Instructions on Filling out the Western WA Phase II Municipal Stormwater Permit Annual Report Form for Cities and Counties

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Instructions on Filling out the Western WA Phase II Municipal Stormwater Permit Annual Report Form for Cities and Counties 1. Complete all TABS in the worksheet: (1) Permittee Information; (2) Certification; (3) ANNUAL REPORT (Section VI); (4) Info Collection (Section VII-A); (5) Info Collection (Section VII-B); (6) Info Collection (Section VII-C); and (7) Info Collection (Section VII-D). 2. The Certification form/tab must be signed and certified by the responsible official(s). All TABs (except the INSTRUCTIONS) must be printed out and mailed to Ecology. 3. Answer every question. Use the Comments and Attachment fields only when necessary to provide additional information. 4. For questions asking for a number, type in a 0 (zero) in the # field of the ANNUAL REPORT tab if no activity has occurred. Do not leave the field blank. 5. Do not add text to shaded fields. 6. Use the following tables to guide filling out the /N/ field. See below. 7. Save your completed Annual Report and email the Excel worksheet PLUS attachments to: PH2_WAnnRpt@ecy.wa.gov. Ecology cannot accept incomplete or partially completed Annual Report forms. If you met the permit requirement by the deadline in the permit If you did not meet the permit requirement by the deadline in the permit.. If the permit requirement does not apply to you.. Mark in the /N/ field. Mark N in the /N/ field. Provide following information in Comments field: reasons why, corrective steps taken and proposed, and expected dates that the deadline will be met. [See S9.E.2.d for full description of required additional information.] Mark in the /N/ field.

Reminder: Proceed to the Permittee Information (I-III) tab

I. Permittee Information Permittee Name City of Lakewood Contact Name Greg Vigoren Permittee Coverage Number WAR04-5012 Phone Number (253) 983-7795 Mailing Address 6000 Main Street SW City State Zip + 4 Lakewood, WA 98499-5027 Email Adddress gvigoren@cityoflakewood.us II. Regulated Small MS4 Location Entity Type: Check the box that applies Jurisdiction County City/Town Other City of Lakewood x Major Receiving Water(s) Lake Steilacoom, American Lake III. Relying on another Governmental Entity If you are relying on another governmental entity to satisfy one or more of the permit obligations, list the entity and briefly describe the permit obligation(s) they are implementing on your behalf below. Attach a copy of your agreement with the other entity to provide additional detail. Name of Entity: Permit Obligation(s):

IV. Certification All annual reports must be signed and certified by the responsible official(s) of permittee or copermittees. Please print and sign this page of the reporting form and mail it (with an original signature) to Ecology at the address noted below. An electronic signature will not suffice. 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 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 willful violations. Name Andrew E. Neiditz Title City Manager Date Name Title Date Name Title Date Name Title Date Name Title Date

VI. Status Report Covering Calendar r: 2012 Jurisdiction Name: City of Lakewood PLEASE indicate reporting year and your jurisdiction in Line 1, above. PLEASE refer to the INSTRUCTIONS tab for assistance filling out this table. NOTE: For clarification on how to answer questions, place cursor over cells with red flags. NOTE: Please answer all questions. PLEASE review your work for completeness and accuracy. Save this worksheet as you go! Question /N/ 1. Attached annual written update of Permittee s Stormwater Management Program (SWMP), including applicable requirements under S5.A.2 and S9? 2. Attached a copy of any annexations, incorporations or boundary changes resulting in an increase or decrease in the Permittee s geographic area of permit coverage during the reporting period, and implications for the SWMP as per S9.E.3? 3. Implemented an ongoing program for gathering, tracking, maintaining, and using information to evaluate SWMP development, implementation and permit compliance and to set priorities? (S5.A.3) 4. Tracked costs or estimated costs of the development and implementation of the SWMP? (S5.A.3.a) N/A No annexations or other boundary changes during the reporting period. City of Lakewood SWMP Page 5 of 22

