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Stormwater Pollution Prevention Plan Groundwater Protection Plan for
Improve Runway Safety Areas For
Fairmont Municipal Airport Frankman Field Marion County, West Virginia prepared for
Fairmont Marion County Regional Airport Authority Fairmont, West Virginia February 2006 ©
TABLE OF CONTENTS GENERAL FACILITY INFORMATION 1.0
OVERVIEW 1.1 1.2
Introduction Objectives
2.0
STORM WATER POLLUTION PREVENTION TEAM
3.0
GROUNDWATER PROTECTION PLAN 3.1 3.2 3.3 3.4 3.5 3.6
4.0
Inventory of Exposed Material Procedures to Protect Groundwater Current Permits Site History Classification on Deicing Site Information
RECORD KEEPING AND REPORTING 4.1
Fairmont Municipal Airport SWPPP, BMP, GPP
Sample Record Keeping and Reporting Forms
1
L. R. Kimball & Associates, Inc. 06-1800-0037
GENERAL FACILITY INFORMATION
Name of Project:
Obstruction Removal, Improve Runway Safety Areas, and Construct Parallel Taxiway.
Facility Name:
Fairmont Municipal Airport-Frankman Field
Owner/Operator:
Fairmont-Marion County Regional Airport Authority
Facility Location:
Pleasant Valley, WV
County:
Marion Latitude: N 39º 26’ 53.4”
Longitude: W 80º 10’ 01.3”
Contact Person:
Mr. David Rose
Telephone:
(412) 262-5400
Company Name:
L. Robert Kimball & Associates, Inc.
Mailing Address:
415 Moon Clinton Road Coraopolis, Pa 15108
Date Construction to Begin:
June 2006
Date Construction to End:
October 2006
Fairmont Municipal Airport SWPPP, BMP, GPP
2
L. R. Kimball & Associates, Inc. 06-1800-0037
1.0 OVERVIEW 1.1
INTRODUCTION
This combined Storm Water Pollution Prevention Plan (SWPPP), Best Management Practices (BMP), and Groundwater Protection Plan (GPP) covers the operations construction of the Fairmont Municipal Airport, Obstruction Removal, Improve Runway Safety Areas, and Construct Parallel Taxiway Projects. The plan has been developed, as required, under West Virginia’s National Pollutant Discharge Elimination System (NPDES) Program for storm water discharges and in accordance with good engineering practices. This SWPPP describes this airport and its operations, identifies potential sources of storm water pollution at this airport, recommends appropriate Best Management Practices (BMPs) or pollution control measures to reduce the discharge of pollutants in storm water runoff, details of groundwater protection activities and, provides for periodic review. The SWPPP becomes effective at the start of construction, anticipated to start in August 2006, and will be terminated at the end of construction. 1.2
OBJECTIVES
The goal of the storm water permit program is to improve the quality of surface waters by reducing the amount of pollutants potentially contained in the storm water runoff being discharged. The objective of this SWPPP is three-fold: 1.
To identify potential sources of pollution at the construction site.
2.
To describe best management practices (BMPs) which are to be used by the contractors.
3.
To provide other elements such as, but not limited to, a facility inspection program, site compliance evaluation program, record keeping, and reporting program that will help the contractor comply with the terms and conditions of their storm water discharge permit.
