Industrial Stormwater General Permit Stormwater
Pollution Prevention Plan (SWPPP) Template
To help you develop a SWPPP that is consistent with the Industrial Stormwater General Permit
(IGP), the Arkansas Department of Environmental Quality (ADEQ) has created this Industrial
SWPPP Template. Use of the template will help ensure that your SWPPP addresses all the
necessary elements required in the IGP.
Before completing the Template, make sure you read and understand the requirements in the
Industrial Stormwater General Permit (IGP). A copy of the IGP is available at the following
website:
http://www.adeq.state.ar.us/water/branch_permits/general_permits/stormwater/industrial/industri
al/industrial.htm.
Using the Industrial SWPPP Template
Tips for completing the Template:

This Template is designed for use by all facilities eligible for coverage under the
IGP. The Template is NOT tailored to your individual industrial sector.

Each section includes “instructions” and space for your facility’s specific
information. You should read the instructions for each section before you
complete that section.

The Template was developed in Microsoft Word so that you can easily add tables
and additional text. Some sections may require only a brief description while
others may require several pages of explanation.
ADEQ has made every effort to ensure the accuracy of all instructions and guidance contained in
the Template, the actual obligations of regulated industrial facilities are determined by the
relevant provisions of the permit, not by the Template. In the event of a conflict between the
Template and any corresponding provision of the IGP, the permit controls. ADEQ welcomes
comments on the Template at any time and will consider those comments in any future revision
of this document.
ADEQ Industrial SWPPP Template – September 2010
Stormwater Pollution Prevention Plan (SWPPP)
For
Industrial Activity
National Pollution Discharge Elimination System
General Permit # ARR000000
Permit Tracking Number:
ARR00
Prepared for:
Insert Facility Name
Insert Facility Address
Insert City, State, Zip Code
Insert Facility Telephone Number (if applicable)
Industrial Sector -
Prepared by:
SWPPP Preparation Date:
ADEQ Industrial SWPPP Template – September 2010
Page 1
1.0 Facility Information
Facility Information
Name of Facility:
Street (911 Address):
City:
County:
State:
ZIP Code:
Facility SIC Code:
Facility NAICS Code:
Facility Latitude:
Facility Longitude:
_ _ º _ _ ' _ _'' N (degrees, minutes, seconds)
_ _ º _ _ ' _ _'' W (degrees, minutes, seconds)
Discharge Information
Name(s) of water(s) that receive stormwater from your facility
1. Are any of your discharges directly into any segment of an “impaired” water of the 303(d) list?
Yes
No
See following website for 303(d) list. http://www.adeq.state.ar.us/water/default.htm
If Yes, identify name of the impaired water (and segment, if applicable):
Identify the pollutant(s) causing the impairment:
For pollutants identified, which do you have reason to believe will be present in your discharge?
For pollutants identified, which have a completed TMDL?
See Part 8.0.
2. Are any of your stormwater discharges subject to effluent guidelines?
If Yes, which guidelines apply?
ADEQ Industrial SWPPP Template – September 2010
Yes
No
Page 2
2.0 Facility Description
Instructions (see Part 4.6.3):

Provide a general description of the nature of the industrial activities at your facility.
Insert text here
ADEQ Industrial SWPPP Template – September 2010
Page 3
3.0 Stormwater Pollution Prevention Team
Instructions (see Part 4.6.2):
 Identify the staff members (by name or title) that comprise the facility’s stormwater
pollution prevention team as well as their individual responsibilities.
 Your stormwater pollution prevention team is responsible for assisting the facility
manager in developing and revising the facility’s SWPPP, implementing and maintaining
control measures/BMPs, and taking corrective actions where required. Each member of
the stormwater pollution prevention team should have ready access to either an electronic
or paper copy of applicable portions of the IGP and your SWPPP.
