsurface fluid distribution system)
EPA SWPPP North Andover Adult Center 13
Stormwater Pollution Prevention Plan (SWPPP)
North Andover Adult Center
........... ............---...... ........ .................
SECTION 4.- EROS,ION AND SEDIMENT CONTROLS
General Instructlions (See CGPI Parts 2.1 and 7.2.10)-.
— Describe the erosion and sediment controls, that will be installed and maintained at your
site.
— For more information or ideas on BMPs, see EPA's National Menu of BMPs
http-//www,.er)a,. de , waJerLmenQofbmtDs
go,vZ0,p, Zst orm
4.1 Natural Buffers or Equlfvalent Sedi'ment Controls
Instructions (see CGP Parts 2,1.1.2.1 and 7.2.91, and Appendlix G):
This section only applies to you if a surface water is located within 50,feet your construction
activities. If this is the, case, consult CGP Part 2.1.2.1 and Appendix G for information, on how
to comply with, the buffer requirements,.
Describe the compliance alternative (CGP Part 2.1.2.1.a.i, ii, or iii) that was chosen to
meet the buffer requirements, and include any required documentation supporting the
alternative selected. The compliance alternative selected must be maintained
throughout the duration of permit coverage. However, if you select a different
compliance alternative during your period of permit coverage, you must modify your
SWPPP to reflect this change.
If you qualify for one of the exceptions in CGP Part 2.1.2.1.e, include documentation
i
related to your qualification for such exceptions.
Buffer Compliance Alternatives
Are there any surface waters within 50 feet of your project's earth disturbances? [:] YES NO
Check the compliance alternative that you have chosen:
El I will provide and maintain a 50-foot undisturbed natural buffer.
1 will provide and maintain, an undisturbed natural buffer that is less than 50 feet and is,
supplemented by additional erosion and sediment controls, which in combination achieves the
sediment load reduction equli'valent to a 50-foot undisturbed natural buffer.
EPA SWPP,P North Andover Adult Center 14
Stormwater Pollution Prevention Plan (SWPIPP,)
North over It Center
It is infeasible to provide and maintain an undisturbed natural buffer of any size, therefore I will
implement erosion and sed'iment controls that achieve the sediment load reduction equivalent to
a 50-foot undisturbed natural buffer.
I qualify for one of the exceptions in Part 2.1.2.1.e. (if you have checked this box, provide
information on the applicable buffer exception that applies, below.)
Buffer Exceptions
Which of the following exceptions to the buffer requirements applies to your site?
There is no dlischarge of s,torm�water to the surface water that is located 510 feet from my
construction disturbances.
El No natural buffer exists due to preexisting development disturbances that occurred prior to the
initiation of planning for this project.
For a "linear project" (defined in Appendix A), SITe constraints (e.g.,, limited right-of-way) make it
infeasible for me to meet any of the CGP Part 2.11.2.].a compliance alternatives.
i
The project qualifies as "small residential lotII construction (defined in Part 2.1.2.I.e.iv and' in
Appendix A).
For Alternative I (see Appendix G, Part G.2.3.2.a):
For Alternative 2 (see Appendix G, Part G.2.3.2.b):
El Buffer disturbances are authorized under a CWA Section 404 permit.
(Note (1), If f his exception applies, no further document ation is required for Section, 4.1 of the
Template.)
EPA SWPPP North-Andover Adult Center 15
Stormw t r Pollution Prevention Plan (SWPPP
North Andover Adult Center
Buffer disturbances will occur for the construction of a water-dependent structure or grater access
area (e.g., pier, boat ramp, and trail).
4.2 Pedmeter Controls
Instructions (see CGP Ports 2.1.2.2 . .1
-- Describe sediment controls that will be used (e.g., silt fences, filter berms, temporary
diversion dikes, or fiber rolls) to meet the Part 2.1.2.2 requirement to "install sediment
conf rolls along those perimeter areas of your site that will receive stolrmwater from earth-
disturbing activities,."
— For linear projects, where you have determined that the use of perimeter controls in
portions of the site is impracticable, document whys you believe this is to be the case.
- Also see, EP 's Silt Fence BMP Fact Sheet at
l st r t r co nstructi n gilt f or Fiber Rolls
BMP FactSheet at
. o n st r s nstruction fiber rolls
General
Install Hay Bales, filter fabric, straw waddles, slope stabilization fabric, Filter Stone, dewatering
bags
Specific r t r Controls
Perimeter Control # i'
Perimeter Control Description
Sediment control fabric shall be grater permeable, polypropylene or polyester woven fabric made
specifically for erosion contrail, which will not ,allow particlesize opening greater than a No. 50, U.S.
sieve and shall be equal to Mirafi 140N.
Straw Waddles shall be equal to: ultra-Storm Waddles ,as distributed by DeWallaceTechnic l
Sales, Inc.: Albany Street, Worcester, MA. 01604, Tel. 86' 96 ,
web.-www.dewallacetech.com
urlex Qui:ckgrass Erosion Control netting, two-sided, regular-green construction, as
manufactured by American Excelsior, Inc., P.O. Box 5067, 850 Ave H, East, Arlington, TX 76011,
Tel. (817) 640-1555, or approved equal
Dewatering bags shall be equal to irtba , as manufactured by A FEnvironmental; Inc. 2831
Cardwell Road, Richmond, VA 23234, Tel -3 3 , web: °v . cfenviroinmental.com or
Ultra Fie r t ring Bag as manufactured by ul�traT"eah International, distributed by De Wallace
Technical Sales, Inc. 19 Albany t.,l Worcester, MA 01604, Tel 5 7 2- 5 !, web:
wwwAlewallacetech.com., or approved equal.
Installation
Maintenance Requirements
All' perimeter controls shall be inspected l basis and anyaccumulated slediment to be
removed regular bas,is
EPA SWPPP North Andover Adult Center 16
Stormwater Pollution Prevention Plan (SWPPP)
North Andover Adult Center
......... �7,,Qe
4.3 Sedl*ment Track-Out
Instructions (see CGP Parts 2.1.2.3 and 7.2.10)0-
- Describe stormwater controls that will be used to "minimize the track-out of sediment
onto off-site streets, other paved areas, and sidewalks from vehicles exiting your
construction site."
— Describe location(s) of vehicle exits ,, procedures to remove ac cumulated sediment
i
off-site (e.g., vehicle tracking), and' stabilization practices (e.g., stone pads or wash
racks, or both) to minimize off-site vehicle tracking of sedime�nt. Also include the design,
ins,taillation,, and maintenance specifications for each control.
— Also,, see EPA's Construction Entrances BUMP Fact Sheet at
www.epa ay de�ss�torn�iw�ater rnen�uofbm s, constructtonjcons entrance
General"
Temporary Construction Entrances (See attached)
I
Specific Track-Out Controls
Track-Out Contro/ # I
Track--Dint Control Description
• Temporary Construction Entrances as depicted in attached drawing consisting of a minimum of
12" deep crushed stone, 24 ft wide and 50 ff long
• See attached Drawing,
Installation
11/1/20
Maintenance Requiremients,
• Replace Stone,, and remove accumulated debris, mud and entrapped materials as necessary to
prevent tracking (Replace Monthly at a minimum)
• Dispose of stone and entrapped materials in non sensitive area on site
• All traffic entering exiting site to cross temporary construction:, entrance
EPA SWPPP North Andover Adult Center 17
Storm rater Pollution Prevention Plan (SWPPP
North Andover Adult Center
4.4 Stockpiled i n t or Soil
Instructions its 2.1.2.4 nd 7.2.1
Describe stormwater controls and other measures you will take to minimize the
discharge of sediment or soil particles from stockpiled sediment or soil. Include a
description of structural practices (e.g., diversions, berms, ditches, storage baasins)�,
including design, installation, and maintenance specifications, used' to divert flows from
stockpiled sediment or soil, retain or detain flours, or otherwise limit exposure and the
discharge of pollutants from stockpiled sediment or soil.
Also, describe any controls or procedures used to minimize exposure resulting from
adding to or removing materials from the pile.
General
Install Hay Bales, filter fabric, straw waddles, slope stabilization fabric, Filter Stone, dewatering
bags
Specific t l it troll
Sto,ckpfle Control # I
Stockpiled Sediment/Soil control Description
Sediment control fabric shall be water permeable, polypropylene or polyester woven fabric made
specifically for erosion control, which will not allow particle size opening greater than a No. 50
U.S. sieve and shall be �u�al to Mirafi 140,N.
Reinforced polypropylene tarps, anchored as necessary
Stray Waddles shall' be equal to: ultra-Storm addles as distributed y De Wallace Technical
nic al
`ales, Inc. 1 9 Albany Street, Worcester, A! AN 01 o ; .Tl:(80!0) -o���p
web:www.dewallacetech.corn
urlax Quickgrass, Erosion Control netting, two-sided, regular-green construction, a
manufactured y American Excelsior, Inc. R.O. Box 5,067, 850 Ave H, East, Arlington, TX 76011
Tel: ( 17) 6 0 1 55, or approved equal
watering bags shall be equal to C in a , as manufactured by ACF Environmental, Inc. 28,31
Cardwell Road, Richmond VA 23234, Tel (boo) 4 -3636, web,- www.,aofenviron mental.oom or
Ultra Dewatering Bag as manufactured by ultraTi ech International, distributed by DeWallace
Technical Sales, Inc. 19 Albany St., Worcestery MA 01604, Tel (508) 752- 50 , web:
www.dewallacetech.com., or approved equal.
Installation
1 s necessary
Maintenance Requirements
All controls shall be inspec�led or u a weekly basis and anyoccur l ted sediment ent to be removed on a
regular asiis
EPA SWPPP forth Andover Adult center 18
Stormwater Pollution Prevention Plan (SWPPP)
North over Adult Center
............. ........ ........ ......... I.....FIRM W
4.5 Minimize st
Instructions (see CGP Parts 2.1.2.5 and 7.2.101):
Describe controls and procedures you will use at your project/sife to minimize the generation
of dust.
General
Employ all possible methods and/o�r materials to prevent the spread of dust including water spraying. Chemical
materials may not be used on site to control dust,water shall be the primary dust control agent. Provide dust control
on a daily basis and as required
Specific Dust Controlls
Dust Control # I
Dust Control Description
01 Apply sufficient Misted water on a regular basi's
Installation
Apply sufficient Mi'sfed water on a r Sul basis and as �requ�ired
Maintenance Requirements
0 Appily sufficlenf Misted wafer,on a regular,basis
Dust Control # 2
Dust Control Description
n Mulching with, Hay
Installation
0 Place hay mulch secured by latex mulch, netting or weighted snow fences,
Maintenance Requirements
All controls shall be inspecfed, on a weekly basis and any accumulated sediment to, be, removed
on a regular basis,
4.6 Minimize the Disturbance of Steep Slopes
Instructions, (see CG P Parts
— Describe how you will minimize the disturbance to steep s,lol es, (as defined by CGP
Appendix A).
— Describe controls (e.g., erosion control blankets, tackifiers), including design, installation
and maintenance specifications, that will be implemented to minimize sediment
discharges, from slope disturbances.
— Also, see EPA's Geotextiles BMA'Fact Sheet at
W structignL geotexfiles
EPA SWPPP North Andover Adult Center 19
Stormwator Pollution Prevention Plan (SWP
North Andover Adult Center
;"oe
General
aming and seeding of slopes shall be an immediate and ongoing construction phase,to be performed as soon as
possible. Permanent slopes in excess of 3 A grades horiz.vertical w shall be supported by slope stabilization materials
including SLOPE STABILIZATION FABRIC equal to Curlex Quickgrass, ] mien Control netting,two-sided,.
regular-greencon truction, as manufactured by American Excelsior,Inc. P.O. Box 5067, 850 Ave LEI:, lust,
Arlington,ngton, TX 76011,,Tel: 1. 4 -15 5 5, or approved equal.
Hydro-seeding, especially in areas of long or steep slopes, or during limited growing season time periods to be
eons'dered. T�e plaee�� en of hay mulch secured by latex mulch,netting or weighted snow fences shall also be used
when necessary.
a
Specific Steep SlopeControls
Steep Slope Control # I
.stoop Slope Control Description
Slope Stabilization Fabric (Curlex Qu c kgra s
C urlex Quick grass Erosion Control netting, tv o-sided, regular-green construction, as manufactured
by Am�erican Excelsior, Inc. P.O. Box 5067, 850 Ave H, East, Arlington, TX 76011 Tel: ( 17) 640-1555,
or approved euall.
Installation
11/1/20
Maintenance Requirements
Inspect regular is. Replace as n a sisary
Topsoil4.7
Instructions (see CGIR Paits 2.1.2.7 . .
- Describe how topsoil will be preserved and identify these areas and associated control
measures on your site map(s)..
— If it is infeasible for you to preserve topsoil on your site, provide an explanation for why
this is, the case.
General
Remove, and stockpile in design, edre
Specific it Controls
To I Control # 1
Topsoil Control Description
Sediment control fabric shall he water permeable, polypropylene or polyester woven fabric made
specifically for erosion control, which will not allow particle size opening greater than a No,. 50
U.S. sieve and shall he equal to Mirfi 1 4 .
Reinforced polypropylene tarps, anchored as necessary
Straw Waddles shall be equal to: ultra-Storm Waddles as distributed by DeWallace Technical
Sales, Inc. 19 Albany Street, Worcester, MA 011604, Tel: 6 96 1,
web-.www.dew ll c tec .cram
EPA SW PPP North Andover Adult Center 2
Stormwater Pollution Prevention Plan (SWPPP)1
North Andover It Center
........ ,,, ......... .........
Curlex Quit grass Erosion Control netting, two-sided, regular-green constriction, as
manufactured by American Excelsior, Inc. P.O. Box 5067, 850 Ave H, East Arlington, TX 7601117
'Tel: (817) 640-1555, or approved equal
Dewatering bags shall be equal to Dirtbag, as manufactured by ACF Environmental, Inc. 2831
Cardwell Load, Richmond, VA 2,3234,: Tel (800) 448-3636, web: www.acfenvironmental.com, or
Ultra Dewat,ering Bag as manufactured by UltraTech International, distributed by DeWallace
Technical Sales, Inc. 19 Albany St., Worcester, MA 01604, Tel (508) 752-4500, web.-
www.dewallacetech.ciom., or approved equal.,
Installation
Ni 'I 1/1/20
Maintenance Requirements
IN Inspect on a regular pis. Replace as necessary
4.8 Soil Compaction
Instructions (see CGP Parts 2.1.2.8 and 7.2.1
— In areas where final vegetative stale il'ization will occuir or where infiltration practices will
be installed, describe the controls, including design, installation, and miainte,nance
s ecifications that will be used: to restrict vehicle or equ�ipmeet access,or condition the
soil for seeding or planting.
General
Power-driven vibratory equipment and/or hand-guided mechanical tampers as approved by the Architect and
capable of achieving the required degree of compaction in a reasonable length of time
Specific Soil Compact'lion Controls
Soil Compaction Control # I
Soil Compaction Control Description
The Drawings,indicate, in general, alignments, grade elevations and invert elevations establishing the lines and
grades. Field testing will be perforined to assess degree of compaction
Installation
N; 11/1/20
Maintenance Requirements
N �Biel d Testing as necessary
EPA WPPP North Andover Adult Center 21
Stormwater Pollution Prevention Plan, (SWPPP
Northover Adult Center
4.9 Storm r i Inlets
Instructions (see CGP Parf2.1.2.9 and . .
-- Describe controls (e.g.,, inserts, rock—filled bags, or block and gravel) including design,
installation, and main
tenance enance speci ica ion�s that wi l be implemented to protect all
inlets that will receive stormwater from cur construction, activities, and that you have
authority to access.
Also, see EPA Storm Drays Inlet Protection BMP Facet Sheet at
. l sit t r o f m struction storm drain
General
Install woven or nonwoven drainage filter bag equal.to L irtba,g, as manufactured by ACC Environmental, Inc. 2831
Cardwell Road, Richmond, VA 2323 , Tel 8 44 -,3 36,web: www.ac nviroi-ii-nental.com, or Ultra,Dewatering
Bag as manufactured by UltraTech International, distributed by De Wallace Technical Sales, Inc. 19Alba.ny St.,
Worcester, l" -A 01604, Tel 5 75 -45
Specific Storm Drain Inlet Controls
Storm Drain Inlet Control # I
Storrs Drain Inlet Control Description
Install woven or nonwoven drainage filter bag equal to I irtbag, as manufactured by CF Environmental, Inc. 2831.
Cardwell Road, Richmond,ond, VA 23234, Tel 1 448-3 36,web: www.acfenvironmental.com, or Ultra Dewat rin
Bag as manufactured by UltraTech International, distributed by DeWallace Technical Sales, Inc.. 19 lba:ny St.,
Worcester, MA 0 1 41 Te1 5 0 8 7 5 2 45
Installation
19 As, necessalry during construction,struction, phase
Maintenance Requirements
Inspectan a regular psis, remove sedirnents as needed or replace
4.10 ConstructedStormwater Conveyance
Instructions Parts 1.
It you will be installing a stormwater conveyance e channel, describe control practices (e.g.,
velocity dissipation atic n devices)1, including assign specifications and details (volume, dimensions,
outlet structure), that will be implemented at the construction site.
General
Not applicable
Specific v l Controls
Stormwater Conveyance Channel Control # I
EPA SWPPP North, Andover Adult Center 22
Stormwater Pollution Prevention Plan (SWPPP)
North Andover Adult Center
Stormwater Conveyance Channel Control Description
N/A
Insfallafion
0 N/A
Maintenance Requirements
IN IA
4.11 Sedi'ment Basins
Instructions (see CGP Parts 2.1.3.2 and 7.2.,10):
If you will install a sediment basin, include design specifications and other details (volume,
dime,nsionis, outlet structure) that will be implemented at in conformance with CGP Part
2.1.3.2.
— At a minimum, sediment pionds must pirovide storage for either (1) the calculated
volume of runoff from the 2-year, 24-hour storm (see CGP App. H), or (2) 3,600 cubic
feet pier acre drained
— Sediment ponds must also utilize outlet structures f hat withdraw water from the surface..
unless infeasible
— Also, see EPA's Sediment Basin BMP Fact Sheet at
stoirmwaterLmenuofbm s construction Lsediment basins
General
Dewatering of trenches shall be directed to temporary settling basins and/or Dewatering Bags,, prior to the discharge
of pumped water,draining to off-site drainage systems., Dewatering bags shall be sized to accommodate the filtering
requirements,of each application. Dewatering bags shal] be placed on a bed of crushed stone or other surface to
prevent erosion from filtered water from causing secondary erosion. Bags shall be replaced if filtered water is
observed to be cloudy or when bags are full. Bags to be disposed of off-site.
Specific Sediment Basin Controls
Sediment Basin Contro/ # I
Sediment Basin Control Description
Creation of temporary settling basins and up-keep of all erosion and siltation control measures to ensure no off-site
impacts occur. Dewatering of trenches shall,be directied to temporary settling basins and/or Dewatering B,ags, prior
to the discharge of pumped water draining to oiff-site drainage systems,. Dewatering bags shall be sized to
accommodate the filtering requirements of each application. Dewatering bags shall be placed on a bed of crushed
stone or other surface to prevent erosion from filtered water from causing secondary erosion. Bags,shall be replaced
if filtered water is observed to be cloudy or when bags are full. Bags to be disposed of off-site.
I I
Installation
11 /20 and as needed
EPA SWPPP, North Andover Adult Center 23
Stormwator Pollution Prevention, Plan (SWPPP)
North Andover Adult Center
Maintenance Requirements
Bags shall be replaced if filtered water is observed to be cloudy or when bags are full. Bags to be
dis sed of off-site.
4.12, Chemical Treatment
Instructions arts 2.1.3.3 and . . .
If you are using treatment chemicals at your site, provide details for each of the items below.
This information is required as part of the SWPPP requirements in CGP Part 7.2.10.2..
