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Stormwater Pollution Prevention Plan Contractor Certification Statement (Responsible for overall SWPPP Compliance) West Seneca Town of West Seneca, Erie County, New York This is to certify that the following contracting firm will be responsible for installing, constructing, repairing, inspecting and/or maintaining the erosion and sediment control practices and post-construction stormwater management control practices required by the SWPPP. Contracting Firm Information Name: Address: Telephone & Fax: Trained Contractor(s) 1 Responsible for SWPPP Implementation (Provide name, title, and date of last training) _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Prior to commencement of construction activity, the following certification shall be issued: I hereby certify under penalty of law that I understand and agree to comply with the requirements of the SWPPP and agree to implement any corrective actions identified by the qualified inspector during a site inspection. I also understand that the owner or operator must comply with the requirements of the most current version of the New York State Pollutant Discharge Elimination System (SPDES) Construction General Permit (CGP) for Stormwater Discharges from Construction Activities and that it is unlawful for any person to cause or contribute to a violation of water quality standards. Furthermore, I am aware that there are significant penalties for submitting false information, that I do not believe to be true, including the possibility of fine and imprisonment for knowing violations Printed Name: Title/Position: Signature: Date: Upon completion of construction activities, the following certification shall be issued, prior to issuance of the NOT: I hereby certify that that all permanent stormwater management practices required by the SWPPP have been installed in accordance with the contract documents. I further certify that all temporary erosion and sediment control measures have been removed from the site, and that the on-site soils disturbed by construction activity have been restored in accordance with the SWPPP and the NYSDEC Division of Water’s publication “Deep-Ripping and Decompaction”. Printed Name: Title/Position: Signature: Date: 1 “Trained Contractor” means an employee from a contracting (construction) company that has received four (4) hours of Department endorsed training in proper erosion and sediment control principles from a Soil and Water Conservation District, or other Department endorsed entity. After receiving the initial training, the “trained contractor” shall receive four (4) hours of training every three (3) years. It can also mean an employee from the contracting (construction) company that meets the “qualified inspector” qualifications (e.g. licensed Professional Engineer, Certified Professional in Erosion and Sediment Control (CPESC), Registered Landscape Architect, New York State Erosion and Sediment Control Certificate Program holder, or someone working under the direct supervision of, and at the same company as, the licensed Professional Engineer or Registe red Landscape Architect, provided they have received four (4) hours of Department endorsed training in proper erosion and sediment control principles from a Soil an d Water Conservation District, or other Department endorsed entity). The “Trained Contractor” will be responsible for the day to day implementation of the SWPPP. Page 154 of 359