STORM WATER CONTACTS (5.3.2) Identify the qualified persons responsible for the following required positions (note: a small project may have all these responsibilities carried out by one person): Storm Water Lead (5.3.2); person updating the SWPPP (5.3.2.2); Person(s) Conducting Inspections (5.3.2.3); Person(s) Conducting Monitoring (if applicable, 5.3.2.4), and Person(s) Operating Active Treatment System (if applicable, 5.3.2.5). Document that the named individuals are Qualified Persons as described in CGP Appendix C. Include documentation of qualifications in Appendix E of the SWPPP. Qualified Personnel Responsibility Storm Water Lead Company Name Authority to stop and/or modify construction Address activities as necessary to comply with the SWPPP and City, State, Zip Code the terms and conditions of the permit. Telephone # Fax/Email Preparer Company Possess the skills to assess conditions at the Name construction site that could impact storm water Address quality. Familiar with Part 5 as a means to implement City, State, Zip Code the permit. Telephone # Fax/Email Storm Water Inspector Assess conditions at the construction site that could Company impact storm water quality. Assess the effectiveness Name of any erosion and sediment control measures Address selected to control the quality of storm water City, State, Zip Code discharge, and familiar with Part 6 as a means to Telephone # ensure compliance with the permit. Fax/Email Monitoring Person (If Applicable) Company Knowledgeable in the principles and practices of Name water quality monitoring who is familiar with Part 7 Address and the monitoring plan for the site and how to City, State, Zip Code conduct water quality sampling, testing, and Telephone # reporting. Fax/Email Active Treatment System Operator (If Applicable) Knowledgeable in the principles and practices of Company treatment systems that employs chemical Name coagulation, chemical flocculation or Address electrocoagulation to aid in the treatment of storm City, State, Zip Code water runoff. Familiar with Part 4.5 as a means to Telephone # implement and comply with the permit. Fax/Email
STORM WATER CONTACTS (5.3.2) Identify the qualified persons responsible for the following required positions (note: a small project may have all these responsibilities carried out by one person): Storm Water Lead (5.3.2); person updating the SWPPP (5.3.2.2); Person(s) Conducting Inspections (5.3.2.3); Person(s) Conducting Monitoring (if applicable, 5.3.2.4), and Person(s) Operating Active Treatment System (if applicable, 5.3.2.5). Document that the named individuals are Qualified Persons as described in CGP Appendix C. Include documentation of qualifications in Appendix E of the SWPPP. Qualified Personnel Responsibility Storm Water Lead Company Name Address City, State, Zip Code Telephone # Fax/Email Authority to stop and/or modify construction activities as necessary to comply with the SWPPP and the terms and conditions of the permit. Preparer Company Name Address City, State, Zip Code Telephone # Fax/Email Possess the skills to assess conditions at the construction site that could impact storm water quality. Familiar with Part 5 as a means to implement the permit. Storm Water Inspector Company Name Address City, State, Zip Code Telephone # Fax/Email Assess conditions at the construction site that could impact storm water quality. Assess the effectiveness of any erosion and sediment control measures selected to control the quality of storm water discharge, and familiar with Part 6 as a means to ensure compliance with the permit. Monitoring Person (If Applicable) Company Name Address City, State, Zip Code Telephone # Fax/Email Knowledgeable in the principles and practices of water quality monitoring who is familiar with Part 7 and the monitoring plan for the site and how to conduct water quality sampling, testing, and reporting. Active Treatment System Operator (If Applicable) Company Name Address City, State, Zip Code Telephone # Fax/Email Knowledgeable in the principles and practices of treatment systems that employs chemical coagulation, chemical flocculation or electrocoagulation to aid in the treatment of storm water runoff. Familiar with Part 4.5 as a means to implement and comply with the permit.
2016_CGP_SWPPP_Template.docx