SoilTypes
List all the soil types (including soil types expected to be found in fill material) that are expected to be
exposed during construction and that will be discharged to locations where chemicals will be applied:
/
'Treatment c Is
List all treatment chemicals that will be used at the site and explain why these chemicals are suited to the
soil characteristics: /
(Describe the dosage of all treatment chemicals you will use at the site or the methodology you gill use to
determine dosage: /
Provide information from any applicable Material Safety Data Sheets MSDS ;
Describe how each of the chemicals will stored: INI/
Include references to applicable state or local requirements affecting the use of treatment chemicals,
and copies of applicable manufacturer's specifications regarding the use of your specific treatment
chemicals and/or chemical treatment systems. /
Special Controls for tion'11c Treatment Chemicals (if'applicable)
If you have been authorized by your applicable Regional office to use cationic treatment chemicals,
include the official EPA authorization letter or other communication, and identify the specific controls and
implementation procedures you are required to implement to ensure that your use of cafionic treatment
chemicals will not load to a violation of water duality standards: /
Schematic r In 'Stormlwater Controlls/Chemilcall Treatment Systems
Provide schematics drawings of any chemically-enhanced stormwater controls or chemical treatment
systems to be used for application of treatment chemicals: /
Training
Describe the training that personnel who handle and apply chemica�ls have received prior to permit
coverage, or will receive prior to the use of treatment chemicals: /
EPA SWPPP North Andover Adult center 2
Stormwater Pollution Prevention Plan! ('S'WPPP)
Noirth Andover, Adult Center
.........
4.13 Dewatering Practices
Instructions (see CGP Parts 2.1.3.4 and 7.21.10):
If you will be discharging stormwater that is removed from excavations, trenches,
foundations, vaults, or other sim�illar points of accumulation, include design specifications and
details of all clewatering practic es that are installed and maintained to comply with CGP Part
2.1.3:.4.
General
Remove by de watering any water which may accumulate or be found in the trenches,made under this Contract and
shall form all pump wells, sumps or other work necessary to keep the trenches entirely clear of water while the
drains and structures are being built. The de watering or surface water controll system shall be in operation 24-hours
per day, 7-days per week until such time that it is no longer required to prevent flotation, subgrade disturbance or
other damaging occurrences. Keep on hand at all times sufficient back-up power or systems to ensure the continuity
of the water control system.
Specific Dewatering Practices
Dewatering..Practice # I
Diewatering Practice Description
• Sump Pumps,
• Sedimentation/Filtration Bags placed on a bed of crushed stone or other surface to prevent erosion from
filtered water from causing secondary erosion equal to Dirtbag, as manufactured by ACF Environmental,
Inc. 2831'1 Cardwell Rolad, Richmond,1 VA 23234, Tel (8100)448-3636, web: www.acfenvironmental.com, or
Ultra Dewatering Bag as manufactured by Ultra'Tech International,, distributed by D,eWallace'Tech�nical
Sales, Inc. 1!9AIbany St., Worcester, MA 01604, Tel (508) 752-45O
Installation
I 1 s needed
Maintenance Requirements
Bags shall be re dated if filtered water is observed to be, cloudy or when bags are full. Bags to:
be disposed of off-site.
4.14 Other Star mwater Controls
Instructions:
— Describe any other stormwater controls that do not fit into the above categories.
General
E N/A
Specific Stormw alter,Control Practices
Stormwater Control Practice # I
Description
0 N/A
EPA SWPPP North Andover Adult Center 25
Stc rrnwater Pollution Prevention Plan (SWPPP
North n v r Adulf Ce,nfer
Installation
Maintenance Requirements
/
4.15 Site Stabilization
Instructions (see irts 2,.2n '. .
The CGP requires you to immediately initiate tc alllization when work in can area of your site
has permanently or temporarily strapped, and to complete certain stabilization activities
within prescribed deadlines. See CGP Part 2. .1. The CGP also requires that stabilization
measures meet certain minimum criteria. Sae CGP Part 2.2.2. For your SWPPP,you must
include the following:
— Describe the specific vegetative rind/car noon-vegetative practices that will be used to
stablilize exposed soils where construction activities have temporarily or permanently
ceased.. Avoid using impervious surfaces for stabilization whenever possible.
-- Also, see FPA's Seeding BMP Fact at
v n st it t r/menu of b m gs c nistru c tign Lls i�
— Once you begin construction, consider using the Grading/Stabailizc fion Activities log in
Appendix H of fhe Template to document y ur compliance with the stabilization
requirements in CGP Part 2.2
EPA S PPP berth Andover Adult center 2
Story water Pollution Prevention Plan (SWPPP)
North Ando�ver Adult Center
Site Stabilization Practice (only use this if you are not located in an arid, siemi-arid, or drought-stricken,
area)
Vegetative Non-Vegetative
Temporary Permanent
Description of Practice
0 Mulching! for temporary stabilization shall be used;.
a foaming and seeding of slopes, shall be an immediate and ongoing construction phase, to be
performed as soon as possible
S Permanent slopes in excess of 31 grades (horiz-Nertic al) shall be supported by slope stabilization
materials Curl'ex Quickgrass Erosion Control netting, two-sided, regular-green construction, as
manufactured by American Excelsior, Inc. P.O. Box 51067, 850 Ave H', East, Arlington, TX 760111
Tel'.- (8117) 6140-15,55, or,approved equal.
Stabilization of surfaces includes the placement of pavement, rip-rap, bark mulch or the
establishment of vegetated surfaces, as required.
Installation
Is As needed and ongoli'ng during Construction Pha�se
Maintenance Requirements
Bags shall" be replaced if'filtered' water is observed to be cloudy or when bags are full. Bags to be
disposed of off-site.
Areas to be inspected and re-seeded as, necessary
Netting, rip-rap and Mulch to be replaced as necessary following regular inspection
Site StabillIzation, Practice (only use this if you are located in an arid, semi-arid, or drought-stricken area)
i
1:1', Vegetative M Non-Vegetative
El Temporary El Permanent
Description of Practice
a n/a
Installation
® n/a
Maintenance Requirements
In n/a
[Repeat as, needed for additional stabilization practices.]
Site Stabilization Practice (only use this if uncontrollable circumstances have delayed the initiation or
completion of stabilization]
El Vegetative [:1 Non-Vegetative
[:1 Temporary [:1 Permanent
Justification
M n/a
EPA SWP,PP North Andover Adult Center 27
.,tour water Pollution Prevention Plan (SWPPP)
North v r Adult Center
Description of Practice
Installation
Maintenance Requirements
l
EPA SWPPP North Andover Adulit Center 2
Stormwater Pollution Prevention Plan (SWPP,P)
North Andover Adult Center
...............
SECTION 5,- POLLUTION PREVENTION STANDARDS
5.1 Potential Sources of Pollution
Instructions (see P Part 7.2.7):
— Identify and describe all piollutant-generating activities at your site (e.g.,, paving
operations, concrete, paint and stucco washout and waste disposal,sollidl waste
storage and disposal).
— For each pollu:tanf-goner ating activity, include an inventory of pollutants or pollufanf
constituents associated with that activity (e.g., sediment, fertilizers, and/or pesticides,
paints, solvents, fuels),which could be exposed to rainfall or snowmel't, and could be,
discharged from your construction site. You must take into account where potential
splill�s, and leaks could occur that contribute pollutants to storm waf er discharges.
