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SPECIAL PROVISIONS FOR - Sherburne CoBook_Final_2014... · SPECIAL PROVISIONS FOR ... National Pollutant Discharge Elimination System ... CP 71-648-212 - Turn Lanes, Slope Reconditioning,

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SPECIAL PROVISIONS FOR

2014 TURN LANE CONSTRUCTION AND CULVERT REPLACEMENT

INDEX TO SPECIAL PROVISIONS Title and Certification Page Index to Special Provisions Advertisement for Bids Schedule of Prices by Contract Notice to Bidders (Debarments) Notice to Bidders – Prompt Payment to Subcontractors Notice to Bidder – Bid Rigging *Bid Proposal Package is not included in specifications; it is available for purchase (see Ad for Bid)

DIVISION G & S

GENERAL PROVISIONS

G-1 Governing Specifications .............................................................................................................................. G-1 G-2 Standard Plates .............................................................................................................................................. G-1 G-3 Proposal ......................................................................................................................................................... G-1 G-4 Insurance ....................................................................................................................................................... G-1 G-5 (1208) Proposal Guaranty ............................................................................................................................. G-2 G-6 (1302) Award of Contract ............................................................................................................................. G-2 G-7 Guaranty of Work ......................................................................................................................................... G-2 G-8 Surety Deposits for Non-Minnesota Construction Contractors ..................................................................... G-2

SPECIAL PROVISIONS

S-1 (1305) Requirement of Contract Bond ........................................................................................................... S-1 S-2 (1404) Maintenance of Traffic ....................................................................................................................... S-1 S-3 (1507) Utility Property and Service ............................................................................................................... S-1 S-4 (1508) Construction Stakes, Lines, and Grades .............................................................................................. S-1 S-5 (1701) Laws to be Observed (Data Practices) ................................................................................................ S-2 S-6 (1707) Public Convenience and Safety .......................................................................................................... S-2 S-7 (1710) Traffic Control Devices ...................................................................................................................... S-3 S-8 (1717) National Pollutant Discharge Elimination System (NPDES) Permit .................................................. S-3 S-9 (1803) Prosecution of Work ........................................................................................................................... S-4 S-10 (1806) Determination and Extension of Contract Time ................................................................................. S-4 S-11 (1807) Failure to Complete Work on Time .................................................................................................... S-4 S-12 (1901) Measurement of Quantities ................................................................................................................. S-5 S-13 (1903) Compensation for Increased of Decreased Quantities ........................................................................ S-5 S-14 (1906) Partial Payments ................................................................................................................................. S-5 S-15 (1908) Final Payment ..................................................................................................................................... S-5 S-16 (2104) Removing Pavement and Miscellaneous Structures ........................................................................... S-5 S-17 (2104.523) Salvage Fire Number & Mailbox Support ................................................................................... S-5 S-18 (2105) Excavation and Embankment ............................................................................................................. S-6 S-19 (2105.602) Construct Turn Lane and Construct Bypass Lane ........................................................................ S-6 S-20 (2130.501) Water ........................................................................................................................................... S-6 S-21 (2211.501) Aggregate Base Class 5 ............................................................................................................... S-7 S-22 (2211.501) Aggregate Base Class 6B ............................................................................................................. S-7 S-23 (2507.501) Lining Culvert Pipe, 60” CMP ..................................................................................................... S-7 S-24 (2511.604) Articular Concrete, Rip Rap ........................................................................................................ S-7 S-25 (2563.601) Traffic Control & Detour Signing ................................................................................................ S-7 S-26 (2564.602) Install Culvert Marker .................................................................................................................. S-8

SPECIAL PROVISIONS cont.

S-27 (2573.560) Culvert End Controls ................................................................................................................... S-8 S-28 (2573.601) Storm Water Management ........................................................................................................... S-9 S-29 (2573.610) Sediment Removal ..................................................................................................................... S-10 S-30 Work Sequencing ......................................................................................................................................... S-10 S-31 Working Hours ............................................................................................................................................. S-11 S-32 Vehicle Conspicuity Specification ............................................................................................................... S-11 S-33 Road Approaches/Entrance Preparation ....................................................................................................... S-11 S-34 Permits ......................................................................................................................................................... S-12

ATTACHMENTS

Schedule of Materials .............................................................................................................................................................. ATT-1 NPDES Construction Storm Water General Permit ................................................................................................................. ATT-2

2/11/2014 Contract No.: 14000

Sherburne Schedule Of Prices By Contract Projects

Project Number: CP 71-606-212, CP 71-624-213, CP 71-635-212, CP 71-648-212, CP 71-650-211, CP 71-673-212

Project Title or Road Number: Contract No.: 14000 - CP 71-606-212 - 2014 Turn Lane & Culvert Replacements, CP 71-624-213 - 2014 Turn Lane & Culvert Replacements, CP 71-635-212 - 2014 Turn Lane & Culvert Replacements, CP 71-648-212 - 2014 Turn Lane & Culvert Replacements, CP 71-650-211 - 2014 Turn Lane & Culvert Replacements, CP 71-673-212 - 2014 Turn Lane & Culvert Replacements

Work Type: CP 71-606-212 - Turn Lane & Culvert Replacement; CP 71-624-213 - Turn Lane & Culvert Replacement; CP 71-635-212 - Turn Lane & Culvert Replacement; CP 71-648-212 - Turn Lanes, Slope Reconditioning, Culvert Replacement; CP 71-650-211 - Turn Lane & Culvert Replacement; CP 71-673-212 - Turn Lane & Culvert Replacement

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

Project CP 71-606-212

2021.501 MOBILIZATION LS 1.00

2104.501 REMOVE METAL CULVERT L F 375.00

2104.503 REMOVE BITUMINOUS PAVEMENT

S F 6,917.00

2104.513 SAWING BITUMINOUS PAVEMENT (FULL DEPTH)

LIN FT 192.00

2104.523 SALVAGE CULVERT MARKER EACH 8.00

2105.522 SELECT GRANULAR BORROW (CV) C Y 2,436.00

2211.501 AGGREGATE BASE CLASS 5

TON 606.00

2231.501 BITUMINOUS PATCHING MIXTURE TON 86.00

2451.509 AGGREGATE BEDDING (CV) CU YD 225.00

2501.511 60" RC PIPE CULVERT

LIN FT 210.00

2501.511 18" RC PIPE CULVERT

L F 66.00

2501.511 24" RC PIPE CULVERT L F 144.00

2501.515 18" RC PIPE APRON EACH 2.00

2501.515 24" RC PIPE APRON

EACH 4.00

2501.515 60" RC PIPE APRON EACH 2.00

2511.604 ARTICULAR CONCRETE RIP-RAP SQ YD 16.00

2563.601 TRAFFIC CONTROL

ROAD STA 1.00

2563.601 DETOUR SIGNING

LS 1.00

2564.602 INSTALL CULVERT MARKER EACH 8.00

2573.502 SILT FENCE, TYPE MACHINE SLICED LIN FT 524.00

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

2573.560 CULVERT END CONTROLS EACH 8.00

2573.601 STORM WATER MANAGEMENT

LUMP SUM 1.00

2573.610 SEDIMENT REMOVAL HOUR 5.00

2574.508 FERTILIZER TYPE 1 POUND 179.00

2575.501 SEEDING

ACRE 0.90

2575.502 SEED MIXTURE 21-111

LB 45.00

2575.502 SEED MIXTURE 25-121 LB 55.00

2575.562 HYDRAULIC MATRIX TYPE MULCH LB 1,884.00

CP 71-606-212 Project Total

2/11/2014 Contract No.: 14000

Sherburne Schedule Of Prices By Contract Projects

Project Number: CP 71-606-212, CP 71-624-213, CP 71-635-212, CP 71-648-212, CP 71-650-211, CP 71-673-212

Project Title or Road Number: Contract No.: 14000 - CP 71-606-212 - 2014 Turn Lane & Culvert Replacements, CP 71-624-213 - 2014 Turn Lane & Culvert Replacements, CP 71-635-212 - 2014 Turn Lane & Culvert Replacements, CP 71-648-212 - 2014 Turn Lane & Culvert Replacements, CP 71-650-211 - 2014 Turn Lane & Culvert Replacements, CP 71-673-212 - 2014 Turn Lane & Culvert Replacements

Work Type: CP 71-606-212 - Turn Lane & Culvert Replacement; CP 71-624-213 - Turn Lane & Culvert Replacement; CP 71-635-212 - Turn Lane & Culvert Replacement; CP 71-648-212 - Turn Lanes, Slope Reconditioning, Culvert Replacement; CP 71-650-211 - Turn Lane & Culvert Replacement; CP 71-673-212 - Turn Lane & Culvert Replacement

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

Project CP 71-624-213

2021.501 MOBILIZATION LS 1.00

2104.501 REMOVE METAL CULVERT L F 96.00

2104.503 REMOVE BITUMINOUS PAVEMENT

S F 1,641.00

2104.513 SAWING BITUMINOUS PAVEMENT (FULL DEPTH)

LIN FT 48.00

2105.522 SELECT GRANULAR BORROW (CV) C Y 341.00

2105.602 CONSTRUCT TURN LANES EACH 3.00

2105.602 CONSTRUCT BY PASS LANE

EACH 1.00

2130.501 WATER M GALLONS 10.00

2211.501 AGGREGATE BASE CLASS 5 TON 878.00

2231.501 BITUMINOUS PATCHING MIXTURE

TON 21.00

2501.511 12" CS PIPE CULVERT

L F 20.00

2501.567 12" CS SAFETY APR & GRATE DES 3128 EACH 2.00

2563.601 TRAFFIC CONTROL ROAD STA 1.00

2563.601 DETOUR SIGNING

LS 1.00

2573.560 CULVERT END CONTROLS EACH 2.00

2573.601 STORM WATER MANAGEMENT LUMP SUM 1.00

2573.610 SEDIMENT REMOVAL

HOUR 5.00

2574.508 FERTILIZER TYPE 1

POUND 278.00

2575.501 SEEDING ACRE 1.40

2575.502 SEED MIXTURE 21-111 LB 70.00

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

2575.502 SEED MIXTURE 25-121 LB 85.00

2575.562 HYDRAULIC MATRIX TYPE MULCH

LB 2,919.00

CP 71-624-213 Project Total

2/11/2014 Contract No.: 14000

Sherburne Schedule Of Prices By Contract Projects

Project Number: CP 71-606-212, CP 71-624-213, CP 71-635-212, CP 71-648-212, CP 71-650-211, CP 71-673-212

Project Title or Road Number: Contract No.: 14000 - CP 71-606-212 - 2014 Turn Lane & Culvert Replacements, CP 71-624-213 - 2014 Turn Lane & Culvert Replacements, CP 71-635-212 - 2014 Turn Lane & Culvert Replacements, CP 71-648-212 - 2014 Turn Lane & Culvert Replacements, CP 71-650-211 - 2014 Turn Lane & Culvert Replacements, CP 71-673-212 - 2014 Turn Lane & Culvert Replacements

Work Type: CP 71-606-212 - Turn Lane & Culvert Replacement; CP 71-624-213 - Turn Lane & Culvert Replacement; CP 71-635-212 - Turn Lane & Culvert Replacement; CP 71-648-212 - Turn Lanes, Slope Reconditioning, Culvert Replacement; CP 71-650-211 - Turn Lane & Culvert Replacement; CP 71-673-212 - Turn Lane & Culvert Replacement

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

Project CP 71-635-212

2021.501 MOBILIZATION LS 1.00

2104.501 REMOVE CONCRETE CULVERT L F 8.00

2104.501 REMOVE METAL CULVERT

L F 160.00

2104.503 REMOVE BITUMINOUS PAVEMENT

S F 6,594.00

2104.513 SAWING BITUMINOUS PAVEMENT (FULL DEPTH) LIN FT 128.00

2104.523 SALVAGE CULVERT MARKER EACH 4.00

2105.522 SELECT GRANULAR BORROW (CV)

C Y 1,482.00

2105.602 CONSTRUCT TURN LANES EACH 7.00

2105.602 CONSTRUCT BY PASS LANE EACH 5.00

2130.501 WATER

M GALLONS 10.00

2211.501 AGGREGATE BASE CLASS 5

TON 1,976.00

2231.501 BITUMINOUS PATCHING MIXTURE TON 88.00

2451.509 AGGREGATE BEDDING (CV) CU YD 90.00

2501.511 30" RC PIPE CULVERT

L F 70.00

2501.511 36" RC PIPE CULVERT L F 84.00

2501.515 30" RC PIPE APRON EACH 1.00

2501.515 36" RC PIPE APRON

EACH 2.00

2501.515 48" RC PIPE APRON

EACH 1.00

2503.601 CONNECT TO INPLACE CULVERT LS 1.00

2506.502 CONST DRAINAGE STRUCTURE MH DES 60-4020 EACH 1.00

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

2506.516 CASTING ASSEMBLY EACH 1.00

2511.604 ARTICULAR CONCRETE RIP-RAP

SQ YD 84.00

2563.601 TRAFFIC CONTROL ROAD STA 1.00

2563.601 DETOUR SIGNING LS 1.00

2564.602 INSTALL CULVERT MARKER

EACH 4.00

2573.502 SILT FENCE, TYPE MACHINE SLICED

LIN FT 350.00

2573.560 CULVERT END CONTROLS EACH 4.00

2573.601 STORM WATER MANAGEMENT LUMP SUM 1.00

2573.610 SEDIMENT REMOVAL

HOUR 5.00

2574.508 FERTILIZER TYPE 1 POUND 722.00

2575.501 SEEDING ACRE 3.60

2575.502 SEED MIXTURE 21-111

LB 181.00

2575.502 SEED MIXTURE 25-121

LB 219.00

2575.562 HYDRAULIC MATRIX TYPE MULCH LB 7,581.00

CP 71-635-212 Project Total

2/11/2014 Contract No.: 14000

Sherburne Schedule Of Prices By Contract Projects

Project Number: CP 71-606-212, CP 71-624-213, CP 71-635-212, CP 71-648-212, CP 71-650-211, CP 71-673-212

Project Title or Road Number: Contract No.: 14000 - CP 71-606-212 - 2014 Turn Lane & Culvert Replacements, CP 71-624-213 - 2014 Turn Lane & Culvert Replacements, CP 71-635-212 - 2014 Turn Lane & Culvert Replacements, CP 71-648-212 - 2014 Turn Lane & Culvert Replacements, CP 71-650-211 - 2014 Turn Lane & Culvert Replacements, CP 71-673-212 - 2014 Turn Lane & Culvert Replacements

Work Type: CP 71-606-212 - Turn Lane & Culvert Replacement; CP 71-624-213 - Turn Lane & Culvert Replacement; CP 71-635-212 - Turn Lane & Culvert Replacement; CP 71-648-212 - Turn Lanes, Slope Reconditioning, Culvert Replacement; CP 71-650-211 - Turn Lane & Culvert Replacement; CP 71-673-212 - Turn Lane & Culvert Replacement

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

Project CP 71-648-212

2021.501 MOBILIZATION LS 1.00

2104.501 REMOVE METAL CULVERT L F 222.00

2104.503 REMOVE BITUMINOUS PAVEMENT

S F 5,269.00

2104.513 SAWING BITUMINOUS PAVEMENT (FULL DEPTH)

LIN FT 237.00

2104.523 SALVAGE CULVERT MARKER EACH 6.00

2105.522 SELECT GRANULAR BORROW (CV) C Y 2,855.00

2211.501 AGGREGATE BASE CLASS 5

TON 192.00

2231.501 BITUMINOUS PATCHING MIXTURE TON 66.00

2451.509 AGGREGATE BEDDING (CV) CU YD 107.00

2501.511 18" RC PIPE CULVERT

L F 60.00

2501.511 24" RC PIPE CULVERT

L F 164.00

2501.515 18" RC PIPE APRON EACH 2.00

2501.515 24" RC PIPE APRON EACH 2.00

2501.567 24" RC SAFETY APRON & GRATE DESIGN 3022

EACH 2.00

2507.501 LINING CULVERT PIPE, 60" CMP L F 125.00

2563.601 TRAFFIC CONTROL ROAD STA 1.00

2563.601 DETOUR SIGNING

LS 1.00

2564.602 INSTALL CULVERT MARKER

EACH 6.00

2573.502 SILT FENCE, TYPE MACHINE SLICED LIN FT 782.00

2573.560 CULVERT END CONTROLS EACH 6.00

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

2573.601 STORM WATER MANAGEMENT LUMP SUM 1.00

2573.610 SEDIMENT REMOVAL

HOUR 5.00

2574.508 FERTILIZER TYPE 1 POUND 106.00

2575.501 SEEDING ACRE 0.50

2575.502 SEED MIXTURE 21-111

LB 27.00

2575.502 SEED MIXTURE 25-121

LB 32.00

2575.562 HYDRAULIC MATRIX TYPE MULCH LB 1,113.00

CP 71-648-212 Project Total

2/11/2014 Contract No.: 14000

Sherburne Schedule Of Prices By Contract Projects

Project Number: CP 71-606-212, CP 71-624-213, CP 71-635-212, CP 71-648-212, CP 71-650-211, CP 71-673-212

Project Title or Road Number: Contract No.: 14000 - CP 71-606-212 - 2014 Turn Lane & Culvert Replacements, CP 71-624-213 - 2014 Turn Lane & Culvert Replacements, CP 71-635-212 - 2014 Turn Lane & Culvert Replacements, CP 71-648-212 - 2014 Turn Lane & Culvert Replacements, CP 71-650-211 - 2014 Turn Lane & Culvert Replacements, CP 71-673-212 - 2014 Turn Lane & Culvert Replacements

Work Type: CP 71-606-212 - Turn Lane & Culvert Replacement; CP 71-624-213 - Turn Lane & Culvert Replacement; CP 71-635-212 - Turn Lane & Culvert Replacement; CP 71-648-212 - Turn Lanes, Slope Reconditioning, Culvert Replacement; CP 71-650-211 - Turn Lane & Culvert Replacement; CP 71-673-212 - Turn Lane & Culvert Replacement

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

Project CP 71-650-211

2021.501 MOBILIZATION LS 1.00

2104.501 REMOVE METAL CULVERT L F 42.00

2104.501 REMOVE CATTLE PASS

L F 58.00

2104.503 REMOVE BITUMINOUS PAVEMENT

S F 3,072.00

2104.513 SAWING BITUMINOUS PAVEMENT (FULL DEPTH) LIN FT 96.00

2104.523 SALVAGE CULVERT MARKER EACH 2.00

2104.523 SALVAGE FIRE NUMBER

EACH 4.00

2104.523 SALVAGE MAIL BOX SUPPORT EACH 3.00

2105.522 SELECT GRANULAR BORROW (CV) C Y 1,219.00

2105.602 CONSTRUCT TURN LANES

EACH 4.00

2105.602 CONSTRUCT BY PASS LANE

EACH 2.00

2130.501 WATER M GALLONS 10.00

2211.501 AGGREGATE BASE CLASS 5 TON 1,405.00

2231.501 BITUMINOUS PATCHING MIXTURE

TON 40.00

2501.511 18" RC PIPE CULVERT L F 48.00

2501.515 18" RC PIPE APRON EACH 2.00

2563.601 TRAFFIC CONTROL

ROAD STA 1.00

2563.601 DETOUR SIGNING

LS 1.00

2564.602 INSTALL CULVERT MARKER EACH 2.00

2573.560 CULVERT END CONTROLS EACH 2.00

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

2573.601 STORM WATER MANAGEMENT LUMP SUM 1.00

2573.610 SEDIMENT REMOVAL

HOUR 5.00

2574.508 FERTILIZER TYPE 1 POUND 416.00

2575.501 SEEDING ACRE 2.10

2575.502 SEED MIXTURE 21-111

LB 104.00

2575.502 SEED MIXTURE 25-121

LB 128.00

2575.562 HYDRAULIC MATRIX TYPE MULCH LB 4,368.00

CP 71-650-211 Project Total

2/11/2014 Contract No.: 14000

Sherburne Schedule Of Prices By Contract Projects

Project Number: CP 71-606-212, CP 71-624-213, CP 71-635-212, CP 71-648-212, CP 71-650-211, CP 71-673-212

Project Title or Road Number: Contract No.: 14000 - CP 71-606-212 - 2014 Turn Lane & Culvert Replacements, CP 71-624-213 - 2014 Turn Lane & Culvert Replacements, CP 71-635-212 - 2014 Turn Lane & Culvert Replacements, CP 71-648-212 - 2014 Turn Lane & Culvert Replacements, CP 71-650-211 - 2014 Turn Lane & Culvert Replacements, CP 71-673-212 - 2014 Turn Lane & Culvert Replacements

Work Type: CP 71-606-212 - Turn Lane & Culvert Replacement; CP 71-624-213 - Turn Lane & Culvert Replacement; CP 71-635-212 - Turn Lane & Culvert Replacement; CP 71-648-212 - Turn Lanes, Slope Reconditioning, Culvert Replacement; CP 71-650-211 - Turn Lane & Culvert Replacement; CP 71-673-212 - Turn Lane & Culvert Replacement

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

Project CP 71-673-212

2021.501 MOBILIZATION LS 1.00

2104.501 REMOVE METAL CULVERT L F 218.00

2104.503 REMOVE BITUMINOUS PAVEMENT

S F 4,622.00

2104.513 SAWING BITUMINOUS PAVEMENT (FULL DEPTH)

LIN FT 192.00

2104.523 SALVAGE CULVERT MARKER EACH 6.00

2104.523 SALVAGE FIRE NUMBER EACH 1.00

2104.523 SALVAGE MAIL BOX SUPPORT

EACH 6.00

2105.522 SELECT GRANULAR BORROW (CV) C Y 586.00

2105.602 CONSTRUCT TURN LANES EACH 3.00

2105.602 CONSTRUCT BY PASS LANE

EACH 3.00

2130.501 WATER

M GALLONS 10.00

2211.501 AGGREGATE BASE CLASS 5 TON 1,305.00

2231.501 BITUMINOUS PATCHING MIXTURE TON 58.00

2451.509 AGGREGATE BEDDING (CV)

CU YD 33.00

2501.511 18" RC PIPE CULVERT L F 86.00

2501.511 24" RC PIPE CULVERT L F 132.00

2501.515 18" RC PIPE APRON

EACH 2.00

2501.515 24" RC PIPE APRON

EACH 4.00

2563.601 TRAFFIC CONTROL ROAD STA 1.00

2563.601 DETOUR SIGNING LS 1.00

BIDDER MUST FILL IN UNIT PRICES IN NUMERALS; MAKE EXTENSION FOR EACH ITEM AND TOTAL. FOR COMPLETE INFORMATION CONCERNING THESE ITEMS, SEE PLANS AND SPECIFICATIONS, INCLUDING SPECIAL PROVISIONS.

Item No. Description Units Quantity Unit Price Total Price

2564.602 INSTALL CULVERT MARKER EACH 6.00

2573.502 SILT FENCE, TYPE MACHINE SLICED

LIN FT 920.00

2573.560 CULVERT END CONTROLS EACH 6.00

2573.601 STORM WATER MANAGEMENT LUMP SUM 1.00

2573.610 SEDIMENT REMOVAL

HOUR 5.00

2574.508 FERTILIZER TYPE 1

POUND 458.00

2575.501 SEEDING ACRE 2.30

2575.502 SEED MIXTURE 21-111 LB 115.00

2575.502 SEED MIXTURE 25-121

LB 140.00

2575.562 HYDRAULIC MATRIX TYPE MULCH LB 4,809.00

CP 71-673-212 Project Total

Grand Total

Bidder Name:

Bidder Address:

Bidder Phone:

Bidder Signature: Date:

NOTICE TO BIDDERS

SUSPENSIONS/DEBARMENTS

August 26, 2013 Page 1 of 2

DEPARTMENT OF TRANSPORTATION

NOTICE OF DEBARMENT NOTICE IS HEREBY GIVEN that MnDOT has ordered that the following vendors be debarred for a period of thirty (30) months, effective August 22, 2011 until February 22, 2014:

• Marlon Louis Danner and his affiliates, South St. Paul, MN • Danner, Inc. and its affiliates, South St. Paul, MN • Bull Dog Leasing, Inc. and its affiliates, Inver Grove Heights, MN • Danner Family Limited Partnership and its affiliates, South St. Paul, MN • Ell-Z Trucking, Inc. and its affiliates, South St. Paul, MN • Danner Environmental, Inc. and its affiliates, South St. Paul, MN

NOTICE IS HEREBY GIVEN that MnDOT has ordered that the following vendors be debarred for a period of three (3) years, effective March 25, 2011 until March 25, 2014:

• Philip Joseph Franklin and his affiliates, Leesburg, VA • Franklin Drywall, Inc. and its affiliates, Little Canada, MN • Master Drywall, Inc. and its affiliates, Little Canada, MN

NOTICE IS HEREBY GIVEN that MnDOT has ordered that the following vendors be debarred for a period of three (3) years, effective May 6, 2013 until May 6, 2016:

• Gary Francis Bauerly and his affiliates, Rice, MN • Gary Bauerly, LLC and its affiliates, Rice, MN • Watab Hauling Co. and its affiliates, Rice, MN

Minnesota Statute section 161.315 prohibits the Commissioner, counties, towns, or home rule or statutory cities from awarding or approving the award of a contract for goods or services to a person who is suspended or debarred, including:

1) any contract under which a debarred or suspended person will serve as a subcontractor or material supplier, 2) any business or affiliate which the debarred or suspended person exercises substantial influence or control, and 3) any business or entity, which is sold or transferred by a debarred person to a relative or any other party over whose actions the debarred person exercises substantial influence or control, remains ineligible during the duration of the seller’s or transfer’s debarment.