Name
Title
ADEQ Industrial SWPPP Template – September 2010
Individual Responsibilities
Page 4
4.0 Site Map
Instructions (see Part 4.6.4):
 Include a map showing the following information. The site map should be included as
Attachment B of this SWPPP Template.
o the size of the property in acres;
o the location and extent of significant structures and impervious surfaces;
o directions of stormwater flow (use arrows);
o locations of all existing structural control measures;
o locations of all receiving waters in the immediate vicinity of the facility,
o locations of all stormwater conveyances including ditches, pipes, and swales;
o locations of potential pollutant sources;
o locations of all stormwater monitoring points;
o locations of stormwater inlets and outfalls, with a unique identification code for each
outfall, indicating if one or more outfalls is being treated as “substantially identical” ,
and an approximate outline of the areas draining to each outfall;
o municipal separate storm sewer systems (MS4), where the stormwater discharges to
them (if applicable);
o locations and descriptions of all non-stormwater discharges identified;
o locations of the following activities where such activities are exposed to precipitation:
fueling stations; vehicle and equipment maintenance and/or cleaning areas;
loading/unloading areas; locations used for the treatment, storage, or disposal of
wastes; liquid storage tanks; processing and storage areas; immediate access roads and
rail lines used or traveled by carriers of raw materials, manufactured products, waste
material, or by-products used or created by the facility; transfer areas for substances in
bulk; and machinery; and
o locations and sources of run-on to the site from adjacent property that contains
significant quantities of pollutants.
See Attachment A for site map.
ADEQ Industrial SWPPP Template – September 2010
Page 5
5.0 Potential Pollutant Sources
Instructions (see Part 4.6.5):
In this section, you are required to describe areas at your facility where industrial materials or
activities are exposed to stormwater or from which allowable non-stormwater discharges are
released.
5.1 Industrial Activity and Associated Pollutants
Instructions (see Part 4.6.5.1):
Include a list of industrial activities exposed to stormwater (including loading and unloading
of dry bulk materials or liquids; outdoor storage of materials or products; outdoor
manufacturing and processing; dust or particulate generating processes; roofs or other
surfaces exposed to air emissions from a manufacturing building or a process area; on-site
waste treatment, storage or disposal; vehicle and equipment fueling, maintenance and/or
cleaning (includes washing); roofs or other surfaces composed of materials that may be
mobilized by stormwater (e.g. galvanized or copper roofs)).
Industrial Activity
Insert specific industrial activity
[Repeat as necessary]
[Repeat as necessary]
[Repeat as necessary]
[Repeat as necessary]
[Repeat as necessary]
[Repeat as necessary]
ADEQ Industrial SWPPP Template – September 2010
Page 6
5.2 Inventory of Exposed Materials
Instructions (see Part 4.6.5.2):
Include an inventory of the types of materials handled at the site that potentially may be
exposed to stormwater. Such inventory shall include a narrative description of significant
materials that have been handled, treated, stored, or disposed in a manner to allow exposure to
stormwater between the time three years prior to the effective date of this permit and the
present; method and location of on-site storage and disposal; materials management practices
employed to minimize contact of these materials with stormwater runoff between the time of
three years prior to the effective date of this permit and the present; the location and a
description of existing structural and nonstructural control measures to reduce pollutants in
stormwater runoff; and a description of any treatment the stormwater receives.
Insert inventory here.
5.3 Spills and Leaks
Instructions (See Part 4.6.5.3):
Include a list of significant spills and significant leaks of toxic or hazardous pollutants that
occurred at areas exposed to stormwater or that otherwise drain to a stormwater conveyance
at the facility after the date of three years prior to the effective date of this permit. This list
shall be updated as appropriate during the term of the permit.
Description of Past Spills/Leaks
Date
Insert date of
spill/leak
Description
Insert description of spill/leak (where it occurred,
what happened, types of pollutants, extent of damage)
[Repeat as
necessary]
[Repeat as
necessary]
[Repeat as
necessary]
[Repeat as necessary]
Outfalls
Specify which
outfall(s) were
affected
[Repeat as necessary]
[Repeat as necessary]
[Repeat as necessary]
[Repeat as necessary]
[Repeat as necessary]
ADEQ Industrial SWPPP Template – September 2010
Page 7
5.4 Sampling Data Summary
Instructions (See Part 4.6.5.4):
Summarize any of existing discharge sampling data describing pollutants in stormwater
discharges from the facility, including a summary of sampling data collected during the term
of this permit.
Insert a summary of stormwater sampling data that will be collected during the term of this
permit. Can be placed in an attachment.
