Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
GUIDANCE FOR USE OF THE POLLUTION PREVENTION PLAN
TEMPLATE
If you are reading this, you have been asked to prepare a Pollution Prevention Plan (Plan) for
some activity, which your organization is involved with. The purpose of this piece is to provide
you with some perspective on the origin of this request and how to satisfy the requirement for
preparation of your Plan.
Background
Stormwater Pollution Prevention is a key element of the University’s stormwater management
program, which is defined in its stormwater permit (NCS000376). A cornerstone in meeting the
pollution prevention requirements is met through activity-specific Plans.
In response to your first question; Why me? The activity, for which you are responsible, was
identified as needing a Plan in a campus-wide stormwater pollution exposure assessment, as
required by the Permit. The Stormwater Committee, which oversees the Stormwater Program,
has endorsed the recommendations provided in the Exposure Assessment. The point of this is to
say that if you believe that the activity, for which you are responsible, has been misidentified as
requiring a Plan, then you can request a discussion with the Stormwater Committee during a
regular Stormwater Committee meeting. Contact Duane Knudson, Stormwater Program
Manager, to secure a place on the meeting agenda.
Implementation
This Pollution Prevention Plan Template has been provided for your convenience.
Please download and save the template so you can update your plan as needed. Once you open
the template, please insert your site specific information into the template. Highlighted links are
provided that will direct you to the guidance document found at the back of template. The
guidance document contains a description of what type of information should be provided for
each topic in the template. Other highlighted links will direct you to informational websites that
may be useful as you develop your plan.
For assistance in completing your plan, please contact Ellen Buckner:
Phone: 919-515-6850
Email: ellen_buckner@ncsu.edu
SWPPP Guidance, April 2012
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Stormwater Pollution Prevention Plan
Business Unit and Activity or
Operation
SWPPP Contact(s):
______________
SWPPP Preparation Date:
/ __ __ / __ __ __ __
SWPPP Guidance, April 2012
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Contents
SECTION 1: FACILITY DESCRIPTION AND CONTACT INFORMATION
1.1
1.2
1.3
1.4
General Description of Facility
Contact Information/Responsible Parties
General Location Map
Site Map
SECTION 2: POTENTIAL POLLUTANT SOURCES
2.1
2.2
2.3
Industrial Activity and Associated Pollutants
Spills and Discharges
Non-Stormwater Discharge Evaluation
SECTION 3: STORMWATER CONTROL MEASURES
3.1
3.2
3.3
3.4
3.5
3.6
Structural Controls
Good Housekeeping
Operation and Maintenance
Spill Prevention and Response
Management of Runoff
Employee Training
SECTION 4: INSPECTIONS
SECTION 5: SWPPP CERTIFICATION
SECTION 6: SWPPP MODIFICATIONS
Appendix AAppendix BAppendix CAppendix DAppendix EAppendix F-
General Location Map
Site Maps
Spills and Discharges
Visual Assessment Form
Routine Facility Inspection Form
Comprehensive Site Inspection Form
SWPPP Guidance, April 2012
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
SECTION 1: FACILITY DESCRIPTION AND CONTACT
INFORMATION
1.1
General Description of Facility and/or Operations
Name of Facility:___________________________________________
Street:____________________________________________________
City:_______________________ State:________
Zip Code:___________
Latitude/Longitude (Use one of three possible formats, and specify method)
Latitude:
Longitude:
1._ _°_ _’ _ _” N (degrees, minutes, seconds)
1. _ _°_ _’ _ _’’ W (degrees, minutes, seconds)
2. _ _° _ _. _ _’ N (degrees, minutes, seconds)
2. _ _° _ _. _ _’ W (degrees, minutes, decimal)
3. _ _. _ _ _ _° N (decimal)
3. _ _. _ _ _ _° W (decimal)
Stormwater runoff from the subject site or facility is/are received by:
1.2
Point of Responsibility
________name______________ and ___ title___________ is responsible for maintaining and
implementing this SWPPP.
The responsible person listed above will identify the facility stormwater pollution prevention
team, and assign responsibilities, as necessary, to accomplish the requirements of this plan. The
Pollution Prevention Team is identified below.
Staff Names
General Responsibilities
Each member of the stormwater pollution prevention team must have ready access to either an
electronic or paper copy of applicable portions of the SWPPP.
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
1.3
General Location Map
Appendix A provides a general location map( e.g., U.S. Geological Survey (USGS) 7.5 minute
quadrangle map) showing the location of the facility and all receiving waters for stormwater
discharges.
1.4
Site Map
Appendix B provides a site map of the facility boundary and size of the property in acres and
locations of the activities listed in Table 1 below.
SECTION 2: POTENTIAL POLLUTANT SOURCES
2.1
Activity and Associated Pollutants
Table 1 below lists the activities and associated pollutants exposed to stormwater. These
activities are shown on the site map in Appendix B.
Table 1
Industrial Activity
2.2
Associated Pollutants
Location on Site Map
Spills and Discharges
Appendix C provides a list of spills or leaks of pollutants that have occurred at the facility during
the three (3) previous years and the corrective actions taken to mitigate spill impacts.
2.3
Non-Stormwater Discharge Documentation
Appendix D provides the visual assessment form used during the initial evaluation of nonstormwater discharges at the facility. Information gathered included: drainage point ID, drainage
point type, and dry-weather flow. Outfalls identified with non-stormwater flow were evaluated
further.
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
SECTION 3: STORMWATER CONTROL MEASURES
3.1
Structural Controls
The structural controls shown on the Site Map (Appendix B) are described below. These controls
are used to minimize the exposure of the activities identified in Section 2.1.
3.2
Good Housekeeping
Practices that are being implemented to keep exposed areas of the site clean are described below.
3.3
Operation and Maintenance
Operation and Maintenance procedures for this facility are listed below.
3.4
Spill Prevention and Response
Descriptions of any structural controls or procedures used to minimize the potential for leaks,
spills, and other releases are listed below.
3.5
Management of Runoff
Description of controls used at this site to divert, infiltrate, reuse, contain, or otherwise reduce
stormwater runoff are listed below.
3.6
Employee Training
Personnel at all levels of responsibility will be trained in the components of the SWPPP. At a
minimum, training will be provided on an annual basis. New personnel will receive training
promptly upon assignment. All training will be documented.
SECTION 4: INSPECTIONS
The facility will conduct the following inspections:

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
Routine facility inspections;
Quarterly visual assessment of stormwater discharges; and
Comprehensive site inspections.
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Routine facility inspection
______________Title, or specific designee will conduct routine facility inspections, using the
form in Appendix E. Each structural control measure and activity area are visually inspected on a
minimum annual basis, with more frequent inspections conducted as necessary to minimize the
potential for a spill or release.
Quarterly visual assessment
______________Title, or specific designee will conduct quarterly visual assessments, using the
form in Appendix D. Each drainage point is visually inspected on a quarterly basis. At least one
inspection each year will be conducted when a stormwater discharge is occurring.
Comprehensive facility inspection
______________Title, or specific designee will conduct comprehensive facility inspections,
using the form in Appendix F. Each structural control measure, activity area, and drainage point
are visually inspected on an annual basis.
SECTION 5: SWPPP CERTIFICATION
The following certification statement must be signed and dated by the responsible signing
official.
This certification must be re-signed in the event of a SWPPP modification in response to a Part
3.1 trigger for corrective action.
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:
Signature:
SWPPP Guidance, October 2011
Title:
Date:
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
SECTION 6: SWPPP MODIFICATIONS
This SWPPP is a “living” document and will be modified and updated, as necessary. Actions
which can trigger the need for a plan amendment include:




Facility modifications which may affect runoff quality or quantity
New operations
New materials
New maintenance procedures
All SWPPP modifications, will be kept in the log (Table 2) with a description of the
modification, the name of the person making it, and the date and signature of that person.
Table 2
Description of
modification
Name of person
making modification
SWPPP Guidance, October 2011
Date
Signature
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Appendix A: General Location Map
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Appendix B: Site Map
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Appendix C: Spills and Discharges
Period of coverage: Past 3 years
Date
Location/
Outfall
Caller
SWPPP Guidance, October 2011
Incident
Material
Quantity
Cause
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Appendix D: Quarterly Visual Assessment Form
Drainage Drainage DryClarity Oil
Solids
Color Odor Other
Source of Corrective
Point ID Point
weather
sheen ( floating,
obvious
Discharge Actions
(see site type
flow
settled, or
indicators
map)
suspended)
of
pollution
Name:_______________
Title:________________
Date:________________
Rainfall > 0.1 inch
SWPPP Guidance, October 2011
________yes
__________ no
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Appendix E: Routine Facility Inspection Form
Structural control measure
Corrective Actions Needed and Notes( identify
needed maintenance and repairs, or any failed
control measures that need replacement)
Area/ activity
Corrective Actions Needed and Notes( identify
needed maintenance and repairs, or any failed
control measures that need replacement)
Describe any incidents of non-compliance observed and not described above (include any
previously identified discharge of pollutants):
Name:_____________
Title:____________
Date:_____________
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Appendix F: Comprehensive Site Inspection
Structural control measure
Corrective Actions Needed and Notes( identify
needed maintenance and repairs, or any failed
control measures that need replacement)
Area/ activity
Corrective Actions Needed and Notes( identify
needed maintenance and repairs, or any failed
control measures that need replacement)
Describe any incidents of non-compliance observed and not described above (include any
previously identified discharge of pollutants):
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Appendix F: Comprehensive Site Inspection Continued
Drainage Drainage DryClarity Oil
Solids
Color Odor Other
Source of Corrective
Point ID Point
weather
sheen (floating,
obvious
Discharge Actions
(see site type
flow
settled, or
indicators
map)
suspended)
of
pollution
Name:___________________
Date:_______________
SWPPP Guidance, October 2011
Title:_________________
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
Guidance for completing
your SWPPP
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
SECTION 1: FACILITY DESCRIPTION AND CONTACT
INFORMATION
1.5
Site Map
Include the following information:

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











the facility boundary and size of the property in acres;
the location and extent of significant structures and impervious surfaces;
directions of stormwater flow (use arrows);
locations of all existing structural control measures;
locations of all receiving waters in the immediate vicinity of your facility;
locations of all stormwater conveyances including ditches, pipes, and swales;
locations of potential pollutant sources;
locations where significant spills or leaks have occurred;
locations of all stormwater monitoring points;
locations of stormwater drainage points(inlets, outfalls, and manholes), with a unique
identification code for each outfall (e.g., Outfall No. 1, No. 2, etc), indicating if you are
treating one or more outfalls as “substantially identical” , and an approximate outline of
the areas draining to each outfall;
municipal separate storm sewer systems, where your stormwater discharges to them;
locations and descriptions of all non-stormwater discharges;
locations of the following activities where such activities are exposed to precipitation:
o fueling stations;
o vehicle and equipment maintenance and/or cleaning areas;
o loading/unloading areas;
o locations used for the treatment, storage, or disposal of wastes;
o liquid storage tanks;
o processing and storage areas;
o 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;
o transfer areas for substances in bulk;
o machinery; and
locations and sources of run-on to your site from adjacent property that contains
significant quantities of pollutants.
SECTION 2: POTENTIAL POLLUTANT SOURCES
2.2
Activity and Associated Pollutants
Examples of pollutants and associated activities:
http://epa.gov/npdes/pubs/potmunpoll.pdf
http://www.newcastle.nsw.gov.au/__data/assets/pdf_file/0016/60172/Stormwater_Pollution_Fact
_Sheet_March_05.pdf
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
SECTION 3: STORMWATER CONTROL MEASURES
3.1
Structural Controls
Include the following information in the description of structural controls:









3.6
The location and extent of grading, berms, or curbs used to contain contaminated
stormwater or divert stormwater around areas of industrial activity;
A description of the types of materials and equipment that are stored within secondary
containment and the location of contained storage areas
The use and location of spill/overflow protection equipment;
The location of spill cleanup kits and a description and schedule for employee spill
abatement and cleanup training;
Proper procedures for leaky vehicles and equipment, such as drip pans; parking in a
contained area, or parking indoors;
Procedures for long-term storage or disposal of equipment and vehicles, such as draining
all fluids;
The location of covered and/or contained equipment cleaning areas; and
The disposal method for all wash water, such as an on-site sump(if a sump is used,
specify the pumping frequency) or sanitary sewer.
The facility shall consider performing all operations indoors, covering the operation,
ensuring that all waters drain to the sanitary sewer system (i.e., not the stormwater
drainage system, unless permitted by another NPDES general or individual permit),
collecting the stormwater runoff and providing treatment or recycling, or other equivalent
measures.
Good Housekeeping
Include the following information in the description of good housekeeping practices:

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
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
Describe where each practice is being implemented at your site.
Regular pickup and disposal of waste materials and scrap equipment;
Dumpsters and recycling bins located throughout the campus areas shall be closed-top or
sheltered or designed to minimize introduction of rainwater;
Maintenance of clean work spaces;
A schedule for sweeping paved areas and floors, including who will perform the
sweeping(employee or contractor);
Routine inspections for leaks and of the condition of drums, tanks, and containers;
Routine inspections to make sure that industrial materials are properly stored and labeled;
The individual or position responsible for emptying drip pans placed beneath leaking
equipment, valves, and fill lines;
Provide Good Housekeeping Practice inspections and regular cleaning schedules for each
activity in Table 1.
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
3.7
Operation and Maintenance
Describe procedures: (1) to maintain industrial equipment so that spills/leaks are avoided, and (2)
to maintain any of your sites’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.
3.8
Spill Prevention and Response
You must implement the following at a minimum:


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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;
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.
 Note: Some facilities may be required to develop a Spill Prevention Control and
Countermeasure (SPCC) plan under a separate regulatory program (40 CFR 112). If you are
required to develop an SPCC plan, or you already have one, you should include references to
the relevant requirements from your plan.
Additional information:
http://www.newcastle.nsw.gov.au/__data/assets/pdf_file/0019/5329/spil_clean_up_procedures_f
s.pdf
3.9
Management of Runoff
Describe the location at your site where each control will be implemented.
Examples of stormwater controls include: vegetative swales, berms, collection and reuse of
stormwater, inlet controls, snow management, infiltration devices, and wet retention measures.
Additional information:
http://www.epa.gov/oaintrnt/stormwater/best_practices.htm
http://www.cabmphandbooks.com/Documents/Municipal/Section_4.pdf
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name
3.6
Employee Training

Describe your plan for training the employees who work in areas where industrial
materials or activities are exposed to stormwater, including all members of your Pollution
Prevention Team and employees involved in implementing pollution prevention and good
housekeeping practices.

Included in your description must be the frequency of training (note: recommended at
least one time per year), and the schedule you will follow.

Training must include a general stormwater education component, any new technologies,
operations, or responsibilities that arise during the year, proper spill response, cleanup
procedures, and preventative maintenance activities.

The University must maintain a description of the program, copies of the materials used,
and topics covered.

Any contractors hired by the University to perform municipal maintenance activities
must be contractually required to comply with all of the stormwater control measures,
good housekeeping practices, and facility-specific stormwater management SOPs. The
University must provide oversight of contractor activities to ensure that contractors are
using appropriate stormwater control measures and SOPs.

Oversight procedures must be described in the SWPPP document.
Additional information can be found at:
http://cfpub.epa.gov/npdes/stormwater/menuofbmps/index.cfm?action=factsheet_results&view=
specific&bmp=129
SECTION 4: INSPECTIONS
Describe your procedures for performing inspections, including:
For the routine and comprehensive facility inspections 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 inspection;
The schedules to be used for conducting inspections. Include here any tentative schedule
that will be used for facilities in climates with irregular stormwater runoff discharges; and
Specific areas of the facility to be inspected, including schedules for specific outfalls:
In reviewing each area, you should consider:
 Industrial materials, residue, or trash that may have or could come
into contact with stormwater;
 Leaks or spills from industrial equipment, drums, tanks, and other
containers;
SWPPP Guidance, October 2011
Stormwater Pollution Prevention Plan (SWPPP)
Facility or Operation Name


Offsite tracking of industrial or waste materials from areas of no
exposure to exposed areas; and
Tracking or blowing of raw, final, or waste materials from areas of
no exposure to exposed areas.
For the quarterly visual assessments 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 inspection;
The schedules to be used for conducting inspections. Include here any tentative schedule
that will be used for facilities in climates with irregular stormwater runoff discharges;
Specific areas of the facility to be inspected, including schedules for specific outfalls; and
At least one inspection each year be conducted when a stormwater discharge is occurring
Inactive and Unstaffed sites exception (if applicable)
If you are invoking the exception for inactive and unstaffed sites for your routine facility
inspections and quarterly visual assessments, include information to support this claim.
SWPPP Example
Examples of completed SWPPPs:
http://www.ci.easthartford.ct.us/Public_Documents/EastHartfordCT_DPW/Transfer%20Station%20SWPPP.pdf
http://www.des.umd.edu/hw/rest/swppp.pdf
SWPPP Guidance, October 2011