NCG020702_COMPLETE FILE - HISTORICAL_20151001

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V0`1
�S
DOC TYPE
VHISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑�� I S I D U I
YYYYMMDD

Compliance Inspection Report
Permit: NCG020702 Effective: 10/01/15 Expiration: 09/30/20 Owner: Jordan Land Development
SOC: Effective: Expiration: Facility: Jordan Land Development, Inc.
County: Ashe 120 Rocky Ridge Rd
Region: Winston-Salem
W Jefferson NC 28694
Contact Person: Patricia G Jordan Title: Phone: [phone]
Directions to Facility:
From Winston-Salem travel 421 North to Highway 221 in Deep Gap. Turn right onto 221 North. Travel approx. 13 miles and turn left
at the intersection of 221 & Mt. Jefferson Road. Mine located immediately on the right on property owned by Tri-County Paving
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06/28/2017 Entry Time: 10:50AM Exit Time: 11:20AM
Primary Inspector: Paul Williams Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Mining Activities Stormwater Discharge COC
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

Permit: NCG0207c2 Owner - Facility: Jordan Land Development
Inspection Date: 06/28/2017 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: NCG020702 Owner- Facility: Jordan Land Devetopment
Inspection Date: 06/28/2017 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
❑ [] ❑
# Does the Plan include a General Location (USGS) map?
E ❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
W ❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ ❑ S ❑
# Has the facility evaluated feasible alternatives to current practices?
E ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
E ❑ ❑ ❑
# Does the Plan include a BMP summary?
E ❑ ❑ E]
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
N ❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑ ❑ ❑
# Does the facility provide and document Employee Training?
0 ❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
0 ❑ ❑ ❑
# Is the Plan reviewed and updated annually?
0 ❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
E ❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
N ❑ ❑ ❑
Comment: SP3 was updated and signed on February 15 2017. Employee training
was documented and
dated September 27, 20_1.6,_
Qualitative Monitoring
Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually?
E ❑ ❑ ❑
Comment: Qualitative monitoring was performed most recently on 11 1912016 and 3BI2017, respectively,
Analytical Monitoring
YsN�aNA�NE
Has the facility conducted its Analytical monitoring? 0 ❑ ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ 0 ❑
Comment: Analytical monitoring was most recent performed on 11/9/2017_and 31812017, respectively._
Vehicle maintenance is not performed at this facility,
Permit and Outfalls
Yg,S No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑
# Were all outfalls observed during the inspection? 0 ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ 0 ❑
# Has the facility evaluated all illicit (non stormwater) discharges? E ❑ ❑ ❑
Comment: Facility has 1 outfall. Maintains rain gauge that is located attached to the wall of the scale house.
Page: 3

AMA REcElvED
0`ACDENR N.C.Dept. of ENR
North Carolina Department of Environment and Natural Resources iNOV 2 Q 2012
Division of Water Quality Winston -Barn,
Ren'on1W 0"rca
Beverly Eaves Perdue Charles Wakild, P. E. Dee-Freernan-
Governor Director Secretary
November 20, 2012
Patricia Jordan
Jordan Land Development
PO Box 863
West Jefferson, NC 28694
Subject: NPDES Stormwater Permit Coverage Renewal
Jordan Land Development
COC Number NCG020702
Ashe County
Dear Permittee:
In response to your renewal application for continued coverage under Stormwater General Permit
NCG020702 August 7, 2012, the Division of Water Quality (DWQ) is forwarding herewith the reissued
Certificate of Coverage and stormwater General Permit. This permit is reissued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between
the state of North Carolina and the U.S. Environmental Protection Agency, dated October 15, 2007 (or as
subsequently amended.)
The following information is included with your pert -nit package:
• A new Certificate of Coverage
• A copy of the stormwater General Permit
• A copy of a Technical Bulletin for the General Permit
• Copies of the Discharge Monitoring Report (DMR) Form
• Copies of the Annual Discharge Monitoring Report Form (if applicable)
• Copies of the Qualitative. Monitoring Report Form
The General Permit authorizes discharges of stormwater only, and it specifies your obligations with
respect to stormwater discharge controls, management', monitoring, and record keeping. Please review
the new permit to familiarize yourself with all changes in the reissued permit. Significant changes to the
General Permit are outlined in the attached Technical Bulletin.
Your coverage under the General Permit is transferable only through the specific action of DWQ.
This permit does not affect the legal requirements to obtain other permits which may be required by
DENR, nor does it relieve the permittee'from responsibility for compliance with any other applicable
federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: Swnvr.ncwatemuatdy.oro One
An Equal Opportunity 1 At{rmake.Action Employer NorthCarol i n.a
Naturally