5. SWMP includes an education program aimed at residents, businesses, industries, elected officials, policy makers, planning staff and other employees of the Permittee? (S5.C.1) /N/ Education and Outreach Plan available upon request. 6. Number of public education and outreach activities implemented: 7. Provided opportunities for the public to participate in the decision making processes involving the development, implementation and updates of the Permittee s SWMP? (S5.C.2.a) 8. Implemented a process for public involvement and consideration of public comments on the SWMP? (S5.C.2.a) 13 See: Attachment # 1, Q6 Public Ed & Outreach Activities Public notice in newspaper with public comment period. 12. Maintained a map of your MS4, including requirements listed in S5.C.3.a.i-iii? 13. Map has been made available upon request? (S5.C.3.a.iv) 14. Implemented an ordinance or other regulatory mechanism to effectively prohibit nonstormwater, illicit discharges into the Permittee s MS4? (S5.C.3.b) Maps available upon request. Maps available upon request. City of Lakewood Municipal Code (LMC) 12A.11.060 9. Made the most current version of the SWMP available to the public. (S5.C.2.b) 10. Posted the SWMP and latest annual report on Permittee's website. (S5.C.2.b) 11. NOTE website address in Attachment field: y http://www.cityoflakewood.us/go vernment/departments/surfacewater-management Page 6 of 22

15. Implemented an ongoing program to detect and address non-stormwater illicit discharges, including spills, and illicit connections into the Permittee s MS4? (S5.C.3.c) /N/ City of Lakewood's Illicit Discharge Detection and Elimination Plan addresses these procedures. Plan available upon request. 16. Implemented field assessment activities, including visual inspection of priority outfalls identified during dry weather, and for the purposes of verifying outfall locations, identifying previously unknown outfalls, and detecting illicit discharges. (S5.C.3.c.ii) Outfall Reconnaissance Inventory available upon request. 17. Conducted field assessments on at least one high priority water body? (S5.C.3.c.ii) 18. Implemented procedures for characterizing the nature of, and potential public or environmental threat posed by, any illicit discharges found by or reported to the Permittee? (S5.C.3.c.iii) 19. Implemented procedures for tracing the source of an illicit discharge; including visual inspections, and when necessary, opening manholes, using mobile cameras, collecting and analyzing water samples, and/or other detailed inspection procedures? (S5.C.3.c.iv) 8/30/12 Waughop Lake & Seeley Lake City of Lakewood's Illicit Discharge Detection and Elimination Plan addresses these procedures. City of Lakewood's Illicit Discharge Detection and Elimination Plan addresses these procedures. Page 7 of 22

20. Implemented procedures for removing the source of the discharge, including notification of appropriate authorities; notification of the property owner; technical assistance for eliminating the discharge; follow-up inspections; and escalating enforcement and legal actions if the discharge is not eliminated? (S5.C.3.c.v.) /N/ City of Lakewood's Illicit Discharge Detection and Elimination Plan addresses these procedures. 21. Provided updated information to public employees, businesses, and the general public of hazards associated with illegal discharges and improper disposal of waste? (S5.C.3.d) City of Lakewood field employee IDDE training done 12/10/12; Compliance Inspector attended 8 hour Hazardous Waste Operations and Emergency Response refresher course on 2/2/12; Businesses and their employees educated during inspections. 22. Distributed appropriate information to target audiences identified pursuant to S5.C.1? (S5.C.3.d.i) 23. Publicized and maintained a hotline or other local telephone number for public reporting of spills and other illicit discharges? ( S5.C.3.d.ii) 24. Number of hotline calls received: 0 25. Number of follow-up actions taken in response 0 to calls: Located on City of Lakewood Website under: http://www.cityoflakewood.us/government/depa rtments/public-works/public-works-contactinformation 26. NOTE hotline number in Comments field y During business hours (8:30am - 5:00pm) 253-983-7795. After hours (Olympic Radio): 253-267-1628. WA State Department of Ecology 27. Number of illicit discharges identified (S5.C.3.e): 28. Number of inspections made for illicit connections (S5.C.3.e): 21 Spill Response: 1-800-258-5990. 1 JBLM - fire fighting foam - Clover Creek Page 8 of 22 See: Attachment #2, Q22 Target Audiences

29. Municipal field staff responsible for identification, investigation, termination, cleanup, and reporting of illicit discharges, improper disposal and illicit connections are trained to conduct these activities? (S5.C.3.f.i) /N/ 8 hour Hazardous Waste Operations and Emergency Response refresher course taken on 2/2/12; City of Lakewood field employee IDDE training done12/10/12. 30. Implemented an ongoing training program on the identification of an illicit discharge/connection, and on the proper procedures for reporting and responding to the illicit discharge/connection for all municipal field staff, which, as part of their normal job responsibilities, might come into contact with or otherwise observe an illicit discharge or illicit connection to the storm sewer system? (S5.C.3.f.ii.) An Illicit Discharge Detection and Elimination training program has been implemented and training given as needed. See comments on question 29 above. 31. Applied stormwater runoff program to private and public development, including roads? (S5.C.4) 32. Applied the Technical Thresholds in Appendix 1 to all sites 1 acre or greater, including projects less than one acre that are part of a larger common plan of the development or sale? ( S5.C.4) 33. Implemented a regulatory mechanism (such as an ordinance) necessary to address run-off from new development, redevelopment and construction site activities? (S5.C.4.a) LMC 12A.11, Stormwater Management Page 9 of 22

