SBSA. DATE: 31 May 2016 HILL AIR FORCE BASE CEN/CEIE PLAN REVIEW CHECKLIST FOR NEW DEVELOPMENT AND REDEVELOPMENT CONSTRUCTION

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1 SBSA PROJECT TITLE: KRSM095002, wo54127 Construct Clubhouse near Bldg 720; KRSM150043, wo54127 Replace Piping Utilities near Bldg 720, KRSM130012, wo54127 Demo Golf Clubhouse Bldg 720. General: DATE: 31 May 2016 HILL AIR FORCE BASE CEN/CEIE PLAN REVIEW CHECKLIST FOR NEW DEVELOPMENT AND REDEVELOPMENT CONSTRUCTION Submittal of the documents identified herein, completion of the site plan review by CEN and CEIE, and use of this checklist are required by the Utah Pollutant Discharge Elimination System (UPDES) permits issued by the Utah Division of Water Quality (DWQ), for construction projects disturbing an area one acre or greater in size. These permits include the Storm water General Permit for Construction Activities (obtained directly by the contractor from DWQ) and the General Permit for Discharges from Small Municipal Separate Storm Sewer Systems (MS4); a permit issued to the base. The attached checklist is required to be submitted by the contractor with the Storm water Pollution Prevention Plan (SWPPP) during the project review process. The contractor is responsible for compliance with all Department of Defense (DoD), Air Force Instruction (AFI), Unified Facilities Criteria (UFC), and State of Utah DWQ requirements. In addition, the contractor is responsible for compliance with the DoD Implementation of Storm water Requirements under Section 438 of the Energy Independence and Security Act (EISA) and obtaining all necessary permits and approvals. This form is intended for use by the design engineer in determining the necessary submittals for a plan review. It is also intended to be used by CEN and CEIE for review and approval of these documents. This checklist is not intended to be allinclusive; consult with CEN and CEIE for site-specific issues. Proper completion of this checklist will expedite the approval processes. Instructions: The attached form is a list of typical storm water review criteria for all construction projects. The A-E s responsible engineer is required to check each item on the list; if an item is not applicable to this project, the item will be noted as N/A. Documents submitted to CEN and CEIE shall be organized according to the following general format: A. Title and general Sheets (project name, vicinity map, sheet index, notes, etc.) B. Boundary and topographical survey C. Grading/Drainage Plan D. Master Utility Plan E. Plan and Profile Sheet(s) (for final submittal) F. Detail Sheets G. Operation/Maintenance Plan for Post-Construction Stormwater Controls Upon submittal for plan review, the A-E Project engineer must sign this form indicating the checklist and all required documents have been submitted by the responsible engineer. A copy of this checklist must accompany the plans with all subsequent reviews. Plans will not be accepted for review without this signed checklist. In providing approvals, CEN and CEIE assumes that applicants have not made any errors and have complied with all applicable regulations. If after an approval, an error is discovered or it is discovered that some aspect of approved drawings does not comply with applicable regulations, the applicant shall, at his own expense, revise the drawings and modify any infrastructure as necessary to correct the problem. Applicants and their design professionals shall remain responsible for their projects at all times. Suggested Resources: HAFB Guidance Document for Stormwater Management, 2006 SWPPP Guidance Document: Contact Information: Utah DWQ Construction Activities Stormwater Permit: Page 16

2 SBSA PROJECT TITLE: KRSM095002, wo54127 Construct Clubhouse near Bldg 720; KRSM150043, wo54127 Replace Piping Utilities near Bldg 720, KRSM130012, wo54127 Demo Golf Clubhouse Bldg 720. DATE: 31 May 2016 North Davis Sewer District: Davis Weber Canal Company: Fife s Ditch Company: Corps of Engineers: CEN: Dave Murray CEIE: Mark Roginske Page 17

