Stormwater Pollution Prevention Plan Template
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14STORMWATER POLLUTION PREVENTION PLAN TEMPLATE
Disclaimer: This template was developed for guidance purposes only in an effort to assist Construction Storm Water permit applicants
in meeting state and local requirements. Completion of this template is not a requirement for permit authorization and is not intended
to be used as a substitute for professional review.
1.0 SITE DESCRIPTION
1.1 Project Name and Location
Date
Project Name
ddress
A
NDEQ NOI Number
City
County
Latitude
Longitude
State
Zip Code
1.2 Construction Project Description
Describe the nature/function of the construction project and its impact on the surrounding environment
1.3 Name of Receiving Waters
Identify and name any receiving waters within one mile of the site. Include drains and ditches that lead to streams or
rivers.
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