ti
If you have any questions regarding this permit package please contact the DWQ Stormwater Permitting
Unit at 919-807-6300.
Sincerely,
ORIGINAL. SIGNED B)
KEN PICKLE
for Charles Wakild, P.E.
cc: DWQ Central Files
Stormwater Permitting Unit Files
Winston-Salem Regional Office, Surface Water Protection Section Supervisor

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020702
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Jordan Land Development
is hereby authorized to discharge stormwater from a facility located at:
Jordan Land Development
120 Rocky Ridge Rd
West Jefferson
Ashe County
to receiving waters designated as Little Buffalo Creek, class C, Tr waterbody in the New
River Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, 111, IV, V, and VI of the General Permit as attached.
This certificate of coverage shall become effective November 20, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 20, 2012,
ORIGINAL. SIGNED Sl
KEN PICKLE
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E.
Governor Director
August 16, 2012
Ms. Patricia Jordan
Jordan Land Development
P.O. Box 863
West Jefferson, NC 28694
Subject: Compliance Evaluation Inspection
120 Rock Ridge Road Quarry
NPDES Permit # NCG020702
Ashe County
Dear Ms. Jordan:
Dee Freeman
Secretary
On August 14, 2012 a Compliance Evaluation Inspection was performed by George Smith, of this office. Ms.
Patricia Jordan, President, Mr. Larry Shumate, and Mr. Mark McNeil were present for the inspection. Tim
Latham with the Land Quality Section was present for a mine inspection.
Permit
This General Permit became effective January 1, 2010 and expires on December 31, 2014. Please read the
permit and insure that you are compliant with all terms and conditions.
Part III, Section A - Stormwater Pollution Prevention Plan (SPPP)
The SPPP is on file and being upgraded. Please insure that all nine (9) requirements of this plan are addressed
and documented prior to the next inspection. Please refer to the simplified SPPP model sent to your email
(tricopavingaaskybest.com) on August M, 2012. A more thorough model to follow.
Facility Site Review
There is no Vehicle Maintenance Area. There is no Mine dewatering, Stone Washing, or Recycle Wastewater
discharges. There is no Closed Loop Recycle system.
Laboratory
Analytical tests, such as, Settleable Solids, Total Suspended Solids (TSS), Turbidity, and pH were all performed
using approved analytical methods by a certified lab.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Looati= 585 Waughtown St. Winston-Salem, North Carolina 27107 Ite
Phone: [phone] FAX: [phone] AhCarofina
Internet: www.ncwaterquality.org �/ y '�']"
wUra//Y
An Equal Opportunity 1 Affirmative Action Employer

CEI
August 16, 2012
Page 2 of 3
Part III, Section B — Stormwater Analytical Monitoring
Analytical tests, such as, Settleable Solids, Total Suspended Solids, and Turbidity are performed semi-annually
at Outfall 001 by using approved analytical methods by a certified lab/person. These tests are only required
semi-annually.
Rainfall is measured and documented in a separate log.
The current permit, which became effective on January 1, 2010, requires that each outfall be. sampled twice per
year as shown in Table 2 (January — June and July — December) for the following:
Settleable Solids
Total Suspended Solids (TSS)
Turbidity
Rainfall
Effluent/Receiving Waters
The stormwater discharges to Little Buffalo Creek, Class C; Trout waters of the ,State. The waters are not
impacted from this operation.
The compliance evaluation inspection is satisfactory. If you have any questions please contact George Smith or
me at [phone].
Sincerely,
` O/W. Corey Basinger
Regional Supervisor
cc: WSRO Files