2.0 STORM WATER POLLUTION PREVENTION COMMITTEE The Storm Water Pollution Prevention Committee is responsible for developing, implementing, maintaining, and revising this SWPPP. The members of the team are familiar with the construction activities involved in these projects. The member(s) of the team and their primary responsibilities (i.e. implementing, maintaining, record keeping, submitting reports, conducting inspections, employee training, testing for non-storm water discharges, signing the required certifications) are as follows: Fairmont Municipal Airport SWPPP, BMP, GPP
3
L. R. Kimball & Associates, Inc. 06-1800-0037
3.0
NAME
RESPONSIBILITY
Dave Rose L. Robert Kimball & Associates, Inc. Jason Minnich L. Robert Kimball & Associates, Inc. Laura Mortimore L. Robert Kimball & Associates, Inc. Contractor Contractor Contractor Contractor Contractor Contractor Contractor
Developing Developing Developing Developing Implementing Maintaining Revising Recordkeeping / Reporting Inspections Testing
GROUNDWATER PROTECTION PLAN FOR THE FAIRMONT REGIONAL AIRPORT AUTHORITY OBSTRUCTION REMOVAL, IMPROVE RUNWAY SAFETY AREAS, CONSTRUCT PARALLEL TAXIWAY PROJECTS
This groundwater protection plan follows the format set forth in Title 47 Legislative Rules, Division of Environmental Protection, Series 58, Groundwater Protection Rule. 3.1
INVENTORY WORK SHEET FOR POTENTIAL CONTAMINANTS (47 CSR 58.4.11.1) Contractor to verify the following table providing the storage location, quantity and potential to contaminate soil or ground water. If the potential contaminate listed is not kept on site, then enter “NA” in all three columns. If this site maintains additional items with the potential to contaminate ground water list the additional items in the spaces provided at the end of this list. The storage location should be indicated on a site map. Potential Contaminant
Storage Locations
Fertilizers including ammonium nitrate
Any fertilizers, soil supplements, and seeding will be applied to the required areas using a hydro-spreader by the contractor. All materials are contained in the tanker truck.
Batteries/Battery Acid
Batteries on site will be located in the equipment.
Fairmont Municipal Airport SWPPP, BMP, GPP
4
Quantity in Gallons N/A
N/A
Potential to Contaminate Soil or Ground Water This item does not pose to be a potential contaminate to the soil or ground water.
This item does not pose to be a potential contaminate to the soil or ground water in our project situation. L. R. Kimball & Associates, Inc. 06-1800-0037
Fuels (Tanks)
The Contractor will have fuel trucks that will be available to deliver fuel as needed. The Contractor may have small quantities of oil/grease for equipment maintenance on-site, stored in on-site trailer. Tanks and drums are not anticipated. The Contractor may have these maintenance materials on-site, stored in on-site trailer.
Lubricants (Oil/Grease) (Tanks and Drums)
Parts Cleaner
N/A
N/A
N/A
This item does not pose to be a potential contaminate to the soil or ground water in our project situation. These items do not pose to be a potential contaminate to the soil or ground water in our project situation. This item does not pose to be a potential contaminate to the soil or ground water in our project situation.
3.2
PROCEDURES DESIGNED TO PROTECT GROUND WATER AT CONSTRUCTION SITES (47 CSR 58.4.11.2) Contractor to verify the following table providing the practices and procedures which will be in place at the construction site to prevent contamination of ground water by the potential contaminates. Equipment cleaning, maintenance activities, pipelines, and sumps and tanks which contain potential contaminants must be addressed. Examples of Groundwater Protection Practices can be found in 47 CSR 58.4. et seq. Potential Contaminant Fertilizers including ammonium nitrate
Procedures to Prevent Contamination of Ground Water This item does not pose to be a potential contaminate to the soil or ground water in our project situation.
Batteries/Battery Acid
This item does not pose to be a potential contaminate to the soil or ground water in our project situation. Fuels (Tanks) This item does not pose to be a potential contaminate to the soil or ground water in our project situation. Lubricants This item does not pose to be a (Oil/Grease) potential contaminate to the soil (Tanks and Drums) or ground water in our project situation.
Parts Cleaners
This item does not pose to be a potential contaminate to the soil or ground water in our project
Fairmont Municipal Airport SWPPP, BMP, GPP
5
Proper seeding rate to be followed according to construction and E&S Plans. Properly trained and experienced operators. Proper handling if equipment battery needs replaced. Proper fueling procedures. Properly trained and experienced operators. Proper maintenance procedures. Only in use when needed, don’t leave these items lying around on construction site. Dispose of used containers properly. Proper maintenance procedures. Only in use when needed, L. R. Kimball & Associates, Inc. 06-1800-0037
Storage area for raw materials, product, or wastes
3.3
situation.
don’t leave these items lying around on construction site. Dispose of used containers properly.
The Contractor will have to include information on the storage of on-site materials. A dumpster may be used on-site for disposal of any F.O.D (Foreign Object Debris) that the Contractor produces during construction.