5.5 Risk Identification and Summary of Potential Pollutant Sources:
Instructions (See Part 4.6.5.5):
 Describe any potential pollutant sources at the following areas: loading and unloading
operations; outdoor storage activities; outdoor manufacturing or processing activities;
significant dust or particulate generating processes; and on-site waste disposal practices.

The description shall specifically list any significant potential source of pollutants at the
site and for each potential source, any pollutant or pollutant parameter (e.g. biochemical
oxygen demand, etc.) of concern shall be identified.
Insert narrative description here.
ADEQ Industrial SWPPP Template – September 2010
Page 8
6.0 Stormwater Control Measures
Instructions (see Part 4.6.6):
Each facility covered by this permit shall develop a description of stormwater management
controls appropriate for the facility and implement such controls. The appropriateness and
priorities of controls in the SWPPP shall reflect identified potential sources of pollutants at
the facility. The selection, design, installation, and implementation of these control measures
must be in accordance with good engineering practices and manufacturer’s specifications.
Note that a permittee may deviate from such manufacturer’s specifications where justification
is provided for such deviation and include documentation of the rationale in the part of the
SWPPP that describes the control measures. If control measures are found not to be
achieving their intended effect of minimizing pollutant discharges, the control measures must
be modified as expeditiously as practicable.
The following should be considered when selecting and designing control measures:
a. preventing stormwater from coming into contact with polluting materials is generally
more effective, and less costly, than trying to remove pollutants from stormwater;
b. using control measures in combination is more effective than using control measures in
isolation for minimizing pollutants in stormwater discharges;
c. assessing the type and quantity of pollutants, including their potential to impact receiving
water quality, is critical to designing effective control measures that will achieve the
limits in this permit;
d. minimizing impervious areas at the facility and infiltrating runoff onsite (including
bioretention cells, green roofs, and pervious pavement, among other approaches) can
reduce runoff and improve groundwater recharge and stream base flows in local streams,
although care must be taken to avoid ground water contamination;
e. attenuating flow using open vegetated swales and natural depressions can reduce instream impacts of erosive flows;
f. conserving and/or restoring of riparian buffers will help protect streams from stormwater
runoff and improve water quality; and
g. using treatment interceptors (e.g., swirl separators and sand filters) may be appropriate in
some instances to minimize the discharge of pollutants.
For Guidance on potential pollutant sources and controls that should be considered in
development of the SWPPP for a specific type of industry, refer to EPA’s Multi-Sector
General Permit (available online via link at
(http://www.epa.gov/region6/6wq/npdes/sw/industry/index.htm). The description of
stormwater management controls shall address the following minimum components,
including a schedule for implementation.
ADEQ Industrial SWPPP Template – September 2010
Page 9
6.1 Minimize Exposure
Instructions (see Part 4.6.6.2):
Describe any structural controls or practices used to minimize the exposure of industrial
activities to rain, snow, snowmelt, and runoff. Describe where the controls or practices are
being implemented at your site.
INSERT DESCRIPTION OF CONTROL MEASURES HERE.
6.2 Good Housekeeping
Instructions (see Part 4.6.6.3):
Describe any practices you are implementing to keep exposed areas of your site clean.
Describe where each practice is being implemented at your site.
INSERT DESCRIPTION OF CONTROL MEASURES HERE.
6.3 Preventative Maintenance
Instructions (see Part 4.6.6.4):
Describe procedures (1) to maintain industrial equipment so that spills/leaks are avoided, and
(2) to maintain any of your site’s control measures in effective operating condition. Include
the schedule you will follow for such maintenance activities. Describe where each applicable
procedure is being implemented at the site.
INSERT DESCRIPTION OF CONTROL MEASURES HERE.
ADEQ Industrial SWPPP Template – September 2010
Page 10
6.4 Spill Prevention and Response
Instructions (see 4.6.6.5):
 Describe any structural controls or procedures used to minimize the potential for leaks,
spills, and other releases. You must implement the following at a minimum:




Procedures for plainly labeling containers (e.g., “Used Oil,” “Spent Solvents,”
“Fertilizers and Pesticides,” etc.) that could be susceptible to spillage or leakage to
encourage proper handling and facilitate rapid response if spills or leaks occur;
Preventative measures such as barriers between material storage and traffic areas,
secondary containment provisions, and procedures for material storage and handling;
Procedures for expeditiously stopping, containing, and cleaning up leaks, spills, and
other releases; and
Procedures for notification of appropriate facility personnel, emergency response
agencies, and regulatory agencies.
