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CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza ● M-22 Santa Ana, California 92702 www.santa-ana.org (714) 647-5659 May 2022 Page 2 of 2 WATER QUALITY MANAGEMENT PLAN (WQMP) CHECKLIST Project Title and Address: Select the type of construction that applies to your parking lot project then follow the arrows to determine if the project is subject to WQMP requirements. Submit the completed checklist to the Public Works Agency. Construction of a new parking lot Addition or Redevelopment to an existing parking lot Enter surface area (square-feet) of new parking lot, including drive aisles, exposed to stormwater runoff in Box 1 below. sq-ft Does the project result in the addition of new impervious surface1 to the existing parking lot area (i.e. increased parking area)? Enter surface area (square-feet) of parking lot addition, including drive aisles, exposed to stormwater runoff in Box 2 below. Does the project consist of a “grind and overlay” and/or “slurry seal” treatment to the existing parking lot surface? sq-ft Is native soil2 being exposed, surface material changing (i.e. asphalt to concrete), or grade/drainage patterns changing? No WQMP Required3 No WQMP Required3 1 2 Enter surface area (square-feet) of redeveloped parking lot, including drive aisles, exposed to stormwater runoff in Box 3 below. sq-ft 3 1Impervious surface is a surface that prohibits stormwater infiltration into the ground 2Native soil is the soil below any existing engineered fill or base material 3Project is considered routine maintenance If the sum of the values entered into Box 1, 2, and 3 is greater than or equal to 5,000 square-feet, the project is subject to WQMP requirements and will require a grading permit. Public Works Agency – Development Engineering staff review and approve WQMPs and grading plans. Grading permits may also be required for routine maintenance projects, subject to the discretion of the Public Works Agency. I certify that the above information is true and accurate to the best of my knowledge. I am aware that City staff may conduct inspections of the project during construction and if staff determine the project is in fact subject to WQMP requirements, a Stop Work Order and/or Administrative Citation(s) with Administrative Fine(s) may be issued to the contractor and property owner, and a WQMP will be required for the project. Yes No Yes No Yes No Checkbox Checkbox Signature: Print Name: Date: Yes