34. Retained existing local requirements to apply stormwater controls at smaller sites or at lower thresholds than required pursuant to S5.C.4? (S5.A.4) 35. Number of exceptions to the minimum requirements in Appendix 1 granted (S5.C.4.a.i and Appendix 1)? 36. Number of variances to the minimum requirements in Appendix 1 allowed (S5.C.4.a.i and Appendix 1)? 37. Implemented a permitting process to address runoff from new development, redevelopment and construction site activities with plan review, inspection, and enforcement capability? (S5.C.4.b) 38. Reviewed Stormwater Site Plans for new development and redevelopment projects that disturb a land area 1 acre or greater, including projects less than one acre that are part of a larger common plan of development or sale? (S5.C.4.b.i) 39. Number of site plans reviewed during the reporting period: 40. Inspected, prior to clearing and construction, all known development sites that have a high potential for sediment transport as determined through plan review based on definitions and requirements in Appendix 7 Determining Construction Site Sediment Potential? (S5.C.4.b.ii and v) /N/ 0 0 11 11 site plans approved in 2012 All sites were inspected prior to and after clearing. However, none of the sites inspected in 2012 met the criteria for high sediment transport. Page 10 of 22

41. Number of qualifying sites inspected prior to clearing and construction during the reporting period: 42. Inspected construction-phase stormwater controls at all known permitted development sites during construction to verify proper installation and maintenance of required erosion and sediment controls? (S5.C.4.b.iii and v) 43. Number of sites inspected during the construction phase for the reporting period: 44. Based on inspections at new development and redevelopment construction projects, enforced requirements related to the proper installation and maintenance of erosion and sediment controls? (S5.C.4.b.iii and vi) /N/ 4 0 with high sediment transport; 4 that were 1 acre or greater Projects were inspected in 2012 regardless of when the permit was issued. 11 1 site each from 2008, 2009 & 2010 permits; 5 sites from 2011 permits; 3 sites from 2012 permits; all 11 sites inspected in 2012 45. Number of enforcement actions taken during the reporting period: 46. Inspected qualifying permitted development sites upon completion of construction and prior to final approval or occupancy to ensure proper installation of permanent stormwater controls such as stormwater facilities and structural BMPs? (S5.C.4.b.iv and v) 47. Number of qualifying sites known during the reporting period: 48. Number of qualifying sites inspected during the reporting period: 0 No enforcement action necessary. 6 6 Page 11 of 22

49. Verified a maintenance plan is completed and responsibility for maintenance is assigned for qualifying permitted development sites (S5.C.4.b.iv) 50. Enforced regulations to ensure proper installation of permanent stormwater controls? (S5.C.4.b.iv) 51. Number of enforcement actions taken during the reporting period: 52. Implemented a long-term operation and maintenance (O&M) program for postconstruction stormwater facilities permitted and constructed pursuant to S5.C.4.a. and b.? (S5.C.4.c) 53. Annually inspected all post-construction stormwater controls, including structural BMPs, at new development and redevelopment projects permitted according to S5.C.4.b. (unless maintenance records justify a different frequency)? (S5.C.4.c.iii) /N/ N/A 0 No enforcement action necessary. 54. If using reduced inspection frequency, Attached documentation as per S5.C.4.c.iii? 55. Performed timely maintenance of postconstruction stormwater facilities and BMPs as per S5.C.4.c.ii? 56. Attached documentation of any maintenance delays. (S5.C.4.c.ii) N/A N/A Page 12 of 22

