Design Review Checklist

DESIGN REVIEW CHECKLIST

Project Name: Date:

Designer Name: TMK:

Email: Phone:

Site Location:

Design Submittal (check one): Conceptual Design Schematic Design Design Development Construction Document

CONSTRUCTION ACTIVITY BMPS

PART ONE – EXISTING AND PROPOSED SITE FEATURES YES NO N/A  The following site features should be included on the plans:  Preliminary location, size in square feet, and limits of disturbance

 Location of storm drainage features (drains, ditches, wetlands, ocean, etc.) and storm water runoff flow paths

 Location of construction activity BMPs

 Locations of activities that may generate pollutants (i.e. fueling, concrete washout, stockpiles, etc.)

 Location of other potential storm water pollutants

Version 5.0 Page 1 01/2013

 Does schedule include planning elements such as minimizing disturbed areas and working in the dry season?

PART TWO – INSPECTION AND MAINTENANCE RESPONSIBILITY YES NO N/A Plans address of include the following practices and situations?  Party responsible for inspections identified?  Schedule and/or triggers for inspection of BMP measures?  Operation and maintenance for BMPs identified?  Record keeping?  Rain gauge monitoring at site or using HNL weather data?  Incident reporting?

PART THREE – OTHER PERMITS, REPORTS, AND PLANS YES NO N/A  MS4 Connection Permit?

 NPDES Application?

 401 Water Quality Certification (WQC) is provided, if required?

 404 Department of the Army (DA) Permit is provided, if required?

 Coastal Zone Management (CZM) Permit is provided, if required?

 Special Management Area (SMA) permit is provided, if required?

PART FOUR – CONSTRUCTION ACTIVITY BMPS NARRATIVE Select all applicable BMPs proposed to be incorporated into the project design from SWMPP Section C, Appendix A. C.1 C.9 C.17 C.25 C.2 C.10 C.18 C.26 C.3 C.11 C.19 C.27 C.4 C.12 C.20 C.28 C.5 C.13 C.21 C.29 C.6 C.14 C.22 C.30 C.7 C.15 C.23 C.31 C.8 C.16 C.24 C.32 Other:

PERMANENT POST-CONSTRUCTION BMPS

PART FIVE – EXEMPTIONS YES NO N/A

Version 5.0 Page 3 01/2013 If any of the exemptions are answered in the affirmative, the designer may skip Parts Two – Four of the Post-Construction BMP section. However, the Sustainable High Performance Guidelines may apply. 1. Is the project disturbing less than one contiguous acre of land?

2. Is the project a linear utility?

3. Is there no discharge from the site that enters into any waters of the United States?

4. Other (provide explanation for proposed exemption). Note that all exemptions are contingent upon approval from DOTA.

PART SIX – PERFORMANCE REQUIREMENTS YES NO N/A  Are the proposed post-construction BMPs appropriate to limit pollution in runoff from the site to the MEP?

 Are proposed BMPs appropriate based upon the environmental impacts that may occur as a result of the construction?

 Are proposed BMPs appropriate based upon the pollutant potentials that may be present during site operations?

 Are proposed BMPs appropriate based upon the watershed area?

 Are proposed BMPs appropriate based upon project site factors?

 Are proposed BMPs appropriate based upon cost, including maintenance cost?

 Has the Retrofit Feasibility Study been reviewed to determine whether an identified retrofit may be appropriate at the site?

Version 5.0 Page 5 01/2013 PART SEVEN – OTHER REQUIREMENTS YES NO N/A  Are additional BMPs needed for the project to meet performance standards?

 Will the project cause prohibited discharges of non-storm water?

 Is a shared structural treatment BMP proposed or appropriate for the project?

 Are post-construction BMPs documented in the EA/EIS?

 Does this project ensure ongoing BMP maintenance?

(Attach Operations and Maintenance Agreement or similar)

PART EIGHT – PERMANENT POST-CONSTRUCTION BMP NARRATIVE Select all applicable post-construction BMPs proposed to be incorporated into the project design from SWMPP Section D, Appendix A. PC.1 PC.7 PC.13 PC.19 PC.2 PC.8 PC.14 PC.20 PC.3 PC.9 PC.15 PC.21

Version 5.0 Page 6 01/2013 PC.4 PC.10 PC.16 PC.22 PC.5 PC.11 PC.17 PC.23 PC.6 PC.12 PC.18 Other:

Designer: I certify that the design is complete, accurate, and addresses the requirements of SWMPP Section C and D to the best of my knowledge.

Print Name:

Signature: Date:

Review:

DOTA PM Signature: Date: