Form CEM-2045T "Rain Event Action Plan - Lake Tahoe Hydrologic Unit" - California

What Is Form CEM-2045T?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the California Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CEM-2045T by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form CEM-2045T "Rain Event Action Plan - Lake Tahoe Hydrologic Unit" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
RAIN EVENT ACTION PLAN — LAKE TAHOE HYDROLOGIC UNIT
CEM-2045T (REV 12/2019)
Page 1 of 5
PROJECT INFORMATION NAME AND SITE ADDRESS:
CONTRACT NUMBER/CO/RTE/PM:
CONTRACTOR NAME AND ADDRESS:
PROJECT RESIDES IN THE LAKE TAHOE HYDROLOGIC UNIT AND
IS REGULATED UNDER ORDER NO. R6T-2016-0010, NPDES NO.
CAG616002.
Submitted By Contractor (Print and Sign Name):
Date:
Water Pollution Control Manager Name and Company Name:
Phone Number:
Emergency (24/7) Phone Number:
Phone Number:
Erosion and Sediment Control Provider or Subcontractor Name and
Company:
Emergency (24/7) Phone Number:
Phone Number:
Stormwater Sampling and Testing Agent or Subcontractor Name and
Company:
Emergency (24/7) Phone Number:
Storm Information
Attach forecasted precipitation information from the National Weather Service Forecast Office website,
https://www.weather.gov/forecastmaps;
if accessible attach the Forecast weather table interface.
Project Site ZIP Code:
Date Forecast Checked:
Time Forecast Checked:
Forecast Percentage Probability of Precipitation in 0 - 24 Hours: Expected Precipitation Amount:
Date:
Forecast Percentage Probability of Precipitation in 24 - 48 Hours: Expected Precipitation Amount:
Date:
Forecast Percentage Probability of Precipitation in 48 - 72 Hours: Expected Precipitation Amount:
Date:
Is predicted weather pattern anticipated to produce run off?
Note: A qualifying rain event happens when a predicted weather pattern will
Yes
No
produce precipitation in the form of rain that causes run off. A qualifying rain
event will require stormwater visual monitoring site inspections and sampling
and analysis of stormwater discharges.
Prestorm/Corrective Actions Summary Information
Corrective Actions Summary Deficiency Completed
Pre-storm Inspection
Date:
Yes
No Date Completed:
Sampling Schedule
Based on the weather forecast, stormwater discharge sampling is required to begin on
(date) at approximately
(time)
(AM/PM).
Stormwater discharge sampling is required every 24 hours during an extended storm event based on the predicted duration of the storm event
on the following dates:
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
RAIN EVENT ACTION PLAN — LAKE TAHOE HYDROLOGIC UNIT
CEM-2045T (REV 12/2019)
Page 1 of 5
PROJECT INFORMATION NAME AND SITE ADDRESS:
CONTRACT NUMBER/CO/RTE/PM:
CONTRACTOR NAME AND ADDRESS:
PROJECT RESIDES IN THE LAKE TAHOE HYDROLOGIC UNIT AND
IS REGULATED UNDER ORDER NO. R6T-2016-0010, NPDES NO.
CAG616002.
Submitted By Contractor (Print and Sign Name):
Date:
Water Pollution Control Manager Name and Company Name:
Phone Number:
Emergency (24/7) Phone Number:
Phone Number:
Erosion and Sediment Control Provider or Subcontractor Name and
Company:
Emergency (24/7) Phone Number:
Phone Number:
Stormwater Sampling and Testing Agent or Subcontractor Name and
Company:
Emergency (24/7) Phone Number:
Storm Information
Attach forecasted precipitation information from the National Weather Service Forecast Office website,
https://www.weather.gov/forecastmaps;
if accessible attach the Forecast weather table interface.
Project Site ZIP Code:
Date Forecast Checked:
Time Forecast Checked:
Forecast Percentage Probability of Precipitation in 0 - 24 Hours: Expected Precipitation Amount:
Date:
Forecast Percentage Probability of Precipitation in 24 - 48 Hours: Expected Precipitation Amount:
Date:
Forecast Percentage Probability of Precipitation in 48 - 72 Hours: Expected Precipitation Amount:
Date:
Is predicted weather pattern anticipated to produce run off?
Note: A qualifying rain event happens when a predicted weather pattern will
Yes
No
produce precipitation in the form of rain that causes run off. A qualifying rain
event will require stormwater visual monitoring site inspections and sampling
and analysis of stormwater discharges.