Compliance Inspection Report
Permit: NCG020702
SOC:
County: Ashe
Region: Winston-Salem
Effective: 02/23/07 Expiration: 12/31/09 Owner: Jordan Land Development
Effective: Expiration: Facility: Jordan Land Development, Inc.
120 Rocky Ridge Rd
W Jefferson NC 28694
Contact Person: Patricia G Jordan Title: Phone: [phone]
Directions to Facility:
From Winston-Salem travel 421 North to Highway 221 in Deep Gap. Turn right onto 221 North. Travel approx. 13 miles and turn left at
the intersection of 221 & Mt. Jefferson Road. Mine located immediately on the right on property owned by Tri-County Paving
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 08114/2012 Entry Time: 01:00 PM Exit Time: 02:15 PM
Primary Inspector: George S Smith Phone: [phone]
Secondary Inspector(s): .
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Mining Activities Stormwater Discharge COC
Facility Status: ■ Compliant Q Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

Permit: NCG020702 Owner - Facility: Jordan Land Development
Inspection Date: 08/14/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Stormwater Pollution Prevention Plan
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: A model SPPP was sent and the plan will be updated agin to include all
requirements.
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment:
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comment:
Yes No NA NE
■nnn
® n In n
■nnn
■nnn
n■nn
n■nn
n n n n
■nnn
Yes No NA NE
■nnn
Yes No NA NE
■nnn
n n ■ n
Page: 2

M-CJ c

s

.f
4
(
P \CDENR
North Carolina Department of Environment and Natura
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
April 22, 2010
Ms. Patricia Jordan
Jordan Land Development
P.O. Box 863
West Jefferson, NC 28694
Subject: Compliance Evaluation Inspection
120 Rocs: Ridge Road Quarry
NPDES Permit 4 NICGO20702
Ashe County
Dear Ms. Jordan:
Resources
Dee Freeman
Secretary
On April 15, 2010 a Compliance Evaluation Inspection was performed by George Smith, of this office. Ms.
Patricia Jordan, President, and Mr. Lucian Jordan were present for the inspection.
Permit
Permit compliance for this inspection was judged with the NCG020000 permit that expired on December 31,
2009.
The following Sections of the NPDES permit that was issued January 1, 2010 must be implemented:
I. Part III, Section A - Stormwater Pollution and Prevention Plan (SPPP)
2. Part II1, Section B, Table I — Anaiytical Monitoring
3. Part III, Section D, Table 6 - Qualitative Monitoring
Records & Reports
Part III, Section A - Stormwater Pollution and Prevention Plan (SPPP)
The SPPP is currently being developed and is in a 3-ring binder. Please insure that all nine (9) requirements of
this plan are addressed and documented prior to the next inspection.
North Carolina Division of Water Quality, Winston-Salem Regional office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service: 1-677-623-6748 North Carolina
Internet: www.ncwaterquality.org Naturally
An Equal Opportunity 1 Affirmative Actioh Employer

0
CEl
April 22, 2010
Page 2 of 3
Facility Site Review
There is no Vehicle Maintenance Area. There is no Mine dewatering, Stone Washing, or Recycle Wastewater
discharges. There is no Closed Loop Recycle system.
Laboratory
Analytical tests, such as, Settleable Solids, Total Suspended Solids (TSS), Turbidity, and pH were all performed
using approved analytical methods by a certified lab/person.
Self -Monitoring Program
The analytical and qualitative monitoring were performed and documented as required in the permit that
expired on December 31, 2009.
The current permit, which became effective on January 1, 2010, requires that each outfall be sampled twice per
year as shown in Table 2 (January — June and July December) for the following:
Settleable Soilds
Total Suspended Solids (TSS)
Turbidity
Rainfall
Effluent/Receiving NN'aters
L' j �r.,f rTQW QN/b
The effluent to discharges to Little Buffalo Creek, Class C, Trout waters of the State. The waters are not
impacted from this operation.
The compliance evaluation inspection is satisfactory. If you have any questions please contact George Smith or
me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
cc: WSRO=Files