It is recommended that storage areas be secured either in a trailer, lock and key or some equivalent means. This will help prevent vandalism, spills and unwanted use of the materials.
Current Permits Listing of all permits carried out under other regulatory programs. WV NPDES Permit for Construction Stormwater
3.4
Acquiring
Site History
Closest surface water body Distance to closest surface water body
Unknown tributary to the Tygart River (The project is in the Tygart Valley Watershed) Approximately 450 Feet
Depth to ground water (if known):
Unknown
Known ground water monitoring wells within 2000 feet:
Unaware of any still in operation Within 2,000 feet of this project site.
Closest Well Head Protection Area:
See WVDHHR letter, attn: Dr. Feng
Closest Source Water Protection Area:
See WVDHHR letter, attn: Dr. Feng
3.5
Clarification on Deicing Clarification that no waste will be used for deicing, fills, etc.
Fairmont Municipal Airport SWPPP, BMP, GPP
6
L. R. Kimball & Associates, Inc. 06-1800-0037
“No wastes will be used for deicing, filling, or for any other use at this facility unless approved in writing by the Chief of the Office of Water Resources or provided for in an existing regulation or permit.” 3.6
Site Information To be considered a Groundwater Protection Plan (GPP) which can be implemented; this document must be completed in full. If a portion of this plan does not apply to your facility it should be marked “Not Applicable” or “NA”. If more space is needed for any section, attach additional sheets to this document. Number any additions with the appropriate section number (For example: 47 CSR 58.4.11.1). This GPP must be available on site for review at all times. WV DEP or engineer may require modification of a GPP to assure adequate protection of ground water. If a facility does not have adequate ground water protection practices in place they may submit a compliance schedule for implementation of the necessary practices. This compliance schedule would allow them time (no longer than thirty days) to implement the necessary practices.
FACILITY/SITE INFORMATION Facility name: Fairmont Municipal Airport Facility location: Pleasant Valley County: Marion Latitude: 39 26 53.4 Longitude: 80 10 01.3 Contact person: Dave Floyd Telephone: (304)-612-4211 Company Name: Fairmont Municipal Airport Mailing address: P.O Box 387 City, State, Zip: Fairmont, WV 26555 Date Construction to begin: June 2006 Date Construction to end: October 2006? I certify that I have personally examined and approved this Groundwater Protection Plan (GPP). This GPP will be implemented and adhered to during the period construction is in progress at this site. Designated Representative: Title: Signature: Date:
4.0 RECORD KEEPING AND REPORTING Fairmont Municipal Airport SWPPP, BMP, GPP
7
L. R. Kimball & Associates, Inc. 06-1800-0037
Every one month during the life of the construction activity the site will be inspected by the Contractor to ensure that all elements and equipment of the sites ground water protection program are in place, properly functioning, and appropriately managed. 4.1
SAMPLE RECORD KEEPING AND REPORTING FORMS
The following pages contain sample forms for the record keeping and reporting by the Contractor associated with the SWPPP. The following forms are examples; they are not required to be used.
Fairmont Municipal Airport SWPPP, BMP, GPP
Significant Spill Report
Non-storm Water Inspection Report
Employee Training
Good Housekeeping
Preventive Maintenance
Storm Water Inspection Report
8
L. R. Kimball & Associates, Inc. 06-1800-0037
SIGNIFICANT SPILLS, LEAKS, AND IMPROPER DUMPING REPORT Date of Occurrence: _______________________________________________ Discovered by Whom: _____________________________________________ Location: _______________________________________________________ Material Type & Volume: ___________________________________________ ________________________________________________________________ ________________________________________________________________ Cause of Spill: ____________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Corrective Action Taken: ____________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Agencies/Persons Contacted: ________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ___________________________________ Signature
Fairmont Municipal Airport SWPPP, BMP, GPP
9
L. R. Kimball & Associates, Inc. 06-1800-0037
NON-STORM WATER INSPECTION REPORT Date of Inspection: ____________________
Time: _____________________
Inspected by (printed name): ______________________________________________ Signature: ____________________________________________________________ Description of type of inspection (check those that apply): visual observation dye tests smoke tests analysis of accurate schematics sampling/monitoring
TV line survey
Observations/Results: ___________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
Are there any non-storm water discharges? Is the discharge authorized under this permit?
yes yes
no no
Is the discharge covered under another National Pollutant Discharge Elimination System (NPDES) permit? yes no Are significant structural changes required to eliminate the discharge?