Prestorm/Corrective Actions Summary Information
Corrective Actions Summary Deficiency Completed
Pre-storm Inspection
Date:
Yes
No Date Completed:
Sampling Schedule
Based on the weather forecast, stormwater discharge sampling is required to begin on
(date) at approximately
(time)
(AM/PM).
Stormwater discharge sampling is required every 24 hours during an extended storm event based on the predicted duration of the storm event
on the following dates:
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
RAIN EVENT ACTION PLAN — LAKE TAHOE HYDROLOGIC UNIT
CEM-2045T (REV 12/2019)
Page 2 of 5
Active Work Areas/Locations, Type of Work, Temporary BMPs
List all active work locations with each type of work. List what type of temporary BMPs will be installed prior to the onset of rain.
Work Area
Temporary BMPs to be installed
Work Area/Location
Types of Work
Location Number
prior to onset of rain
Pre-storm Inspection Identified Corrective Action Items to be Completed Prior to the Onset of Rain
Work Area
Identified Deficiency
Deficiency Number from
Deficiency
Required Action
Location Number
Location
CEM-2035
Corrective Action Number
Pre-storm Inspection Identified
Corrective Actions
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
RAIN EVENT ACTION PLAN — LAKE TAHOE HYDROLOGIC UNIT
CEM-2045T (REV 12/2019)
Page 3 of 5
Sampling Locations
Priority
Sample Location
Lab Sample
Work Area/Location
Sample Type
Analysis
Number
Identification
Number, if sent
1
2
3
4
5
6
7
8
9
10
Sample Type:
Discharge Location (D)
Run-on Location (RO)
Receiving Water Location (RW)
Note:
• Take sample for constituents (turbidity, pH, etc.) per SWPPP.
• Prioritize sample discharge locations for active work locations for representative construction site run off.
• All sampling discharge locations must be sampled during a qualifying rain event.
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
RAIN EVENT ACTION PLAN — LAKE TAHOE HYDROLOGIC UNIT
CEM-2045T (REV 12/2019)
Page 4 of 5
Predicted Rain Event-Triggered Actions
Actions Required Before Predicted Rain Event
people
Pre-storm crew with at least
(time)
Pre-storm crew to start implementing storm event actions by
on
(date)
Check for adequate erosion and sediment control materials on hand for
Pre-storm required actions
Extended storm event maintenance and repair
Pre-storm stormwater site inspection completed.
Corrective actions identified by pre-storm stormwater site inspection that must be corrected before storm event and listed on
page 2 of this Rain Event Action Plan.
Staff scheduled for inspections during storm.
Construction Site Monitoring Program Actions Required Before a Qualified Rain Event
Review the discharge location site map for the current phase of the project, prioritize and include additional non-visible pollutant
sampling locations identified during pre-storm stormwater site inspection.
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
RAIN EVENT ACTION PLAN — LAKE TAHOE HYDROLOGIC UNIT
CEM-2045T (REV 12/2019)
Page 5 of 5
Certification of Rain Event Action Plan (REAP)
I certify under penalty of law that this REAP will be implemented in accordance with the Lake Tahoe Hydrologic Unit Permit by me
or under my direction or supervision. The information contained in this REAP was gathered and evaluated by qualified personnel before
submittal. Based on my review of the information and inquiry of those who gathered and evaluated the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete.
I am aware that Section 309(c)(4) of the Clean Water Act provides for significant penalties, including fines and imprisonment for knowingly
submitting false material statement, representation or certification.
Water Pollution Control Manager Name:
Date:
Water Pollution Control Manager Signature:
Accepted by Resident Engineer Name:
Date:
Resident Engineer Signature:
Instructions
General Information
This form must be completed for projects in the Lake Tahoe Hydrologic Unit with the chance for precipitation of 30 percent, or greater,
within 48 hours of the forecast date. The REAP must be developed no later than 24 hours before any anticipated precipitation rain event
(any weather pattern that is forecast to have a 30 percent, or greater, probability of producing precipitation in the project area).
Within 24 hours before an anticipated rain event, the REAP must be submitted to the resident engineer. The REAP must be made available
on site and implementation begun no later than 24 hours before the anticipated precipitation rain event.
File this form in SWPPP File Category 20.45.
Form
Contract Number/Co/Rte/PM
For encroachment permit projects, write the local agency or private entity encroachment permit number in the contract number field.
Project Identifier Number
For projects without a number, write N/A in the field.
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Page of 5