Describe where each control is to be located or where applicable procedures will be
implemented.
INSERT DESCRIPTION OF CONTROL MEASURES HERE.
6.5 Employee Training
Instructions (see 4.6.6.6):
Describe your plan for training the employees who work in areas where industrial materials or
activities are exposed to stormwater, or who are responsible for implementing activities
necessary to meet the conditions of the Industrial Stormwater General Permit, including all
members of your Pollution Prevention Team. Included in your description must be the
frequency of training (note: recommended at least one time per year), and the schedule you
will follow.
INSERT DESCRIPTION OF PLAN FOR TRAINING APPLICABLE STAFF HERE.
ADEQ Industrial SWPPP Template – September 2010
Page 11
6.6 Erosion and Sediment Controls
Instructions (see Part 4.6.6.7):
Describe structural or non-structural controls used at your site to stabilize exposed areas and
contain runoff to minimize onsite erosion and potential offsite discharges of sediment.
Describe the location at your site where each control will be implemented.
INSERT DESCRIPTION OF CONTROL MEASURES HERE.
6.7 Management of Run-on and Runoff
Instructions (See Part 4.6.6.8):
Describe controls used at your site to divert, infiltrate, reuse, contain, or otherwise reduce
stormwater runoff. Describe the location at your site where each control will be implemented.
INSERT DESCRIPTION OF CONTROL MEASURES HERE.
6.8 Salt Storage Piles
Instructions (see Part 4.6.6.9):
If applicable, describe structures at your site that either cover or enclose salt storage piles or
piles containing salt, or that prevent the discharge of stormwater from such piles. Also,
describe any controls or procedures used to minimize exposure resulting from adding to or
removing materials from the pile. Describe the location at your site where each control
and/or procedure will be implemented.
INSERT DESCRIPTION OF CONTROL MEASURES HERE.
ADEQ Industrial SWPPP Template – September 2010
Page 12
7.0 Non-Stormwater Discharges
Instructions (see Part 4.6.7):
Describe how you eliminated any unauthorized non-stormwater discharges at your site. The
unauthorized non-stormwater discharges include any non-stormwater discharges that are not
specifically identified in Part 1.7 of the permit.
Include a certification that the discharge has been tested or evaluated for the presence of nonstormwater discharges. The certification shall include the identification of potential
significant sources of non-stormwater at the site, a description of the results of any test and/or
evaluation for the presence of non-stormwater discharges, the evaluation criteria and testing
method used, the date of any testing and/or evaluation, and the on-site drainage points that
were directly observed during a test. Certifications shall be signed in accordance with Part
6.9. of this permit. Such certification may not be feasible if the facility operating the
stormwater discharge associated with industrial activity does not have access to an outfall,
manhole or other point of access to the ultimate conduit which receives the discharge. In such
cases, the source identification section of the SWPPP shall indicate why the certification
required by this part was not feasible, along with the identification of potential significant
sources of non-stormwater at the site.
INSERT DESCRIPTION OF YOUR APPROACH TO ELIMINATING UNAUTHORIZED
NON-STORMWATER DISCHARGES HERE.
ADEQ Industrial SWPPP Template – September 2010
Page 13
8.0 Documentation of Permit Eligibility Related to TMDLs and the 303(d) List
Instructions (see Part 4.6.8):
Describe whether or not the stormwater discharges from the facility enters a water body that
is on the most recent 303 (d) list or with an approved TMDL. If the stormwater discharge
does enter a water body that is on the most recent 303(d) list or with an approved TMDL, then
the SWPPP should address the following items below.
a. document that the pollutant(s) for which the waterbody is impaired is not present at the
facility, and retain documentation of the finding with the SWPPP; or
b. incorporate into the SWPPP any additional BMPs needed to prevent to the maximum
extent possible exposure to stormwater of the pollutants for which the waterbody is
impaired and to sufficiently protect water quality. Please note that the Department will
be reviewing this information. If it is determined that the facility will discharge to an
impaired water body, then the Department may require additional requirements.” Or
c. identification of measures taken by the facility to ensure that its discharge of pollutants
from the site is consistent with the assumptions and allocations of the TMDL; and
d. If a specific numeric wasteload allocation has been established that would apply to the
facility’s discharges, the operator must incorporate that allocation into its SWPPP and
implement necessary steps to meet that allocation and implement necessary steps to meet
that allocation. Please note that the Department will be reviewing this information. If it is
determined that the facility will discharge to a TMDL, then the Department may require
additional BMPs.
See following website for 303(d) list. http://www.adeq.state.ar.us/water/default.htm
Insert Description Here.
9.0 Attainment of Water Quality Standards After Authorization.
BMPs must be selected, installed, implemented, and maintained that will minimize or eliminate pollutants
in the discharge as necessary to meet applicable water quality standards. At any time after authorization,
the Department may determine that the stormwater discharges may cause, have reasonable potential to
cause, or contribute to an excursion above any applicable water quality standard. If such a determination
is made, the Department may require the permittee to:
a.
Develop a supplemental BMP action plan describing SWPPP modifications to address adequately
the identified water quality concerns;
b.
Submit valid and verifiable data and information that are representative of ambient conditions and
indicate that the receiving water is attaining water quality standards; or
c.
Cease discharges of pollutants from the facility and submit an individual permit application
according to Part 6.22.
ADEQ Industrial SWPPP Template – September 2010
Page 14
d.
All written responses required under this part must include a signed certification consistent with
Part 6.10.
10.0 Evaluations and Inspections
Instructions (See Part 4.6.10):
 Describe your procedures for performing the following as required by the 2009 IGP,
including:


Visual Site Inspections (Part 4.6.10.1);
Comprehensive Site Evaluations (Part 4.6.10.2).
 If you are invoking the exception for inactive and unstaffed sites relating to visual site
inspections, you must include in your SWPPP the information to support this claim as
required Part 4.6.10.1 of the permit.
 Records of inspections and evaluations shall be maintained with the SWPPP. Could be
maintained as an
For the visual site inspections and the comprehensive site evaluations to be performed at your site,
include a description of the following:



The names of the person(s), or the positions of the person(s), responsible for
inspections/evaluations: INSERT TEXT HERE
The schedules to be used for conducting inspections/evaluations: INSERT TEXT HERE and
Specific areas of the facility to be inspected, including schedules for specific outfalls: INSERT
TEXT HERE
11.0 SWPPP Certification
Instructions (see Part 4.6.12):
The following certification statement must be signed and dated by a person who meets the
requirements of Part 6.9.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gathered and evaluated the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name:
Title:
ADEQ Industrial SWPPP Template – September 2010
Page 15
Signature:
ADEQ Industrial SWPPP Template – September 2010
Date:
Page 0
SWPPP ATTACHMENTS
Attach the following documentation to the SWPPP:
Attachment A – Site Map
Include a copy of your site map(s) in Attachment A.
ADEQ Industrial SWPPP Template – September 2010
Page 1
ADEQ Industrial SWPPP Template – September 2010
Page 0
SAMPLE SITE MAP:
ADEQ Industrial SWPPP Template – September 2010
Page 1
Contaminated
Soil listed under
Part 201
Trench Drain
Asphalt
Crystal Clear Creek
Detention Pond
Building
Roof Drains
Storm Water Catch Basins
Exposed /
Erodible
Soils
ADEQ Industrial SWPPP Template – September 2010
Vegetation
P
r
o
p
e
r
t
y
B
o
u
n
d
a
r
y
NPDES Non-Contact
Cooling Water
Discharge
Crystal Clear Creek
A
s
p
h
a
l
t
D
r
a
i
n
a
g
e
Roof Drainage
Outfall 003
Municipal Storm Water Discharge
ADEQ Industrial SWPPP Template – September 2010
Outfall 002
Outfall 001
Page 2
Municipal
Storm Sewer
System
Page 3
Crystal Clear Creek
Fuel Island with
curbing
Double Walled
Diesel and
Gasoline Tanks
Material Handling & Loading /
Unloading Area
2 Covered 20 yrd roll-off dumpsters
Clean pallets
Material Handling & Loading /
Unloading Area
ADEQ Industrial SWPPP Template – September 2010
Plastic Pellet Hopper in
secondary containment