Identify Receiving Waters Using Table A.1 below, list in order of upstream to downstream, the receiving waters that the project site is tributary to. Continue to fill each row with the Receiving Water’s 303(d) listed impairments (if any), designated beneficial uses, and proximity, if any, to a RARE beneficial use. Include a map of the receiving waters in Appendix 1. Table A.1 Identification of Receiving Waters Designated Proximity to RARE Receiving Waters EPA Approved 303(d) List Impairments Beneficial Uses Beneficial Use Insert name of List any 303(d) impairments of 1st Insert designated Insert distance of project to 1st receiving receiving water, including Approved beneficial use of 1st waters (indicate whether water TMDL pollutant limitations receiving water feet, yards, or miles) insert name of List any 303(d) impairments of 2nd Insert designated Insert distance of project to 2nd receiving receiving water, including Approved beneficial use of 2nd waters (indicate whether water TMDL pollutant limitations receiving water feet, yards, or miles) Insert name of List any 303(d) impairments of 3rd Insert designated Insert distance of project to 3rd receiving receiving water, including Approved beneficial use of 3rd waters (indicate whether water TMDL pollutant limitations receiving water feet, yards, or miles) Additional Permits/Approvals required for the Project: Table A.2 Other Applicable Permits Agency Permit Required State Department of Fish and Game, 1602 Streambed Alteration Agreement Y N State Water Resources Control Board, Clean Water Act (CWA) Section 401 Water Y N Quality Cert. US Army Corps of Engineers, CWA Section 404 Permit Y N US Fish and Wildlife, Endangered Species Act Section 7 Biological Opinion Y N Statewide Construction General Permit Coverage Y N Statewide Industrial General Permit Coverage Y N Western Riverside MSHCP Consistency Approval (e.g., JPR, DBESP) Y N Other (please list in the space below as required) Y N If yes is answered to any of the questions above, the Co-Permittee may require proof of approval/coverage from those agencies as applicable including documentation of any associated requirements that may affect this Project-Specific WQMP. Optimize Site Utilization (LID Principles) Review of the information collected in Section ‘A’ will aid in identifying the principal constraints on site design and selection of LID BMPs as well as opportunities to reduce imperviousness and incorporate LID
Identify Receiving Waters Using Table A.1 below, list in order of upstream to downstream, the receiving waters that the project site is tributary to. Continue to fill each row with the Receiving Water’s 303(d) listed impairments (if any), designated beneficial uses, and proximity, if any, to a RARE beneficial use. Include a map of the receiving waters in Appendix 1. Table A.1 Identification of Receiving Waters Receiving Waters EPA Approved 303(d) List Impairments Designated Beneficial Uses Proximity to RARE Beneficial Use Insert name of 1st receiving water List any 303(d) impairments of 1st receiving water, including Approved TMDL pollutant limitations Insert designated beneficial use of 1st receiving water Insert distance of project to waters (indicate whether feet, yards, or miles) insert name of 2nd receiving water List any 303(d) impairments of 2nd receiving water, including Approved TMDL pollutant limitations Insert designated beneficial use of 2nd receiving water Insert distance of project to waters (indicate whether feet, yards, or miles) Insert name of 3rd receiving water List any 303(d) impairments of 3rd receiving water, including Approved TMDL pollutant limitations Insert designated beneficial use of 3rd receiving water Insert distance of project to waters (indicate whether feet, yards, or miles) Additional Permits/Approvals required for the Project: Table A.2 Other Applicable Permits Agency Permit Required State Department of Fish and Game, 1602 Streambed Alteration Agreement Y N State Water Resources Control Board, Clean Water Act (CWA) Section 401 Water Quality Cert. Y N US Army Corps of Engineers, CWA Section 404 Permit Y N US Fish and Wildlife, Endangered Species Act Section 7 Biological Opinion Y N Statewide Construction General Permit Coverage Y N Statewide Industrial General Permit Coverage Y N Western Riverside MSHCP Consistency Approval (e.g., JPR, DBESP) Y N Other (please list in the space below as required) Y N If yes is answered to any of the questions above, the Co-Permittee may require proof of approval/coverage from those agencies as applicable including documentation of any associated requirements that may affect this Project-Specific WQMP. Optimize Site Utilization (LID Principles) Review of the information collected in Section ‘A’ will aid in identifying the principal constraints on site design and selection of LID BMPs as well as opportunities to reduce imperviousness and incorporate LID