Page 200 - California Stormwater Workshop Handouts

APPENDIX 1

STORM WATER POLLUTION PREVENTION PLAN (SWPPP)
CHECKLIST

NATIONAL POLLUTION DISCHARGE ELIMINTATION SYSTEM (NPDES)
GENERAL PERMIT FOR STORM WATER DISCHARGES
ASSOCIATED WITH INDUSTRIAL ACTIVITIES
(GENERAL PERMIT)

FACILITY NAME:_________________________________________________

Waste Discharge Identification (WDID) #:_______________________________

FACILITY CONTACT Consultant/Qualified
Industrial Storm Water

Practitioner (QISP)

Name
Title
Company
Street Address
City, State
Zip

SWPPP Not Applicable SWPPP Page # Date Implemented
(General Permit Section) or Reference or Last Revised

Signed Certification Location
(Section II.A)

Pollution Prevention Team
(Section X.D.1)

Existing Facility Plans
(Section X.D.2)

Site Map(s) (Section X.E)

Facility boundaries 1
(Section X.E.3.a)
Drainage areas
(Section X.E.3.a)
Direction of flow
(Section X.E.3.a)
On-facility water bodies
(Section X.E.3.a)

Order 2014-0057-DWQ