Receipt Template Landscaping - DOC

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Receipt Template Landscaping document sample

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scope of work template
							                    COUNTY OF ORANGE
     WATER QUALITY MANAGEMENT PLAN (WQMP) TEMPLATE
                      DECEMBER 2008


General Notes:

             Water Quality Management
                   Plan(WQMP)


                                        For:


   Start Here…Triple Click here to insert Project Name-then TAB to next field

 INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP,
SUP AND/OR APN (SPECIFY LOT NUMBERS IF SITE IS A PORTION OF A TRACT)-
                      THEN TAB TO NEXT FIELD.




                                    Prepared for:
                      Insert Owner/Developer Name-then TAB.
      Insert Address 1 then press ENTER to insert Address 2 or TAB to next field.
                           Insert City, State, ZIP-then TAB.
                             Insert Telephone-then TAB.




                                    Prepared by:
                 Insert Consulting/Engineering Firm Name-then TAB.
                              Insert Address-then TAB.
                           Insert City, State, ZIP-then TAB.
                             Insert Telephone-then TAB




                            Insert Date Prepared/Revised
                                                           Water Quality Management Plan (WQMP)
                        Start Here…Triple Click here to insert Project Name-then TAB to next field
INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR APN (SPECIFY
                       LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.




                                               OWNER’S CERTIFICATION

                                           WATER QUALITY MANAGEMENT PLAN
              FOR PERMIT/PLANNING APPLICATION NUMBER
                          & TRACT/PARCEL MAP NUMBER



This Water Quality Management Plan (WQMP) has been prepared for Owner/Developer
Name by Consulting/Engineering Firm Name. The WQMP is intended to comply with the
requirements of the County of Orange, Planning and Development Services Division
(PDSD), Tract/Parcel Map No. Tract/Parcel Map number, Condition Number(s) Condition
Numbers, and/or Site Development Permit/Application Number Enter number, Condition
Number(s) Condition Numbers requiring the preparation of a Water Quality Management
Plan.

The undersigned, while it owns the subject property, is responsible for the implementation
of the provisions of this plan and will ensure that this plan is amended as appropriate to
reflect up-to-date conditions on the site consistent with the current Orange County
Drainage Area Management Plan (DAMP) and the intent of the non-point source NPDES
Permit for Waste Discharge Requirements for the County of Orange, Orange County Flood
Control District and the incorporated Cities of Orange County within the (select one): Santa
Ana or San Diego Region Stormwater Runoff Management Program. Once the
undersigned transfers its interest in the property, its successors-in-interest shall bear the
aforementioned responsibility to implement and amend the WQMP. An appropriate
number of approved and signed copies of this document shall be available on the subject
site in perpetuity.


 Signed:

 Name:

 Title:

 Company:

 Address:

 Telephone #:

 Date:

INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                     Contents
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                    Page i
                                                 Insert Date   Prepared/Revised
                                                           Water Quality Management Plan (WQMP)
                        Start Here…Triple Click here to insert Project Name-then TAB to next field
INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR APN (SPECIFY
                       LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.




Contents
Section I Discretionary Permit(s) and Water Quality Conditions..................................................... 3
Section II Project Description .......................................................................................................... 4
Section III Site Description ............................................................................................................... 5
Section IV Best Management Practices (BMPs) ............................................................................... 7
Section V Inspection/Maintenance Responsibility for BMPs ......................................................... 11
Section VI Location Map, Plot Plan & BMP Details ......................................................................... 12
Section VII Educational Materials Included ................................................................................... 13
Attachments
           Attachment A .................................................................................................. Educational Materials
           Attachment B (if applicable)………………………………………Notice of Intent (NOI) Application and Receipt




INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                                                                Contents
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                                                               Page ii
                                                    Insert Date    Prepared/Revised
                                                                             Water Quality Management Plan (WQMP)
                                           Start Here…Triple Click here to insert Project Name-then TAB to next field
    Contract No. INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR
              APN (SPECIFY LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.



Section I                          Discretionary Permit(s) and Water
                                   Quality Conditions
CLICK AND TYPE DISCRETIONARY PERMIT(S) AND WATER QUALITY CONDITIONS
HERE




INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                                        Section II
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                                       Page 3
                                                    Insert Date   Prepared/Revised
                                                           Water Quality Management Plan (WQMP)
                        Start Here…Triple Click here to insert Project Name-then TAB to next field
INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR APN (SPECIFY
                       LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.