NOTICE TO BIDDERS

SUSPENSIONS/DEBARMENTS

August 26, 2013 Page 2 of 2

DEPARTMENT OF ADMINISTRATION As of the date of this notice and in accordance with Minnesota Rules 1230.1150, the Minnesota Department of Administration has debarred and disqualified the following persons and businesses from entering into or receiving a State of Minnesota contract:

NAME DATE OF DEBARMENT Best Used Trucks of Minnesota, Inc. 635 Marin Ave. Crookston, MN 56716

Nov. 20, 2012 through Nov. 20, 2015 (eligible for reinstatement on Nov. 20, 2016)

Bull Dog Leasing, Inc. 7854 Danner Court Inver Grove Heights, MN 55076

Aug. 30, 2011 through Aug. 30, 2014 (eligible for reinstatement on Aug. 30, 2015)

Danner Family Ltd. Ptnship. 843 Hardman Ave. S. S. St. Paul, MN 55075

Aug. 30, 2011 through Aug. 30, 2014 (eligible for reinstatement on Aug. 30, 2015)

Danner, Inc. 843 Hardman Ave. S. S. St. Paul, MN 55075

Aug. 30, 2011 through Aug. 30, 2014 (eligible for reinstatement on Aug. 30, 2015)

Ell-Z Trucking, Inc. 843 Hardman Ave. S. S. St. Paul, MN 55075

Aug. 30, 2011 through Aug. 30, 2014 (eligible for reinstatement on Aug. 30, 2015)

Franklin Drywall, Inc. 43279 Fieldsview Crt. Leesburg, VA 20176

March 25, 2011 through March 25, 2014 (eligible for reinstatement on March 25, 2015)

Master Drywall, Inc. 43279 Fieldsview Crt. Leesburg, VA 20176

March 25, 2011 through March 25, 2014 (eligible for reinstatement on March 25, 2015)

Watab Hauling Co. Gary Francis Bauerly 9695 Deerwood Rd. NE Rice, MN 56367

Jan. 14, 2013 through Jan. 14, 2016 (eligible for reinstatement on Jan. 14, 2017)

Minnesota Administrative Rule part 1230.1150, subpart 6 requires the Materials Management Division to maintain a master list of all suspensions and debarments. The master list must retain all information concerning suspensions and debarments as a public record for at least three (3) years following the end of a suspension or debarment. Refer to the following website for the master list: http://www.mmd.admin.state.mn.us/debarredreport.asp. If the project is financed in whole or in part with federal funds, refer to the following website for vendors debarred by federal government agencies: http://sam.gov.

NOTICE TO BIDDERS Minnesota Statutes that require prompt payment to subcontractors: 471.425 Prompt payment of local government bills. Subd. 1. Definitions. For the purposes of this section, the following terms have the meanings here given them.

(d) "Municipality" means any home rule charter or statutory city, county, town, school district, political subdivision or agency of local government. "Municipality" means the metropolitan council or any board or agency created under chapter 473.

Subd. 4a. Prompt payment to subcontractors. Each contract of a municipality must require the prime contractor to pay any subcontractor within ten days of the prime contractor's receipt of payment from the municipality for undisputed services provided by the subcontractor. The contract must require the prime contractor to pay interest of 1-1/2 percent per month or any part of a month to the subcontractor on any undisputed amount not paid on time to the subcontractor. The minimum monthly interest penalty payment for an unpaid balance of $100 or more is $10. For an unpaid balance of less than $100, the prime contractor shall pay the actual penalty due to the subcontractor. A subcontractor who prevails in a civil action to collect interest penalties from a prime contractor must be awarded its costs and disbursements, including attorney's fees, incurred in bringing the action. HIST: 1985 c 136 s 5; 1995 c 31 s 1

Bid Rigging NOTICE TO ALL BIDDERS

To report bid rigging activities call:

1-800-424-9071

The U.S. Department of Transportation (DOT) operates the above toll-free "hotline" Monday through Friday, 8:00 a.m. to 5:00 p.m., eastern time. Anyone with knowledge of possible bid rigging, bidder collusion, or other fraudulent activities should use the "hotline" to report such activities.

The "hotline" is part of the DOT's continuing effort to identify and investigate highway construction contract fraud and abuse and is operated under the direction of the DOT Inspector General. All information will be treated confidentially and caller anonymity will be respected.

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GENERAL PROVISIONS

G-1 GOVERNING SPECIFICATIONS The 2014 edition of the Minnesota Department of Transportation “STANDARD SPECIFICATIONS for CONSTRUCTION” shall govern except as modified or altered in these special provisions. Wherever, in these specifications, the term “State” or “Department” is used, it shall be construed to mean the County of Sherburne, Elk River, Minnesota. G-2 STANDARD PLATES All reference to Standard Plates shall mean the “Standard Plates” of the Department of Transportation of the State of Minnesota, approved by the F.H.W.A. shall apply. G-3 PROPOSAL The bid proposal package will be furnished by Sherburne County. The envelope containing the bid shall be addressed to the Board of County Commissioners, Administrators Office, Sherburne County Government Center Information Desk, 13880 Business Center Dr. Elk River, MN 55330, and the envelope shall bear the inscription “2014 Turn Lane and Culvert Replacement.” G-4 INSURANCE The Contractor shall not commence work under the Contract until he has obtained the following insurance, and such insurance has been approved by the Sherburne County Attorney. The Contractor shall deposit with the County Administrator the original, or a certified duplicate copy thereof as applicable to this project, of the Public Liability and Property Damage Insurance and Extended Coverage Policies, required. All policies and certificates shall provide that the policies shall remain in force and effect on thirty days written notice to the County Administrator before cancellation. The above insurance policies shall be submitted at the same time as the Contract and Bond as provided in 1306. The Contractor shall procure and maintain during the life of the Contract and until the Contract has been fully accepted, insurance policies as follows:

G-4.1 Public Liability and Property Damage Insurance For and in behalf of himself, the County of Sherburne as joint assurors, and with a cross liability endorsement protecting the County of Sherburne from claims or damages for personal injuries, including accidental death, as well as for claims for property damage which may arise from operations under the Contract, whether such operations be by the Contractor or by a subcontractor or by anyone directly or indirectly employed by either of them.

Said Public Liability and Public Property Damage Insurance Policy shall provide that the insurance company waives the right to assert the immunity of the County as a defense to any claims made under said insurance.

The amount of such insurance will be as follows: Public Liability Insurance in an amount of not less than One Million, Five Hundred Thousand Dollars ($1,500,000.00) for all damage arising out of bodily injuries to, or death of one person and subject to the same limit for each person in a total amount of not less than One Million, Five Hundred Thousand Dollars ($1,500,000.00) for all damages to or destruction of property in any one accident and subject to that limit, a total limit of One Million, Five Hundred Thousand Dollars ($1,500,000.00) for all damages to or destruction of property during the policy period.

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G-4.2 Worker’s Compensation Insurance For all his employees employed at the site of the project and, in case any work is sublet, the

Contractor shall require the subcontractor to provide Worker’s Compensation Insurance for all his employees.

G-4.3 Automobile Public Liability Insurance

One Million, Five Hundred Thousand Dollars ($1,500,000.00) for all damages arising out of bodily injuries to, or death of one person, and subject to that limit for each person, a total of One Million, Five Hundred Thousand Dollars ($1,500,000.00) for any one accident, and property damage liability insurance in an amount not less than One Million, Five Hundred Thousand Dollars ($1,500,000.00) for all damages to or destruction of property in any one accident and subject to that limit, a total of One Million, Five Hundred Thousand Dollars ($1,500,000.00) for all damages to or destruction of property during the policy period if any motor vehicles are engaged in operations within the term of the contract on the site of work covering the use of all such motor vehicles unless such coverage is included in the insurance provided for under subsection “A” hereof.

G-5 (1208) PROPOSAL GUARANTY No proposal will be considered unless it is accompanied by a guaranty complying with requirements as provided in

Specification 1208 and providing a penal sum at least equal to 5 percent of the total amount of the bid (under all circumstances and without exception).

G-6 (1302) AWARD OF CONTRACT The provisions of Specification 1302 are hereby supplemented by the following:

As a condition precedent to the award of contract, the bidder shall furnish proof that he is in compliance with Minnesota Statutes Section 363, as amended by Laws of 1969, implementing the rules and regulations of the Minnesota Department of Human Rights.

G-7 GUARANTY OF WORK The Contractor shall guarantee all materials and equipment furnished and work performed for a period of one year from the date of final completion and acceptance by the Sherburne County Board of Commissioners. The Contractor warrants and guarantees for a period of one year, from the date final completion and acceptance, that the completed work is free from all defects due to faulty materials and workmanship and the Contractor shall promptly make such corrections as may be necessary by the reason of such defects including the repairs of any damage to other work resulting from such defects. The Owner will give notice of observed defects with reasonable promptness. In the event that the Contractor should fail to make such repairs, adjustments, or other work that may be necessary by such defects, the Owner may do so and charge the Contractor the cost thereby incurred. The performance Bond shall remain in force and effect through the guarantee period.

G-8 SURETY DEPOSITS FOR NON-MINNESOTA CONSTRUCTION CONTRACTORS If Sherburne County hires or contracts with a non-Minnesota contractor to perform work, the county will withhold 8 percent of their compensation as a Minnesota surety deposit. Payments are subject to 8 percent withholding only if the work was performed in Minnesota and the value of the contract exceeds $50,000. The cash surety will be deposited with the department of revenue and is used as a surety guarantee that the contractor has fulfilled the requirements for withholding, sales and use, franchise and income taxes.

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Exemption

A non-Minnesota construction contractor may qualify for an exemption from the surety deposit if one of the following requirements are met:

The contractor gives the department a bond that is secured by an insurance company licensed in Minnesota and is equal to 8 percent of the contract. The bond remains in effect until the contractor satisfies all tax liabilities. You may choose to complete Form SBD, Non-Minnesota Contractor’s Bond, to submit to the department.

The contractor gives the department a cash surety. A cash surety is evidence of a savings account, deposit or certificate of deposit in, or issued by, a state bank, national bank or savings loan association doing business in Minnesota. Interest and dividends earned on the principal amount may be retained by the contractor.

The contractor is performing work for a government agency and has a payment and performance

bond.

The contractor has done construction work in Minnesota during the past three calendar years and has fully complied with Minnesota laws regarding withholding, sales and use, corporate franchise and income taxes.

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SPECIAL PROVISIONS

DIVISION S S-1 (1305) REQUIREMENT OF CONTRACT BOND The provisions of Mn/DOT 1305 are hereby deleted and replaced with the following:

The successful bidder shall furnish a payment bond equal to the contract amount and a performance bond equal to the contract amount as required by Minnesota Statutes, section 574.26. The surety and form of the bonds shall be subject to the approval of the contracting authority.

The contracting authority shall require for all contracts less than or equal to five million dollars ($5,000,000.00), that the aggregate liability of the payment and performance bonds shall be twice the amount of the contract. All contracts in excess of five million dollars ($5,000,000.00) shall have an aggregate liability equal to the amount of the contract.

S-2 (1404) MAINTENANCE OF TRAFFIC;

Traffic shall be maintained in accordance with the “Minnesota Manual on Uniform Traffic Control Devices” including the Field Manual, the provisions of Mn/DOT 1404 and Mn/DOT 1710, and the following:

Through traffic will be diverted from the project during the period of construction operations under this contract.

The county will deduct from any monies due or coming due to the contractor a $50.00 fine for each hour or

portion thereof that the contractor fails to adhere to the traffic restrictions or traffic control provisions set forth in Section 1404.

The Contractor shall furnish, install, maintain, and remove all traffic control devices required to provide safe movement of vehicular and/or pedestrian traffic passing through the work zone during the life of the Contract from the start of Contract operations to the final completion thereof. The Engineer will have the right to modify the requirements for traffic control as deemed necessary due to existing field conditions. Traffic control devices include, but are not limited to, barricades, warning signs, trailers, flashers, cones, drums, pavement markings and flaggers as required and sufficient barricade weights to maintain barricade stability. S-3 (1507) UTILITY PROPERTY AND SERVICE Work near public utilities shall be in accordance with the provisions of 1507 and the following: The Contractor will be required to work around all utility poles, whether or not they have been moved or lowered. Where poles have not been moved, or lowered, prior to grading operations, a mound of earth

shall be left around each pole, of sufficient size to ensure its stability as approved by the utility company. Where such poles are moved or lowered before all grading on the project is otherwise completed, the Contractor shall remove any mounds of earth that have been left. No compensation in addition to the contract price for common excavation will be made for this work.

The Contractor shall be responsible to contact all utility companies having utilities located within the

construction project to locate and identify said utilities. The Contractor shall also take action not to damage said utilities and work in cooperation with the utility companies to permanently or temporarily relocate utilities as necessary to complete required work.

S-4 (1508) CONSTRUCTION STAKES, LINES, AND GRADES The provisions of Mn/DOT 1508 are supplemented as follows:

The Contractor is responsible for contacting the Engineer and shall give a minimum of two (2) working days notification, weather permitting, for any construction staking that is needed for the project.

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The Contractor shall be responsible for the preservation of all stakes and marks. If any stakes or marks have been carelessly or willingly destroyed or disturbed by the Contractor, the cost of replacing them will be charged against the Contractor and will be deducted from the payment of the work. Re-staking cost will be assessed at a rate of $150 per hour.

S-5 (1701) LAWS TO BE OBSERVED (DATA PRACTICES) The provisions of Mn/DOT 1701 are supplemented with the following: Bidders are advised that all data created, collected, received, maintained, or disseminated by the Contractor and any subcontractors in performing the work contained in this Contract are subject to the requirements of MN Statute Chapter 13, the Minnesota Government Data Practices Act (MGDPA). The Contractor shall comply with the requirements of the MGDPA in the same manner as the Department. The Contractor does not have a duty to provide access to public data to the public if the public data are available from the Department, except as required by the terms of the Contract. S-6 (1707) PUBLIC CONVENIENCE AND SAFETY The provisions of Mn/DOT 1707 are supplemented as follows:

The Contractor shall maintain access to all abutting properties while the contract is in effect. This includes bus service during the school year. The Contractor shall coordinate with homeowners and trash haulers so as to prevent any interruption in trash services. The Contractor shall salvage 911 numbers and mailboxes, as indicated on the plans that may interfere with the installation of utilities and grading. The contractor shall notify the County one week before removing or relocating any 911 numbers or mailboxes. Damage to 911 numbers and mailboxes during salvaging and reinstalling shall be corrected and/or repaired at the Contractors expense.

Before parking any equipment or stockpiling materials, the Contractor shall obtain written permission from the landowners affected and a copy shall be provided to the County.

The Contractor shall release and agree to hold harmless the County, its agents and employees, from any and all claims of any kind or character whatsoever arising from damage, injury or death to persons or property caused by or resulting from the work performed on this contract.

The Contractor shall furnish names, addresses, and phone numbers of at least three (3) individuals responsible for the placement and maintenance of traffic control devices. At least one of these individuals shall be "on call" 24 hours per day, seven days per week during the times any traffic control devices, furnished and installed by the Contractor, are in place. The required information shall be submitted to the Engineer at the Pre-construction Conference. Contact information for this project:

1. Sherburne County Public Works Department 763-765-3300 2. Sherburne County Sheriff’s Department 763-765-3500 3. Local Fire Departments & Township Clerks

Becker Township – Clerk 763-261-5301 Becker Township – Fire 763-261-4133

Big Lake Township – Clerk 763-263-8111 Big Lake Township – Fire 763-263-3456

Palmer Township – Clerk 320-743-2100 Palmer Township – Fire 320-743-5638 Santiago Township – Clerk 763-662-2558 Santiago Township – Fire 763-261-5301

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4. City of Becker Public Works Department 763-200-4275

Engineering Department 763-261-4302 Police Department 763-200-4267 Fire Department 763-261-4133

5. City of Big Lake

Public Works Department 763-263-2268 Engineering Department 763-263-2107 Police Department 763-263-2500

Fire Department 763-263-3456 6. City of Elk River

Public Works Department 763-635-1120 Engineering Department 763-635-1051 Police Department 763-635-1200 Fire Department 763-635-1105 S-7 (1710) TRAFFIC CONTROL DEVICES All traffic control devices and methods shall conform to the Minnesota Manual on Uniform Traffic Control Devices (MN MUTCD), Minnesota Standard Signs Manuals Parts I and II, the Traffic Engineering Manual, and the following:

On any roadway having a 45 mph or higher speed limit prior to construction, all Category I and II temporary traffic control devices used after July 1, 2006 shall meet NCHRP 350 crash testing criteria. This includes all new and used Category I and Category II devices. Category I devices include tube markers, plastic drums and cones, etc. Category II devices include portable sign supports, Type I, II, and III barricades, etc. The Contractor shall provide the Project Engineer a Letter of Compliance stating that all of the Contractors Category I and II Devices are NCHRP 350 approved as of July 1, 2006. The Letter of Compliance must also include approved drawings of the different signs and devices and shall be provided to the Project Engineer at the Pre-construction meeting. S-8 (1717) NATIONAL POLLUTANT DISCHARGE ELIMINAITION SYSTEM (NPDES) PERMIT Pollution of natural resources of air, land and water by operations under this Contract shall be prevented, controlled, and abated in accordance with the rules, regulations, and standards adopted and established by the Minnesota Pollution Control Agency (M.P.C.A.), and in accordance with the provisions of Mn/DOT 1717, these Special Provisions, and the following: By signing the Proposal and completing the NPDES permit application, the Contractor is a co-permitee with the County to ensure compliance with the terms and conditions of the General Storm Water Permit (MN R100001) and is responsible for those portions of the permit where the operator is referenced. This Permit establishes conditions for discharging storm water to waters of the State from construction activities that disturb 0.4 hectares [1 acre] or more of total land area. A copy of the “General Permit Authorization to Discharge Storm Water Associated with a Construction Activity Under the National Pollutant Discharge Elimination System (NPDES)/State Disposal System Permit Program” is available at: http://www.pca.state.mn.us/water/stormwater.stormwater-c.html or by calling 651-296-3890. The Contractor shall apply and pay for the NPDES Permit on this Project. Payment for the application shall be incidental to the Contract and no direct compensation will be made. Sherburne County will provide the Contractor with the application form with Sections 1 thru 3 and 5 thru 14 completed, as part of the Contract document package. The Contractor shall fill out the Contractor’s portion (Section 4 and section15), complete the application process, and post the Permit and MPCA’s letter of coverage onsite. A NPDES Permit declaration form will be sent to the Contractor with the Contract award packet. A copy of the signed permit application and a signed Permit Declaration form must be returned with the Contract and bond. Submittal of the copy of the signed permit application and Permit Declaration is mandatory for Contract approval. No work which disturbs soil and/or work in waters of the state will be allowed on this Project until the NPDES Permit is in effect and the department has received the required documentation.

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The Contractor shall be solely responsible for complying with the requirements listed in Part II.B and Part IV of the General Permit. The Contractor shall be responsible for providing all inspections, documentation, record keeping, maintenance, remedial actions, and repairs required by the permit. All inspections, maintenance, and records required in the General Permit Paragraph IV.E, shall be the sole responsibility of the Contractor. The word “Permitee” in these referenced paragraphs shall mean “Contractor”. Standard forms for logging all required inspection and maintenance activities shall be used by the Contractor. All inspection and maintenance forms used on this Project shall be turned over to the Engineer every two weeks for retention in accordance with the permit. The Contractor shall have all logs, documentation, inspection report son site for the Engineer’s review and shall post the permit and MPCA’s letter of coverage on site. The meetings with the MPCA, Watershed District, WMO, or any local authority shall be attended by both the Engineer and the contractor or their representatives. No work required by said entities, and for which the Contractor would request additional compensation from Sherburne County, shall be started without approval from the Engineer. No work required by said entities and for which the changes will impact the design or requirements of the Contract documents or impact traffic shall be started without approval from the Engineer. The Contractor shall immediately notify the Engineer of any site visits by Local Permitting Authorities performed in accordance with Part V.H.

Emergency Best Management Practices must be enacted to help minimize turbidity of surface waters and relieve runoff from extreme weather events. It is required to notify the MPCA Regional contact person within 2 days of an uncontrolled storm water release.

The names and phone numbers of the MPCA Regional Contact personnel can be found at: http://www.pca.state.mn.us/water/stormwater/stormwater-c.html. the Contractor is reminded that during emergency situations involving uncontrolled storm water releases that the State Duty Office must be contacted immediately at 1-800-422-0798 or 1-651-649-5451. The Contractor shall review and abide by the instructions contained in the permit package. The contractor shall hold Sherburne County harmless for any fines or sanctions caused by the contractor’s actions or inactions regarding compliance with the permit or erosion control provisions of the Contract Documents. The Contractor is advised that Section 1 of the NPDES application form makes reference to a Storm Water Pollution Prevention Plan (SWPPP). This Project’s SWPPP is addressed throughout Mn/DOT’s Standard Specifications for Construction, as well as this Project’s Plan and these Special Provisions. The following table identifies NPDES permit requirements and cross-references where this Contract addresses each requirement. S-9 (1803) PROSECUTION OF WORK The provisions of MnDOT 1803 are supplemented and/or modified with the following: The “Progress Schedule” (bar chart or critical path diagram) referenced in 1803.1 and elsewhere will not be required on this project. This shall, however, in no way lessen the Contractor’s responsibility for (1) providing the Engineer with the notifications required by the provisions of 1803.2; and (2) prosecuting the work diligently, as required therein, so as to assure satisfactory progress towards a timely completion of the Project. S-10 (1806) DETERMINATION AND EXTENSION OF CONTRACT TIME The Contract Time will be determined in accordance with the provisions of 1806 and the following:

The construction operations are scheduled to begin May 5, 2014 and shall be completed by June 27, 2014 except for miscellaneous clean-up work as approved by the engineer.

S-11 (1807) FAILURE TO COMPLETE WORK ON TIME The provisions of Mn/DOT 1807 are supplemented by the following:

Liquidated damages will be assessed for any work that remains uncompleted after the June 27, 2014 completion date as determined in accordance with 1807.

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S-12 (1901) MEASUREMENT OF QUANTITIES The provisions of Mn/DOT 1901 are supplemented by the following:

For Pay Items which are to be paid on a tonnage basis, the Contractor will be required to provide automated weighing procedures which will provide S.P. No., Item No., Truck No., Truck Tare Weight and Net Weight. This information is to be provided on an automatically printed ticket. The truck driver shall give the ticket to the inspector on the project or other arrangements with the approval of the Engineer. The MN/DOT overweight policy will be strictly adhered to.

In all cases, the scales shall be interlocked to eliminate load manipulation.

Upon completion of truck loading, the Contractor shall provide the truck driver with a copy of the weigh ticket. When basing quantities on uniform loads, the contractor will provide two weight tickets from an independent scale that provide the tare weight and the gross weight for the truck being weighed. When quantities are based by cubic yards, MnDOT standard conversions will be used.

S-13 (1903) COMPENSATION FOR INCREASED OR DECREASED QUANTITIES Compensation for increased or decreased quantities is modified as follows: There will be no revised basis of payment for bid items that exceed 125 percent of the quantity bid schedule or

for bid items that are less than 75 percent of the quantity bid schedule. Final quantities will be paid as per contract unit prices.