Ir
Compliance Inspection Report
Permit: NCG020702 Effective: 02/23/07 Expiration: 12/31/09 Owner: ,Jordan Land Development
SOC: Effective: Expiration: Facility: Jordan Land Development, Inc.
County: Ashe 120 Rocky Ridge Rd
Region: Winston-Salem
W Jefferson NC 28694
Contact Person: Patricia G Jordan Title: Phone: [phone]
Directions to Facility:
From Winston-Salem travel 421 North to Highway 221 in Deep Gap. Turn right onto 221 North. Travel approx. 13 miles and turn left at
the inters6ction 9f 221 & Mt. Jefferson Road Mine located immediately on the right on property owned by Tri-County Paving
System lassifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits: '
Inspection Date: 04/1512010 Entry Time: 10:10 AM Exit Time: 10:40 AM
Primary Inspector: George S Smith Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Mining Activities Stormwater Discharge CCC
Facility Status: IN Compliant ❑ Not Compliant
Question Areas:
® Storm Water
(See attachment summary)
Page: 1

Permit: NCG020702 Owner - Facility: Jordan Land Development
Inspection Date: 04115/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Some of the elements of the SPPP need to be added to the 3-ring binder
Stormwater Pollution Prevention Plan
Yes
No
NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
■
n
In
n
# Does the Plan include a General Location (USGS) map?
■
n
n
n
# Does the Plan include a "Narrative Description of Practices"?
❑
■
❑
11
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
n
n
In
# Does the Plan include a list of significant spills occurring during the past 3 years?
n
n
■
n
# Has the facility evaluated feasible alternatives to current practices?
■
n
n
n
# Does the facility provide all necessary secondary containment?
■
n
n
n
# Does the Plan include a BMP summary?
n
■
n
n
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
o
n
n
n
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
n
■
n
n
# Does the facility provide and document Employee Training?
■
n
n
n
# Does the Plan include a list of Responsible Party(s)?
■
n
n
n
# Is the Plan reviewed and updated annually?
■
n
n
n
# Does the Plan include a Stormwater Facility Inspection Program?
■
n
n
n
Has the Stormwater Pollution Prevention Plan been implemented?
■
n
n
In
Comment: Some elements of the SPPP must be added.
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
■
n
n
n
Comment:
Analytical Monitoring
Yes
No
NA
NE
Has the facility conducted its Analytical monitoring?
n
n
In
n
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
n
n
■
n
Comment:
Page: 2

�OF wATF9Q
4 ^�
Ms. Patricia Jordan
Jordan Land Development
P.O. Box 863
West Jefferson, NC 28694
Beverly Eaves Perdue, Governor
Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
February 3, 2009
Subject: Compliance Stormwater Inspection
120 Rock Ridge Road Facility
NPDES Permit # NCG020702
Ashe County
Dear Ms. Jordan:
Coleen 11. Sullins, Director
Division of Water Quality
On .January 30, 2009 a Compliance Inspection was performed by George Smith, of this office. Ms.
Patricia Jordan, President, was present for the inspection..
The attached inspection form evaluates six (6) areas as noted in this letter of the attached EPA
inspection'report, and the observations and comments during the inspection are addressed
below:
Permit
Your certificate of coverage became effective on February 23, 2007. The.NPDES general permit
expires on December 31, 2009.
The inspection covered the following Terms and Conditions in the permit:
✓ Part III, Section A. Stormwater Best Management Practices (BMPS) Plan.
✓ Part 111, Section B: Analytical and Qualitative Monitoring for Discharges Composed Entirely of
Stormwater.
Records & Report
Best Management Practices (BMPs) Plan was implemented. All monitoring was well documented in
a binder.
Analytical and Qualitative Monitoring for Discharges Composed Entirely of Stormwater per Part
III, Section B were performed at Outfalls 001 & 002.
Mailing Address Phone [phone] Location one
6 ( ) No hCarolina
1617 Mail service Center Fax [phone] N. Salisbury St. Natimallry
Raleigh, NC 27699-1617 Raleigh, NC 27604
lnteraW www.newaterguality.org Customer Service 1-877�23-6748
An Equa# OpportunifylAffirmative Action Employer — 50% Recycled110% Post Consumer Paper