57. Inspected all new stormwater treatment and flow control facilities owned or operated, including catch basins, for new residential developments that are a part of a larger common plan of development or sale, every 6 months during the period of heaviest house construction (i.e., 1 to 2 years following subdivision approval) to identify maintenance needs and enforce compliance with maintenance standards as needed? (S5.C.4.c.iv) /N/ N/A 58. Number of facilities inspected during the reporting period: 59. Implemented a procedure for keeping records of inspections and enforcement actions by staff, including inspection reports, warning letters, notices of violations, other enforcement records, maintenance inspections and maintenance activities? (S5.C.4.d) 0 60. Provided copies of the Notice of Intent for Construction Activity and Notice of Intent for Industrial Activity to representatives of proposed new development and redevelopment? (S5.C.4.e) Page 13 of 22

61. All staff responsible for implementing the program to control stormwater runoff from new development, redevelopment, and construction sites, including permitting, plan review, construction site inspections, and enforcement were trained to conduct these activities? (S5.C.4.f) 62. Performed timely maintenance as per S5.C.5.a.ii? 63. Attached documentation of any maintenance delays. (S5.C.5.a.ii) 64. Implemented a program designed to annually inspect and maintained all stormwater treatment and flow control facilities (other than catch basins)? (S5.C.5.b) /N/ N/A NPDES training: Lakewood development guidelines review and NPDES Permit section S5 C.4 review was held on 2/24/2010. Additional on-the-job training occurs regarding permitting, plan review, inspections, and enforcement. All staff responsible for implementing the program are CESCL certified. No maintenance delays to report. 66. Number of facilities inspected during the reporting period: 67. If using reduced inspection frequency, Attached documentation as per S5.C.5.a.ii? (S5.C.5.b) 68. Conducted spot checks of stormwater facilities after major storms? (S5.C.5.c) 69. Number of known facilities: 52 70. Number of facilities inspected during the reporting period: 14 71. Inspected 20% of municipally owned or operated catch basins at least once before the end of the Permit term? (S5.C.5.d and Permit Reference Table) 52 65. Number of known facilities: 52 38 stormwater structures; 11 ponds; 3 bioswales N Reduced inspection frequency not being used. Page 14 of 22

/N/ 72. Number of known catch basins: 6478 73. Number of inspections: 3046 74. Number of catch basins cleaned: 3046 75. Implemented practices to reduce stormwater impacts associated with runoff from streets, parking lots, roads or highways owned or maintained by the Permittee, and road maintenance activities conducted by the Permittee? (S5.C.5.f) 76. Implemented policies and procedures to reduce pollutants in discharges from all lands owned or maintained by the Permittee and subject to this Permit, including but not limited to: parks, open space, road right-of-way, maintenance yards, and stormwater treatment and flow control facilities? (S5.C.5.g) 77. Implemented an operations and maintenance (O&M) training program that has the ultimate goal of preventing or reducing pollutant runoff from municipal operations? (S5.C.5.h.) City of Lakewood field employee IDDE training done 12/10/12; Compliance Inspector attended 8 hour Hazardous Waste Operations and Emergency Response refresher course on 2/2/12. 78. Implemented a Stormwater Pollution Prevention Plan (SWPPP) for all heavy equipment maintenance or storage yards, and material storage facilities owned or operated by the Permittee in areas subject to this Permit that are not required to have coverage under the Industrial Stormwater General Permit? ( S5.C.5.i) Page 15 of 22

79. Complied with the specific requirements associated with approved TMDLs identified in Appendix 2? (S7.A and Permit Reference Table) 80. Attached status report of TMDL implementation? (S7.A and Permit Reference Table) 81. Where monitoring was required in Appendix 2, did you conduct the monitoring according to an approved Quality Assurance Project Plan? (S7.A and Permit Reference Table) /N/ N/A N/A N/A 82. Notified Ecology immediately in cases where the Permittee becomes aware of a discharge from the Permittees MS4 which may cause or contribute to an imminent threat to human health or the environment? (G3) 83. Took appropriate action to correct or minimize discharges into or from the MS4 which could constitute a threat to human health, welfare, or the environment? (G3) 84. Attached a summary of the status of implementation of any actions taken pursuant to S4.F and the status of any montioring, assessment, or evaluation efforts conducted during the reporting period? (S4.F.3.d) N/A 85. Notified Ecology of the failure to comply with any permit term or condition within 30 days of becoming aware of the non-compliance? (G20) N/A Page 16 of 22