S-14 (1906) PARTIAL PAYMENTS Partial payments in excess of 95 percent of the value of the completed work will not be made under this Contract. Paragraph 2 of Mn/DOT 1906 is hereby deleted and the following substituted therefore:

Sherburne County will not include stored materials at any location in partial payments. Bid items will be reimbursed complete in place only.

S-15 (1908) FINAL PAYMENT Before final payment is made for the work on this project, the Contractor must make a satisfactory showing that he has made a settlement with the owner, or owners, of the gravel, soil or rock deposits which the Contractor selects as a source material. An affidavit signed by the owner, or owners, to the effect that the Contractor has paid in full for all materials removed which were used on the project, and that the borrow sites have been left in a satisfactory condition to the property owner, or owners, shall be delivered to the County Engineer at the Sherburne County Public Works Department. S-16 (2104) REMOVING PAVEMENT AND MISCELLANEOUS STRUCTURES Abandoned structures and other obstructions shall be removed from the Right of Way and disposed of in accordance with the provisions of Mn/DOT 2104, except as modified below: Measurement and payment for the removal and disposal of materials will be made only for those Items of removal work specifically included for payment as such in the Proposal and as listed in the Plans. The removal of any unforeseen obstruction requiring in the opinion of the Engineer equipment or handling substantially different from that employed in excavation operations, will be paid for as Extra Work as provided in Mn/DOT 1403. S-17 (2104.523) SALVAGE FIRE NUMBER (2104.523 SALVAGE MAILBOX Fire Number

The contractor shall salvage the existing fire number and temporarily install it near the driveway as directed by the engineer. The fire number will be placed so it is visible during construction. All damaged signs and post will be replaced at the contractor’s expense.

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Mailbox

The contractor shall salvage the existing mailbox and mailbox support, and temporarily install it near the driveway as directed by the engineer. The mailbox and mailbox supports will be placed so it is accessible for the mail carrier. All damaged mailbox and post will be replaced at the contractor’s expense.

The unit bid price will include all labor, equipment, and materials for salvaging, temporarily locating, and installing the fire numbers, mailbox and mailbox supports back the original location. S-18 (2105) EXCAVATION AND EMBANKMENT Excavation and embankment construction shall be performed in accordance with the provisions of Mn/DOT 2105, and as modified below:

All topsoil and other unsuitable material shall be removed from the roadway prior to placing granular material and aggregate. The Contractor shall excavate, slope, grade, and compact the subgrade to the required cross-section and elevations as shown on the plans. All shaping, blading, compacting and miscellaneous items associated with the work shall be considered incidental to the corresponding bid item. The contractor shall maintain the subgrade at all times to the satisfaction of the engineer. If the contractor fails to maintain the subgrade after receiving a 24 hour notice from the engineer, a penalty will be assessed at a rate of $300 for each day beyond the 24 hour notice.

Compaction of all embankment construction shall be obtained by the “Quality Compaction Method” described in Mn/DOT 2105.3F2. The engineer will approve the subgrade before any gravel base is placed. Backfilling of all pipe trenches shall be compacted to the “Specific Density Method”, as described in MnDOT 2105.3F1. The contractor shall provide for all testing of trench backfilling and shall be incidental. A Soil’s Engineering Firm shall be utilized for all testing and the results shall be given to the county. A minimum of one test shall be taken at each culvert location.

The contractor will be required to place topsoil as grading operations are being completed minimizing erosion. Withholdings will be assessed as specified in MnDOT specification 2105.5. The contractor will be responsible to correct any erosion that occurs after 14 days of placement of material.

S-19 2105.602 CONSTRUCT TURN LANE 2105.602 CONSTRUCT BYPASS LANE The contractor shall construct turn and bypass lanes as shown in the construction plans and shall be in accordance with the provision of Mn/DOT 2105. The unit bid price for the turn and bypass lane construction shall include the following: Salvaging topsoil Excavating existing shoulder to subgrade Furnish, place, and compact select granular material to accommodate the necessary lane width Re-spread the topsoil on in-slopes Traffic control, placement of class 5 aggregate base, and turf establishment will be paid for by their bid item. S-20 (2130.501) WATER Water will be used in accordance with the provisions of Mn/DOT 2130, except as modified below:

If and when the Engineer or Inspector on the jobsite request water to be placed on the road, the contractor has no more than 24 hours to meet this request or be subject to a $250/calendar day deduction in payment. The quantity of water to be placed on the road will be kept track of on a daily basis, when applied, with the Inspector on the jobsite.

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Water quantity may also be used for maintenance of residential seeding areas and blanket areas as deemed necessary by the inspector on the jobsite.

S-21 (2211.501) AGGREGATE BASE CLASS 5 Aggregate base courses shall be constructed in accordance with the provisions of Mn/DOT 2211 except as modified below:

Compaction shall be achieved by the "Quality Compaction Method" described in Mn/DOT 2211.3C. The unit bid price shall include all shaping, blading, compacting and miscellaneous items associated with this work. The contractor shall maintain the aggregate base at all times to the satisfaction of the engineer. If the contractor fails to maintain the aggregate base after receiving a 24 hour notice from the engineer, a penalty will be assessed at a rate of $300 for each day beyond the 24 hour notice.

S-22 (2211.501) AGGREGATE BASE CLASS 6B The contractor shall utilize Class 6B Aggregate Base for the culvert installation. The material shall be shaped and compacted to match the existing bituminous pavement and shall be constructed in accordance with the provisions of Mn/DOT 2211. Compaction shall be achieved by the “Quality Compaction Method” described in Mn/DOT 2105.3F2

Class 6B Aggregate Base material and shall meet the gradation requirements of Class 5. This material will be 100% crushed millings with no virgin aggregate blended in the mixture.

S-23 (2507.501) LINING CULVERT PIPE, 60” CMP The culvert shall be lined as per MnDOT specification 2507. The basis of payment shall be modified to include furnishing and installing grout material and any other labor, equipment, and material necessary to line the culvert. The contractor is required to clean the site from all debris associated with lining the culvert at no additional compensation. S-24 (2511.604) ARTICULAR CONCRETE, RIPRAP The contractor shall provide an articular concrete riprap as shown in the construction plans. It shall be a product that is bound together and has the ability to provide vegetation growth.

The product shall be, Geolink – Superior Concrete, Cable Concrete – International Erosion Control Systems, or approved equal.

The unit bid price shall include all labor, equipment, and material necessary to place the articular rip rap.

S-25 (2563.601) TRAFFIC CONTROL & DETOUR SIGNING The detour signing will only be used for the installation of centerline culverts. It will not be utilized for the construction of turn and bypass lanes. The Contractor shall provide extra signing, and barricades when, in the opinion of the Engineer, his operations may constitute a hazard to traffic within the project area. This work shall be as directed by the Engineer and will be considered to be incidental to the contract and no direct compensation will be made therefore. All signing and barricades, for traffic control and detour signing, shall meet the requirements of Mn/DOT Standard Specifications and MN MUTCD. The contractor shall not attach any traffic control or detour signing to any existing county highway sign. If the contractor’s is found doing so, a penalty will be assessed to the contractor in the amount of $200 for each sign.

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S-8

The Contractor shall provide qualified flag persons in accordance with the applicable provisions of the Mn/DOT Standard Specifications, MN MUTCD, as determined by the Engineer, these Special Provisions, and the following:

Flag person shall be utilized when in the opinion of the engineer, it is warranted. Qualified flag persons shall be provided in order to safely provide for traffic control, primarily at intersections, in such numbers and for such items as determined by the Engineer. Flaggers shall not override in-place signals, stop signs or control interchanges without approval of the Engineer. The flag person shall be properly informed and have a STOP/SLOW sign with a five foot minimum staff. The flag persons shall be equipped with two-way radios. Except as otherwise authorized by the Engineer, the maximum length of the flagging operation shall be no more than 1 mile.

The Contractor shall, at the pre-construction conference, designate a Work Zone Safety Coordinator who shall be responsible for safety and traffic control management in the Project work zone. The Work Zone Safety Coordinator shall be either an employee of the Contractor such as a superintendent or a foreman, or an employee of a firm which has a subcontract for overall work zone safety and traffic control management for the Project. The responsibilities of the Work Zone Safety Coordinator shall include, but not be limited to:

Coordinating all work zone traffic control operations of the Project, including those of the Contractor, subcontractors and suppliers.

Establishing contact with local school district, government, law enforcement, and emergency response

agencies affected by construction before work begins.

Maintaining a record of all known crashes within a work zone. This record should include all available information, such as: time of day, probable cause, location, pictures, sketches, weather conditions, interferences to traffic, etc. These records shall be made available to the Engineer upon request.

The Contractor shall inspect, on a daily basis, all traffic control devices, which the Contractor has furnished and installed, and verify that the devices are placed in accordance with the Traffic Control Layouts, these Special Provisions, and/or the MN MUTCD. Any discrepancy between the placement and the required placement shall be immediately corrected. The person performing the inspection shall be required to make a daily log. This log shall also include the date and time any changes in the stages, phases, or portions thereof go into effect. The log shall identify the location and verify that the devices are placed as directed or corrected in accordance with the Plan. All entries in the log shall include the date and time of the entry and be signed by the person making the inspection. The Engineer reserves the right to request copies of the logs as he deems necessary. Measurement and Payment: No measurement will be made of the various Items that constitute Traffic Control but all such work will be construed to be included in the single Lump Sum payment under Item 2563.601 (Traffic Control) and 2563.601 (Detour Signing). S-26 (2564.602) INSTALL CULVERT MARKER The contractor is required to install the salvaged culvert marker after the new culvert is installed. The location will be determined in the filed by the engineer. The unit bid price includes all labor, equipment, and materials necessary to reinstall salvaged culvert marker. S-27 (2573.560) CULVERT END CONTROLS The contractor shall protect inlet structures throughout the duration of the project. Protection devices shall be installed immediately after the drainage structure has been backfilled and shall be maintained until the project has had final restoration. The contractor may select the protection device from the approved devices shown on the construction plan details. The contractor may be required to install more than one protection device for the same inlet.

2014 Turn Lane Construction and Culvert Replacement Sherburne County

February, 2014

S-9

S-28 (2573.601) STORM WATER MANAGEMENT The provisions of MNDOT 1717, 2573, and 2575 are supplemented with the following: Temporary Storm Water Management shall be for implementation and management of National Pollutant Discharge Elimination System (NPDES) permit and plan requirements to address temporary storm water pollution prevention plan (SWPPP) requirements as a distributed lump sum item. Temporary best management practices (BMP) used to establish permanent erosion prevention and permanent sediment control are paid for separately. Temporary storm water management work shall consist of managing soil erosion, storm water runoff, and project related water discharges in a manner to prevent, control, minimized and/or eliminate pollution to receiving water and/or properties adjacent to the project. Special emphasis of daily inspection reporting and corrective action response shall be made adjacent to all infiltration/filtration storm water quality treatment facilities, special and impaired waters, and DNR listed public waters. The project plan narrative includes preliminary estimated quantities and proposed locations or suggested uses as required for NPDES permit, but the contractor is expected to use creativity and efficiencies to supplement, eliminate or amend the design, and schedule appropriate BMPs such that the project remains in full compliance with all applicable project permits. The distributed lump sum item shall be considered to include the necessary Erosion Control Supervisor to perform all plan and permit required duties, implement a quality control program site plan amendment process of 1717 that following the plan and special provision narratives, addresses current and foreseeable construction operations with timely sediment control and erosion prevention BMPs, corrective action response including when directed by the project engineer, and good housekeeping protocols. The contractor is expected to demonstrate innovation utilizing rapid construction and other technologies and to reuse materials from the project as appropriate or as directed by the project engineer. Method of measurement This item will be measured by the month. The contractor shall submit in writing for project engineer acceptance to plan amendments, BMP selections or to any changes to the proposed preliminary estimated quantities prior to any land disturbance work in a particular area that indicate what, when, who, and quantity for all NPDES permit and plan requirements. This includes weekly and 0.5 inch and greater rain event monitoring and documentation for MNDOT 1717 and permit requirements. The project engineer will determine that the appropriate BMP has been properly installed for each proposed construction activity and verified with contractor supplied maintenance log each month with land disturbance activities. Items included in monthly measurement/tracking will include, but are not limited to, rock berms, silt fence, erosion control filter logs, curb inlet protection, vertical soil imprinting, sweeping, good housekeeping, spill prevention/management, bituminous and concrete slurry and dust management, temporary erosion prevention stabilization practices, restoration of damaged vegetation, construction exits and earthwork for temporary erosion prevention. These records of BMPs, maintenance activities, and/or letters of direction by the project engineer will be used to determine Basis of Payment Schedule as described in the next section. Basis of Payment and Schedule The work performed and materials furnished in accordance with this Item and measured as provided under “Measurement” will be paid for at the Distributed Lump Sum price bid for “Temporary Storm Water Management” as percentage payments from expected months of temporary land disturbance activities divided into total lump sum. Month project intervals shall be determined at the preconstruction, critical path meeting or as appropriate for initial distributed payment.

a. Initiation of Distributed Lump Sum Payment. Payment for this Item will begin on the first month estimate after all control measures have been installed in accordance with the SWPPP narrative as provided in the plans and specifications and the commencement of construction as defined in the NPDES permit.

b. Paid Months. Monthly payment will be made each succeeding month for this Item provided that the SWPPP has been updated and control measures have been installed and maintained in accordance with the NPDES permit until the Contract Distributed Lump Sum Payment amount has been paid.

If the Contractor fails to update the SWPPP, and provide and properly maintained control measures in compliance with the Contract and permit requirements, as determined by the Engineer, the Contractor will be considered in noncompliance with this Item. Payment will be adjusted, as shown below, for the month(s) in question, and the total final payment quantity will be reduced by the adjustment reduction.

The following schedule of reduced payment will apply for noncompliance on corrections which take longer than 48 hours (2 Days) to correct.

2014 Turn Lane Construction and Culvert Replacement Sherburne County

February, 2014

S-10

(1) Between 48 and 72 hrs. (3 calendar days) = Loss of 10% of monthly payment.

(2) Between 72 and 96 hrs. (4 calendar days) = Loss of 20% of monthly payment.

(3) Between 96 and 120 hrs. (5 calendar days) = Loss of 30% of monthly payment.

(4) Between 120 and 144 hrs. (6 calendar days) = Loss of 40% of monthly payment.

(5) After 144 hrs. (6 calendar days) = Loss of 50% of monthly payment.

(6) After 7 calendar days = Loss of one month's payment and all work will cease, time charges will continue until brought into compliance and is documented as per Method of Measure after MNDOT review.

Reduced payments do not release the contractor of liability for noncompliance.

c. Total Distributed Lump Sum Payment Quantity. The quantity paid under this Item will not exceed the total Lump Sum except as modified by change order and as adjusted by B. “Paid Months.” An overrun of the plans quantity for this Item will not be allowed for approving designs; testing; material shortages; closed construction seasons; establishment, performance, test, and maintenance periods; failure to complete the work in the number of months allotted; nor delays caused directly or indirectly by requirements of the contract.

e. Balance Due. If all work is completed in accordance with the NPDES permit, plans and accepted by the Engineer and before payment of the amount allowed by this Special Provision, the balance due will be paid on the next estimate after the Engineer’s approval that there is no more temporary land disturbance activities, 70% native background vegetative cover is met or equivalent permanent stabilization have been employed in accordance with the NPDES permit and project plans.

The 2575.601 Lump Sum price is full compensation for installation, maintenance, monitoring, adjustments, replacements, removal, materials, equipment, labor, tools, watering to establish temporary control measures, sprinkling for dust control, training, and incidentals. BMP items, along other temporary stabilization, sediment control, or water quality damage caused by contractor actions or inactions will not be measured nor paid for separately. S-29 (2573.560) SEDIMENT REMOVAL The contractor will be required to remove sediment when needed as per the NPDES Permit. Sediment can be deposited on the construction site as designated by the engineer. If the contractor fails to maintain the subgrade after receiving a 24 hour notice from the engineer, a penalty will be assessed at a rate of $500 for each day beyond the 24 hour notice. The unit bid price shall include all labor and equipment necessary to remove sediment from construction site. S-30 WORK SEQUENCING The contractor shall coordinate all construction activities with on site utilities. One week prior to the closure of any road, the contractor shall install and maintain the information sign informing the traveling public of when the road will be closed. Culvert Replacement

The contractor shall provide passage of school buses for the morning and afternoon pick-ups. The contractor shall completed all work associated with the culvert replacement before operations move to the next location. The contractor is required to pave the patches once all culverts are replaced on that roadway. Turf establishment can be delayed but will need to adhere to the requirement of the NPDES Permit.

2014 Turn Lane Construction and Culvert Replacement Sherburne County

February, 2014

S-11

Once the contractor has placed the detour, they are required to work continuously until all culverts and bituminous patching on that segment of road are completed. The contractor will be assessed damages in the amount of $1000 per day for each day there is no work being performed on culverts after the detour is placed.

Turn and Bypass Lanes

The contractor shall completed all work associated with the construction of turn and bypass lanes before operations move to the next locations. Turf establishment can be delayed but will need to adhere to the requirement of the NPDES Permit. No shoulder drop-offs will be allowed unless the appropriate traffic control devices are in-place.

S-31 WORKING HOURS The normal working hours under this contract shall be between the hours of 7:00 a.m. and 7:00 p.m., Monday through Saturday. No work is to be performed on Sundays or legal holidays without written permission from the Engineer. S-32 VEHICLE CONSPICUITY SPECIFICATION All Contractors’, subcontractors’ and suppliers’ mobile equipment shall be equipped with operable amber beacons and/or light bars which shall meet the appropriate requirements of the following SAE specifications: 360 Degree Rotating Lights - SAE Specification J845 Flashing Lights - SAE Specification J845 Flashing Strobe Lights - SAE Specification J1318

Lights shall be mounted so that at least one beacon is visible at all times when at eye level from a 60-foot (18 meter) radius about the equipment. These lights shall be operating while in the work zone at all times. This specification is to be used for both day and night time operations. All costs incurred to provide beacons shall be incidental to the lump sum traffic control.

These warning lights/beacons shall be operating and visible immediately upon deceleration as a vehicle approaches the construction work zone or at a minimum distance of approximately 500 feet (152 meters) from the anticipated entry point. If the flashing lights are creating vision problems for workers, lights may be turned off at the discretion of the Engineer once the vehicle has completely entered the work zone. When a vehicle leaves the construction work zone, the lights shall be operating and visible at least 500 feet (152 meters) from the anticipated exit point or for a minimum period of 10 seconds before the vehicle exits the work zone and shall remain on until the vehicle has reached the posted speed in the traveled traffic lane.

Any warning lights/beacons shall be on the list of approved lights, which may be obtained by contacting: Vehicle Warning Beacons Office of Construction - MS 650 Transportation Building OR by calling (612) 296-3126 395 John Ireland Blvd. St. Paul, MN 55155-1899

S-33 ROAD APPROACHES/ENTRANCE PREPARATION The Contractor shall shape the existing public road approaches prior to paving as directed by the Engineer. This shall include any equipment necessary to provide a smooth and uniform road surface for paving. This shall be considered incidental to the contract.

2014 Turn Lane Construction and Culvert Replacement Sherburne County

February, 2014

S-12

S-34 PERMITS The following permits will need to be obtained for this project. MPCA (NPDES) The Contractor shall apply for the National Pollution Discharge Elimination System (NPDES) permit. The county has the permit application filled out if the contractor wants to utilize it. Otherwise the permit application can be found on the MPCA website at the following link: http://www.pca.state.mn.us/index.php/water/water-types-and-programs/stormwater/construction-stormwater/index.html County Permit (Interim Use Permit) The contractor is required to obtain an Interim Use Permit for any borrow sites or crushing operations. The permitting process can take up to 2 months to receive. The contractor shall contact the Sherburne County Zoning Department 763-765-4450 to acquire permit.

SCHEDULE OF MATERIALS

ATT-1

MnDOT SD-15 November 1, 2013 Schedule of Materials Control

Schedule of Materials Control

2014

MnDOT SD-15 November 1, 2013 Schedule of Materials Control

Contents Introduction Page ......................................................................................................................................................................... 1

SCHEDULE OF MATERIALS CONTROL(For usewith the 2014 Standard Specifications for Construction): I. Grading and Base Construction Items ................................................................................................................................. 2

II. Bituminous Construction Items for Specification 2360 ...................................................................................................... 9 III. Construction Items for Bituminous Specialty Items ........................................................................................................... 16 IV. Concrete Construction Items .............................................................................................................................................. 21 V. Landscaping and Erosion Control Items............................................................................................................................. 39 VI. Chemical Items ................................................................................................................................................................... 42 VII. Metallic Materials and Metal Products ............................................................................................................................... 45 VIII. Miscellaneous Materials ..................................................................................................................................................... 53 IX. Geosynthetics, Pipe, Tile, and Precast/Prestressed Concrete ............................................................................................. 54 X. Brick, Stone, and Masonry Units ........................................................................................................................................ 59 XI. Electrical and Signal Equipment Items............................................................................................................................... 60 Certifications List ......................................................................................................................................................................... 63 Telephone Index for Schedule of Materials Control ................................................................................................................. 66 Form Index.................................................................................................................................................................................... 67

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1

Introduction Page

Minnesota Department of Transportation Schedule of Materials Control (SMC)

(Federal Aid, State Funds, County/Municipal Federal Aid Projects and State Aid Projects)

This schedule outlines the minimum sampling and testing required for most materials used in highway construction. Some items that are rarely used or materials of recent development are often covered by special provisions and may not be shown on the schedule. For more information regarding contract requirements for testing, please reference the "Standard Specifications for Construction", Specification 1603 Materials: Specifications, Samples, Tests, and Acceptance. Laboratories performing acceptance tests for payment shall be accredited by the AASHTO Materials Reference Laboratory (AMRL) or a comparable accreditation program approved by MnDOT and the FHWA for all test procedures performed. Grading and Base materials are exempt from the accreditation requirement. When sample sizes required for testing exceed 35 pounds, please submit multiple containers of the material with no individual container weighing more than 35 pounds. Small quantities of materials may be accepted without sampling and testing. A small quantity is defined as any total quantity, for the whole project, of one material, which is smaller than the minimum quantity required for testing unless modified by the individual material items. These materials shall be from known, reliable sources, perform satisfactorily and meet the requirements for purpose intended. The inspection report (Form 02415) should include a statement to this effect and show the source. Form 2403 may be used to report small quantities of diverse materials from different sources. Form 02415 and Form 2403 (or approved revisions) are referenced in the Schedule of Materials Control for project record documentation and are required to be maintained in the project file. Previously approved materials transferred from another project should be reported on Form 02415. The report should include: type of material, quantities involved, source, and supplier of materials. Whenever possible, include the project number for which the material was originally approved. If Forms 02415 and 2403 are referenced by form number within the Schedule of Materials Control for materials or products received from pre-approved sources, where the field responsibility for acceptance is visual inspection and all information required to complete these forms is contained in other documents in the project file, the use of these forms becomes optional. If these forms are completed and sent to the Project Engineer by off-site inspection personnel from the district or the Office of Materials, they must be retained in the project file. A Telephone Index is included with the Schedule giving contact information for the specialty areas if further information is required regarding the various materials. A form index is also included. The Department maintains the Approved/Qualified Products List and the Certified Products and Services List, as well as, the Schedule of Materials Control. All are available electronically on the Office of Materials and Road Research website. www.dot.state.mn.us/materials.html Products manufactured offsite may be pre-approved; however, final acceptance will be made at the point of incorporation, based upon review of documentation and inspection for shipping or other damage. Contact the MnDOT District Independent Assurance Inspector when project starts to provide the proper servicing of your project.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 I. Grading and Base Construction Items 2014 Spec Book (www.dot.state.mn.us/materials/gradingandbase.html)

Pay Item Number

Test Type / Material Spec. No.

Minimum Contractor Quality Control Testing

Rate

Minimum Agency Verification (Acceptance) Testing

(See Note 1)

Minimum Companion (Split Lab) Sample (See Notes 2 & 3)

Form No.

(See Note 5)

Rate Size Rate Size

(a) 2118 (b) 2211 (c) 2221 or 2118 (d) Spec.