Ms. Graham
February 3, 2009
Page 2 of 3
Facility Site Review
There is no Vehicle Maintenance Area.
There is no Mine dewatering, Stone Washing, or Recycle Wastewater discharges.
There is no Closed Loop Recycle system.
Laboratory
Analytical tests, such as; Settleable Solids, Total Suspended Solids, Turbidity, pH. are all performed
using approved analytical methods by a certified lab/person. All tests are properly performed and
documented.
Self -Monitoring Program
The facility had monitoring records on -site, as required in the records &reports section of this report.
The analytical and qualitative monitoring.was performed.
Effluent/Receiving Waters
The effluent to discharges to Little Buffalo Creek, Class C, Tr waters of the State. The waters are not
impacted from this operation.
The compliance stormwater inspection is satisfactory. If you have any questions please contact
George Smith or me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
cc: SWP Central Files
,7-W !C);Files

I
Compliance Inspection Report
Permit: NCG020702 Effective: 02/23/07 Expiration: 12/31/09 Owner: Jordan Land Development
SOC: Effective: Expiration: Facility: Jordan Land Development, Inc.
County: Ashe 120 Rocky Ridge Rd
Region: Winston-Salem
W Jefferson NC 28694
Contact Person: Patricia G Jordan Title: Phone: [phone]
Directions to Facility.
From Winston-Salem travel 421 North to Highway 221 in Deep Gap. Turn right onto 221 North. Travel approx. 13 miles and turn left at
e intersection pf 221 & Mt. Jefferson Road. Mine located immediately on the right on property owned by Tri-County Paving
SystemClassifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 01/30/2009 EntryTime: 11:15 AM Exit Time: 11:29 AM
Primary Inspector: George S Smith Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Stormwater
Permit Inspection Type: Mining Activities Stormwater Discharge COC
Facility Status: O Compliant r1 Not Compliant
Question Areas:
® Storm Water
(See attachment summary)
Page: 1

J
Permit: NCG020702 Owner - Facility: Jordan Land Development r
Inspection Date: 01/3012009 Inspection Type: Stormwater Reason for Visit: Routine
Inspection Summary:
Page: 2

W
Permit: NCG020702 Owner - Facility: Jordan Land Development
Inspection Date: 01/30/2009 Inspection Type: Stormwater
Reason for Visit: Reutine
Stormwater Pollution Prevention Plan
Yes
No
NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
■
n
'n
n
# Does the Plan include a General Location (USGS) map?
■
n
n
n
# Does the Plan include a "Narrative Description of Practices"?
n
■
n
n
# Does the Plan include a detailed site map including outfall locations and drainage areas?
®
0
Cl
n
# Does the Plan include a list of significant spills occurring during the past 3 years?
n
la
n
n
# Has the facility evaluated feasible alternatives to current practices?
®n
n
n
# Does the facility provide all necessary secondary containment?
■
n
n
n
# Does the Plan include a BMP summary?
®n
n
n
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
n
■
n
n
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
❑
n
n
# Does the facility provide and document Employee Training?
n
# Does the Plan include a list of Responsible Party(s)?
n
n
n
B
# Is the Plan reviewed and updated annually?
rl
n
❑
# Does the Plan include a Stormwater Facility Inspection Program?
®ri
n
n
Has the Stormwater Pollution Prevention Plan been implemented?
■
n
n
n
Comment: There are some elements of the plan that need to be documented.
Qualitative Monitoring
Yes No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
®❑
n
n
Comment:
Analytical Monitoring
Yes No
NA
NE
Has the facility conducted its Analytical monitoring?
®❑
Q
n
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
n n
W
n
Comment:
Permit and Outfalls
Yes
No NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
®
n n
0
# Were all outfalls observed during the inspection?
®n
n
# If the facility has representative outfall status, is it properly documented by the Division?
00
# Has the facility evaluated all illicit (non stormwater) discharges?
a
n rl
n
Comment:
Page: 3