3 CEN/CEIE PLAN REVIEW CHECKLIST PROJECT NAME: PROJECT NUMBER: Required Submittals: (mark the appropriate box) CEN/CEIE USE ONLY AF Form 332 # YES NO Accepted Initial N/A Project name/title Project number Geotechnical report Boundary and topographical survey showing all relevant information Stormwater Pollution Prevention Plan (SWPPP) Storm drainage calculations (not on drawing) for pipe system, surface route and detention/retention ponds. Stamped and certified by a Utah-licensed professional engineer, with the following statement: I hereby certify that this report for the onsite drainage of the project was prepared by me (or under my direct supervision) in accordance with the provisions of Specification Section Environmental Protection and Section 438 of the EISA, and was designed to comply with the provisions thereof. I understand that the CEN/CEIE Project Manager does not and will not assume liability for drainage facility designs Copy of UPDES NOI (required prior to pre-construction kickoff meeting controls Locations of materials/equipment/stockpile storage Construction Plans on D-size sheets, stamped and signed by a licensed professional engineer North Davis County Sewer District permit for sanitary sewer connection Permit/coordination with Army Corps of Engineers if impacting wetlands Permit from Davis Weber Canal Company if impacting the canal Coordination letter from water users if impacting Fife s Ditch Pothole data for storm drain crossing in existing roadways Nature/sequence of construction activity (phasing) Necessary easement and convenant documents Operation/Maintenance Plan for Post-Construction stormwater

4 YES N/A CEN/CEIE USE ONLY All Sheets Must Contain: Accepted Initial N/A Call red Stakes note on site plans North arrow and drawing scale (when applicable) Abbreviations and Legend (when applicable) References to specific Standard Plan as applicable Title/General Sheets: Project name, location and description of project A-E s and contractor address and contact information Contact information for all project team members Vicinity map with north arrow Sheet index for all sheets and index figure Grading/Drainage Plan and Erosion Control Plan: Davis/Weber County benchmark elevation relative to identified Section Corner CEN Enter Date Init. Existing contour lines (in gray scale) at one-foot (1 ) intervals Proposed contour lines at one-foot (1 ) intervals Stamped and certified by a licensed professional engineer, with the following statement: I hereby certify that this report for the onsite drainage of the project was prepared by me (or under my direct supervision) in accordance with the provisions of Section General Requirements, and was designed to comply with the provisions thereof. I understand that the CEN/CEIE Project Manager does not and will not assume liability for drainage facility designs Storm drain system showing pipe sizes, clean-out boxes, combination boxed, catch basins and outfall(s) 100-year flood overland route clearly shown terminating at a stormwater facility FEMA Flood Zone delineation and Davis/Weber County 100-year flood elevation Overland runoff route for stormwater at all sag points Separate detail sheets showing detention/retention ponds, sized orifice design, spillways, pollutant removal structural BMPs, interim & permanent stabilization BMPs, etc. Ditch master s name, phone number and written coordination if altering existing irrigation ditches

5 YES N/A CEN/CEIE USE ONLY Operation/Maintenance Plan for Post-Construction Stormwater Controls: Accepted Initial N/A Master Utility Plan Sheet: Inventory of all post-construction stormwater controls Description of the routine maintenance required for each control Schedule for maintenance of each control Inspection requirements for each control Stamped and signed by a licensed Professional Engineer Utility locations (e.g. manholes) don t conflict with survey monuments Plan and Profile Sheets: Detail Sheets: I have personally reviewed this submittal and verify that it is complete and that all items have been addressed and comply with current Base Codes and Requirements. A-E Project Engineer: Print Name: Date: Locations of existing and proposed power poles Sewer, storm drain and irrigation systems to the next manhole beyond the project boundary CEN/CEIE USE ONLY The submittals for this project have been reviewed and approved by CEN/CEIE. Stamped and signed by a licensed Professional Engineer Vicinity map with project location for each sheet Storm drain pipe size, type, length and slope between manholes Storm drain boxes with rim and flow-line elevations Sewer and irrigation systems Custom details X CEN Plan Reviewer X CENE Plan Reviewer