Prov. or 2212

1. Gradation (a) Aggregate Surfacing (b) Aggregate Base (c) Aggregate Shoulders (d) Drainable Aggregate

Base (OGAB & DSB)

3136, 3138,

& Special Provisions

Production: 1/550 yd3 (CV)

Random Sampling • < 280 yd3 (CV)

No tests Required

• ≥ 280 yd3 (CV) to < 1,100 yd3 (CV) 1. Lot Size = Total Quantity 2. Divide lot into two equal sublots 3. Collect one random sample from

each sublot 4. Average results to determine

compliance • ≥ 1,100 yd3 (CV) to < 5,500 yd3 (CV)

1. Lot Size = Total Quantity 2. Divide Lot into four equal sublots 3. Collect one random sample from

each sublot. 4. Average results to determine

compliance

• ≥ 5,500 yd3 (CV)

1. #Lots = Total Bid Quantity

5,500

2. Round # Lots up to next whole number

3. Lot Size = Total Bid Quantity

#Lots

4. Divide each Lot into four equal sublots.

5. Collect one random sample from each sublot.

6. Average results for each Lot to determine compliance.

60 lb. 1 per project. .

30 lb.

G&B-001

G&B-002

G&B-101

G&B-104

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 I. Grading and Base Construction Items 2014 Spec Book (www.dot.state.mn.us/materials/gradingandbase.html)

Pay Item Number

Test Type / Material Spec. No.

Minimum Contractor Quality Control Testing

Rate

Minimum Agency Verification (Acceptance) Testing

(See note 1)

Minimum Companion (Split Lab) Sample (See Notes 2 & 3)

Form No. (See Note 5)

Rate Size Rate Size

(e) 2105 2106

1. Gradation(Continued) (e) Granular

Borrow/Embankment, Select Granular

Borrow/Embankment, & Modified Granular

Borrow/Embankment Stabilizing Aggregate

3149 & Special

Provisions 1/10,000 yd3 (CV) 1/20,000 yd3 (CV) 30 lb.

1 per project.

30 lb.

G&B-001 G&B-101 G&B-104

(f) Special Provisions

& 2215

(f) Full Depth Reclamation (FDR)

Special Provisions

& 3135

1/6,000 yd2

(See Note 10) 1/12,000 yd2 60 lb. NA G&B-001

G&B-101

(g) 2511 (g) Granular Filter 3601 &

Special Provisions

1 per source before delivery on project

1 per source 300 lb. NA G&B-001 G&B-101 G&B-104

(h) 2451 (i) 2451 (j) 2451 (k) 2451 (l) 2451 (m) 2502

(h) Granular Backfill (i) Aggregate Backfill (j) Granular Bedding (k) Aggregate Bedding (l) Coarse Filter Aggregate (m) Fine Filter Aggregate

3149 & Special

Provisions

Two per source before delivery on project

1 per source 60 lb. NA G&B-001 G&B-101 G&B-104

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 I. Grading and Base Construction Items 2014 Spec Book (www.dot.state.mn.us/materials/gradingandbase.html)

Pay Item Number

Test Type / Material Spec. No.

Minimum Contractor Quality Control Testing

Rate

Minimum Agency Verification (Acceptance) Testing

(See Note 1)

Minimum Companion (Split Lab) Sample (See Notes 2 & 3)

Form No. (See Note 5)

Rate Size Rate Size

(a) 2211 (b) 2221

2. Proctor Test (a) Aggregate Base (b) Aggregate Shoulder

2211, 2221,

& Special

Provisions

(See Note 8) 1 per source

50 lbs.

1 per project.

25 lb.

G&B-303 G&B 305

(c) 2105 2106 2112

(c) Embankment Soil, Granular Borrow/Embankment, Select Granular Borrow/Embankment, & Modified Granular Borrow/Embankment Subgrade Preparation (See Note 12)

2105 & 2106

1 major soil type (See Notes 7 & 11)

Not required for Specified Density, used for optimum

moisture determination.

(See Note 8) For Specified Density: 1/major soil type.

For all other compaction requirements:

One Contractor Companion/project

(a) 2211 (b) 2221

3. Specified Density Test (Sand Cone or other)

(a) Aggregate Base (b) Aggregate Shoulder

2211, 2221 &

Special Provisions

(See Note 8) 1/1,000 yd3 (CV)

NA NA

G&B-001

G&B-304

(c) 2105 2106 2112

(c) Embankment Soil, Granular Borrow/Embankment, Select Granular Borrow/Embankment, & Modified Granular Borrow/Embankment Subgrade Preparation (See Note 12)

2105, 2106 &

Special Provisions

(See note 8) Roadway Embankment:

One Sand Cone test/4,000 yd3

Structure Trenches: One Sand Cone test every two feet in height/250 feet of

each structure length.

Subgrade Preparation One per 25 Road Stations

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 I. Grading and Base Construction Items 2014 Spec Book (www.dot.state.mn.us/materials/gradingandbase.html)

Pay Item Number

Test Type / Material Spec. No.

Minimum Contractor

Quality Control Testing Rate

Minimum Agency Verification (Acceptance) Testing Rate

(See Note 1)

Form No.

(See Note 5)

(a) 2211 (b) 2221

4. Dynamic Cone Penetration (DCP) Index Method (a) Aggregate Base (b) Aggregate Shoulder

2211, 2221,

& Special Provisions

1 DCP test/500 yd3(CV) G&B-001 G&B-204

(c) 2215 (c) Full Depth Reclamation (FDR) 3135 & Special Provisions 1 DCP test/3,000 yd2

G&B-001 G&B-205

(d) 2105 2106

(d) Granular Borrow/Embankment, Select Granular Borrow/Embankment, & Modified Granular Borrow/Embankment and all other granular materials.

2105, 2106, 3149 & Special

Provisions

Roadway Embankment: One DCP test/2,000 yd3 (CV). Structure Trenches: One DCP test/250 feet of each structure length. Test entire layer.

G&B-001 G&B-203

(a) 2118 (b) 2211 (c) 2212 (d) 2221

5. Moisture Content Test During Compaction Needed for all compaction methods including

quality compaction. (See Note 9) (a) Aggregate Surfacing (b) Aggregate Base (c) Drainable Aggregate Base (d) Shoulder Base Aggregate

2211, 2221, &

Special Provisions

1/1,000 yd3

1 per project in this category. Obtain split samples from Contractor.

G&B-001 G&B-105

(e) 2215 (e) Full Depth Reclamation (See Note 9) 2215 or Special

Provisions 1/6,000 yd2

1 per project in this category. Obtain split sample from Contractor.

(f) 2105 2106 2112

(f) All embankment materials (See Note 9) (g) Subgrade Preparation

2105, 2106 &

Special Provisions

All Embankment Materials

1/10,000 yd3

Subgrade Preparation One per 25 Road Stations

1 per project in this category. Obtain split sample from Contractor

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 6 I. Grading and Base Construction Items 2014 Spec Book (www.dot.state.mn.us/materials/gradingandbase.html)

Pay Item Number

Test Type / Material Spec. No.

Minimum Contractor Quality Control Testing

Rate

Minimum Agency Verification (Acceptance) Testing

Form No.

(See Note 5) Rate Size

2105 2106 2118 2211 2212

2221

6. Percent Crushing

3136, 3138, 3149 & Special

Provisions

1/Day 2 per source

(See Notes 3 & 4)

30 lb.

G&B-103 (02463)

G&B-104 (24346-02)

2105 2106 2118 2206 2211 2212 2221 2451

2502

7. Aggregate Quality (LAR, Insoluble Residue, Lithological Exam & Bitumen Content)

1/source

(See Note 6)

2 per source (See Notes 3, 4

& 6)

G&B-104 (24346-02)

2215 or Special Prov.

8. Depth Check Full Depth Reclamation (FDR) Stabilized Full Depth Reclaim (SFDR) Cold In-Place Recycling (CIR)

3135 or Special Provisions

1/1000 feet of machine width

1/4000 feet of machine width

G&B-401

General Notes: Sampling and Testing Procedures are found in the Grading and Base Manual in Section 5-692.200. Obtain all gradation, quality and crushing samples after spreading and before compaction. Modify testing and sampling protocol for increases in Plan quantities as follows:

Time Plan Quantity Increased Testing and Sampling Before Collection of first sample. Reorder sampling to account for additional quantity. After Collection of first sample, but before sampling is complete.

Complete testing of current lot, and then reorder the sampling using the remaining quantity.

After collection of all original Plan quantity samples. Order sampling for additional quantity.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 7 I. Grading and Base Construction Items 2014 Spec Book (www.dot.state.mn.us/materials/gradingandbase.html)

Note 1: Samples are not required for 280 yd3 (CV) (500 tons) or less. Report small quantities on Form 02415 or Form 2403. http://www.dot.state.mn.us/const/tools/forms.html. Note 2: Laboratories with AMRL accreditation that perform Agency Verification testing are not required to submit companion samples. When Verification testing is not performed in an AMRL accredited facility, obtain the Companion/Lab sample as a split sample from the first Agency Verification sample, and include the gradation results on the sample card. Note 3: Companion gradation and proctor, and Verification crushing and aggregate quality samples are not required for 550 yd3 (CV) (1,000 tons) or less. Note 4:

• Carbonate aggregates require 50 lb. samples for lab testing. • Submit the initial aggregate quality and crushing sample from the first day’s production. • The crushing test will not be required when the material is crushed from a quarry. • A second test is required, when the first test fails. Average both tests to determined compliance, when two tests are performed. • Not all quality and crushing tests are required for each material, see specifications • Use the table below as a guideline, determination of specific required tests is through the Specifications and/or the Special Provisions.

Note 5: Tests may be reported on Grading and Base forms or on MnDOT LIMs Reports. Forms are available on the Grading & Base website at: http://www.dot.state.mn.us/materials/gradingandbase.html

Note 6: Use the Centrifuge Method (MnDOT Lab. Manual Method 1852) to determine bitumen content. Note 7: Major soil types are defined in the Triaxial Chart located in the Grading and Base Manual. Note 8: Required only for specified density. Note 9: Required during Compaction. For Quality Compaction of Shoulder Aggregate (2118 or 2221), the Engineer may replace the moisture testing requirement with time stamped photo documentation of water being applied. Note 10: Provide gradation test results to the Engineer within the first 500 feet (150 m) of production and within 500 feet (150 m) after a failing gradation. Note 11: The Contractor may use a one point Proctor, or the estimated optimum moisture content formula (Form G&B- 305) to determine the optimum moisture. Note 12: For Subgrade Preparation, the specified density requirement is 100% of proctor density.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 8 I. Grading and Base Construction Items 2004 Spec Book (www.dot.state.mn.us/materials/gradingandbase.html)

Table: Guidelines for Required Crushing and Aggregate Quality Tests Material

Crushing Bitumen Content

LAR Insoluble Residue Lithological Exam &

Shale Float Test 3136 Drainable Bases Yes.

Not required for quarried sources.

Not applicable Yes Yes, if source from a carbonate quarry

Yes, when not from quarried source.

3138 Aggregate for Surface and Base

Yes for Class 5, 5Q and 6. Test waived if material contains recycled at twice the minimum crushing requirement. Not required for quarried sources.

Yes, if it contains Bitumen.

Yes, if source is carbonate quarry and does not contain bitumen.

Yes, if source from a carbonate quarry, and does not contain bitumen.

Yes for Class 3, 4, 5, 5Q and 6, when not from quarried rock, and does not contain bitumen.

3149 Granular Material * Yes for Stabilizing Aggregate, Fine Aggregate Bedding and Medium Filter Aggregate. Test waived if material contains recycled at twice the minimum crushing requirement. Not required for quarried sources.

Yes, if it contains Bitumen

Not applicable Yes, if source from a carbonate quarry, and does not contain bitumen

Yes for Medium Filter Aggregate

* Note for 3149.2D.2 Granular Materials - Structural Backfill, perform all tests required of 3137.2B3, shear angle test (AASHTO T236) and Proctor.

Grading and Base Conversion from Volume (CV) to Weight If possible, always perform a proctor for the material in question to obtain a conversion factor. Only use the following conversion factor for materials meeting specifications 3138 or 3149 Stabilizing Aggregate. Material may be composed of crushed limestone, granite, gneiss, quartzite, recycled materials or natural gravel. Do not use the conversion factor for crushed basalt, taconite, or other heavy or light-weight aggregates. For other materials or gradations contact the Grading and Base Unit. To convert from volume to weight use the following: 1 yd3 (CV) = 1.8 tons. See the Grading and Base Manual Section .430 for further explanation.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 9 II. Bituminous Construction Items for Specification 2360

Note: Projects with bituminous tonnage less than or equal to 300 tons (272 metric tons) per day may be accepted on a small quantity basis at the discretion of the Engineer. Retain Form 02415 or Form 2403 in Project File.

(All plant mixed asphalt from Certified Plants)

DEFINITIONS

SAMPLE TYPE

DESCRIPTION

SAMPLE

LOCATION DETERMINED BY

SAMPLE

TAKEN BY

SAMPLE

TESTED BY

QC Quality Control Testing performed by Contractor. Also known as Process Control Testing.

Contractor Contractor Contractor

QA Quality Assurance Testing performed by the Agency. This test is performed on a companion sample to the Contractor’s QC sample.

Contractor Contractor (mixture)

Agency (density cores)

Contractor Agency

Verification A sample to assure compliance of the Contractor’s Quality Control program. The results shall be included as part of the QA Testing Program.

Agency Agency Agency

Verification Companion

A companion sample to the Agency’s Verification sample provided to the Contractor. The Contractor is required to test this sample. The results shall be used as part of the QC program.

Agency Agency Contractor

IAST The Independent Assurance Sampling and Testing assures testers are sampling and testing properly and that equipment is calibrated correctly.

Agency Contractor or

Agency Contractor or

Agency

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1 0 II. Bituminous Construction Items for Specification 2360 (cont.)

A. Pre-Production Sampling and Testing for Specification 2360 Plant Mixed Asphalt Minimum Sample Sizes: Quality Sample Size for Lab Submittal: Plus #4 aggregate sample for quality testing and Percent Crushing 80 lb. (35 kg)

Minus #4 aggregate for quality testing 35 lb. (15 kg) Bituminous mixture plus 2 Gyratory specimens for volumetric testing 80 lb. (35 kg) Bituminous mixture for TSR testing (option A) 80 lb. (35 kg) Bituminous mixture for TSR testing plus 6 Gyratory specimens (option B) 20 lb. (10 kg) Mineral filler. 2 lb. (1 kg)

RAP for Quality Testing 80 lb. (35 kg) RAS (shingles) for Gradation and Quality Testing 10 lb. (5 kg) Asphalt Binder 1 qt. (1L)

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2360

Bituminous Mix Design

(QC/QA)

2360

Contractor submits Mix Design Option 1 or Option 2

Option 1- Laboratory Mix Design: In addition to reviewing the Trial Mix data (JMF), test Contractor's mixture (at optimum asphalt content). Also, evaluate TSR per 2360.2E5a(3). Option 2- Laboratory Mix Design: Review submitted Mix data only.

Approved Mix Design Report

2360 Aggregate Quality Testing

(QA only)

2360 Provide 24 hour notice of intent to sample aggregates for quality testing. Agency has the option to monitor sampling. Submits to the Bituminous Engineer or the District Materials Engineer one (1) sample of each non-asphaltic aggregate type or class per source per year. Also submit the asphaltic aggregate material when the mixture contains RAP or RAS. Provide documentation that of all RAS /TOSS (Tear Off Shingle) material is from a MPCA certified supplier.

Test as directed by the Bituminous Engineer or the District Materials Engineer.

Test Report

2360 Mineral Filler (QA only)

2360 One (1) sample per shipment of 50 tons (45 metric tons) or less, unless previously inspected.

Testing as directed by the Engineer or the District Materials Engineer.

Test Report

2360 Additives (QA Only)

2360 Sample blended asphalt binder and additive, 1 qt. (1 L). Sample first shipment of each type of material. Then submit one sample per 250,000 gal. (1,000 m3) (approximately 1,000 ton).

Testing as directed by the Engineer or the Chemical Laboratory Director.

Test report

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1 1 II. Bituminous Construction Items for Specification 2360 (cont.)

B. BITUMINOUS PRODUCTION for Specification 2360

*Verification Testing Verification Companion testing from Agency split sample is required to be performed and used as the next QC sample that day.

SAMPLE SIZE: Aggregate for Gradation (QC/QA) 35 lb. (15 kg) Plus #4 Aggregate Type for Quality Testing 80 lb. (35 kg)for each source Minus #4 Aggregate Type for Quality Testing 35 lb. (15 kg) for each source

RAP material for Quality Testing 80 lb. (35 kg) for each source RAS (Shingles) for Processed Gradation and Quality Testing 10 lb. (5 kg) Mixture Properties (QC/QA) 3 full 6" by 12" cylinder molds for QA 65 lb. (30 kg) TSR (QC/QA) 4 full 6” by 12” cylinder molds for QA 90 lb. (40 kg) Aggregate Specific Gravity (QC/QA) 90 lb. (40 kg)

Asphalt Binder (QA) 1 qt. (1 L) Emulsified Asphalt (QA) ½ gal (2 L)

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2360

Aggregate Quality Testing

Including aggregate specific

gravity (QA Only)

2360

Take additional samples when aggregate qualities approach specification limits or when material variation is observed, take additional field samples as requested by Project Engineer. Take additional samples when material variation is observed in RAP or RAS take additional field samples as requested by Project Engineer.

Lab report

2360 Moisture Content in Mixture (QC/QA)

Lab Manual 1855

2360 Sample and test as directed by the Engineer.

Test Summary Sheet (TSS)

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1 2 II. Bituminous Construction Items for Specification 2360 (cont.)

Pay Item

No. Test Type

Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2360 Asphalt Binder Content, % AC,

ADD AC, AC/Total AC ratio (QC/QA, Verification*) Lab Manual

1851, 1852, 1853

2360 (a) Incinerator Oven MnDOT Lab Manual 1853 (b) Chemical Extraction MnDOT Lab Manual 1851 or 1852 REMARKS: Contractor selects one method at the beginning of the project (when material is submitted for Trial Mix Review) and use that method for the entire project. The Contractor and Engineer may agree to change test procedures during the construction of the Project. See Note #1, Note #2 & Note #4. A computer file of the plant’s control settings is required every 20 minutes of production.

The inspector will witness all QC mixture sampling and take possession of their QA-Verification split of this sample immediately after the sample is split. At the end of the day randomly submit one of the QA-Verification splits to the District Lab for testing. Additional verification samples can be taken at any time or location. When additional verification samples are taken the contractor must test the Verification companion split of this sample and include the results in the QC program (Test Summary Sheet). The Agency reviews the computer files of the plant’s control settings. REMARKS: See Note # 3 & Note #7

TSS

2360 Mixture Properties (QC/QA,

Verification*) Maximum

Specific Gravity Lab Manual 1807

2360 Contractor performs test 1807 REMARKS: See Note #1, Note #2, & Note #4.

The inspector will witness all QC mixture sampling and take possession of their QA-Verification split of this sample immediately after the sample is split. At the end of the day randomly submit one of the QA-Verification splits to the District Lab for testing. Additional verification samples can be taken at any time or location. When additional verification samples are taken the contractor must test the Verification companion split of this sample and include the results in the QC program (Test Summary Sheet). REMARKS: Note # 3 & Note #7

TSS

2360 Mixture Properties (QC/QA,

Verification*) Gyratory Bulk

Specific Gravity - 2 Specimen

Average, Lab Manual 1806, 1820

2360 Contractor performs test 1806 REMARKS: See Note #1, Note #2, & Note #6.

The inspector will witness all QC mixture sampling and take possession of their QA-Verification split of this sample immediately after the sample is split. At the end of the day randomly submit one of the QA-Verification splits to the District Lab for testing. Additional verification samples can be taken at any time or location. When additional verification samples are taken the contractor must test the Verification companion split of this sample and include the results in the QC program (Test Summary Sheet). REMARKS: See Note #3 & Note #7.

TSS

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1 3 II. Bituminous Construction Items for Specification 2360 (cont.)

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2360 Mixture Properties (QC/QA,

Verification*) Adjusted Asphalt Film Thickness

(AFT), Air Voids, Fines to effective, CAA, FAA and

Gradation. Lab Manual

1203, 1206, 1214, 1808, 1854

2360 Verification Companion testing from Agency split sample is required and used as a QC sample once per day. Bituminous mixes composed entirely of Class A and/or Class B aggregates are not required to be tested for CAA (Coarse Aggregate Angularity). REMARKS: See Note #1, Note #2, Note #4, Note #5, & Note #6. The production start-up testing rates for the CAA and FAA are 1 per 1000 tons for the first 2000 tons. After 2000 tons, 2 test per day for at least two days. Then CAA and FAA at a rate of 1 test per week, if the CAA and FAA exceed the requirements by 8% and 5% respectively, otherwise test daily.

The inspector will witness all QC mixture sampling and take possession of their QA-Verification split of this sample immediately after the sample is split. At the end of the day randomly submit one of the QA-Verification splits to the District Lab for testing. Additional verification samples can be taken at any time or location. When additional verification samples are taken the contractor must test the Verification companion split of this sample and include the results in the QC program (Test Summary Sheet). REMARKS: See Note # 3 & Note #7.

TSS

2360 Core Density and Thickness

Lab manual 1810

2360 Contractor cuts two cores at each location. In the laboratory, measure, and saw cores into separate lifts. Sawing of cores into separate lifts is required. Schedule the approximate time of testing during normal project work hours so the Agency may observe and record the saturated surface dry and immersed weight of the cores. A completed Core Density Incentive/Disincentive worksheet is to be submitted to the Laboratory (Agency field or District/Division).

Complete core stationing spreadsheet to determine core locations and then mark all coring locations on the pavement. Once the Contractor has measured and sawed the Agency companion cores transport them to the Agency field lab or District Lab for testing. Transport the cores as soon as possible to the testing lab taking care to prevent damage due to improper handling or exposure to heat. Selects at least one of the two companion cores per lot to test for verification. REMARKS: Note #3 & Note #6.

Core Density Worksheet Core Density Incentive/

Disincentive worksheet.

2360 Tensile Strength Ratio (T.S.R.)

(QC/QA) Lab Manual

1813

2360 Sample as directed by the Engineer. When testing is required, complete testing within 72 hours after the sample is taken.

Test as directed by the Engineer. When testing is required, complete testing within 72 hours after the sample is taken.

TSR Worksheet

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1 4 II. Bituminous Construction Items for Specification 2360 (cont.)

C. BITUMINOUS MATERIALS for Specification 2360

Only Bituminous Materials from Certified Sources are allowed for use. The most current list of Certified Sources: http://www.dot.state.mn.us/products/index.html Minimum Sample Sizes: Quality Sample Size for Lab Submittal: Asphalt Binder (QA)/Cutback Asphalt (QA) 1qt (1 L) Metal can with pressure fit lid Emulsified Asphalt (QA) ½ gal (2 L) plastic

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2360

Asphalt Binder (QA only)

3151.2

Asphalt Supplier QC testing is the responsibility of the bituminous material supplier as part of the Combined State Binder Certification program. During Asphalt Mixture Production Obtain asphalt binder samples from a sampling valve located between the pump and the drum. Sample each type of asphalt binder used in mixture production after 50 tons of mixture has been produced, then sample at a rate of one per 250,000 gal [1,000,000 L]. A minimum of 1 gallon of binder must be drawn and wasted from the sampling valve before the actual sample is drawn. For batch plants, obtain the asphalt binder sample from the weigh pod. Provide asphalt binder sample in clean one L (1 qt.) steel container. The Inspector will monitor the sampling the Contractor performs.

Asphalt Supplier Random sampling of bituminous material at the asphalt supplier is discussed in the Combined State Binder Certification program arranged by the MnDOT Chemical Laboratory. During Asphalt Mixture Production Observe contractor personnel taking sample from sampling valve and submit to MnDOT Chemical Lab

2413 Asphalt Sample

Identification Card

2355 2356 2357

Emulsified Asphalt

(QA only)

3151.2 QC testing is the responsibility of the bituminous material supplier as part of the Combined State Binder Certification program. Tack Coat During mixture production the Contractor will sample first shipment, then submit one sample per 50,000 gal (200,000 L). Sample emulsified asphalt in clean ½ gal (2 L) plastic container with wide screw top and send to MnDOT Chemical Lab within 7 days of sampling.. Sample all emulsified asphalt from the distributor.

Asphalt Supplier Random sampling of bituminous material at the asphalt supplier is discussed in the Combined State Binder Certification program arranged by the MnDOT Chemical Laboratory. Tack Coat

Observe contractor personnel taking sample from the distributor and submit to MnDOT Chemical Lab.

2413 Asphalt Sample

Identification Card

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1 5 II. Bituminous Construction Items for Specification 2360 (cont.)

2357 2358

Cutback Asphalt (QA only)

3151.2 QC testing is the responsibility of the bituminous material supplier as part of the Combined State Binder Certification program. Tack Coat During mixture production the Contractor will sample first shipment, then submit one sample per 50,000 gal (200,000 L). Sample emulsified asphalt in clean ½ gal (2 L) plastic container with wide screw top and send to MnDOT Chemical Lab within 7 days of sampling.. Sample all emulsified asphalt from the distributor.

Asphalt Supplier Random sampling of bituminous material at the asphalt supplier is discussed in the Combined State Binder Certification program arranged by the MnDOT Chemical Laboratory. Tack Coat Observe contractor personnel taking sample from the distributor. Cutback Asphalt should only be used in cold temperature applications with the Engineer’s approval. Contact Bituminous Engineering Unit for cold temperature application guidelines.

2413 Asphalt Sample

Identification Card

Note #1 All QA test samples shall be from split samples.

If a member of the monitoring team observes the Contractor Test, note and sign under remarks. The Project Engineer is responsible for: 1.) Reviewing control charts & Test summary sheets for accuracy and completeness, 2.) Checking sampling and testing procedures, 3.) Discussing QC problems with the Contractor, 4.) Obtaining Verification Samples

Note #2 For Mixture Quality Management, acceptance will be based on Contractor's test results as verified by MnDOT test results. Note #3 When a member of a monitoring team observes the Contractor test, note and sign under remarks. Note #4 How to calculate the number of tests per day Production Start-up testing rates

(first 2000 tons of production) Production testing rates (after 2,000 tons of mixture produced)

Divide daily tonnage by 500 and round up to next whole number 1 test/ 500 tons Divide daily tonnage by 1000 and round up to next whole number 1 test/ 1000 tons Note #5 MnDOT projects will require the calculated Adjusted Asphalt Film Thickness (AFT). VMA will still be calculated for informational purposes, but will not be used for acceptance criteria. The adjusted AFT will be calculated each time a gradation test is required. Note #6 Random number generation and determination of random sample location shall be consistent with the MnDOT Bituminous Manual Section 5-693.7 Table A or Section 5 of ASTM D3665. The Engineer may approve alternate methods of random number generation. Note #7 QA samples retained for 10 calendar days and tested, if needed.

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1 6 III. Construction Items for Bituminous Specialty Items include the following:

• 2363 Permeable Asphalt Stabilized Stress Relief Course (PASSRC) and Permeable Asphalt Stabilized Base (PASB) • 2354 Micro-Surfacing • 2355 Bituminous Fog Seal • 2356 Bituminous Seal Coat • 2356 Otta Seal • 2353 Ultra-Thin Bonded Wearing Course (UTBWC) • 2357 Bituminous Tack Coat • 2365 Stone Matrix Asphalt (SMA)

Only Bituminous Materials from Certified Sources are allowed for use. The most current list of Certified Sources: http://www.dot.state.mn.us/products/index.html

SAMPLE TYPE

DESCRIPTION

SAMPLE

LOCATION DETERMINED BY

SAMPLE

TAKEN BY

SAMPLE

TESTED BY

QC Quality Control Testing performed by Contractor. Also known as Process Control Testing.

Contractor Contractor Contractor

QA Quality Assurance Testing performed by the Agency. This test is performed on a companion sample to the Contractor’s QC sample.

Contractor Contractor (mixture)

Agency (density cores)

Contractor Agency

Verification A sample to assure compliance of the Contractor’s Quality Control program. The results shall be included as part of the QA Testing Program.

Agency Agency Agency

Verification Companion

A companion sample to the Agency’s Verification sample provided to the Contractor. The Contractor is required to test this sample. The results shall be used as part of the QC program.

Agency Agency Contractor

IAST The Independent Assurance Sampling and Testing assures testers are sampling and testing properly and that equipment is calibrated correctly.

Agency Contractor or

Agency Contractor or

Agency

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1 7 III. Construction Items for Bituminous Specialty Items (cont.)

Pay

Item Number

Test Type Material

Spec. No.

Minimum Contractor Quality Control Testing Rate Minimum Sample Size

Minimum Agency QA/Verification (Acceptance)

Form No.

(a) 2363 (b) 2363

1. Mix Design (Pre-Production) (a) PASSRC (b) PASB

2363

Complete 1 Job Mix Formula (gradation blend only) per mix

Submit to agency: 100 lbs. each coarse agg., 35 lbs. each fine agg. & 4 qt. asphalt binder

Agency Performs Mix Design

Approved Mix Design

Report

(c) 2354

(c) Micro-Surfacing

2354 Complete 1 mix design per aggregate source. See

specification or special provision. Submit to Agency: 150 lbs. aggregate

Review Submitted Mix Design (See Notes 1 & 5)

Approved Mix Design

Report

(d) 2356

(d) Bituminous Seal Coat

2356

At least two weeks before beginning construction complete 1 design per mix and provide information to Engineer. See

specification or special provision. Submit to Agency: 150 lbs. aggregate

Review Submitted Mix Design (See Notes 1 & 5)

(e) 2353 (e) UTBWC

2353 UTBWC

Complete and submit 1design per mix Review Submitted Mix Design Approved

Mix Design Report

(f) 2365 (f) SMA 2365 SMA

Complete 1 design per mix Submit to Agency: 80 lb. (35 kg) - bituminous mixture plus 6

Gyratory specimens for TSR testing. 150lbs +4 aggregate from JMF blend for VCA

80 lbs. each coarse agg. & 30 lbs. each fine agg. for quality testing

Review & verify Submitted Mix Design Test as directed by the Engineer

Approved Mix Design

Report

(a) 2363 (b) 2363

2.Production Gradation (a) PASSRC (b) PASB Lab manual 1202, 1203

2363 One per 1,000 ton with a minimum of one per day

Submit to Agency: 35 lbs. Note # 2

1/day

Test Report

(c) 2354

(c) Micro-Surfacing Lab manual 1202, 1203

2354 Stockpile: 1/1,500 tons (min. 1/ day)

Machine Hopper: 1/500 tons (min. 1/day) Submit to Agency: 30 lbs.

1 per project

Test Report

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1 8 III. Construction Items for Bituminous Specialty Items (cont.)

Pay Item

Number Test Type

Material Spec. No.

Minimum Contractor Quality Control Testing Rate Minimum Sample Size

Minimum Agency QA/Verification (Acceptance) Form No.

(d) 2356

(e) 2356

(d) Bituminous Seal Coat (e) Otta Seal Lab manual 1202, 1203

2356 Stockpile: 1/1,500 tons (min. 1/ day)

Chip Spreader Hopper: 1/day Submit to Agency : 30 lbs. from Hopper

1 per project for Bituminous Seal Coat obtained from Contractor’s split sample from Chip Spreader Hopper

1/day for Otta Seal

Test Report

(a) 2363 (b) 2363

3. Production % Crushing (CAA) (a) PASSRC (b) PASB Lab manual 1214

2363 One per 1,000 with a minimum one per day

Submit to Agency: 35 lbs. from Belt 1/day

Test Report

(a) 2354

4. Moisture (In Aggregate) (a)Micro-Surfacing Grading & Base manual, 5-692.245.B

2354 Machine Hopper: 1/500 tons (min. 3/day)

Submit to Agency: 2 lbs. 1/day

Test Report

(a) 2354

5. Sand Equivalence (a) Micro-Surfacing AASHTO T 176

2354 1/day See Note 1

Test Report

(a)2356

6. Flakiness Index (a) Bituminous Seal Coat Lab Manual 1223

2356 Sample taken from first load on fist day

Submit to Agency: 30 lbs. See Note 1 Test Report

(a) 2353

7. Bituminous Mixture Tests (a) UTBWC Lab Manual 1203, 1807, 1852, 1853, 1854

2353 UTBWC

Tests: % AC, Gradation, Max Gravity, Adjusted AFT Rate: (1/300 tons, min. 1 per day)

Note #3: Submit to Agency:20 lbs.

(1 cylinder from truck box)

1 per day

TSS

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 1 9 III. Construction Items for Bituminous Specialty Items (cont.)

Pay Item

Number Test type

Spec. No.

Minimum Contractor Quality Control Testing Rate Minimum Sample Size

Minimum Agency QA/Verification (Acceptance) Form

(b) 2363 (b) PASSRC,

PASB Bit Manual

3151 Test: Asphalt spot check

Rate: minimum one per day Test Report

c) 2365 (c) SMA Lab Manual 1203,1204, 1205, 1211, 1214, 1806, 1807, 1808, 1813, 1853, 1854, 1855, AI SP-2 AASHTO T305

2365 SMA

Tests: % AC, Gradation, Max Gravity, Bulk Gravity, Voids, VMA, CAA, Draindown, voids in coarse aggregate (VCA)

fines/effective asphalt. Rate: (1/1000 tons, min. 1 per day)

Aggregate sp. gravity, mix moisture content to be tested as directed by the Engineer

See Note: #3 Submit companion 1 per day to agency:

65 lb. (30 kg) 3 full 6" by 12" cylinder molds

Tests: % AC, Gradation, Max Gravity, Bulk Gravity, Voids, VMA, CAA, voids in coarse aggregate (VCA)

fines/effective asphalt. See Note # 3 & Note #4

TSS

(b) 2353

8. Asphalt Binder (b) UTBWC

2353 UTBWC

3151

QC testing is the responsibility of the bituminous material supplier. Random sampling is arranged by the MnDOT

Chemical Laboratory. Asphalt Binder: First load, then 1/250,000 gal.

1 qt. Emulsified Asphalt: First load, then 1/50,000 gal.

½ gal*

Observe contractor personnel taking sample from sampling valve and submit to MnDOT Chemical Lab.

Test Report

(c) 2354

(d) 2356

(e) 2356 (f) 2357

(c) Micro-Surfacing (d) Bituminous Seal Coat (e) Otta Seal (f) Bituminous Tack Coat

2354, 2356, 3151

QC testing is the responsibility of the bituminous material supplier. Random sampling is arranged by the MnDOT

Chemical Laboratory.

First load, then 1 / 50,000 gal. ½ gal*

Test Report

(g) 2363 (h) 2365

(g) PASSRC, PASB (h) SMA

3151, 2365 SMA

QC testing is the responsibility of the bituminous material supplier. Random sampling is arranged by the MnDOT

Chemical Laboratory. Asphalt Binder (1 qt.): First load, then 1/250,000 gal.

Note: SMA to be test as in Section C. BITUMINOUS

MATERIALS for Specification 2365

Observe contractor personnel taking sample and submit to MnDOT Chemical Lab.

Note: SMA to be test as in Section C. BITUMINOUS

MATERIALS for Specification 2365.

Test Report

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 0 III. Construction Items for Bituminous Specialty Items (Cont.)

Pay Item

Number Test type

Spec. No.

Minimum Contractor Quality Control Testing Rate Minimum Sample Size

Minimum Agency QA/Verification (Acceptance) Form

(a) 2354

9. Asphalt Binder Application Rate (a) Micro-Surfacing

2354 Verify Application rate

3/day

Verify Application rate 1/day

(b) 2355 (c) 2356

(d) 2356 (e) 2357

(b) Fog Seal (c) Bituminous Seal Coat (d) Otta Seal (e) Bit Tack Coat

2355, 2356, 2357

Verify Application rate 1/day

Verify Application rate 1/day

*Use plastic containers for Emulsified Asphalt Samples. Send to MnDOT Chemical Lab within 7 days of sampling. Note 1: Agency will test at their discretion. Note 2: Run test on gradation sample taken from aggregate belt Note 3: TSR testing on production mixture is at the discretion of the Engineer. Note 4: Agency is not required to run draindown testing on QA/Verification samples. Note 5: Submit copy of mix design to Project Engineer and copy Grading and Base Engineer.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 1 IV. Concrete Construction Items (www.dot.state.mn.us/materials/concrete.html)

The testing rates shown in this Schedule of Materials Control are minimums. Take as many tests as necessary to ensure quality concrete. All samples shall be taken in a random manner using an appropriate number generator. All field samples shall be taken at the point of placement unless otherwise allowed by the Engineer. It is recommended that the Agency Plant Monitor be present during critical pours, such as superstructure or paving concrete (i.e. 3A21, 3Y16, 3Y33, 3Y36, 3Y46, JMF mixes). If any field test fails, reject the concrete or if the Producer makes adjustments to the load to meet requirements, record the adjustments on the Certificate of Compliance and the Weekly Concrete Report. Retest the load and record the adjusted test results. Make sure the next load is tested before it gets into the work. If batching adjustments are made at the plant, test the adjusted load, before it gets into the work. Continue to test the concrete when test results are inconsistent or marginal. The first load of concrete for any pour must have passing air content and slump results, prior to placing.

Material not meeting requirements shall not knowingly be placed in the work. If failing concrete inadvertently gets placed in the work, review either the MnDOT Standard Specifications for Construction or contact the Concrete Engineering Unit for monetary deductions recommendations. It is recommended that the Agency representative continually monitor the progress of all concrete pours in the field and review Certificates of Compliances. It is not a recommended practice to only perform minimum testing requirements and leave the pour. Should circumstances arise on a project which makes the testing rate impractical, contact the Concrete Engineering Unit. DEFINITIONS

Description Sample Location Determined By

Sample Taken By Sample Tested By

QC Quality Control Testing performed by Contractor. Also known as Process Control Testing.

Contractor Contractor Contractor

QA Quality Assurance Testing performed by the Agency. This test is performed on a companion sample to the Contractor’s QC sample.

Contractor Contractor Agency

Verification A sample to assure compliance of the Contractor’s Quality Control program. The results shall be included as part of the QA Testing Program.

Agency Agency Agency

Verification Companion

A companion sample to the Agency’s Verification sample provided to the Contractor. The Contractor is required to test this sample. The results shall be used as part of the QC program.

Agency Agency Contractor

IAST The Independent Assurance Sampling and Testing assures testers are sampling and testing properly and that equipment is calibrated correctly.

Agency Contractor or Agency

Contractor or Agency

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 2 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Plant Batching Materials Remarks:

(1) All materials must come from certified or qualified sources. All certified sources must state so on the delivery invoice. (2) The most current list of certified/approved sources can be found at www.dot.state.mn.us/products.

Sample Sizes: Cementitious: 5 lb. (2 kg) Admixture: 1/2 pt. (0.25 L) Producer obtains samples from dispensing tubes. Store samples in a plastic container. Water: 1 gal (3.5 L) Store sample in a clean glass or plastic container.

Pay Item No.

Material Spec. No.

Minimum Required Sampling Rate for Laboratory Testing Form No.

2301 2302 2401 2405 2411 2412 2422 2452 2461 2506 2511 2514 2519 2521 2531 2533 2545 2550 2554 2557 2564 2565

Portland Cement Slag Blended Cement

3101

3102

3103

For certified ready-mix and concrete paving: 1 sample when the plant is certified. Take an additional sample:

1) At 6 months, if producing Agency concrete, 2) If the plant changes sources, or 3) As the Contract requires.

For precast concrete: 1 sample every 3 months during Agency production The Producer obtains and stores the sample in a sealed container provided by the Agency, and includes the supplier's delivery invoice from which the sample is obtained. Take additional samples as directed by the Concrete Engineer

24300 ID Card

Cement Samples

Fly Ash 3115 24308 ID Card Fly Ash Samples

Admixtures (Accelerating, Retarding, Water-Reducing, Air-Entraining, etc.)

3113 For all concrete: 1 sample when the plant is certified. Take additional samples:

1) At 3 month intervals during Agency production, 2) If the plant changes sources, or 3) As the Contract requires.

The Producer obtains and stores the sample in a sealed container provided by the Agency. Take additional samples as directed by the Concrete Engineer

2410

Sample ID Card

Water 3906 1 sample from any questionable source 2410 Sample ID Card

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 3 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Certified Ready-Mix - Concrete Plant Production Remarks:

(1) Mix design is provided by MnDOT unless otherwise specified in the Contract. (2) All gradation and quality tests require companion samples. Samples taken at location identified on Contact Report located at plant. (3) Perform Quality testing as directed by the Concrete Engineer. (4) Record all gradation weights in metric. **Use Certified Ready-Mix - Concrete Plant Production testing rates schedule when:

a) The entire concrete paving project is < 3,500 cu. yd. (2,900 m3) b) When a secondary plant is used to provide minor work.

Minimum Sample Sizes: Gradation Test: Moisture Test: Quality Sample Size for Lab Submittal: 3/4” Plus, #4 (+19 mm) 25 lb. (12 kg) Coarse Aggregate 2000 g 3/4” Plus, #4 (+19 mm) 50 lb. (24 kg) 3/4” Minus, #67 (–19 mm) 10 lb. (5 kg) Fine Aggregate 500 g 3/4” Minus, #67, #7 (–19 mm) 30 lb. (15 kg) CA-70, #7 6 lb. (2.5 kg) #89, Fine Aggregate 30 lb. (15 kg) CA-80, #89, Sand 1.1 lb. (500 g)

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2301** 2302 2401 2411 2452 2461 2506 2511 2514 2519 2521 2531 2533 2545 2550 2554 2557 2564 2565

Gradation Testing (QC/QA)

(5-694.145 and

5-694.148)

2461 3126 3137

When over 20 yd3 (m3) of Agency concrete produced per day: Coarse: 1 per 200 yd3 (m3) Fine: 1 per 200 yd3 (m3) Passing aggregate gradations are required prior to the start of concrete production each day. Performing testing on representative material at the end of the most recent day of production is allowed. Washing the fine aggregate gradation (QC) sample is not required when the result on the -75µm (#200) sieve of the unwashed sample is less than 1.0%, Hold QA (QC companion) samples until they are picked up by the Agency monitor. Discard after 14 calendar days if not picked up. For Contractor Mix Designs utilizing an approved JMF: 1 per 400 yd3 (m3) or completed every 4 hours, whichever results in the higher sampling rate.

None 21763 Concrete

Aggregate Worksheet (QC/QA)

2449

Weekly Concrete

Aggregate Report

21765 Concrete

Aggregate Worksheet JMF

(QC/QA)

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 4 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Certified Ready-Mix - Concrete Plant Production (cont.)

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2301** 2302 2401 2411 2452 2461 2506 2511 2514 2519 2521 2531 2533 2545 2550 2554 2557 2564 2565

Gradation Testing (Verification/ Verification Companion) (5-694.145

and 5-694.148)

2461 3126 3137

Test the Verification Companion sample. Complete on the day the sample was taken. Wash all fine aggregate Verification Companion samples.

Coarse and Fine: 1 Verification sample per week when Agency production is 1 or 2 days per week. 2 Verification samples per week when Agency production is 3 or more days per week.

For small quantities: When less than 25 yd3 (m3) of Agency concrete is produced per week, Verification samples are not required Include verification companion results on Sample ID Card.

2449 Weekly

Concrete Aggregate

Report

24143 Weekly Certified

Ready-Mix Plant Report (Verification)

Quality Testing including

Coarse Aggregate Testing on

- #200 (-75µm) (5-694.146)

3126 3137

Test at Contractor’s Discretion 1 test each fraction per month For all bridge deck concrete poured during the month: If the monthly quality was not tested for 3137.2.D.2, take 1 additional quality sample for each coarse aggregate fraction and test for 3137.2.D.2. Identify quality samples with a “Q” on the Sample ID Card and the Quality companion sample. Write 3137.2.D.2 on bridge deck concrete Sample ID Cards.

2410 Sample ID

Card

Aggregate Moisture Testing

(QC) (5-694.142)

2461 When over 20 yd3 (m3) of Agency concrete produced per day: Coarse and Fine: 1 completed every 4 hours. Complete the initial moisture content and adjust the batch water prior to the start of concrete production each day.

If weather conditions allow, performing moisture testing on representative material at the end of production the prior evening is allowed. In this event, the four-hour rate will commence with the first pour of the day, regardless if it is placed in Agency or private work.

None

2152 Concrete Batching Report

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 5 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Pavement - Concrete Plant Production Remarks:

(1) Mix Design is Contractor's responsibility with review by MnDOT unless otherwise specified in the Contract. (2) Use Certified Ready-Mix - Concrete Plant Production testing rates schedule when:

a) The entire concrete paving project is < 3,500 cu. yd. (2,900 m3) b) b) When a secondary plant is used to provide minor work.

(3) When w/c incentives apply according to 2301: a) Contractor QC Technician and Agency Plant Monitor are required to be present during the entire pour. If w/c incentives do not apply, the Agency Plant Monitor shall monitor as necessary to ensure compliance with the requirements of the Contract. b) A certified ready-mix plant shall be dedicated (provides concrete only to the concrete paving project). (4) All gradation samples shall be taken in the presence of the Agency, unless otherwise authorized by the Engineer. All samples shall be taken off the belt leading to the weigh hopper unless otherwise approved by the Engineer. All gradation and quality tests require companion samples.

(5) Perform Quality testing as directed by the Concrete Engineer.

Minimum Sample Sizes: Gradation Test: Moisture Test: Quality Sample Size for Lab Submittal: 75µm (#200) Coarse Aggregate Sample Size 3/4” Plus, #4 (+19 mm) 25 lb. (12 kg) Coarse Aggregate 2000 g 3/4” Plus, #4 (+19 mm) 50 lb. (24 kg) 3/4” Plus, #4 (+19 mm) 10 lb. (5000 g) 3/4” Minus, #67 (–19 mm) 10 lb. (5 kg) Fine Aggregate 500 g 3/4” Minus, #67, #7 (–19 mm) 30 lb. (15 kg) 3/4” Minus, #67, #7 (–19 mm) 6 lb. (2500 g) CA-70, #7 6 lb. (2.5 kg) #89 Fine Aggregate 30 lb. (15 kg) CA-80, #89, Sand .1 lb. (500 g)

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2301 Gradation Testing

(QC/QA) (5-694.145

and 5-694.148)

3126 3137

For a concrete paving batch plant: When over 250 yd3 (m3) is produced per day: 1 per 1500 yd3 (m3) or completed 1 per ½ day, whichever results in the higher sampling rate.

For a certified ready-mix plant: When over 20 yd3 (m3) is produced per day: 1 per 400 yd3 (m3) or completed every 4 hours, whichever results in the higher sampling rate.

Test the first 4 QA samples of production each time the Contractor mobilizes the plant in a new calendar year or changes aggregate sources.

21764 Concrete

Aggregate Worksheet JMF

Well-graded

Concrete Aggregate Worksheet

For a concrete paving batch plant: 1 per day on randomly selected samples thereafter.

For a certified ready-mix plant: 1 per 1000 yd3 (m3) or 1 per week, whichever results in higher sampling rate on randomly selected samples thereafter.

Performing testing on representative material at the end of the most recent day of production is allowed. If well-graded aggregate incentives apply: Use the Contractor’s gradation results for well-graded aggregate incentive calculations as verified by Agency testing

Identify the gradation samples with “QA Gradation” on the Sample ID Card and include the JMF Number and the QC Gradation results. If Coarse Aggregate Quality Incentive/Disincentives apply: The Agency may also use the QA gradation sample for the Coarse Aggregate Quality incentive/disincentive testing. In this case, notify the Producer/Contractor to double the QC/QA gradation sample size.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 6

IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Pavement - Concrete Plant Production (cont.)

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2301

Coarse Aggregate Testing on

- #200 (-75µm) (QC/QA)

(5-694.146)

3137 Test the first sample and then at least 1 of the next 3 samples on the first day of production and each time the Contractor mobilizes the plant, changes aggregate sources, or the cleanliness of the coarse aggregate is in question. 1 test per day thereafter Test these samples at the plant.

For a concrete paving batch plant: 1 randomly selected sample on the first day of production and each time the Contractor mobilizes the plant, changes aggregate sources, or the cleanliness of the coarse aggregate is in question. 1 test per week thereafter Test these samples at the plant.

For a certified ready-mix plant: 1 randomly selected sample on the first day of production and each time the Contractor mobilizes the plant, changes aggregate sources, or the cleanliness of the coarse aggregate is in question. 1 per 1000 yd3 (m3) or 1 per week, whichever results in the higher sampling rate on randomly selected samples thereafter.

21764 Concrete

Aggregate Worksheet

JMF - Paving

Aggregate Moisture Testing (QC/Verification)

(5-694.142)

For a concrete paving batch plant: If w/c incentives do not apply: 1 per 1000 yd3 (m3) or completed every 4 hours, whichever results in the higher sampling rate.

For a certified ready-mix plant: If w/c incentives do not apply: 1completed every 4 hours.

For a concrete paving batch plant: If w/c incentives apply: 1 per 1000 yd3 (m3) or completed every 4 hours, whichever results in the higher sampling rate. Take initial samples for aggregate moisture testing within the first 250 yd3 (m3).

For a certified ready-mix plant: If w/c incentives apply: 1 per 200 yd3 (m3) or completed every 4 hours, whichever results in the higher sampling rate. Take initial samples for aggregate moisture testing within the first 100 yd3 (m3).

Concrete W/C Ratio

Calculation Worksheet

Complete the initial moisture content and adjust the batch water prior to the start of concrete production each day. If weather conditions allow, performing moisture testing on representative material at the end of production the prior evening is allowed.

If w/c incentives apply: Use aggregate moisture results for determining the water content to calculate the w/c ratio incentive/disincentive. Do not leave samples unattended.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 7

IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Pavement - Concrete Plant Production (cont.)

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2301 Water Content Verification

Testing (Microwave

Oven Verification) (5-694.532)

2301 Obtain the plastic concrete sample at the plant. If w/c incentives apply: Microwave oven verification testing to verify the w/c ratio is completed in conjunction with Agency aggregate moisture testing. Do not leave samples unattended.

Concrete W/C Ratio

Calculation Worksheet

For a concrete paving batch plant: Take initial sample for microwave oven verification testing within the first 250 yd3 (m3). At least one additional verification test should be taken if more than 1,000 yd3 (m3) is produced in a day.

For a certified ready-mix plant: Take initial sample for microwave oven verification testing within the first 100 yd3 (m3). At least one additional verification test should be taken if more than 400 yd3 (m3) is produced in a day.

Unit Weight (QC)

(5-694.542)

Test one load of concrete per day at the plant. None

Air Content for Type 3 Concrete

(QC) (5-694.541)

2301 2461

Test the first load of concrete at the plant. None

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 8 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Pavement - Concrete Plant Production (cont.)

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2301 Quality Testing including Coarse

Aggregate Testing on

- #200 (-75µm)

3126 3137

Prior to concrete production: Test the Agency’s pre-production sample at the Contractor’s discretion During concrete production: Test the -#200 (-75µm) on the Quality companion sample the day it was sampled. All other testing is at the Contractor’s discretion

Prior to concrete production for the primary concrete plant: Obtain pre-production samples for quality testing at least 16 hours prior to concrete production. Samples may be taken from the stockpile and the -#200 (-75µm) test may be performed at the lab instead of at the plant at the discretion of the Engineer. If the Entire Project is < 3,500 cu. yd. (2,900 m3), pre-production sampling is not required. During concrete production: 1 randomly selected test each fraction every 20,000 yd3 (m3) of production. Split the Quality sample 4 ways:

1) Provide 2 quarters of the sample to the Producer/Contractor. 2) Test the -#200 (-75µm) on the quality sample at the plant the day it was

sampled. 3) Submit the remaining sample to the lab for quality testing including

testing on the -#200 (-75µm) sieve.

Identify quality samples with a “Q” and record the QC and QA -#200 (-75µm) test results on the Sample ID Card. Identify the Quality Companion samples with a “Q”. See additional requirements for first sand quality sample under ASR Testing.

2410 Sample ID

Card

2301 Alkali Silica Reactivity (ASR)

Testing

2301 None 1 per paving project per sand source Provide one 5 lb. sample of:

1) cement 2) supplementary cementitious material (fly ash or slag), and 3) sand.

Write “Project Specific ASR Testing” on all 3 Sample ID cards. ASR Testing is not required if the entire project is <3,500 cu. yd. (2,900 m3).

2410 Sample ID

Card

24300 ID Card

Cement Samples

24308 ID

Card Fly Ash Samples

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 2 9 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Pavement - Concrete Plant Production (cont.)

Pay Item No.

Test Type Spec. No.

Producer/Contractor Testing Agency Testing Form No.

2301 Coarse Aggregate

Quality Testing for Incentive/ Disincentive

3137

Test at Contractor’s discretion If coarse aggregate quality incentives apply: Test the Class B aggregates for % absorption and Class C aggregates for % carbonate including any other tests necessary to make those determinations. Sample the 2 largest fractions in accordance with the following table and 2301:

Coarse Aggregate Quality Incentive/Disincentive Sampling Rates

Plan Concrete cu. yd. [cu. m]

Samples per fraction (n)

3,500 – 7,500 [2,900 – 6,250] 3 7,501 – 10,000 [6,251 – 8,500] 5

10,001 – 25,000 [8,501 – 21,000] 10 25,001 – 50,000 [21,001 – 42,000] 15

> 50,000 [42,000] 20 Identify incentive samples on the Sample ID Card with “I/D”

2410 Sample ID

Card

Coarse Aggregate

Quality Incentive/

Disincentive Worksheet

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 0 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Field Materials (Refer to Metallic Materials and Metal Products for sampling requirements for concrete reinforcement.) Sample Sizes: Joint Materials: Hot Poured Elastomeric: 5 lb. (2.26 kg) Take samples from application wand, store in steel (1 gal) container. Preformed Elastomeric: 6 ft. (2 m) Silicone Joint Sealer: 1 pt. (0.5 L) Store sample in steel container. Preformed: 2 ft2(0.25 m2) Curing Materials: Burlap: 1 yd2 (m2) Paper and Plastic: 2 ft2(0.25 m2) Membrane Compound 1 qt. (1 L) If sampling is required, materials must be thoroughly stirred or agitated immediately prior to taking sample. Store sample in steel container and cover immediately.

Pay Item No.

Material Spec. No. Minimum Required Field Sampling Rate Form No.

2301 2302 2401 2411 2514 2521 2531

Preformed 3702 Visual Inspection

2410 Sample ID Card

2301 2302 2401

Preformed Elastomeric Type 3721 1 per lot Only joint materials from qualified sources are allowed. The most current lists can be found at www.dot.state.mn.us/products

Silicone Joint Sealer 3722

Hot Poured Elastomeric Type 3723 3725

2301 2302 2401 2411 2514 2520 2521 2531 2533

Burlap 3751 Visual Inspection

Paper 3752 Visual Inspection - Must be white opaque

Membrane Curing Compound 3754 3754AMS

3755

Visual Inspection – Use only Pre-Approved Curing Compounds. Refer to the approved products list of curing compounds for pre-approved lots at http://www.mrrapps.dot.state.mn.us/CuringCompoundProducts/curingcompounds.aspx

Plastic 3756 Visual Inspection -Must be white opaque and free from holes. A Certificate of Compliance shall be submitted to the Project Engineer from the Manufacturer certifying that the plastic complies with AASHTO M171.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 1 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Field Testing – General Concrete

Pay Item No. Test Type Spec. No. Agency Testing Form No.

2302 2452 2461 2506 2511 2514 2520 2521 2531 2533 2545 2550 2554 2557 2564 2565

Air Content for Type 3 Concrete

(Verification) (5-694.541)

2461

1 per 100 yd3 (m3) Test first load each day per mix Test when adjustments are made to the m

2448 Weekly Concrete

Report

If concrete quantities on the entire project total < 100 yd3 (m3),

document the test results Weekly

Concrete Report or on Form 02415 or

Form 2403 Inspection Report for

Small Quantities.

Slump (Verification) (5-694.531)

2461

1 per 300 yd3 (m3) Test first load each day per mix Test as necessary to verify passing slump No slump testing required for slipform placement

Concrete Temperature (Verification) (5-694.550)

2461 Record temperature each time air content, slump, or strength test specimen is performed/fabricated.

Compressive Strength

(Verification) (5-694.511)

2461

1 cylinder (28-day) per 300 yd3 (m3) Cast up to three (3) control cylinders. Any additional control cylinders are the responsibility of the Contractor. MnDOT standard cylinder mold size is 4 x 8 inch (100 x 200 mm). If aggregate has a maximum size greater than 1-1/4 inch (31.5 mm), use 6 x 12 inch (150 x 300 mm) molds.

2409 ID Card Concrete

Test Cylinder

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 2 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Field Testing – Bridge Concrete

Pay Item No. Test Type Spec. No. Agency Testing Form No.

2401 2406 2411 2461

Air Content for Type 3 Concrete

(Verification) (5-694.541)

2461

1 per 100 yd3 (m3) Test first load each day per mix Test when adjustments are made to the m

2448 Weekly Concrete

Report .

Slump (Verification) (5-694.531)

2461

1 per 100 yd3 (m3) Test first load each day per mix Test as necessary to verify passing slump No slump testing required for slipform placement

Concrete Temperature (Verification) (5-694.550)

2461 Record temperature each time air content, slump, or strength test specimen is performed/fabricated.

Compressive Strength

(Verification) (5-694.511)

2461

1 cylinder (28-day) per 100 yd3 (m3) Cast up to three (3) control cylinders. Any additional control cylinders are the responsibility of the Contractor. MnDOT standard cylinder mold size is 4 x 8 inch (100 x 200 mm). If aggregate has a maximum size greater than 1-1/4 inch (31.5 mm), use 6 x 12 inch (150 x 300 mm) molds.

2409 ID Card Concrete

Test Cylinder

Concrete Field Testing – Cellular Concrete

Pay Item No. Test Type Spec. No. Agency Testing Form No.

2519 Compressive Strength

(Verification) (5-694.511)

2461 2519

1 set of 4 cylinders (28-day) per day

4 x 8 inch (100 x 200 mm) cylinders shall be filled in two equal lifts, do not rod the concrete, lightly tap the sides, cover and move to area with minimal or no vibration. Do not disturb for 24 hours.

2409 ID Card Concrete

Test Cylinder

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 3 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Field Testing – Concrete Pavement

Pay Item No.

Test Type Spec. No.

Contractor Testing Agency Testing Form No.

2301 Air Content Before Consolidation

for Type 3 Concrete (QC/QA)

(5-694.541)

2301 2461

1 per 300 yd3 (m3) or 1 per hour, whichever is less Test first load each day per mix

1 correlation air test per day 2448 Weekly

Concrete Report

Air Content After Consolidation for

Type 3 Concrete (QC/QA)

(5-694.541)

2301 2461

Test 1 air content per ½ day of slip form paving to establish an air loss correction factor (ACF). See Special Provisions for additional information.

1 air test per day

Slump (QC/QA)

(5-694.531)

2461

For fixed form placement: 1 per 300 yd3 ( m3) and as directed by the Engineer Test first load each day per mix For slipform placement: No slump testing is required

For fixed form placement: 1 slump test per day For slipform placement: No slump testing is required

Concrete Temperature (QC/QA)

(5-694.550)

2461 Record temperature each time air content, slump or strength test specimen is performed/fabricated by the Contractor.

Record temperature each time air content, slump or strength test specimen is performed/fabricated by the Agency.

Flexural Strength (QC)

(5-694.521)

2301 2461

1 beam (28-day) per day - Make additional control beams as necessary. - Control beams shall be made within the last hour of concrete poured

each day. Fabricate beams, deliver beams to curing site, and clean beam boxes. Cylinders may be substituted for beams at the discretion of the Engineer

Supply beam boxes, cure, and test beams. MnDOT standard beam box size is 6” x 6” x 20” unless other sizes or types are approved by the Concrete Engineer.

2162 Concrete

Test Beam Data

Concrete Pavement Texture

(QC)

2301 1 per 1000 linear feet per lane of concrete pavement at locations determined by the Agency. All adjoining lanes shall be tested at the same location if paved at the same time. The Contractor supplies all materials necessary to perform the required testing.

Determine texture testing locations using random numbers.

Concrete Texture

Worksheet

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 4 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Field Testing – Concrete Pavement (cont.)

Pay Item No.

Test Type Spec. No.

Contractor Testing Agency Testing Form No.

2301 Thickness (QC/Verification)

2301 The Contractor drills concrete cores at locations determined by the Agency. The Contractor probes the plastic concrete at locations determined by the Agency.

Determine probing and coring locations using random numbers. Initial pavement at core locations and re-initial the sides of specimens after coring to clearly verify their authenticity.

24327 Field Core

Report Probing and

Coring Report

2301 Surface Smoothness

2301 2399

Contractor provides MnDOT certified inertial profiler results for the entire project as required by the Contract.

None Concrete Profile

Summary Worksheet

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 5 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Field Testing - Low Slump Concrete for Bridge Deck Overlays Remarks:

(1) Mix design is provided by MnDOT on the back of the Form 21412 Weekly Report of “Low Slump Concrete” unless otherwise specified in the Contract. (2) All field gradation samples shall be taken by the Agency. All gradation and quality tests require companion samples. (3) Perform Quality testing as directed by the Concrete Engineer.

Minimum Sample Sizes: Gradation Test: Quality Sample Size for Lab Submittal: CA-70, #7 6 lb. (2.5 kg) Coarse Aggregate 50 lb. (24 kg) Sand 1.1 lb. (500 g) Fine Aggregate 30 lb. (15 kg)

Pay Item No.

Test Type Spec. No.

Contractor Testing Agency Testing Form No.

2404 Gradation and Quality Testing

including Coarse Aggregate

Testing on - #200 (-75µm)

(QC/Verification) (5-694.145, 5-694.146)

and 5-694.148))

3126 3137

Prior to concrete production, the Contractor shall provide the Agency with:

• Aggregate pit numbers • 1 passing gradation result per

aggregate fraction per source No quality test results are required. Test companion samples at Contractor’s discretion.

1 per aggregate fraction prior to concrete production and each time aggregate is delivered to the site. Identify quality samples with a “Q” on the Sample ID Card and the Quality companion sample.

2410 Sample ID Card

21412

Weekly Report of “Low Slump

Concrete”

Air Content for Type 3 Concrete (Verification) (5-694.541)

2461 None

1 per 15 yd3 (m3) Test at beginning of pour each day

Slump (Verification) (5-694.531)

2461

None

1 per 15 yd3 (m3) Test at beginning of pour each day For concrete from a concrete-mobile, allow mix to hydrate 4 to 5 minutes before slump test to assure all cement is saturated.

Compressive Strength (Verification) (5-694.511)

2461

None

1 cylinder (28-day) per 30 yd3 (m3) 2409 ID Card Concrete

Test Cylinder

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 6 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Field Testing – Concrete Pavement Repair (CPR) for 3U18 Remarks:

(1) Mix design is provided in accordance with MnDOT Spec 3105 unless otherwise specified in the Contract. (2) Testing rates apply to concrete that is produced on site. (3) All field gradation samples shall be taken by the Agency. All gradation and quality tests require companion samples. (4) Perform Quality testing as directed by the Concrete Engineer.

Minimum Sample Sizes: Gradation Test: Quality Sample Size for Lab Submittal: 3/4” Minus, #67 (–19 mm) 10 lb. (5 kg) Fine Aggregate 30 lb. (15 kg) CA-70, #7 6 lb. (2.5 kg) CA-80, #89, Sand 1.1 lb. (500 g)

Pay Item No.

Test Type Spec. No.

Contractor Testing Agency Testing Form No.

2302 Gradation and (QC/Verification)

(5-694.145 and 5-694.148)

3126 3137

Prior to concrete production, the Contractor shall provide the Agency with:

• Aggregate pit numbers • 1 passing gradation result per

aggregate fraction per source. Test companion samples at Contractor’s discretion.

1 per aggregate fraction prior to concrete production and each time aggregate is delivered to the site.

2410 Sample ID Card

Quality Testing including

Coarse Aggregate Testing on - #200 (-75µm)

(5-694.146)

3126 3137

No quality test results are required. 1 test each aggregate fraction per source The Agency may use the gradation results for the Quality Samples as a substitute for 1 required field gradation. Identify quality samples with a “Q” on the Sample ID Card and the Quality companion sample.

2410 Sample ID Card

Air Content for Type 3 Concrete (Verification) (5-694.541)

2461 None

1 per 15 yd3 (m3) Test at beginning of pour each day.

CPR1 Field Testing

Report for CPR

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 7 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Field Testing – Concrete Pavement Repair (CPR) for 3U18 (cont.) Remarks:

(4) Mix design is provided in accordance with MnDOT Spec 3105 unless otherwise specified in the Contract. (5) Testing rates apply to concrete that is produced on site. (6) All field gradation samples shall be taken by the Agency. All gradation and quality tests require companion samples. (5) Perform Quality testing as directed by the Concrete Engineer.

Minimum Sample Sizes: Gradation Test: Quality Sample Size for Lab Submittal: 3/4” Minus, #67 (–19 mm) 10 lb. (5 kg) Fine Aggregate 30 lb. (15 kg) CA-70, #7 6 lb. (2.5 kg) CA-80, #89, Sand 1.1 lb. (500 g)

Pay Item No.

Test Type Spec. No.

Contractor Testing Agency Testing Form No.

2302 Slump (Verification) (5-694.531)

2461 None

1 per 15 yd3 (m3) Test at beginning of pour each day. Allow mix to hydrate 5 minutes before slump test to assure all cement is saturated.

Compressive Strength (Verification) (5-694.511)

2461 None 1 cylinder (28-day) per 30 yd3 (m3) 2409 ID Card Concrete

Test Cylinder

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 8 IV. Concrete Construction Items (cont.) (www.dot.state.mn.us/materials/concrete.html)

Concrete Field Testing – Dowel Bar Retrofit (DBR) Remarks:

(1) Mix Design is Contractor's responsibility with review by MnDOT unless otherwise specified in the Contract. (2) Testing rates apply to concrete that is produced on site. (Not from a certified ready-mix plant.) (3) All field gradation samples shall be taken by the Agency. All gradation and quality tests require companion samples. (4) Perform Quality testing as directed by the Concrete Engineer.

Minimum Sample Sizes: Gradation Test: Quality Sample Size for Lab Submittal: CA-80, #89, Sand 1.1 lb. (500 g) Coarse Aggregate 50 lb. (24 kg) Fine Aggregate 30 lb. (15 kg)

Pay Item No.

Test Type Spec. No.

Contractor Testing Agency Testing Form No.

2302 Gradation and Quality Testing

including Coarse Aggregate

Testing on - #200 (-75µm)

(QC/Verification) (5-694.145, 5-694.146)

and 5-694.148)

3126 3137

Prior to concrete production, the Contractor shall provide the Agency with:

• Aggregate pit numbers • 1 passing gradation result per

aggregate fraction per source. No quality test results are required. Test companion samples at Contractor’s discretion.

1 per aggregate fraction prior to concrete production and each time aggregate is delivered to the site. Identify quality samples with a “Q” on the Sample ID Card and the Quality companion sample.

2410 Sample ID Card

Dowel Bar Retrofit Material Compressive Strength

(Verification) (5-694.511)

2301 2302

None During the pre-production test operations: 1 set of 3 cylinders tested at a rate as directed by the Engineer. Testing may need to be repeated if any problems with the dowel bar retrofit material are encountered. First day of production: 1 set of 3 cylinders tested at a rate as directed by the Concrete Engineer. After the first day of production: 1 cylinder per day during production tested at rate determined by Engineer to determine opening to traffic strength.

2409 ID Card Concrete

Test Cylinder

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 3 9 V. Landscaping and Erosion Control Items

Pay Item No

Kind of Material Spec. No. Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2571 2574 2575

1. Topsoil borrow a

3877.2 None From each source: One composite sample for the first 765 m3 (1,000 Cu yd.). Small quantities under 75 m3 (100 Cu yd.), no sample required.

10 kg (20 lb.)

a Certificate of Compliance showing meets specifications. Testing for topsoil for fertility by Contractor at a Certified Soils Lab.

2571 2575 2577

2. Plant Stock & Landscape Materials b

3861 and 2571.2A1

Field Inspection at Job Site, submit itemized report for each shipment c.

b Preliminary inspection will not be done at the source. Material must be in accordance with the Inspection and Contract Administration Guidelines for MnDOT Landscape Projects. c Utilize "Inspection and Contract Administration Guidelines for MnDOT Landscape Projects" to determine and measure minimum and maximum criteria thresholds. The following documentation must be provided: 1. A MnDOT Certificate of Compliance for Plant Stock, Landscape Materials, and Equipment 2. A valid copy of a nursery stock (dealer or grower) certificate registered with the MN Dept. of Agric. And/or a current nursery certificate/license from a state or provincial Dept. of Agric. for each plant stock supplier. 3. A copy of the most recent Certificate of Nursery Inspection for each plant stock supplier. 4. Plant material shipped from out-of-state nursery vendors subject to pest quarantines must be accompanied by documentation certifying all plants shipped are free of regulated pests. 5. Bills of lading (shipping documents) for all materials delivered. 6. Invoices for all materials to be used. 7. Each bundle, bale, or individual plant must be legibly and securely labeled with the name and size of each species or variety.

2502 2573 2575 2577

3. Erosion Control Blanket d

3885 Visual Inspection Random - See Footnote d d Check Web site for list of approved products.. www.dot.state.mn.us/products

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 0 V. Landscaping and Erosion Control Items (cont.)

Pay Item No

Kind of Material Spec. No. Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2573 2577

4. Erosion Control Netting e 3885 Visual Inspection e Check Web site for list of approved products. www.dot.state.mn.us/products

2573 5. Silt Fence f

3886 Check Product Label.

Obtain Certificate of Compliance with MARV values

f Check Approved/Qualified Products List (A/QPL) of accepted geotextiles www.dot.state.mn.us/products

2573 6. Flotation Silt Curtain g 3887 Visual Inspection g Accepted, based on manufacturers' certification of compliance. Check weight of fabric.

2573 2575

7. Erosion Stabilization Mat h 3885 Visual Inspection h Check Web site for list of approved products. www.dot.state.mn.us/products

2573 8. Sediment Control Logs 3897 Visual Inspection Meet specifications

2573 9. Flocculants i 3898 Visual Inspection None i Certificate of Compliance and MSDS to the Engineer.

2571 2575

10. Fertilizer j 3881 Visual Inspection j Bagged: Inspected on the basis of guaranteed analysis. Rate based on fertility analysis of slope dressing/topsoil. Bulk: Inspector to obtain copy of invoice of blended material stating analysis. Check the type specified.

2571 2575

11. Agricultural Lime k 3879 One gradation test for each 180 Metric Ton (200 ton)

k Contractor must supply amount of ENP (Equivalent Neutralizing Power) for each shipment.

2575 2577

12. Mulch Material A. Type 3 Mulch - Certified Weed Free (Certified sources only) l

3882 Visual Inspection, Check if from Certified Vendor by Minnesota Crop Improvement Association. Must be tagged, grain straw only.

l Certified mulch will be indicated by label.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 1 V. Landscaping and Erosion Control Items (cont.)

Pay Item No

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2571 2575 2577

13. Mulch Material B. Type 6 Mulch – Woodchips

3882 Visual Inspection. Obtain Certificate of Compliance.

All wood chips supplied by a supplier outside the Emerald Ash Borer quarantine area or have an Emerald Ash Borer Compliance Agreement with the MDA.

2502 2575 2577

14. Seeds A. Seeds (Certified Vendors Only) (Mixes 22-000 and 25-000 series) m

3876 Check for Certified Vendor tag from Minnesota Crop improvement Association. If materials are on hand and past the twelve months, testing must be done.

m Periodic sampling taken by Office of Environmental Services. Any moldy or insect contaminated seed must be rejected.

2502 2575 2577

14. Seeds B. Native Seed (Mixes 30-000 series) certified seed only n

3876 Check if from Certified Vendor by Minnesota Crop Improvement Association, Must be tagged. If materials are on hand and past the twelve months, testing must be done.

n Certified seed will be indicated by label on containers. Reject all moldy or insect contaminated seed. Periodic sampling taken by Office of Environmental Services.

2575 15. Sod o 3878 A certified tag by Minnesota Crop Improvement Association for Salt tolerant sod. Final Visual Inspection at site.

o A Certificate of Compliance must be furnished by the producer to the Engineer for the type of sod supplied showing correct grass varieties.

2571 2575

16. Compost A. Compost Certified Source p

3890 Visual Inspection p Check Approved/Qualified Products List (A/QPL), retain Certificate of Compliance.

2571 2575

17. Compost B. Compost Non-Certified Source q

3890 Inspection of source 6 weeks prior to delivery.

q Retain Certificate of Compliance, 6 weeks prior to delivery.