Construction Site PoIllutants
Moblile Re-Fueling Truck
Pollutants or Pollutant
Location on Site
Constituents
(
Pollutant-Generating Activity or reference SWPPP s*te map
that could be discharged if
where th:is is shown)
� o d��e to stormwater)
Mobile re-fueling Truck Gasoline varies
Leaks from Equipment Oil varies
Leaks from Equipment Anfi-freeze varies
Leaks from Equipment Hydraulic Fluid varies
.......... ...................... ................. .......
...............
EPA SWPPP North Andover Adult Center 29,
Stormwater Pollution Prevention Plan (S PPP)
North A,ni r Adult Center
5.2 Spill Prevention and Response
Instructions r n . .1'1
De, cri e procedures you will use to prevent and respond to leaks,spills, and other
releases. You must implement the following at a minimuu�m
Procedures for expeditiously stopping, containing, and cleaning up spills, leaks, and
other releases. Identify the name or title of the employee(s) responsible for
detection and response of spills or leafs: and
Procedures for notification of appropriate facility personnel, emergency response
agencies, and regulatory agencies where a leak, spill, or other release cointaining a
hazardous substance or oil in an amount equal to or in excess of a reportable
quantity consistent with Part 2.3.3.4c and established under either 40 CFP Part 1101
40 c FP Part 117, or 40 c FP Part 3 2, occurs during a 24-hour period. Contact
information must be in locations that are readily accessible and available.
Some projects/site may be required: to develop a Spill Prevention Control) and
Countermeasure SPCC plan under a separate regulatory program 40 CFP 1 1 2). If
your are required to develop an SP,CC plan, or you already, have one, you should
include references to than relevant requirements from your plan.
Storage and fill up are not to occur near catch basins or floor drains
Always have supervision during re--fueling
Use pads, drip pans and funnels when transferring petroleum products from a portable
container
Maintain a stocked spill kit
Document location of spill kit
Quickly control the spill by stopping or securing the spill source.
Use asorbent material to soak up the spilled material..
Wear gloves and protective clothing if necessary..
Put spill material and absorbents in secure containers.
Obtain MSDS for the spilled material and waste disposal procedures to comply with State
and Federal Regulations.
Use Cary cleanup Methods and never wash spills down the drain, onto a storm drain or
onto the driveway or parting lot
5.3 Fueling and Maintenance of Equipment or Vehicles
Instructions (see CGP Paits 2.3.3.1 and 7.2.11)1-6
Describe equipment/vehicle fueling and maintenance practices that will be
implemented to, eliminate the discharge of spilled or leaked chemicals e.g., providing
secondary containment (examples- ,spill berms, decks, spill containment pallets) and
cover where appropriate, and/or having spill bits readily available.
Also, see PPA's Vehicle Maintenance and Washing areas BMP Fact Sheet at
ov[n stormwater/menugfbMpsLcor)strucfion vehicile m
ainta
in
EPA SWPPP North Andover Adult center 3
Storm titer Pollution Prevention Plan (SWPPP)
North Andover Adult Cenfer
..........
General
• Always have supervision during re fueling
• Use pads, drip pans and funnels when transferring petroleum products from a portable container
• Mainfain a stocked spill kit
Document location of spill kit
Quickly control the spill by stopping or securing the splill source.
• Use absorbent material to soak up the spilled material.
• Wear gloves and protective clothing if necessary.
• Put spill material and absorbents in secure containers.
Obtain MSDS for the spilled material and waste disposal procedures to comply with State and
Federal Regulations.
Use Dry Cleanup Methods and never wash spills down the drain, onto a storm drain or onto, the
driveway or parking lot
Specific Pollution Prevention Practices
Pollution Prevention Practice # I
Description
Use pads, drip pans and funnels when transferring petroleum products from a portable container
Always have supervision during re-fueling
Installation
0 Immedicifely following a spi'll
Maintenance Requirements
a: Verify Spill it is stocked on a monfhly basis
[Repeat as needed.]
5.4 Washing of Equl*pment and Vehi*cles
Instructions (see CGP Parts 2.3.3.2 and 7.2.1,1):
— Describe equipmenf/vehicle washing practices that will be used to minimize the
discharge of pollutants from equipment and vehicle washing, wheel wash water, and
other types of washing (e.gli., locating activities away from surface wafers and
stoirmwater inlefs or conveyances and directing wash waters to a sediment basin or
sediment trap, using filtration devices, such as filter bags or sand filters, or using other
similarly effective controls).
— Describe how you will prevent the discharge of soaps, detergents, or solvents by
providing either (1) cover (examples:plastic sheeting or temporary roofs) to prevent
these detergents from coming into, contact with ra!lin,water, or (2) a similarly effective
means designed to prevent the discharge of pollutants from these areas.
— Also, see EPA 1:s Vehicle Maintenance and Washing Areas BMP Fact Sheet at
Www'. ehicile maintain
General
0 No equipment or Vehicles will she on site
EPA SWP,PP North Andover Adult Center 31
Storm water Pollution Prevention Plan (SWPPP,)
North Andover Adult, Center
R
Specific Pollution Prevention Practices
Pollution Prevention Practice # I
Description
0 N/A
Installation
0 N/A
Maintenance Requirements
M N/A
[Repeat as needed.]
5.5 St rage, Handling, and Disposal of Construction, Products, Materials, and' Wastes
Ins true cti its 2.3.3.3 and 7.2.11):
— For any of the types of construction roc oats, materials, and wastes below in Sections
5.5.11,-5.5.6 below that are expected' to be used or stored at your site, provide the
information on how you will comply with the corresponding CGP provision and the
specific ra,c tic es that will be employed.
— Also, see EPA's General Construction Site Waste Management BM P Fact Sheet at
n star mwa ter nut bm os/c onstru c tion/cons--.,.waste man
5.5.7 Building Products
1. Any encountered asbestos will not be abated, removed, or dlispos,ed of until:
• The Department of Environmental Protection (MassDEP) is notified at least ten (10) working days
• The Department of Labor S,tandards,(,DLS is notified at least ten (10) ca/endar days before
beginning work.
• The Rowley be of health, building inspector, and fire department are notified to determine
whether local approvals are necessary before beginning work.