Fairmont Municipal Airport SWPPP, BMP, GPP
10
yes
L. R. Kimball & Associates, Inc. 06-1800-0037
no
EMPLOYEE TRAINING Date of Session: _____________________
Time: _____________________
Trainer : ________________________ (printed)
________________________________ (Signature)
Attendees (names, printed):
Signature:
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
Topics Covered: ________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
Fairmont Municipal Airport SWPPP, BMP, GPP
11
L. R. Kimball & Associates, Inc. 06-1800-0037
GOOD HOUSEKEEPING
Date: _________________________
Time: _____________________
Inspected by (printed): __________________________________________________ Signature: ____________________________________________________________
Areas Inspected
Observations
Actions Taken
12
L. R. Kimball & Associates, Inc. 06-1800-0037
parking areas fuel pumps outfalls petroleum storage area dumpsters grounds (in general)
Fairmont Municipal Airport SWPPP, BMP, GPP
PREVENTIVE MAINTENANCE
Date: _________________________
Time: __________________________
Inspected by (printed): ___________________________________________________ Signature: ____________________________________________________________
Areas Inspected
Fairmont Municipal Airport SWPPP, BMP, GPP
Observations
Actions Taken
13
L. R. Kimball & Associates, Inc. 06-1800-0037
COMPREHENSIVE / VISUAL INSPECTION
Date: _________________________
Time: ___________________________
Inspected by (printed): ___________________________________________________ Signature: ____________________________________________________________
Areas Inspected
Observations
Actions Taken
14
L. R. Kimball & Associates, Inc. 06-1800-0037
storm water outfalls grounds (in general) parking lots storage areas dumpsters waste storage areas equipment
Fairmont Municipal Airport SWPPP, BMP, GPP
Improve Runway Safety Areas For
Fairmont Municipal Airport Frankman Field Marion County, West Virginia prepared for
Fairmont Marion County Regional Airport Authority Fairmont, West Virginia February 2006 ©
TABLE OF CONTENTS GENERAL FACILITY INFORMATION 1.0
OVERVIEW 1.1 1.2
Introduction Objectives
2.0
STORM WATER POLLUTION PREVENTION TEAM
3.0
GROUNDWATER PROTECTION PLAN 3.1 3.2 3.3 3.4 3.5 3.6
4.0
Inventory of Exposed Material Procedures to Protect Groundwater Current Permits Site History Classification on Deicing Site Information
RECORD KEEPING AND REPORTING 4.1
Fairmont Municipal Airport SWPPP, BMP, GPP
Sample Record Keeping and Reporting Forms
1
L. R. Kimball & Associates, Inc. 06-1800-0037
GENERAL FACILITY INFORMATION
Name of Project:
Obstruction Removal, Improve Runway Safety Areas, and Construct Parallel Taxiway.
Facility Name:
Fairmont Municipal Airport-Frankman Field
Owner/Operator:
Fairmont-Marion County Regional Airport Authority
Facility Location:
Pleasant Valley, WV
County:
Marion Latitude: N 39º 26’ 53.4”
Longitude: W 80º 10’ 01.3”
Contact Person:
Mr. David Rose
Telephone:
(412) 262-5400
Company Name:
L. Robert Kimball & Associates, Inc.
Mailing Address:
415 Moon Clinton Road Coraopolis, Pa 15108
Date Construction to Begin:
June 2006
Date Construction to End:
October 2006
Fairmont Municipal Airport SWPPP, BMP, GPP
2
L. R. Kimball & Associates, Inc. 06-1800-0037
1.0 OVERVIEW 1.1
INTRODUCTION
This combined Storm Water Pollution Prevention Plan (SWPPP), Best Management Practices (BMP), and Groundwater Protection Plan (GPP) covers the operations construction of the Fairmont Municipal Airport, Obstruction Removal, Improve Runway Safety Areas, and Construct Parallel Taxiway Projects. The plan has been developed, as required, under West Virginia’s National Pollutant Discharge Elimination System (NPDES) Program for storm water discharges and in accordance with good engineering practices. This SWPPP describes this airport and its operations, identifies potential sources of storm water pollution at this airport, recommends appropriate Best Management Practices (BMPs) or pollution control measures to reduce the discharge of pollutants in storm water runoff, details of groundwater protection activities and, provides for periodic review. The SWPPP becomes effective at the start of construction, anticipated to start in August 2006, and will be terminated at the end of construction. 1.2
OBJECTIVES
The goal of the storm water permit program is to improve the quality of surface waters by reducing the amount of pollutants potentially contained in the storm water runoff being discharged. The objective of this SWPPP is three-fold: 1.
To identify potential sources of pollution at the construction site.
2.
To describe best management practices (BMPs) which are to be used by the contractors.
3.
To provide other elements such as, but not limited to, a facility inspection program, site compliance evaluation program, record keeping, and reporting program that will help the contractor comply with the terms and conditions of their storm water discharge permit.
2.0 STORM WATER POLLUTION PREVENTION COMMITTEE The Storm Water Pollution Prevention Committee is responsible for developing, implementing, maintaining, and revising this SWPPP. The members of the team are familiar with the construction activities involved in these projects. The member(s) of the team and their primary responsibilities (i.e. implementing, maintaining, record keeping, submitting reports, conducting inspections, employee training, testing for non-storm water discharges, signing the required certifications) are as follows: Fairmont Municipal Airport SWPPP, BMP, GPP
3
L. R. Kimball & Associates, Inc. 06-1800-0037
3.0
NAME
RESPONSIBILITY
Dave Rose L. Robert Kimball & Associates, Inc. Jason Minnich L. Robert Kimball & Associates, Inc. Laura Mortimore L. Robert Kimball & Associates, Inc. Contractor Contractor Contractor Contractor Contractor Contractor Contractor
Developing Developing Developing Developing Implementing Maintaining Revising Recordkeeping / Reporting Inspections Testing
GROUNDWATER PROTECTION PLAN FOR THE FAIRMONT REGIONAL AIRPORT AUTHORITY OBSTRUCTION REMOVAL, IMPROVE RUNWAY SAFETY AREAS, CONSTRUCT PARALLEL TAXIWAY PROJECTS
This groundwater protection plan follows the format set forth in Title 47 Legislative Rules, Division of Environmental Protection, Series 58, Groundwater Protection Rule. 3.1
INVENTORY WORK SHEET FOR POTENTIAL CONTAMINANTS (47 CSR 58.4.11.1) Contractor to verify the following table providing the storage location, quantity and potential to contaminate soil or ground water. If the potential contaminate listed is not kept on site, then enter “NA” in all three columns. If this site maintains additional items with the potential to contaminate ground water list the additional items in the spaces provided at the end of this list. The storage location should be indicated on a site map. Potential Contaminant
Storage Locations
Fertilizers including ammonium nitrate
Any fertilizers, soil supplements, and seeding will be applied to the required areas using a hydro-spreader by the contractor. All materials are contained in the tanker truck.
Batteries/Battery Acid
Batteries on site will be located in the equipment.
Fairmont Municipal Airport SWPPP, BMP, GPP
4
Quantity in Gallons N/A
N/A
Potential to Contaminate Soil or Ground Water This item does not pose to be a potential contaminate to the soil or ground water.
This item does not pose to be a potential contaminate to the soil or ground water in our project situation. L. R. Kimball & Associates, Inc. 06-1800-0037
Fuels (Tanks)
The Contractor will have fuel trucks that will be available to deliver fuel as needed. The Contractor may have small quantities of oil/grease for equipment maintenance on-site, stored in on-site trailer. Tanks and drums are not anticipated. The Contractor may have these maintenance materials on-site, stored in on-site trailer.