2575 18. Hydraulic Soil Stabilizer r 3884 r Check Approved/Qualified Products List (A/QPL). Installer needs to show certificate of training.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 2 VI. Chemical Items

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2401 Asphalt Plank 3204 Visual Inspection 1 per 1,000 plank or less of each thickness in each shipment

3 – 1 m (yd.) pieces samples from different planks

2131 Calcium Chloride 3911

Visual Inspection Liquid: 1 per 40,000 L (1 per 10,000 gal) Dry: 1 per shipment

0.5 L (1 pint) or 0.5 kg (1 lb.) in Plastic Container

2131 Magnesium Chloride 3912 Visual Inspection 1 per 40,000 L (1 per 10,000 gal.)

0.5 L (1 pint) in Plastic Container

2331 Hot-Pour Crack Sealant for Crack Sealing/Filling

3719 3723 3725

Visual Inspection 1 per lot. Take samples from application wand. Use caution when handling hot containers

2.26 kg (5 lb.) in a 1gal steel container.

2331 Pavement Joint Adhesive Special Provisions

Visual Inspection 1 per lot. Take samples from application wand. Use caution when handling hot containers

2.26 kg (5 lb.) in a 1gal steel container

2410 Sample ID Card –including manufacturer and lot number

2481 Waterproofing Materials Membrane Waterproofing System

3757 Visual Inspection 1 per shipment (Membrane Only)

0.1 m2 (1 Sq. Ft)

Only waterproofing systems from qualified sources are allowed for use. The most current list can be found at www.dot.state.mn.us/products Membrane Waterproofing System: The manufacturer shall submit a one square foot sample of the membrane along with a letter of Certification and test results stating that the membranes meet the requirements of this specification. Other components of the waterproofing system do not need to be sampled for testing.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 3 VI. Chemical Items (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for Laboratory Testing

Sample Size

Notes

2481 Waterproofing Materials Three Ply System Asphalt Primer

3165 Visual Inspection 1 per shipment 0.5 L (1 pt.) in

steel container

2481 Waterproofing Materials Three Ply System Waterproofing Asphalt

3166 Visual Inspection 1 per shipment 0.5 L (1 pt.) in

steel container

2481 Waterproofing Materials Three Ply System Fabric

3201 Visual Inspection 1 per shipment 1 m2 (1 Sq. yd.)

2582 Waterborne Latex Traffic Marking Paint.

3591 Visual Inspection 1 per lot 0.5 L (1 pint)

Form 02415 List batch numbers and retain Certificate of Compliance. Only traffic marking paints from Qualified Products List are allowed for use. The most current Qualified Products list can be found at www.dot.state.mn.us/products

2582 Epoxy Traffic Paint 3590 Visual Inspection 1 Part A per lot 1 Catalyst Part B per lot

0.5 L (1 pint)

Form 02415 List batch numbers and retain Certificate of Compliance. Only traffic marking paints from Qualified Products List are allowed for use. The most current Qualified Products list can be found at www.dot.state.mn.us/products

2582 Traffic Marking Paint Special Provisions

Visual Inspection 1 Part A per lot 1 Catalyst Part B per lot

0.5 L (1 pint)

Form 02415 List batch numbers and retain Certificate of Compliance. Only traffic marking paints from Qualified Products List are allowed for use. The most current Qualified Products list can be found at www.dot.state.mn.us/products For traffic marking paints other than Waterborne Latex and Epoxy. See Special Provision for Qualified Products List.

2564 Non-Traffic Marking Paints

3500 Series Special

Provisions

Visual Inspection 0.5 L (1 pint)

Form 02415 List batch numbers and retain Certification of Compliance. For all others, see Special Provisions. Send color sample to Chemical Laboratory for color matching.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 4 VI. Chemical Items (Cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2478 Bridge Structural Steel Paint 3520 Visual Inspection Certificate of Compliance with each batch/lot for each component of the paint system to the Engineer. Provide a color “Draw Down” sample to the MnDOT Chemical Laboratory for verification of the finish coat color

Form 02415 List batch numbers and retain Certificate of Compliance. Only paints from Approved Products List are allowed for use. The most current Approved Products List can be found at www.dot.state.mn.us/products

Exterior Masonry Paint 3584 Visual Inspection 1 per lot Provide a color “Draw Down” sample to the MnDOT Chemical Laboratory for verification of the finish coat color.

0.5 L (1 pint)

Form 02415 List batch numbers and retain Certificate of Compliance Only paints from Approved Products List are allowed for use. The most current Approved Products List can be found at www.dot.state.mn.us/products

Noise Wall Stain Special Provisions

Visual Inspection Certificate of Compliance for each batch/lot of paint. Provide a color “Draw Down” sample to the MnDOT Chemical Laboratory for verification of the finish coat color.

Form 02415 List batch numbers and retain Certificate of Compliance Only paints from Approved Products List are allowed for use. The most current Approved Products List can be found at www.dot.state.mn.us/

2582 Drop-on Glass Beads 3592 Visual Inspection 1 per lot 1 L (qt.) Form 02415 List batch numbers and retain Certificate of Compliance Only glass beads from Qualified Products List are allowed for use. The most current Qualified Products List can be found at www.dot.state.mn.us/products

2502 2581 2582

Pavement Marking Tape 3354 3355

Special Provisions

Visual Inspection 1 clean sample of each color per lot

3 m (3 yds.)

Form 02415 List batch numbers and retain Certificate of Compliance. Only pavement marking tape from the Qualified Products List is allowed for use. The most current Qualified Products List can be found at www.dot.state.mn.us/products

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 5 VI. Chemical Items (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2540 2563 2564 2565 2582

Signs and Markers 3352 Visual Inspection None unless material suspect

Form 02415 Only Signs and Markers from Qualified Products List are allowed for use. The most current Qualified Products List can be found at www.dot.state.mn.us/products

VII. Metallic Materials and Metal Products

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for Laboratory Testing

Sample Size

Notes

2554 1. Guard Rail A. Fittings - Splicers, Bolts, etc.

3381 Visual Inspection Bolts: One Post bolt and 4 splice bolts with nuts for each 1,000 units or less.

Form 02415 or 2403 To be approved before use. Materials from H&R may be pre-sampled and tested. Call the MnDOT inspector at 218-846-3613 to see if material has been approved. For non-pre-tested, submit laboratory samples at required rate. For small quantities, lab samples are not required, but document on Form 02415 or 2403 and maintain in project file. Small Quantities: Rail Sections - 20 or less Terminals - 10 or less Post Bolts - 100 or less, Splice Bolts - 100 or less

2554 1.B.i. Non-High Tension Guard Rail Cable

3381 Visual Inspection 1 sample from each spool 1.2 m (4 ft.)

Form 02415 or 2403 See VII.1.A.

2554 1. B.ii. High Tension Guard Rail Cable

Special Provisions

Visual Inspection None, unless material is suspect (see note)

1.2 m (4 ft.)

Sample at the rate of 1/50,000 ft. if the strand appears damaged or suspect (Accepted as part of system)

2554 1. Guard Rail C. Structural Plate Beam

3382 Visual Inspection One sample from one edge of each 200 rail sections or one sample of each 100 terminal sections

Full depth x 0.25 m

(full depth x 10")

Form 02415 or 2403 See VII.1.A.

2554 D. Plate Beam Guide Posts 3382 Visual Inspection None, unless material is suspect

Form 02415 or 2403

2554 E. High Tension Guide Posts Spec. Provisions

Visual Inspection None, unless material is suspect

Form 02415 or 2403 (Accepted as part of system)

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 6 VII. Metallic Materials and Metal Products (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for Laboratory Testing

Sample Size

Notes

2545 2554 2564

2. Steel Sign Posts 3401 Visual Inspection & Certification from Contractor of compliance with Domestic source requirement under 1601, if applicable.

Two posts per shipment of each mass per unit length. Submit shortest full sized length of each weight, not a scrap piece.

See note

Form 02415 or 2403 Check domestic steel requirement under 1601 No Samples for project quantities less than 20

2554 2557

3.Posts for Traffic & Fence A. Steel fence posts, brace bars, and rails

3403 3406

Visual Inspection One sample per 500 pieces. Submit full length for posts used in the ground (line, terminal, "C" and anchor posts), and 5' length of top rail and brace bar.

Form 02415 or 2403 Check domestic steel requirement under 1601 Special Provision. Retain Certificate of Compliance and certified mill analysis in project file. See link for certification form on right side of page, www.dot.state.mn.us/materials/lab.html

2557 3. Fence B. Components: includes cup, cap, nut, bolt, end clamp, tension band, truss rod tightener, hog ring, tie wire, tension stretcher bar, truss rod, clamp, & tension wire

3376 Visual Inspection 1 each of cup, cap, nut, bolt, end clamp, tension bands, truss rod tightener, 12 hog rings, 6 tie wires, 1 tension stretcher bar; 1 truss rod, cut to 2-foot min. with threaded section, 3 feet of tension wire.

Form 02415 or 2403 Check domestic steel requirement under 1601 Special Provision. Retain Certificate of Compliance in the project file. See link for certification form on right side of page, www.dot.state.mn.us/materials/lab.html

2557 3. Fence C. Gates

3379 Visual Inspection No sample required. See notes.

Form 02415 or 2403 Check domestic steel requirement under 1601 Special Provision. Retain Certificate of Compliance in the project file. See link for certification form on right side of page, www.dot.state.mn.us/materials/lab.html

2557 3. Fence D. Barbed Wire

3376 Visual Inspection. One sample per 50 rolls 1 m (3 ft.)

Form 02415 or 2403 Check domestic steel requirement under 1601 Special Provision. Retain Certificate of Compliance in the project file. See link for cert. form on right side of page, www.dot.state.mn.us/materials/lab.html

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 7 VII. Metallic Materials and Metal Products (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for Laboratory Testing

Sample Size

Notes

2557 3. Fence E. Woven Wire Fabric

3376 Visual Inspection One full height sample per 50 rolls

1 m (3 ft.)

Form 02415 or 2403 Check domestic steel requirement under 1601 Special Provision. Retain Certificate of Compliance in the project file. See link for cert. form right side of page, www.dot.state.mn.us/materials/lab.html

2557 3. Fence F. Chain Link Fabric

3376 Visual Inspection One full height sample for each 5,000 ft. of fencing.

0.3 m (1 ft.)

Form 02415 or 2403 Check domestic steel requirement under 1601 Special Provision. Retain Certificate of Compliance in the project file. See link for certification form on right side of page, www.dot.state.mn.us/materials/lab.html

2402 4. Water Pipe and other Piping Materials

3364, 3365,

3366 & Special

Provisions

Form 02415 or 2403 Check domestic steel requirement under 1601 Special Provision. To be identified & tested if necessary prior to use. See Special Provisions.

2201 2301 2401 2405 2411 2412 2433 2452 2472 2514 2531 2533 2545 2564

5. Reinforcing Steel A. Bars – Uncoated

3301 Visual Check for Size and Grade Marking

No Field Sample Necessary

Form 02415 or 2403 For Uncoated bars - Retain Certificate of Compliance and Certified Mill Analysis in Project File.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 8 VII. Metallic Materials and Metal Products (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for Laboratory Testing

Sample Size

Notes

2201 2301 2401 2405 2411 2412 2433 2452 2472 2514 2531 2533 2545 2564

5. Reinforcing Steel B. Bars - Epoxy Coated

3301 Visual Check for Size and Grade Marking and "Inspected" tag

One sample (1 bar) of each size bar for each day's coating production

1 m (3 ft.)

Form 02415 or 2403 For Epoxy-Coated bars, steel will be tagged "Inspected" when it has been sampled and tested by MnDOT prior to shipment, and it will be tagged "Sampled" when testing has not been completed prior to shipment. If the Epoxy-Coated bars are not tagged "Sampled" or "Inspected", submit samples with copies of the , Certificate of Compliance, and Certified Mill Analysis. Retain originals of the Certificate of Compliance and Certified Mill Analysis in the project file.

2401 5. Reinforcing Steel C. Bars Stainless Steel

Special Provisions

One sample (2 Bars) per heat per bar size

1 m (3 ft.)

Submit copies of mill test reports with samples, retain originals in project file

2401 2411 2452 2472 2564

5. Reinforcing Steel D. Spirals

3305 One per shipment 1 m (3 ft.)

Same as 5.B

2201 2301 2401 2411 2412 2472 2531

5. Reinforcing Steel E. Steel Fabric

3303 Visual Inspection No Field Sample Necessary

Retain Certificate of Compliance in project file.

2201 2301 2401 2411

5. Reinforcing Steel F. Dowel Bars

3302 One Dowel Bar from each shipment

Full Size Dowel Bars

For all types of dowels – Each project shall have a Certificate of Compliance from the Manufacturer certifying that all materials used in fabrication of the dowel bars and baskets comply with all applicable specifications. The Manufacturer shall maintain all records necessary for certification by project. The Certificate of Compliance shall be submitted to the Project Engineer.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 4 9 VII. Metallic Materials and Metal Products (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for Laboratory Testing

Sample Size

Notes

2401 2405

5. Reinforcing Steel G. Prestressing or Post-Tensioning Strand

3348 One sample (2 strands) from each heat (see Notes)

1.8 m (6 ft.)

Submit one copy of mill certificate and one copy of the stress-strain curve representative of the lot with the samples. For most manufacturers, a heat equals a production lot, and an individual lot, pack, or reel is a subset of a heat/production lot.

2402 2506 2565

6. Drainage and Electrical Castings

3321 2471 2565

Visual Inspection All castings: Three tensile bars to be cast with each heat at Foundry and submitted to the lab by an approved Foundry*. See 3321.

Form 02415 or 2403 Call Maplewood Laboratory at 651-366-5540 for list of approved foundries, or see website. Inspect in the field and retain Form 02415 or 2403 in project file, showing name of foundry and quantity

2401 2402 2411 2433 2545 2554 2564 2565

7. Anchor Rods (Cast in Place)

3385 3391 3392

Check Approved/Qualified Products list, mill certifications, and visual inspection at the project site.

Pre-approved (see notes) or one complete anchor rod assembly including nuts and washers from each lot supplied.

Pre-approved system requires supplier to submit a sample to the Department yearly for each anchor rod grade. Test results of sample must verify compliance to product specifications.

2401 2402 2411 2433 2545 2554 2564 2565

8. Structural Fasteners, both coated and uncoated

3385 3391 3392

Visual inspection and verify material is on APL/QPL, or submit sample for verification testing if not on APL/QPL

Pre-approved (see notes) or two complete assemblies for each size, length, diameter, grade and finish, per increment of 1000 or fraction thereof

Pre-approved system requires the supplier to submit a sample yearly for each fastener size, grade and finish. Test results must verify compliance to specifications. If not on the APL/QPL, submit two complete assemblies for each size, length, grade and finish per increment of 1000 or fraction thereof of fasteners supplied for the project, including nuts and washers from each lot supplied. Obtain passing test results before installation.

2401 2411 2433

9. Anchorages (Drilled In) Special Provisions

Visual Inspection No laboratory samples required

Note: Before installation, verify that anchorages are on the qualified products list www.dot.state.mn.us/products

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 0 VII. Metallic Materials and Metal Products (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2402 10. Structural Steel A. For Steel Bridge – Beams, Girders, Diaphragms, etc.

2471 Structural Metals Inspection Tag and field inspection for damage/defects

None Structural metals products will be inspected at the plant and will be shipped with a Structural Metals Inspection Tag. An inspection confirmation report will be completed by Structural Metals Inspection staff and sent to the field personnel. Only approved suppliers are allowed to supply Structural Metals products. A list of approved suppliers can be found on the Bridge Office web site: http://www.dot.state.mn.us/bridge/

2402 2405

10. Structural Steel B. For Concrete Girders-Diaphragms and sole plates

2471 Structural Metals Inspection Tag and field inspection for damage/defects

None Structural metals products will be inspected at the plant and will be shipped with a Structural Metals Inspection Tag. An inspection confirmation report will be completed by Structural Metals Inspection staff and sent to the field personnel. Only approved suppliers are allowed to supply Structural Metals products. A list of approved suppliers can be found on the Bridge Office web site: http://www.dot.state.mn.us/bridge/

2402 10. Structural Steel C.. Expansion joints

2471 Structural Metals Inspection Tag and field inspection for damage/defects

None Structural metals products will be inspected at the plant and will be shipped with a Structural Metals Inspection Tag. An inspection confirmation report will be completed by Structural Metals Inspection staff and sent to the field personnel. Only approved suppliers are allowed to supply Structural Metals products. A list of approved suppliers can be found on the Bridge Office web site: http://www.dot.state.mn.us/bridge/

2402 10. Structural Steel D. Steel Bearings

2471 Structural Metals Inspection Tag and field inspection for damage/defects

None Structural metals products will be inspected at the plant and will be shipped with a Structural Metals Inspection Tag. An inspection confirmation report will be completed by Structural Metals Inspection staff and sent to the field personnel. Only approved suppliers are allowed to supply Structural Metals products. A list of approved suppliers can be found on the Bridge Office web site: http://www.dot.state.mn.us/bridge/

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 1 VII. Metallic Materials and Metal Products (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for Laboratory Testing

Sample Size

Notes

2402 10. Structural Steel E. Railing-Structural tube and ornamental

2471 Structural Metals Inspection Tag and field inspection for damage/defects

None

Structural metals products will be inspected at the plant and will be shipped with a Structural Metals Inspection Tag. An inspection confirmation report will be completed by Structural Metals Inspection staff and sent to the field personnel. Only approved suppliers are allowed to supply Structural Metals products. A list of approved suppliers can be found on the Bridge Office web site: http://www.dot.state.mn.us/bridge/

2402 10. Structural Steel F. Drainage Systems

2471 Structural Metals Inspection Tag and field inspection for damage/defects

None Structural metals products will be inspected at the plant and will be shipped with a Structural Metals Inspection Tag. An inspection confirmation report will be completed by Structural Metals Inspection staff and sent to the field personnel. Only approved suppliers are allowed to supply Structural Metals products. A list of approved suppliers can be found on the Bridge Office web site: http://www.dot.state.mn.us/bridge/

2402 10. Structural Steel G. Protection Angles

2471 Structural Metals Inspection Tag and field inspection for damage/defects

None Structural metals products will be inspected at the plant and will be shipped with a Structural Metals Inspection Tag. An inspection confirmation report will be completed by Structural Metals Inspection staff and sent to the field personnel. Only approved suppliers are allowed to supply Structural Metals products. A list of approved suppliers can be found on the Bridge Office web site: http://www.dot.state.mn.us/bridge/

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 2 VII. Metallic Materials and Metal Products (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for Laboratory Testing

Sample Size

Notes

2564 11. Overhead Sign structures 2564 2471

Structural Metals Inspection Tag and field inspection for damage/defects

None Structural metals products will be inspected at the plant and will be shipped with a Structural Metals Inspection Tag. An inspection confirmation report will be completed by Structural Metals Inspection staff and sent to the field personnel. Only approved suppliers are allowed to supply Structural Metals products. A list of approved suppliers can be found on the Bridge Office web site: http://www.dot.state.mn.us/bridge/

2545 12. High Mast Lighting Structures

2545 2471

Structural Metals Inspection Tag and field inspection for damage/defects

None Structural metals products will be inspected at the plant and will be shipped with a Structural Metals Inspection Tag. An inspection confirmation report will be completed by Structural Metals Inspection staff and sent to the field personnel. Only approved suppliers are allowed to supply Structural Metals products. A list of approved suppliers can be found on the Bridge Office web site: http://www.dot.state.mn.us/bridge/

2565

13. Monotube Signal Structures

2565 2471

Structural Metals Inspection Tag and field inspection for damage/defects

None Structural metals products will be inspected at the plant and will be shipped with a Structural Metals Inspection Tag. An inspection confirmation report will be completed by Structural Metals Inspection staff and sent to the field personnel. Only approved suppliers are allowed to supply Structural Metals products. A list of approved suppliers can be found on the Bridge Office web site: http://www.dot.state.mn.us/bridge/

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 3 VIII. Miscellaneous Materials

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2403 2422 2452 2521 2540 2545 2554 2557 2564

1. Timber, Lumber Piling & Posts

3412 to 3471

& 3491

Visual Inspection Form 02415 or 2403 Untreated materials shall be inspected in the field and the results reported on Form 02415 or 2403. Treated materials shall be Certified on the Invoice or Shipping Ticket. Material is inspected and stamped by an Independent Agency as per Specification 3491. Contact Laboratory for additional information.

2402 2405 2557 Many

2. Miscellaneous pieces and Hardware (Galvanized)

3392 3394

3 samples of each item per shipment. Sample critical items only. (Critical items are load bearing, structurally necessary items.)

Three of each type.

Form 02415 or 2403 Will carry "Inspected" tag if sampled and tested prior to shipment. No sample necessary if "Inspected".

2504 3. Insulation Board 3760 Visual Inspection None Form 02415 or 2403

2402 4. Laminated Elastomeric Bearing Pads

3741 and Special

Provisions

Structural Metals Inspection Tag and field inspection for damage/defects

See Notes See Project Special Provisions for Sampling, Testing, and Acceptance Requirements.

2402 4. Plain Elastomeric Bearing Pads

3741 and Special

Provisions

Structural Metals Inspection Tag and field inspection for damage/defects

See Notes See Project Special Provisions for Sampling, Testing, and Acceptance Requirements.

2402 4. Cotton Duck Bearing Pads 3741 and Special

Provisions

Structural Metals Inspection Tag and field inspection for damage/defects

See Notes See Project Special Provisions for Sampling, Testing, and Acceptance Requirements.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 4 IX. Geosynthetics, Pipe, Tile, and Precast/Prestressed Concrete

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2402 2422 2501 2503 2506

1. Corrugated Metal Products A. Culvert Pipe Underdrains Erosion control Structures

3225 thru 3229,

3351 and 3399

Visual Inspection: Check for good construction, workmanship, finish requirements and shipping

Form 02415 or 2403 Make certain pipe is Certified on Invoice, retain certificate of compliance and certified mill analysis in project file

2501

1. Corrugated Metal Products B. Structural Plate

3231 Visual Inspection: Invoice shall include notation that material described is in accordance with fabricator's Certificate and Guarantee

Same as 1.A

2501

1. Corrugated Metal Products C. Aluminum Structural Plate

3233 Retain certificate of compliance and certified mill analysis in project file

2503 2506

2. Clay Pipe 3251 No samples required for less than 100 pieces

1 sample per 200 pieces of each size.

Full Size Pipe

Form 02415 or 2403

2501 2503 2506

3. Concrete Pipe A. Reinforced Pipe and Arches, Precast Cattle Pass Units, and Sectional Manhole Units

3236 Field Inspection: Check for damage and defects. Check dimensions as required. Check for producer's "Certified" stamp and signature on the certification document.

1 "companion" cylinder per month per plant during production, or cylinder testing machine, whichever is greater. Call Precast Inspection Engineer at 651-366-5540 for additional information.

Form 02415 or 2403 For Concrete Pipe Both A & B: Product will be certified by producer, only spot checks are done by plant inspector. Make certain the invoice or certification document is signed and the product has the required markings. Maintain Form 2403 or 02415 in project records, showing source of materials and type and quantity used

2501 2503 2506

3. Concrete Pipe Fine Aggregate

3126 1 quality test per month during production for A and B above.

10 kg. (25 lb.)

2501 2503 2506

3. Concrete Pipe Coarse Aggregate

3137 1 quality test per month during production for A and B above.

10 kg. (25 b

.)

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 5 IX. Geosynthetics, Pipe, Tile, and Precast/Prestressed Concrete (Cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2412 4. Precast/Prestressed Concrete Structures

A. Reinforced Precast Box

Culvert

3238 1 air test per pour (1st load), One set of cylinders per 25 cubic yards, with a minimum of two cylinders per set. Alternate cylinder acceptance systems may be allowed with the approval of the State Materials Engineer.

1 "companion" cylinder per month per plant during production, or cylinder testing machine, whichever is greater. Call Precast Inspection Engineer at 651-366-5540 for additional information.

Precast/prestressed Concrete Structure (beams, posts, etc.) will be inspected and stamped at plant. Field personnel are responsible for checking for plant inspector's stamp, for shipping/handling damage or defects, and dimensions. An inspection report will be completed by plant personnel and sent to the field personnel.

Fine Aggregate 3126 1 quality test per month during production.

10 kg. (25 lb.)

Coarse Aggregate 3137 1 quality test per month during production.

10 kg. (25 lb.)

2405 4. Precast/Prestressed Concrete Structures B. Precast/Prestressed

Concrete Structure (beams, posts, etc.).

2405 1 air test per pour (1st load), One set of cylinders per 25 cubic yards, with a minimum of two cylinders per set, and one set per beam. Alternate cylinder acceptance systems may be allowed with the approval of the State Materials Engineer.

1 "companion" cylinder per month per plant during production, or cylinder testing machine, whichever is greater. Call Precast Inspection Engineer at 651-366-5540 for additional information.