2. Licensed'waste C isposal contractors providing waste containers to be, used on a regular and as
needed basis
General
Waste containers from Licensed Waste Disposal contractors are to be used on a reguilar and as, needed
basis
Specific Pollution, Prevention Practices
Polluti'on Prevention Practice # I
Description
Check waste containers,on a daily, basis
No overflow of the containers, ill ' permitted
Replace ll containers inn imediately
EPA SWPPP North Andover Adult Center 32
St,ormwater Pollution Prevention Plan (SWPPP)
North Andover Adult it r
Installation
a I I/1/20 and a:s needed
Maintenance Requirements
0 Replace full conta�iners immediately
5.5.2 Pesticides, Herbicides, Insecticides, Fertilizers, and Landscape Materials
General
INSERTGENERAL DESCRIPTION OF HOW YOU WILL COMPLY WITH CGPPART 2.3.3.,3.b
Specific Pollution Prevention Practices
Pollution Prevention Practice # I
Description
INSERT DESCRIPTION OF PRACTICETO BE INSTALLED
IF APPLICABLE INCLUDE COPIES OF DES,IGN SPECIFICATIONS HERE
Installation
0 INSERT APPROXIMATE DATE OF INSTALLATION
Maintenance Requirements
INSERT MAINTENANCE REQUIREMENTS, FOR THE POLLUTION PREVENTION PRACTICE
[Repeat cis needed.]
5.5.3 Diesel Fuel, Oil, Hydraulic Fluids, Other Petroleum Products, and Other Chemicals
General
0 Leaks from Heavy equipment regular use
Specific Pollution Prevention Practices
Pollution Prevention Practice #
Description
• Routinely inspect and maintain equlipment per the manufacturer's recommendations
• Maintain a stocked spill kit
• Document location of spill kit
*I Quickly control the spill by stopping or secu�ring the spill source.
• Use absorbent material to soak up the spilled material.
• Wear g�lolves and protective cloth,ing if necessary.
0 Put spill material and absorbents in secure containers.
• Obtain, MS ,for the spilled material and waste disposal procedures to comply with, State and
Federal Regulations.
• Use Dry Cleanup Methods and never,wash spills, down the drain, onto a storm drain or onto, the
driveway or parking lot
EPA SWPP,P North Andover Adult Center 33
Storm water Pollution Prevention Plea (SWPPP
North r ult Center
Installation
0 As needed
Maintenance Requirements
IN s r the Equipment Manufacturer's r c rnm n tip s
[Repeat cis needed ]
HazardousWaste
(Note.- Examples include paints, solvents, petroleum-la se ' products,wood preservatives, additives,
curing ompalunc 's, acids.)
General
Document and maintainS sheets of all Hazardous or Toxic materials,delivered to the Sit
Document secure location of stoired material n site
Specific Pollution Prevention
r k nti nPractices
Pollution Prevention Practice # i
Description
• S,tore, all Hazardous air Toxic material in secure r s
File aint i site plan noting location of all Hazardous, or Taxis material
• Verify in:tegrity of all containers on regular sis
Installation
As, needed
Maintenance Requirements
Verify integrity of all containers on regular basis
Replace warn coin tainers/caps
Dispose of containers in accordance to,state and Federal Law
5.5.5 Construction and Domestic Waste
(Note. Examples include packaging materials, scrap construction materials, masonry products,
timber, pipe and electrical cuttings, plastics, styrata m concrete, and other tr s or uil ing
materials.)
General
Licensed waste Disposal contractors providing waste containers to be used on a regular and as
needed basis
Specific Pollution Prevention Practices
Pollution Prevention Practice # I
Description
Check waste containers on a dailysips
o overflow of the containers ill be permitted
Replace full c in rs immediately
Installation
11 s needed
EPA SWPPP North Andover over Adult Center 34.
Stormwater Pollution Prevention Plan (S,WPPP)
North Andover Adult Center
Maintenance Requirements
El Replace full conItainers imi-nediately
5.5.6 Sanitary Waste
General
Use Licensed portable/ternporary sanitary waste mana�ge�ment contractor to provide well
maintained portablefacilities
Specific Pollution Prevention!, Practices
Pollution Prevention Practice # I
Description
Arrange for regular servic e & collection in acc ordance with State and local re uirements,
Temporary,Sanitary Facilities to, be locate d away from drainage,
Wastewater dispoisa:l on sit e is strictly prohibited
Regular waste collection and as needed waste, collection to be scheduled weekly
Installation:
11/11/20
Maintenance Requirements
Regular waste collection, to be scheduled weekly and on an as needed basis
5.6 Washing of AppYcators and Containers used for Pal*nt, Concrete or her Matedals
Instructions (see CGP Parts 2.3.3.4 and 7.2.11)*
0
— Describe how you will comply with the CGP Part 2.3.3.4 requirement to "provide an
effective means of eliminating the discharge of water from the washout and cleanout
of stucco, paint, concrete, form release oils, curing compounds, and other construction
materials."
— Also:, see EPA's Concrete Washout BMP Fact Sheet at
wW y cLo yLn p e s�v.epa.� _ j _L rrnwg ter rnenuofbm sLconsfruction concrete wash
General
Collect and retain all the concrete and other toxic materials washout water and solids in leak
proof containers
Dispose of and/or recycle, 100 percent of the collected washout wafer and solids in accordance
with Federal,State and local regulations.
Specific Pollution Prevention Practices
Pollution Prevention Practice # I
Description
to Collect and retain all the concrete and other toxic materials washout water and solids in leak
proof containers
EPA SWPPP North Andover Adult Center 35
Storm water Pollution Prevention Plan (SWPPP
North Andover Adult Center
Dispose of and/or recycle 100 percent of the collected washout ut water and solids in accordance
e
with Federal, State and local regulations..
Installation
1111/11/2
Maintenance Requirements
Inspect all leak proof containers,
Replace worn out l� roof containers
5.7 Fertilizers
Instructions its 2.3.5 and .
Describe how you will comply with the CGP Part 2.3.5 requirement to "'minimize discharges of
fertilizers containing nitrogen or phosphorus,"
General
INSET GENERAL DESCRIPTION OF HOW YOU WILLCOMPLY I P PART 2.
Specific Pollution r v tin Practices
Pollution Prevention Practice # 1
Description
INSERT c TII F PRACTICE TO, BE INSTALLED
IF APPLICABLEINCLUDE COPIES OF IDESIG,N SPECIFICATIONSHERE
Installation
INSERT APPROXIMATE DATE OF INSTALLATION
Maintenance Requirements
ent
INSERT TE I E TS FOR THE POLLUTION PREVENTIONPRACTICE
[Repeat as needed for individual fertilizer practices.]
Other5.8 Pollution Prevention Practices
Instructions:
Describe any additional pollution prevention practices that do not fit into, the above
categories..
General
/
Specific Pollution Prevention Practices
Pollution Prevention Practice # I
EPA SWPPP North Andover Adult Center 3
Stormwater Pollution Prevention Plan (SWPPP)
or over Adult Center
Description
a N/A
Installation
0 N/A
Maintenance Requirements
N/A
EPA S,WPPP North Andover Adult Center 37
Stormwater Pollution Prevention Plan (SWPPP)
North over Adult Center
SECTIONI IACTION
Inspection r Procedures
Instructions (see CG1P Paits . .1. , . . , 3.3.2, , 5, and 7.2.112):
Describe the procedures you will follow for conducting inspections in accordance with CAP
Ports 2.1.1.4, 2.3.2, 3.3.2, 4, 5 and 7..2.12.