Lubricants (Oil/Grease) (Tanks and Drums)
Parts Cleaner
N/A
N/A
N/A
This item does not pose to be a potential contaminate to the soil or ground water in our project situation. These items do not pose to be a potential contaminate to the soil or ground water in our project situation. This item does not pose to be a potential contaminate to the soil or ground water in our project situation.
3.2
PROCEDURES DESIGNED TO PROTECT GROUND WATER AT CONSTRUCTION SITES (47 CSR 58.4.11.2) Contractor to verify the following table providing the practices and procedures which will be in place at the construction site to prevent contamination of ground water by the potential contaminates. Equipment cleaning, maintenance activities, pipelines, and sumps and tanks which contain potential contaminants must be addressed. Examples of Groundwater Protection Practices can be found in 47 CSR 58.4. et seq. Potential Contaminant Fertilizers including ammonium nitrate
Procedures to Prevent Contamination of Ground Water This item does not pose to be a potential contaminate to the soil or ground water in our project situation.
Batteries/Battery Acid
This item does not pose to be a potential contaminate to the soil or ground water in our project situation. Fuels (Tanks) This item does not pose to be a potential contaminate to the soil or ground water in our project situation. Lubricants This item does not pose to be a (Oil/Grease) potential contaminate to the soil (Tanks and Drums) or ground water in our project situation.
Parts Cleaners
This item does not pose to be a potential contaminate to the soil or ground water in our project
Fairmont Municipal Airport SWPPP, BMP, GPP
5
Proper seeding rate to be followed according to construction and E&S Plans. Properly trained and experienced operators. Proper handling if equipment battery needs replaced. Proper fueling procedures. Properly trained and experienced operators. Proper maintenance procedures. Only in use when needed, don’t leave these items lying around on construction site. Dispose of used containers properly. Proper maintenance procedures. Only in use when needed, L. R. Kimball & Associates, Inc. 06-1800-0037
Storage area for raw materials, product, or wastes
3.3
situation.
don’t leave these items lying around on construction site. Dispose of used containers properly.
The Contractor will have to include information on the storage of on-site materials. A dumpster may be used on-site for disposal of any F.O.D (Foreign Object Debris) that the Contractor produces during construction.
It is recommended that storage areas be secured either in a trailer, lock and key or some equivalent means. This will help prevent vandalism, spills and unwanted use of the materials.
Current Permits Listing of all permits carried out under other regulatory programs. WV NPDES Permit for Construction Stormwater
3.4
Acquiring
Site History
Closest surface water body Distance to closest surface water body
Unknown tributary to the Tygart River (The project is in the Tygart Valley Watershed) Approximately 450 Feet
Depth to ground water (if known):
Unknown
Known ground water monitoring wells within 2000 feet:
Unaware of any still in operation Within 2,000 feet of this project site.
Closest Well Head Protection Area:
See WVDHHR letter, attn: Dr. Feng
Closest Source Water Protection Area:
See WVDHHR letter, attn: Dr. Feng
3.5
Clarification on Deicing Clarification that no waste will be used for deicing, fills, etc.
Fairmont Municipal Airport SWPPP, BMP, GPP
6
L. R. Kimball & Associates, Inc. 06-1800-0037
“No wastes will be used for deicing, filling, or for any other use at this facility unless approved in writing by the Chief of the Office of Water Resources or provided for in an existing regulation or permit.” 3.6
Site Information To be considered a Groundwater Protection Plan (GPP) which can be implemented; this document must be completed in full. If a portion of this plan does not apply to your facility it should be marked “Not Applicable” or “NA”. If more space is needed for any section, attach additional sheets to this document. Number any additions with the appropriate section number (For example: 47 CSR 58.4.11.1). This GPP must be available on site for review at all times. WV DEP or engineer may require modification of a GPP to assure adequate protection of ground water. If a facility does not have adequate ground water protection practices in place they may submit a compliance schedule for implementation of the necessary practices. This compliance schedule would allow them time (no longer than thirty days) to implement the necessary practices.
