"Industrial Stormwater Permit Stormwater Pollution Control Plan Checklist" - Oregon

Industrial Stormwater Permit Stormwater Pollution Control Plan Checklist is a legal document that was released by the Oregon Department of Environmental Quality - a government authority operating within Oregon.

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DEQ 2021 Industrial Stormwater Permit Stormwater Pollution
Control Plan Checklist
Instructions: Complete this form and submit with SWPCP. Fill in the appropriate page number(s) indicating the location of
information in the SWPCP. At a minimum, the SWPCP must include the components below and describe how the permit
registrants intends to comply with the narrative technology-based effluent limit to eliminate or reduce the potential to
contaminate stormwater and prevent any exceedance of instream water quality standards.
Site Name:
File No.:
Page
Comments
Permit Schedule
Requirement
#
(For official use only)
A new discharger to an impaired water without a TMDL must
New
Condition
meet one of the conditions in this section of the permit to obtain
Discharger
I.1.a or b
coverage
Signed and certified in accordance with 40 CFR
Signature
A.8.b
122.22
Plan date
Name of the site
Name of the site operator or owner
The name of the person(s) preparing the SWPCP
Title Page
A.10.a
File No. and EPA permit No.
Primary SIC code and any co-located SIC codes
Contact person(s) name, telephone number and email
Physical address, including county
Mailing address if different
General
General location of the site in relation to surrounding properties,
A.10.b.i.1
Location Map
transportation routes, surface waters and other relevant features
Site Map
A.10.b.i
Drainage patterns, with flow arrows
(please
(2-19)
Conveyance and discharge structures, such as piping or ditches
identify
Exact location of all monitoring points labelled with a unique
clearly)
three-digit identifying number starting with 001, 002, etc.
Outline of the drainage area for each discharge point
Paved areas and buildings within each drainage area
Locations of discharge points if different from monitoring points
Areas used for outdoor manufacturing, treatment, storage, or
disposal of significant materials
Areas of known or discovered significant materials from
previous operations
Existing structural control measures for minimizing pollutants in
stormwater runoff
Structural features that reduce flow or minimize impervious
areas
Material handling and access areas
Hazardous waste treatment, storage and disposal facilities
Location of wells including waste injection wells, seepage pits,
drywells
Location of springs, wetlands and other surface waterbodies both
on-site and adjacent to the site
Location of groundwater wells
Location and description of authorized non-stormwater
Page 1 of 4
Rev. 4/9/21
DEQ 2021 Industrial Stormwater Permit Stormwater Pollution
Control Plan Checklist
Instructions: Complete this form and submit with SWPCP. Fill in the appropriate page number(s) indicating the location of
information in the SWPCP. At a minimum, the SWPCP must include the components below and describe how the permit
registrants intends to comply with the narrative technology-based effluent limit to eliminate or reduce the potential to
contaminate stormwater and prevent any exceedance of instream water quality standards.
Site Name:
File No.:
Page
Comments
Permit Schedule
Requirement
#
(For official use only)
A new discharger to an impaired water without a TMDL must
New
Condition
meet one of the conditions in this section of the permit to obtain
Discharger
I.1.a or b
coverage
Signed and certified in accordance with 40 CFR
Signature
A.8.b
122.22
Plan date
Name of the site
Name of the site operator or owner
The name of the person(s) preparing the SWPCP
Title Page
A.10.a
File No. and EPA permit No.
Primary SIC code and any co-located SIC codes
Contact person(s) name, telephone number and email
Physical address, including county
Mailing address if different
General
General location of the site in relation to surrounding properties,
A.10.b.i.1
Location Map
transportation routes, surface waters and other relevant features
Site Map
A.10.b.i
Drainage patterns, with flow arrows
(please
(2-19)
Conveyance and discharge structures, such as piping or ditches
identify
Exact location of all monitoring points labelled with a unique
clearly)
three-digit identifying number starting with 001, 002, etc.