Section II Project Description
CLICK AND TYPE PROJECT DESCRIPTION HERE




INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                     Section II
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                    Page 4
                                           Insert Date   Prepared/Revised
                                                                             Water Quality Management Plan (WQMP)
                                           Start Here…Triple Click here to insert Project Name-then TAB to next field
    Contract No. INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR
              APN (SPECIFY LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.



Section III Site Description
CLICK AND TYPE SITE DESCRIPTION HERE




INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                                       Section III
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                                       Page 5
                                                    Insert Date   Prepared/Revised
                                                                                 Water Quality Management Plan (WQMP)
                                           Start Here…Triple Click here to insert Project Name-then TAB to next field
    Contract No. INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR
              APN (SPECIFY LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.



Section IV Best Management Practices (BMPs)
Source Control BMPs

The following tables show source control BMPs (routine non-structural and routine
structural) included in this project and those that were not included.


                                                  Table 1. Routine Non-Structural BMPs
                                                                         Check One
                                                                                            If not applicable, state brief
    Identifier                             Name                                   Not
                                                                    Included                           reason
                                                                               Applicable
                      Education for Property Owners,
        N1
                      Tenants and Occupants
        N2            Activity Restrictions
                      Common Area Landscape
        N3
                      Management
        N4            BMP Maintenance
                      Title 22 CCR Compliance (How
        N5
                      development will comply)
        N6            Local Industrial Permit Compliance

        N7            Spill Contingency Plan
                      Underground Storage Tank
        N8
                      Compliance
                      Hazardous Materials Disclosure
        N9
                      Compliance
       N10            Uniform Fire Code Implementation
       N11            Common Area Litter Control
       N12            Employee Training
       N13            Housekeeping of Loading Docks
       N14            Common Area Catch Basin Inspection
                      Street Sweeping Private Streets and
       N15
                      Parking Lots
       N17            Retail Gasoline Outlets
      (There is no BMP with the designation N16.)
INSERT ADDITIONAL NARRATIVE TEXT HERE TO DESCRIBE HOW EACH ROUTINE
NON-STRUCTURAL AND ROUTINE STRUCTURAL BMP WILL BE IMPLEMENTED IN
THE PROJECT OR DELETE THIS LINE (Use the "FORMAT OPTIONS" button to insert
subtitles and/or paragraphs)




INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                                              Section IV
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                                              Page 7
                                                     Insert Date   Prepared/Revised
                                                           Water Quality Management Plan (WQMP)
                        Start Here…Triple Click here to insert Project Name-then TAB to next field
INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR APN (SPECIFY
                       LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.




                                             Table 2. Routine Structural BMPs
                                                              Check One
                             Name                                    Not        If not applicable, state brief reason
                                                      Included
                                                                  Applicable
  Provide storm drain system stenciling and
  signage
  Design and construct outdoor material storage
  areas to reduce pollution introduction
  Design and construct trash and waste storage
  areas to reduce pollution introduction
  Use efficient irrigation systems & landscape
  design, water conservation, smart controllers,
  and source control
  Protect slopes and channels and provide
  energy dissipation
  Incorporate requirements applicable to the
  following individual priority project categories:
     a.      Dock areas

     b.      Maintenance bays

     c.      Vehicle wash areas

     d.      Outdoor processing areas

     e.      Equipment wash areas

     f.      Fueling areas

     g.      Hillside landscaping
     h.      Wash water control for food
             preparation areas
     i.      Community car wash racks


Site Design BMPs

The following table shows site design BMPs that are included in this project. A description
of each BMPs follows:




INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                                         Section IV
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                                         Page 8
                                               Insert Date   Prepared/Revised
                                                           Water Quality Management Plan (WQMP)
                        Start Here…Triple Click here to insert Project Name-then TAB to next field
INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR APN (SPECIFY
                       LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.