FACILITY/SITE INFORMATION Facility name: Fairmont Municipal Airport Facility location: Pleasant Valley County: Marion Latitude: 39 26 53.4 Longitude: 80 10 01.3 Contact person: Dave Floyd Telephone: (304)-612-4211 Company Name: Fairmont Municipal Airport Mailing address: P.O Box 387 City, State, Zip: Fairmont, WV 26555 Date Construction to begin: June 2006 Date Construction to end: October 2006? I certify that I have personally examined and approved this Groundwater Protection Plan (GPP). This GPP will be implemented and adhered to during the period construction is in progress at this site. Designated Representative: Title: Signature: Date:
4.0 RECORD KEEPING AND REPORTING Fairmont Municipal Airport SWPPP, BMP, GPP
7
L. R. Kimball & Associates, Inc. 06-1800-0037
Every one month during the life of the construction activity the site will be inspected by the Contractor to ensure that all elements and equipment of the sites ground water protection program are in place, properly functioning, and appropriately managed. 4.1
SAMPLE RECORD KEEPING AND REPORTING FORMS
The following pages contain sample forms for the record keeping and reporting by the Contractor associated with the SWPPP. The following forms are examples; they are not required to be used.
Fairmont Municipal Airport SWPPP, BMP, GPP
Significant Spill Report
Non-storm Water Inspection Report
Employee Training
Good Housekeeping
Preventive Maintenance
Storm Water Inspection Report
8
L. R. Kimball & Associates, Inc. 06-1800-0037
SIGNIFICANT SPILLS, LEAKS, AND IMPROPER DUMPING REPORT Date of Occurrence: _______________________________________________ Discovered by Whom: _____________________________________________ Location: _______________________________________________________ Material Type & Volume: ___________________________________________ ________________________________________________________________ ________________________________________________________________ Cause of Spill: ____________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Corrective Action Taken: ____________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Agencies/Persons Contacted: ________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ___________________________________ Signature
Fairmont Municipal Airport SWPPP, BMP, GPP
9
L. R. Kimball & Associates, Inc. 06-1800-0037
NON-STORM WATER INSPECTION REPORT Date of Inspection: ____________________
Time: _____________________
Inspected by (printed name): ______________________________________________ Signature: ____________________________________________________________ Description of type of inspection (check those that apply): visual observation dye tests smoke tests analysis of accurate schematics sampling/monitoring
TV line survey
Observations/Results: ___________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
Are there any non-storm water discharges? Is the discharge authorized under this permit?
yes yes
no no
Is the discharge covered under another National Pollutant Discharge Elimination System (NPDES) permit? yes no Are significant structural changes required to eliminate the discharge?
Fairmont Municipal Airport SWPPP, BMP, GPP
10
yes
L. R. Kimball & Associates, Inc. 06-1800-0037
no
EMPLOYEE TRAINING Date of Session: _____________________
Time: _____________________
Trainer : ________________________ (printed)
________________________________ (Signature)
Attendees (names, printed):
Signature:
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
_______________________________
________________________________
Topics Covered: ________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
Fairmont Municipal Airport SWPPP, BMP, GPP
11
L. R. Kimball & Associates, Inc. 06-1800-0037
GOOD HOUSEKEEPING
Date: _________________________
Time: _____________________
Inspected by (printed): __________________________________________________ Signature: ____________________________________________________________
Areas Inspected
Observations
Actions Taken
12
L. R. Kimball & Associates, Inc. 06-1800-0037
parking areas fuel pumps outfalls petroleum storage area dumpsters grounds (in general)
Fairmont Municipal Airport SWPPP, BMP, GPP
PREVENTIVE MAINTENANCE
Date: _________________________
Time: __________________________
Inspected by (printed): ___________________________________________________ Signature: ____________________________________________________________
Areas Inspected
Fairmont Municipal Airport SWPPP, BMP, GPP
Observations
Actions Taken
13
L. R. Kimball & Associates, Inc. 06-1800-0037
COMPREHENSIVE / VISUAL INSPECTION
Date: _________________________
Time: ___________________________
Inspected by (printed): ___________________________________________________ Signature: ____________________________________________________________
Areas Inspected
Observations
Actions Taken
14
L. R. Kimball & Associates, Inc. 06-1800-0037
storm water outfalls grounds (in general) parking lots storage areas dumpsters waste storage areas equipment
Fairmont Municipal Airport SWPPP, BMP, GPP