Personnel Responsible for Inspections
Jaredolli s
Castagna Construction Corp,
Cell.:
Email:.,kglrins(a-)casfagriacot,)sfruction.cQm
Jasonit
J. White tr cti
Gehl: 978
Email-, JI son@jwhi'tecontracfing.com
Teats. All personnel conducting inspections must be considered a " uial'ified person." CGP
Part 4.1.1 clarifies that a "`qualified person" is a person knowledgeable in the principles, and
practices of erosion and sediment controls and pollution prevention,who possesses the skills.
to assess conditions at the construction site that could irn aof sform:w fer quality, and the
shills fo assess the effectiveness of any storm ter controls selected and installed to r"noot the
requirements of Phis permit.
Inspection Schedul
Specific Inspection Frequency
Every 7 calendar days and within 24 holu�rs of the occurrence of a storm event of 0.25 in r
greater
Pain Gauge Location if applicable)
Reductions in Inspection Frequency if app lic able
For they reduction in inspections resulting from stabilization:
(Moto: If is likely that you will not be able to include this in your initial SWPPP. If you
qualify for this reduction (see CGP Part ..1. .1), you will need to modify your SWPPP to
include this information*)
For the reduction in inspections in arid, semi-arid, or drought-stricken areas:
For reduction in inspections duo to frozenconditions: 1/0+ 2/18 TO 02/28/18
Inspecti onForms
EPA SWPPP North Andover Adult Center 3
Stormwater Pollution Prevention Plan (SWPPP
North over Adult C e nitor
Soo attached
6.2 Corrective Actio
Describe the procedures for taking corrective action in compliance with CGP Part 5.
Repair, modify, or repillace any storrnwc ter control l used at the site
Clean n up and properly dispose of spills, releases, or other deposits
Remedy a permit violation
Take immediate and reasonable stops to minimize or prevent the discharge of pollutants until
a permanent solution is installed and made operational, including :loaning up any
contaminatedsurfaces so that the material will not discharge in subsequent storm events.
r ionnel Responsible for Corrective Actions
Jared Rollins
Castagna Construction Corp
Cell.*
Email: rolll st tr ctiono
Jason i
J. it ntr atln
Cell:
Email: son 1 i contr cti .c
Corrective Action For �s,.
fee attached
.3 Delegation, of Authority
Instructions:
--- Identity the individual(s) or positions within the company who have been delegated
authority,to sign inspection tion reports.
— Attach a copy of the signed delegation of authority (see example in Appendix J of the
Tem, late.
For moire on this topic, see Appendix l* Subsection 1 1 of EPA's CGP.
Duly Authorized Repr sent tiv s , or Positions
Castagna Construction Corporation
EPA SWPPP forth Andover r Adult Center 3
Stormwater Pollution Prevention Plan (SWPPP)
North, Andover Adult Cen,te,r
Jaredli s
Superintendent
100 Conifer IH ill Dr. Unit 507
Danvers,,
5
EPA SWPPP North Andover Adult Center 4
Stormwa:ter Pollution Prevention Plan (SWPPP)
North Andolv,e,r Adult Center
.......... ...............
SECTION 7: TRAINING
Instructions (see CGP P,airt 6 and 7.2.13)1,,
— Complete the table below to; provide documentation that the personnel required to be
trained in CGP Part 6 colm leted the appropriate training
i i— If personnel will be taking course training (which is not required as part of the CGP),,
consider us,inig Appendix I to track completion of this training
The following personnel, at a minimum, must be rec eive training, and therefore should,
be listed out individually in the table below:
v' Personnel who are responsible for the design, installation, maintenance..
and/or repair of stormwater controls (including pollution prevention measures),
Personnel responsible for the application and storage of treatment chemicals
if applicable),;
v1 Personnel who are responsible for conducting inspections as required in Part
4.1.1; and
v1 Personnel who are responsible for taking corrective actions as required in Part
5.
CGP Part 6, requires that the required personnel must be trained to understand the
following if related to the scope of their job duties.*
The location of all s,tormwater controls on the site required by thics permit, and how
they are to be maintained;
The p�roper procedures, to foillow with respect to the permit's pollution prevention
requ,irements; and
When and how to conduct inspections, record applicable findings, and fake
corrective actions.
Table 7-1: Documentatilon for Completion of Trailniing
Name Date TraMing Completed
INSERT NAME OF PERSONNEL HERE INSERT COMPLETION DATE HIERE
INSERT NAM,E OF PERSONNEL HER,E INSERT COMPLET1ON DATE HERE
INSERT NAME OF PERSONNEL HERE INSERT COMPLETION DATE HER'E
-----------------------------------
INSERT INAME OF PERSONNEL HERE INSERT COMPLETION DATE HERE
INSERT L F PERSONNEL HERE INSERT COMPLETION DATE HERE
INSERT NAME OF PERSONNEL HERE INSERT COMPLETION DATE HERE
INSERT NAME OF PERSONNEL HERE INSERT COMPLETION DATE HERE
I L HERE INSERT COMPLETION DATE HERE
INSERT NAME OF PERSONNEL HERE INSERT COMPLETION DATE HER'E
INS,ERT NAME OF PERSONNEL HERE INSERT COMPLETION DATE HERE
INSERT NAME OF PERSONNEL HERE INSERTCOMPLETION DATE HERE
INSERT NAME OF PERSONNEL HERE INSERT' CO,MPLETION DATE HERE
IN SERT NAME OF PERSONNEL HERE INSERT COMPLETION DATE HERE
INSERT NAME OF PERSONNEL HERE IINSERT COMPLETION DATE HER,E
INSERT NAME OF PERSONNEL HERE INSERT COMPLETION DATE HERE
J
EPA SWPPP North Andover Adult Center 41
tormwater Pollution Prevention Plan (SWPPP)
North Andover Adult Cente,r
SECTION CERTIFICATION I 'I TI
Instructions (CGP Appendix 1, Part 1.1 L e
The following certification statement must be signed and dated by a person who meets
the requirements of Appendix 1, Part 1.1 I. .
-- This certification must be re-signed in the event of a SWPPP Modification.
I certify under penalty of laver 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 su m,itted. 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 e and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false information, including the passibility of fine and imprisonment for
knowing violations.
Name: Title:
Signature: late:
[Repeat as needed for multiple construction operators at the site.]
EPA. SWPPP North Andover Adult Center 42
Stormwater Pollution Prevention Plan (SWPPP),
North over It Center
......... ................
SWPPP APPENDICES
Attach the following documentation to the SWPPP:
Appendix A-Site Maps
Appendix B -Copy of 2012 CGP
Appendix C-NOI and EPA Authorization Email
Appendix D-Inspection Form
(Note-. EPA is in, the, process of develolpli,n:gl, a sample inspection form for use by CGP
permiftees. The form will be made avallabll�e at
rmw�af�er c htto.-,Zl'c,f,lou b ,v Ln essto� cf� �n.)