                                                   Table 3. Site Design BMPs
                                                                   Included?
                          Technique                                                            Brief Description of Method
                                                             Yes             No
  Minimize Impervious Area/Maximize
                                    1
  Permeability (C-Factor Reduction)
  Minimize Directly Connected Impervious Areas
  (DCIAs) (C-Factor Reduction)
  Create Reduced or “Zero Discharge” Areas
                            2
  (Runoff Volume Reduction)
  Conserve Natural Areas (C-Factor Reduction)
1. Detention and retention areas incorporated into landscape design provide areas for retaining and detaining stormwater flows,
   resulting in lower runoff rates and reductions in volume due to limited infiltration and evaporation. Sute Site Design BMPs may
   reduce the size of Treatment Control BMPs.
2. The “C” Factor is a representation of the ability of a surface to produce runoff. Surfaces that produce higher volumes of runoff are
   represented by higher “C” Factors. By incorporating more pervious, lower “C” Factor surfaces into a development, lower volumes of
   runoff will be produced. Lower volumes and rates of runoff translate directly to lowering treatment requirements.


INSERT ADDITIONAL NARRATIVE TEXT HERE TO DESCRIBE HOW EACH SITE
DESIGN BMP WILL BE IMPLEMENTED ON THE PROJECT OR DELETE THIS LINE (Use
the "FORMAT OPTIONS" button to insert subtitles and/or paragraphs)



Treatment Control BMPs

The following table shows treatment BMPs that are included in this project. A description
of each BMP follows:

                                               Table 4. Treatment Control BMPs
                                                                   Included?
                             Name                                                         If not applicable, state brief reason
                                                             Yes             No

  Vegetated (Grass) Strips

  Vegetated (Grass) Swales

  Proprietary Control Measures

  Dry Detention Basin

  Wet Detention Basin

  Constructed Wetland

  Detention Basin/Sand Filter

  Porous Pavement Detention

  Porous Landscape Detention

  Infiltration Basin

INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                                                        Section IV
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                                                        Page 9
                                                 Insert Date   Prepared/Revised
                                                           Water Quality Management Plan (WQMP)
                        Start Here…Triple Click here to insert Project Name-then TAB to next field
INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR APN (SPECIFY
                       LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.


  Infiltration Trench

  Media Filter

  Proprietary Control Measures


INSERT ADDITIONAL NARRATIVE TEXT HERE TO DESCRIBE HOW TREATMENT
BMPs WILL BE IMPLEMENTED IN THE PROJECT OR DELETE THIS LINE (Use the
"FORMAT OPTIONS" button to insert subtitles and/or paragraphs)




INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                    Section IV
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                   Page 10
                                           Insert Date   Prepared/Revised
                                                                             Water Quality Management Plan (WQMP)
                                           Start Here…Triple Click here to insert Project Name-then TAB to next field
    Contract No. INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR
              APN (SPECIFY LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.



Section V Inspection/Maintenance
          Responsibility for BMPs:
          Operation and Maintenance
          (O&M) Plan
INSERT ADDITIONAL NARRATIVE TEXT HERE OR DELETE THIS LINE (Use the
"FORMAT OPTIONS" button to insert subtitles and/or paragraphs)




INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                                        Section V
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                                      Page 11
                                                    Insert Date   Prepared/Revised
                                                                             Water Quality Management Plan (WQMP)
                                           Start Here…Triple Click here to insert Project Name-then TAB to next field
    Contract No. INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR
              APN (SPECIFY LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.



Section VI Location Map, Plot Plan & BMP
           Details




INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                                       Section VI
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                                      Page 12
                                                    Insert Date   Prepared/Revised
                                                                             Water Quality Management Plan (WQMP)
                                           Start Here…Triple Click here to insert Project Name-then TAB to next field
    Contract No. INSERT GRADING PERMIT NO., BUILDING PERMIT NO., TRACT NUMBER, CUP, SUP AND/OR
              APN (SPECIFY LOT NUMBERS IF SITE IS A PORTION OF A TRACT)- THEN TAB TO NEXT FIELD.



Section VII Educational Materials Included
The following is a list of educational materials included in this WQMP.

                LIST

           


           


           


           


           


           




INSERT OWNER/DEVELOPER NAME-THEN TAB.                                                                      Section VII
2465b0bb-07c6-49f6-a499-f80336d597a1.doc                                                                     Page 13
                                                    Insert Date   Prepared/Revised

						
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