Outline of the drainage area for each discharge point
Paved areas and buildings within each drainage area
Locations of discharge points if different from monitoring points
Areas used for outdoor manufacturing, treatment, storage, or
disposal of significant materials
Areas of known or discovered significant materials from
previous operations
Existing structural control measures for minimizing pollutants in
stormwater runoff
Structural features that reduce flow or minimize impervious
areas
Material handling and access areas
Hazardous waste treatment, storage and disposal facilities
Location of wells including waste injection wells, seepage pits,
drywells
Location of springs, wetlands and other surface waterbodies both
on-site and adjacent to the site
Location of groundwater wells
Location and description of authorized non-stormwater
Page 1 of 4
Rev. 4/9/21
Comments
Page
Permit Schedule
Requirement
#
(For official use only)
discharges
Location and description of spill prevention and cleanup
materials
Locations of the following materials and activities if they are
exposed to stormwater and applicable:
Fueling stations
Vehicle and equipment maintenance cleaning areas
Loading/unloading areas
Locations used for the treatment, storage, or disposal of
wastes
Liquid storage tanks
Processing and storage areas
Immediate access roads and rail lines used or traveled by
carriers of raw materials, manufactured products, waste
material, or by-products used or created by the facility;
Transfer areas for substances in bulk
Machinery
Locations and sources of run-on to your site from adjacent
property
A description of industrial activities conducted at the site and
significant materials stored, used, treated or disposed of in a
A.10.b.ii
manner which exposes those activities or materials to storm-
water. Include in the description the methods of storage, usage,
treatment or disposal
Location and description, with any available characterization
A.10.b.iii
data, of areas of known or discovered significant materials from
previous operations
A.10.b.iv
Regular business hours of operation
Site
Description
For each area of the site where a reasonable potential exists for
contributing pollutants to stormwater runoff, a description of the
A.10.b.v
potential pollutant sources that could be present in stormwater
discharges and if the source is associated with a co-located SIC
code
An estimate of the amount of impervious surface area (including
A.10.b.viii
paved areas and building roofs) and the total area drained by
each stormwater discharge point to be reported in area units
A.1.k
Non-stormwater discharges
A description of control measures installed and implemented to
meet the technology and water quality-based requirements and
any applicable sector-specific requirements in Schedule E
A.10.b.vi
A description of how the stormwater control measures address
potential pollutant sources from industrial activities and
significant materials on-site, spills and leaks and authorized non-
stormwater discharges
Site Controls
A.1.a
Minimize Exposure
A.1.b
Oil and Grease
A.1.c
Waste chemicals and material disposal
A.1.d
Erosion and sediment control
A.1.e
Debris control
A.1.f
Dust generation and vehicle tracking
A.1.g
Housekeeping
Include known maintenance schedules and frequency of
A.10.b.vi
housekeeping measures
Procedures/
Schedules
A.1.h and
Spill prevention and response procedures:
A.10.c
Page 2 of 4
Rev. 4/9/21
Comments
Page
Permit Schedule
Requirement
#
(For official use only)
Procedures for preventing and responding to spills and cleanup
Indicate who is responsible for on-site management of significant
materials and include their contact information
A.10.c.i
Spills prevention plans required by other regulations may be
substituted for this provision if the spill prevention plan
addresses stormwater management concerns and the plan is
included with the SWPCP
Develop procedures for expeditiously stopping, containing and
A.1.h.v
cleaning up leaks, spills and other releases
A.1.h.vi
Documentation and notification, including OERS number
Preventative maintenance:
Procedures for conducting inspections, maintenance and repairs
A.1.i and
to prevent leaks, spills, and other releases from drums, tanks and
A.10.d
containers exposed to stormwater
Schedules or frequency of maintaining all control measures
Schedules of waste collection
Operations and Maintenance:
Include an operation and maintenance plan for active treatment
and passive treatment systems
A.10.e
Include system schematic, manufacturer’s maintenance and
operations specifications
Include routine maintenance standards and schedules
Employee Education:
Develop and maintain an employee orientation and education
program to inform personnel of the pertinent components and
A.10.f and
goals of this permit and the SWPCP
A.1.j
Orientation no later than 30 calendar days of hire or change in
duties, annually thereafter
Include a description of the training content and the required
frequency
Facility triggered Tier 2 under current permit term
Yes
A description of stormwater treatment controls or source
controls, including low impact development, in response to
A.10.b.vii
corrective action requirements and operation and maintenance
Tier 2 Status
procedures
Include safety sheets for any stormwater treatment chemicals or
substances used in stormwater treatment and stored on site
The name(s) of the receiving water(s), latitude and longitude of
discharge points, and applicable SIC code, if facility has co-
located operations
Receiving
A.10.ix
Waters
If discharge point is to a municipal storm sewer system, name(s)
and latitude and longitude of the receiving water and
municipality
The identification of each discharge point and the location(s)
where stormwater monitoring will occur as required by Schedule
B.6
Monitoring
Existing discharge points excluded from monitoring must
A.10.x
Locations
include a description of the discharge point(s) and data or
analysis supporting that the discharge point(s) are substantially
similar as described in Schedule B.7.c.ii
Page 3 of 4
Rev. 4/9/21
For Official Use Only
Yes
No
New applicant:
New discharger to impaired waters condition met:
Yes
No
New discharger:
Yes
No
Outstanding Resource Water discharger:
Yes
No
Existing facilities:
Yes
No
SWPCP update per renewal:
Yes
No
SWPCP update per Schedule A.9:
Yes
No
Facility triggered Tier 2 under previous permit term:
Yes
No
Facility triggered Tier 2 under current permit term:
Yes
No
Yes
No
Schedule E additional information in SWPCP and site plan
Yes
No
Schedule E Requirements:
Plan Accepted:
Yes
No
Date received:
Reviewed by:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Page 4 of 4
Rev. 4/9/21
Page of 4