/N/ Page 17 of 22

VII. Information Collection, BMP Evaluation, and Monitoring Complete Part A for all annual reports. NOTE: Please note in Row 1 of the table if you have no information to report. NOTE: Please limit your entries to 255 characters per cell. ou may include additional information in your Supplemental Documentation attachment and reference it below with the page number. A. Information Collection Briefly describe any stormwater monitoring, studies, or type of information collected and analyzed during the reporting period. (S8.B.1) Who/how to contact for additional information? 1. Outfall Reconnaissance Inventory (maintained) gvigoren@cityoflakewood.us 2. 3. 4. 5. 6. Page 18 of 22

VII. Information Collection, BMP Evaluation, and Monitoring Complete Part B for all annual reports. B. SWMP Evaluation (S8.B & S9) ou are required to assess the appropriateness of the BMPs you have selected to implement your SWMP. This evaluation is necessary to evaluate whether the MEP standard set by the permit is protective of water quality in your receiving water bodies. This assessment may be entirely qualitative. Answer if you are not yet implementing BMPs for a component of the SWMP. (S8.B.2 and S9) Question /N/ Comments (50 word limit) 1. 2. 3. 4. 5. 6. Are the BMPs selected and implemented for Public Outreach appropriate to minimize pollutants in the MS4 to the MEP? Are the BMPs selected and implemented for Public Involvement appropriate to minimize pollutants in the MS4 to the MEP? Are the BMPs selected and implemented for Illicit Discharge Detection and Elimination appropriate to minimize pollutants in the MS4 to the MEP? Are the BMPs selected and implemented for Construction Stormwater Pollution Prevention appropriate to minimize pollutants in the MS4 to the MEP? Are the BMPs selected and implemented for Post- Construction Runoff Management appropriate to minimize pollutants in the MS4 to the MEP? Are the BMPs selected and implemented for Good Housekeeping for Municipal Operations appropriate to minimize pollutants in the MS4 to the MEP? Includes education on proper disposal of dog waste, education at the elementary school level as to what stormwater is and where it goes (outreach calendar), and the continued installation of curb markers. In addition, regular inspections of targeted businesses, which include BMP education and assistance. City of Lakewood has several BMP's written in foreign languages to assist foreign speaking citizens with public involvement and to minimize pollutants. Regular inspections of targeted businesses with the emphasis on BMP education and assistance. Regular street sweeping and storm drain & pipe cleaning. In addition, regular inspections of municipal operations sites conducted. SWPPP's updated for two (2) city owned & operated facilities in 2012. Page 19 of 22

VII. Information Collection, BMP Evaluation, and Monitoring Complete Part C for all annual reports. C. Changes in BMPs or objectives (S8.B) If any of the BMPs or objectives is being changed, list the old BMP and objective, the new BMP and objective, and a justification for the change below. (S8.B.2., and S9) NOTE: ou may choose to attach additional documentation justifying Changes in BMPs or objectives. Note such attachments in the Justification for change field. Old BMP Old Objective New BMP New Objective Justification for Change 1 No changes 2 3 4 5 6 7 Page 20 of 22

Attachment #1 Q#6: Public Education & Outreach Types of Public Education and Outreach Events in 2012 1. Puget Sound Starts Here (PSSH) coaster & coffee sleeve campaign; 2. PSSH Mariners Mascot participation with a stormwater message; 3. Participated in Lakes High School Science Class Stormwater lesson; 4. May 2012 - Cinemedia Ads ran at both Lakewood theaters with stormwater message; 5. Dog-A-Thon participation with a scoop-the-poop message; 6 & 7. Two curb marking outreach events; 8. One outreach event for maintenance of our city rain gardens; 9. 2012-2013 Stormwater Outreach Calendar - which included 2 elementary schools (focus was on elementary school aged children) 10. 2012 City of Lakewood Fall Connections Article with stormwater emphasis; 11. Ponce de Leon Creek clean-up and restoration project; 12. Puyallup Fair Stream Team booth with a focus on stormwater concerns & rain barrel installations; 13. Educating business owners during stormwater compliance inspections - focus in 2012 was towing companies.

Attachment #2 Q#22: Distribution of Appropriate Information to Target Audiences Types of information distributed in 2012 to target audiences: City of Lakewood conducts many outreach events to fulfill requirements of S5.C.1. 1. We created a 2012-2013 Stormwater Outreach Calendar (with focus on elementary aged children); 2. City of Lakewood Connections newsletter article with household & business Stormwater BMP's; 3. Scoop-the-poop outreach events; 4. Curb marking events throughout the city; 5. During business inspections handouts are provided with pertinent BMP's written in several languages.