Appendix E-Corrective Action Form
(Nolte: EPA is in the p,rolcess of developing a sample corrective action form for use by CGP
I I
permITTees. The form will be made available at
ht't[D,-/'/cfrDu�b.epa.,gov/nr)des/stormwafeir/CQrD.CfM.
Appendik F-SWPPP Amendment Log
Appendix G-Subcontractor CertificationslAgreements
Appendix H'-Grading and Stabilization,Activities Log
Appendix I�-Training Log
Appendix J-Delegation of Authority
Appendix K-Endangered Species Documentation
Appendix L-Historic Preservation Documentation
EPA S 'PPP North Andover Adult Center 43
Sforr wafer Pollution Pre enfion Plan SWPPP)
Northy r Adult Center
Appendix -Site Maips
INSERT SITE MAP'S CONSISTENT WITH TEMPLATE SECTION 2,.
EPA SWPPP Template, Version 1.0
Stormwater Pollution Prevention Plan (SWPPP)
North Anclover Adult Center
...............
Appendix B-Copy of 2012 CGP
INS,ERT COPY OF 2012 CGP
EPA SWPPP Template, Version 1.0
Stormwater P,ollultion Prevention Plan (SWP,PP)
North over Adult Center
Appendlix -Copy of N01 and EPA Authoriizatilon,
INSERT CO,PYIMP 'S AUTHORIZATION EII PROVIDING COVERAGE UNDER THE CG,P
EPA SWPPP Template, Version, 1.
Stormwater Pollution Prevention Plan, (SWPPP)
North Anclover Adult Center
Appendilx D-Copy of Inspection Form
INSERT COPY OF ANY INSPECTION FORMS YOU W'ILL USE TO PREPARE INSPECTION REPORTS,
EPA SWPPP Template, Version 1.0
Stormwater Pollution Prevention Plan S, PPP
North over Adult Center
Appendix E-Copy of Corrective % r
INSERT COPY P TI ACTION FORMS YOU WILL USE
EPA SWPPP Template, Version 1.
Starr eater Pollution Prevention Plain (SWPPP)
North Andover It Center
.........
Appendix F-Sample SWPPlP Amendment Log
Instructions (see CGP Part 7.4):
- Create a log here of changes and updates to the SWPPP. You may use the table
below to track these modifications.
- SWPPP modifications are required pursuant to CGP Part 7.4.1 in the following
circumstances:
Whenever new operators become active in construction activities on your site, or
you make changes to your construction p,lans, s,tolrmwater control measures,
pollution prevention measures, or other activities at your site that are no longer
accurately reflected in, your SWPPP,
To reflect areas on your site map where operational control has been transferred'
(and the date of transfer), since initiating permit coverage,
If inspections or investigations determine that SWPIPP modifications are necessary
for compliance with this permit,
Where EPA determines it is necessary to impose additional requirements on your
discharge,- and
v' To reflect any revisions to applicable federal, state, tribal, or local requirements,
that affect the s,tormwater control measures, implemented at the site.,
i
- If applicable, if a change in chemical treatment systems or chemically-enhanced
I sto;rmwater control is made, including use of a different treatment chemical, different
dosage rate, or different area of application.
D O ti
Amenam d b`o menom, en r pore e' 'A ll l,escr;p", ni b, a
y
lam'n merl-
d"T"M An'le"' e s dn il e
EPA SWPP'P Template, Version 1.0
Stormw°ater Pollution Prevention Plan (SWPPP)
orfh Andover Adult Center
Appendix GSample Subcontractor Certifications/Agreements
SUBCONTRACTOR CERTIFICATION
STORMWATEP POLLUTION PREVENTION 1'TION PLAN
N
Project Number-
Project Title.
Operators :
As a subcontractor, you are required to comply with the Sform ater Pollution Prevention Plan
(SWPPP) for any work that you perform on-site. Any person or group who violates any condition
of the SWPPP may be subject to substantial penalties or loss of contract. You are encouraged to
advise each of your employees working on this project of the requirements of the SWPPP,
copy of the SWPPP is available for your review at the office trailer.
Each subcontractor engaged in activities at the construction site that could impact stormwater
must be idenfified and sign the following certification statement,
I certify under the penalty of law that l have read and understand the terms and conditions o
the SWPPIP for the above designated project and agree to follow the practices described in the
SWPPIP.
This certification is hereby signed in reference to the above named project.-
Company:
. duress:
Telephone Number::
Type of construction service to be provided:
Signature:
Title:
Cate:
EPA SWPPP Template, 'version 1.0
Stormwater Pollution Prevention Plan SWPPP)
`t
North n v r Adult Center
AppendixMR-1 FFM
H -Sample Gradinga z tea wits Log
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PA SWPPP Template, Version 1.0
, tormwafer Pollution Prevention Plan (SWPPP
North Andover Adult Center
Appendix I raining
Stormwa,ter Pollution Prevention Training
Project Name
Project Location*.
Instructor' Name(s),
Instructor's Tifle(s).-
Course Location alta.
Course Length (hours):
Stormwator Training Topic: (chock as appropriate)
SedimentLJ and Erosion Ll EmergencyProcedures
Controls
LJ Stabilization Cntr is J Inspections/Correctlive Actions
LJ Pollution Prevention
Measures
Specific Training Objective:
Attendee Poster* (attach addition a 1 pages as necessary)
No. Name of Attendee
1
2
3
4
5
6
7
8
EPA S PPP Template, Version 1.
Storm1water Pollution Prevention Plan: (S,WPPP)
North over Adult Center
.............
Appendix J-Sample Dellegaton of Authority Form
Delegation of Authority
(name), hereby designate the person or spec ifica�lly described position
below to be al duly authorized representative for the purpose of overseeing compliance with
environ men f alrequirements, including, the Construction General Permit, at the
-construction: site. The designee is authorized to sign any
reports, storm!water poillution prevention plans and all other documents required by the permit.
(name of person or position,)
(company)
(address)
(city, state, zip)
(phone)
By signing this authorization, I confirm that I meet the requirements to make such a designation
as set forth in Appendix I of EPA's Construction General Permit (CGP), and that the designee
above meets the definition of a:, "duly authorized: represenTaTIve" as set forth in Appendix 1.
11 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.-
Company-,
Title:
Signature:
Date:
EPA SWPIPPI Template, Version, I.0
Stormwater Pollution Prevention Plan (SWPPP)
North n i v r Adult Center
Endangereds Documentation
INS,ERT DOCUMENTATION CONSISTENTIT S P P TEMPLATE SECTION
EPA SWPPP" Template, Vers,ion 1.0
S,to,rmwater Pollution Prevention Plan (SWPPP)
NorthAndover Adult Center
Appendix L�- Historic Properties Documentaflon
INSERT DOCUMERTATION CONSISTENT W'ITH SWPPP TEMPLATE SECTION 3.2
EPA SWPPP Template, Version 1.0