Precast/prestressed Concrete Structure (beams, posts, etc.) will be inspected and stamped at plant. Field personnel are responsible for checking for plant inspector's stamp, for shipping/handling damage or defects, and dimensions. An inspection report will be completed by plant personnel and sent to the field personnel.

Fine Aggregate 3126

Gradation: 1 per 150 m3 (200 Cu. yd.) or fraction thereof. 1 per day of production or 3 per week, whichever is less.

1 gradation and 1 quality test per month during production from a split sample. Include producer's gradation results on sample card.

10 kg (25 lb.)

Coarse Aggregate 3137

Gradation: 1 per 75 m3 (100 Cu. yd.) or fraction thereof. 1 per day of production or 3 per week, whichever is less.

1 gradation and 1 quality test per month during production from a split sample. Include producer's gradation results on sample card.

10 kg (25 lb.)

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 6 IX. Geosynthetics, Pipe, Tile, and Precast/Prestressed Concrete (Cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2506 5. Manholes and Catch Basins (Construction)

2506 3622

Field Inspection: Check for damage and defects. Check dimensions as required. Check for Producer's "Certified" stamp and signature on the certification document.

1 "companion" cylinder per month per plant during production, or cylinder testing machine, whichever is greater. Call Precast Inspection Engineer at 651-366-5540 for additional information.

Form 02415 or 2403 Product will be certified by producer or inspected, tested and stamped at source. Only spot checks are done by plant inspector. Make certain the invoice or certification document is signed and the product has the required markings. Maintain Form 2403 or 02415 in project records, showing source of materials and type and quantity used (bricks, blocks, precast, or combination).

2502 6. Drain Tile (Clay or Concrete)

3276 Visual Inspection 2 samples of each size from each source

2502 2503

7. Thermoplastic (TP) Pipe ABS and PVC

3245 Obtain Certificate of compliance. Check for approved marking printed on pipe. Field Inspect for damage or defects.

Form 02415 or 2403 See Spec. 3245 for specific AASHTO or ASTM Pipe types are approved under this specification. If perforated, holes should be 5mm - 10 mm (3/16 - 3/8 inch) diameter, two rows for 4", and four rows for 6" diameter; approximately 75 mm (3 inches) on center.

2502 8. Corrugated Polyethylene Pipe – Single wall for edge drains, etc.

3278 Check for markings (AASHTO M 252) Certificate of Compliance. Field Inspect for damage or defects.

No Laboratory tests required

Form 02415 or 2403

2503 9. Sewer Joint Sealing Compound

3724 One per shipment 0.5 liter (l pt.)

2412 2501 2503

10. Preformed Plastic Sealer for Pipe

3726 Type b

One from each source 0.3 m (1 ft.)

2412 2501 2503

11. Bituminous Mastic Joint Sealer for Pipe

3728 Visual Inspection Sample, if questionable

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 7 IX. Geosynthetics, Pipe, Tile, and Precast/Prestressed Concrete (Cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2105 12. EPS Geofoam Special Provisions

Visual Inspection Check for yellow aged material, uniformity and dimensions. Weigh 1'x1'x1' cut coupon to verify density every 200 m3 (250 yd3)

Form 02415 or 2403

25012503

13. Corrugated Polyethylene Pipe – Dual Wall, 12” – 48”

3247 For Specification 3247, Corrugated Polyethylene Pipe (HDPE) manufacturing facilities are required to be reviewed yearly and in compliance with AASHTO's National Transportation Product Evaluation Program (NTPEP) for producers of AASHTO M294 HDPE pipe. To determine if a pipe manufacturing plant is qualified, click on the following link for M294 pipe. http://data.ntpep.org/Module/PIPE/StatusReport.aspx If a plant has a compliant NTPEP audit for AASHTO M294 pipe at the time the pipe is manufactured, then the plant has met requirements. Note that a previous year’s audit shall govern until NTPEP issues the next year’s audit. A Certificate of Compliance shall be provided in accordance with Specification 1603.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 8 IX. Geosynthetics, Pipe, Tile, and Precast/Prestressed Concrete (Cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for Laboratory Testing

Sample Size Notes

21052411 241225012502 2511 2512

14. Geotextile Fabric and Geogrid Reinforcement

3733 and Special Provisions

Inspect for damage and uniformity of texture. Rolls of both geotextile and geotextile wrapped PE Tubing must be wrapped in UV protective plastic. (Usually Black). Obtain Certificate of Compliance If using adhesive for seams, see Approved/Qualified Product List available at the Department’s website

(a) 1 per project for pipe wrap or trench lining for Permeable base designs. (b) 1 per 50,000 yd2 (40,000 m2) or fraction thereof of each type fabric or geogrid for all other uses. (c) Seam, if required, 1 per project minimum, additional as appropriate. Small Quantity Acceptance • For fabric totals less than 200 yd2

(170 m2) • For pipe wrap totals less than 1000

Lin. Ft • No sampling required • Use Inspection Report for Small

Quantities (Form 2403) • Check:

o Certificate of Compliance o Identifying label on

product o Geotextile Small Quantity

Acceptance List at http://www.dot.state.mn.us/materials/aggregatedocs/gtxlist.pdf

(a) 10 Lin. Ft. (3 m) (b) 4 yd2 (3 m2)* (c) 10 Lin. Ft. (3 m)**

Certificate of Compliance shall state material identification (e.g. Propex 2002, Miragrid 8XT), and minimum average roll values (MARV) for all specified geotextile properties. MARV values must meet the Specification 3733 Types 1 through 7 requirements for the specific application. Submit copy of Certificate with material samples sent to the Materials Laboratory. Submit additional sample(s), if the manufacturer or model of geotextile or geogrid used changes during construction. Sampling shall be by random selection and no more than one sample shall be taken from an individual roll. For type 6 applications (including geogrids), submit pages of Special Provisions that list required material properties. (Type 6 requirements are job specific.) For Modular Block Walls or Reinforced Soil Slopes, submit page(s) of shop drawings that reference geogrid/geotextile to be used (product name) and/or required properties. * Do not sample first full turn of rolled product. ** Seam sample to include approximately 3 ft. (1 m) of geosynthetic material on each side of seam (in direction perpendicular to seam).

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 5 9 X. Brick, Stone, and Masonry Units

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing Sample Size Notes

2506 1. Brick A. Sewer (clay) and Building

3612 to 3615

Visual Inspection One sample per 50,000 brick or fraction thereof

6 whole bricks

2506 1. Brick B. Sewer (Concrete)*

3616 Visual Inspection One sample per shipment. 6 whole bricks

* Air entrainment required. Obtain air content statement from supplier.

2506 2. Concrete Masonry Units A. For Sewer Construction

3621 Visual Inspection One sample per shipment 6 whole units Air entrainment required. Obtain air content statement from supplier.

2411 2. Concrete Masonry Units B. For Modular Block Retaining Walls

Special Provisions

Visual Inspection Check for cracks and broken corners

One sample per 10,000 units or fraction thereof, with a minimum of one sample per product (block) type per contract.*

5 whole units All lots of block upon delivery shall have Manufacturer or Independent laboratory test results to verify passing both compression and freeze-thaw requirements. * Wall units and cap units are considered separate block types.

2422 3. Reinforced Concrete Cribbing

3661 Concrete control tests Air Tests Visual Inspection if previously tested

One cylinder per 100 units, but not less than 5 cylinders for a given contract. Other materials as required herein.

150 x 300mm (6 x 12 in) Cylinders

Form 02415 or 2403 Will be stamped when inspected prior to shipment.

2511 2512 2577

4. Stone for Masonry or Rip-Rap

3601 and Special

Provisions

Visual Inspection Submit Form 02415 unless special testing is specified

Form 02415 or 2403 Each source shall be approved by Project Engineer or Supervisor for quality, prior to use. For questions on quality, contact District Materials or Geology Unit.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 6 0 XI. Electrical and Signal Equipment Items

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing

Sample Size

Notes

2545 1. Lighting Standards (Aluminum or Steel)

3811 Visual Inspection The Fabricator shall submit "Certificate of Compliance", on a per project basis, to the Project Engineer..

2545 2550 2565

2. Hand Holes (Precast, PVC, and LLDPE)

2545 2550 2565

Form 02415 or 2403 Traffic signals and street lighting projects require handholes and frames and covers to be listed on the MnDOT Approved/Qualified Products List (A/QPL) for signal. For cast iron frame and cover: see VII.6, Drainage Castings

2545 2565

3. Foundation 2545 Slump as needed 1 cylinder per 20 m3 (25 Cu. yd.)

Rebar is required in concrete foundations as specified in the Contract documents for all traffic signal and street lighting projects.

2402 2545 2565

4. Conduit and Fittings A. Metallic

3801 3802

Visual Inspection None Form 02415 or 2403 Conduit shall be labeled as being listed by a National Recognized Testing Laboratory (NRTL). Retain Form 02415 or 2403 in Project File

2545 2565

4. Conduit and Fittings B. Non-Metallic (Rigid and HDPE)

3803 Special

Provisions

Visual Inspection Form 02415 or 2403 Conduit shall be labeled as being listed by a National Recognized Testing Laboratory (NRTL). Retain Form 02415 or 2403 in Project File. For traffic signal and street lighting projects, specific requirements are contained in the Special Provisions for each project.

2545 2565

5a. Anchor bolts (cast in place) 2545 2565

See section VII, 7.

2545 5b. Anchorages (Drilled In) 2545 See section VII, 8.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 6 1 XI. Electrical and Signal Equipment Items (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing Sample Size Notes

2545 2565

6. Miscellaneous Hardware 2545 2565

Visual Inspection Sample critical items only. One of each item per shipment. (Critical Items are load bearing, structurally necessary items.)

Will carry "Inspected” tag if sampled and tested prior to shipment. No sample necessary if "Inspected". Do not use if not tested. Field sample at sampling rate for laboratory testing. For traffic signal and street light lighting projects, various miscellaneous hardware is required to be listed on the MnDOT Signals and Lighting Approved/Qualified Products Lists (A/QPL). The Contract documents indicate which items must be on the Signals and/or Lighting APL.

2545 2550 2565

7. Cable and Conductors A. Power Conductors Loop Detector Conductors (No Tubing) Underground Service Entrance (USE) cables

3815.2B1 3815.2B2(a)

Special

Provisions

Visual Inspection None Form 02415 or 2403 Make certain the conductors are the type specified. Submit Field Inspection report showing type and quantities used. Shall be labeled as being listed by a National Recognized Testing Laboratory (NRTL) and type where applicable.

2545 2550 2565

7. Cable and Conductors B. Electrical Cables and Single Conductors with Jacket

3815.2B2(b) 3815.2B3 3815.2B5 3815.2C1 3815.2C3 3815.2C4 3815.2C5 3815.2C6 3815.2C7 3815.2C8

3815.2C14 Special

Provisions

Visual Inspection 1 sample per size per lot 1.5m (5 ft.) Form 02415 or 2403 Usually inspected at the distributor. Documentation showing project number, reel number(s), & MnDOT test number(s) will be included with each project shipment. If such documentation is not received from Contractor, submit sample for testing along with material certification from manufacturer. Do not use if not tested. Pre-inspected materials will not be tagged; an inspection report will be sent by the MnDOT inspector for each shipment. Project inspectors should verify that the shipping documents agree with this inspection report. Call Steve Grover at 651-366-5540 or Cindy Schellack at 651-366-5543 with questions. For traffic signal and street lighting projects, the Special Provisions for each project contain electrical cable and conductor specifications.

2545 2550 2565

7. Cable and Conductors C. Fiber Optic Cables

3815.2C13 Visual Inspection - verify make and model number as shown in Special Provisions

None Form 02415 or 2403 Fiber optic cables shall be listed on the MnDOT Approved/Qualified Products List (A/QPL) for Traffic Management Systems/ITS.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 6 2 XI. Electrical and Signal Equipment Items (cont.)

Pay Item No.

Kind of Material Spec. No.

Minimum Required Acceptance Testing (Field Testing Rate)

Minimum Required Sampling Rate for

Laboratory Testing Sample Size Notes

2545 2565

8. Ground Rods 2545 2565

Visual Inspection None. Form 02415 or 2403 Retain Form 02415 or 2403 in project file. Shall be labeled as being listed by a National Recognized Testing Laboratory (NRTL).

2545 9. Luminaires and Lamps 3810 Form 02415 or 2403 Traffic signal and street lighting projects require luminaries and lamps to be listed on the MnDOT Approved/Qualified Products List (A/QPL) for Lighting. The conductors shall be labeled as being listed by a National Recognized Testing Laboratory (NRTL) and type, where applicable.

2545 10. Electrical Systems Electrical Systems are to be reported as a "System" using the Lighting, Signal, and Traffic Recorder Inspection Report. To be certified by the Project Engineer.

2565 11. Traffic Signal Systems 2565 Traffic Signal Systems are to be reported as a "System" using the Lighting, Signal, and Traffic Recorder Inspection Report. To be certified by the Project Engineer.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 6 3 Certifications List Material SMC Section Sub

Section Page Certification Needed

All Base, Surface, and Granular Materials

I. Grading & Base Many 2-8 Form G&B-104 (24346) include gradation, crushing, bitumen content, and quality test results

Plant Mixed Asphalt (PMA) II. Bituminous Many 9-15 All PMA from certified supplier www.dot.state.mn.us/materials/bituminous.html

Shingles II. Bituminous 10 Contractor shall provide documentation that of all RAS /TOSS (Tear Off Shingle) material is from a MPCA certified supplier.

Bituminous Material II. Bituminous 14 Only Bituminous Materials from certified asphalt binder sources are allowed for use. The most current list of Certified Sources can at http://www.dot.state.mn.us/products

Emulsified Asphalt II. Bituminous 14 Use Emulsion for seal coat from a certified emulsified asphalt source.

Portland Cement Fly Ash Ground Granulated Blast Furnace Slag Cement Admixtures

IV. Concrete 22 Concrete Plant Batching Materials: All materials must come from certified approved, or qualified sources. All certified sources must state so on the Bill of Lading Delivery invoice including MnDOT standardized certification statement for cement, flyash, and slag. The most current list of certified/approved sources can be found at www.dot.state.mn.us/products.

Certified Ready Mix IV. Concrete Many 23-24 Contact Report from Ready-Mix Plant. All concrete from certified plant including a computerized certificate of compliance with each load.

Plastic for Curing IV. Concrete 30 A Certificate of Compliance shall be submitted to the Project Engineer from the Manufacturer certifying that the plastic complies with AASHTO M171.

Profiler IV. Concrete 34 Contractor provides MnDOT certified Inertial Profiler Results for bumps/dips and/or Areas of Localized Roughness for the entire project.

Aggregate for Low Slump Overlays

IV. Concrete 35 Aggregate pit numbers and 1 passing gradation result per fraction per source

Aggregate for Concrete Pavement Repair

IV. Concrete 36 Aggregate pit numbers and 1 passing gradation result per fraction per source

Aggregate for Dowel Bar Retrofits

IV. Concrete 38 Aggregate pit numbers and 1 passing gradation result per fraction per source

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 6 4 Certifications List (cont.)

Material SMC Section Sub Section

Page Certification Needed

Plant Stock & Landscape Materials

V: Landscaping etc. 2 39 Several certifications

Silt Fence V: Landscaping etc. 5 40 Certificate of Compliance with MARV values

Flotation Silt Curtain V: Landscaping etc. 6 40 Manufacturers’ certification of compliance

Mulch Type 3 V: Landscaping etc. 12 40 Certified Vendor by Minnesota Crop Improvement Association must be tagged grain straw only on label.

Mulch Type 6 Wood Chips V: Landscaping etc. 13 41 Emerald Ash Borer Compliance Agreement with the MDA

Seeds V: Landscaping etc. 14 41 Certified Vendor by Minnesota Crop Improvement Association must be tagged.

Seeds - Native V: Landscaping etc. 14 41 Certified Vendor by Minnesota Crop Improvement Association must be tagged.

Sod V: Landscaping etc. 15 41 A certified tag by Minnesota Crop Improvement Association for Salt tolerant sod. A certificate of Compliance for all other types of sod listing grass varieties.

Compost V: Landscaping etc. 16 41 A/QPL with certified test reports.

Waterproofing material membrane waterproof system

VI: Chemical Items 42 Certificate and test results

Waterborne latex traffic marking paint

VI: Chemical Items 43 Certificate of Compliance

Epoxy traffic paint VI: Chemical Items 43 Certificate of Compliance

Traffic marking paint VI: Chemical Items 43 Certificate of Compliance

Non-traffic marking paint VI: Chemical Items 43 Certificate of Compliance

Bridge structural steel paint VI: Chemical Items 44 Certificate of Compliance

Exterior masonry paint VI: Chemical Items 44 Certificate of Compliance

Noise wall stain VI: Chemical Items 44 Certificate of Compliance

Drop-on glass beads VI: Chemical Items 44 Certificate of Compliance

Pavement marking tape VI: Chemical Items 44 Certificate of Compliance

Steel sign posts VII: Metallic 2 46 Certification of domestic source if applicable under 1601

Posts for traffic or fence VII: Metallic 3A 46 Certification of domestic source if applicable under 1601 For fence: Fence certification form (Optional)

Fence components VII: Metallic 3B 46 Fence certification form (Optional)

Fence gates VII: Metallic 3C 46 Fence certification form (Optional)

Fence barbed wire fabric VII: Metallic 3D 46 Fence certification form (Optional)

Fence woven wire fabric VII: Metallic 3E 47 Fence certification form (Optional)

Fence chain link wire fabric VII: Metallic 3F 47 Fence certification form (Optional)

Reinforcing steel uncoated bars VII: Metallic 5A 47 Certificate of Compliance & certified mill analysis

Reinforcing steel epoxy bars VII: Metallic 5B 48 Inspected tag or Certificate of Compliance & certified mill analysis

Steel Fabric VII: Metallic 5E 48 Certificate of Compliance

Dowel Bars VII: Metallic 5F 48 Certificate of Compliance

Pre or post tensioning strand VII: Metallic 5G 49 Mill analysis

Anchor rods & Structural Fasteners

VII: Metallic 7, 8 49 Yearly MnDOT passing test report

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 6 5 Certifications List (cont.) Material SMC Section Sub

Section Page Certification Needed

Timber & lumber VIII: Miscellaneous 1 53 Certified on invoice

Bearing pads VIII: Miscellaneous 4 53 Certificate of Compliance

Corrugated metal pipe IX: Geosynthetics & Pipe

1A 54 Certified on invoice

Corrugated metal structural plate

IX: Geosynthetics & Pipe

1B 54 Certified on invoice

Corrugated metal aluminum plate

IX: Geosynthetics & Pipe

1C 54 Fabricator’s Certificate and guarantee

Concrete pipe IX: Geosynthetics & Pipe

3A 54 Certified stamp and certification document

Precast box culverts IX: Geosynthetics & Pipe

4A 55 Stamped & field inspection report

Prestressed beams & posts, etc. IX: Geosynthetics & Pipe

4B 55 Stamped & field inspection report

Manholes & catch basins IX: Geosynthetics & Pipe

5 56 Certification document or stamped

Thermoplastic pipe ABS & PVC

IX: Geosynthetics & Pipe

7 56 Certificate of Compliance

Corrugated PE Pipe: Single wall – edge drains

IX: Geosynthetics & Pipe

8 56 Certificate of Compliance

Corrugated PE Pipe: dual wall – 12”-48”

IX: Geosynthetics & Pipe

13 57 Certificate of Compliance

Geotextile fabric IX: Geosynthetics & Pipe

14 58 Manufacturers’ Certification of compliance

Brick sewer concrete X: Brick, Stone, Masonry

1B 59 Air content statement

Concrete masonry units X: Brick, Stone, Masonry

2A 59 Air content statement

Light standards XI: Electrical & Signal

1 60 Certificate of Compliance

Cable & Conductors XI: Electrical & Signal

7 61 Usually inspected at the distributor. Documentation showing project number, reel number(s), & MnDOT test number(s) will be included with each project shipment. If not received from Contractor, submit sample for testing along with manufacturers’ material certification.

Electrical systems XI: Electrical & Signal

10 62 Electrical Systems are to be reported as a "System" using the Lighting, Signal, and Traffic Recorder Inspection Report.

Traffic signal systems XI: Electrical & Signal

11 62 Traffic Signal Systems are to be reported as a "System" using the Lighting, Signal, and Traffic Recorder Inspection Report.

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 6 6 Telephone Index for Schedule of Materials Control

Section Page Section Name Contact Phone

Part I Page 1 Grading & Base – Specifications 2105, 2106, 2118, 2211, 2212, 2215, and 2221

Terry Beaudry John Bormann Melissa Cole

(651) 366-5456 (651) 366-5496 (651) 366-5432

Website: www.dot.state.mn.us/materials/gradingandbase.html

Part II Part II C

Page 9 Page 14

Bituminous - Spec. 2360 Asphalt Binder

John Garrity Jim McGraw Jason Szondy

(651) 366-5577 (651) 366-5548 (651) 366-5549

Website: www.dot.state.mn.us/materials/bituminous.html

Part III Page 16 Bituminous Specialty Items Terry Beaudry Greg Schneider Melissa Cole Tom Wood

(651) 366-5456 (651) 366-5403 (651) 366-5432 (651) 366-5573

Part IV Page 21 Concrete – Aggregates and Mix Design Concrete – Certified Ready Mix Concrete Concrete – Paving Concrete – Bridges Concrete – Pavement Rehabilitation

Wendy Garr Wendy Garr Rob Golish Ron Mulvaney Gordy Bruhn

(651) 366-5423 (651) 366-5423 (651) 366-5576 (651) 366-5575 (651) 366-5523

Website: www.dot.state.mn.us/materials/concrete.html

Part V Page 39 Landscaping and Erosion Control Items Erosion Control Landscaping Wood Chips

Lori Belz Scott Bradley Tina Markeson

(651) 366-3607 (651) 366-4612 (651) 366-3619

Part VI Page 42 Chemical Items Jim McGraw Dave Iverson

(651) 366-5548 (651) 366-5550

Part VII Page 45 Metallic Materials and Metal Products Sampling Test Results Bridge Structural Metals

Steve Grover Laboratory Todd Niemann Barry Glassman

(651) 366-5540 (651) 366-5560 (651) 366-4567 (651) 366-4568

Part VIII Page 53 Miscellaneous Materials Sections 1thru 3 Section 4 Test Results

Steve Grover Todd Niemann Barry Glassman Laboratory

(651) 366-5540 (651) 366-4567 (651) 366-4568 (651) 366-5560

Part IX Page 54 Geosynthetics, Pipe, Tile, and Precast/Prestressed Concrete Sections 1 thru 11, & 13 Section 12 Section 14 Test Results

Steve Grover Rich Lamb Randy Tilseth Laboratory

(651) 366-5540 (651) 366-5595 (651) 366-5451 (651) 366-5560

Part X Page 59 Brick, Stone and Masonry Units/Modular Retaining Wall Blocks Sections 1, 2A,3, & 4 Section 2B Test Results

Steve Grover Blake Nelson Laboratory

(651) 366-5540 (651) 366-5599 (651) 366-5561

Part XI Page 60 Electrical & Signal Sections 1, 8-11 Section 2, 4- 7 Section 3 Test Results

Susan Zarling Steve Grover Wendy Garr Laboratory

(651) 234-7052 (651) 366-5540 (651) 366-5423 (651) 366-5560

MnDOT SD-15 November 1, 2013 Schedule of Materials Control P a g e 6 7 Form Index

Grading and Base

Form No. Form Name

G&B – 001 Grading & Base Report

G&B – 002 Random Sampling Acceptance

G&B – 101 Sieve Analysis

G&B – 103 Percent Crushing Report

G&B – 104 Certificate of Aggregates & Granular Materials

G&B – 105 Moisture Test

G&B – 203 (Table 2105-6, 2106-6) DCP Penetration Index Method

G&B – 204 (Table 2211-3) DCP Penetration Index Method

G&B – 205 2215 DCP Penetration Index Form – Full Depth Reclamation

G&B – 303 Moisture - Density (Proctor) Test

G&B – 304 Relative Density Test

G&B – 305 Estimated 0ptimum Moisture Content

G&B – 401 Depth Report – FDR, CIR, SFDR

Concrete

Form No. Form Name

2152 Concrete Batching Report

2162 Concrete Test Beam Data

2409 ID Card Concrete Test Cylinder

2448 Weekly Concrete Report

2449 Weekly Concrete Aggregate Report (QC/QA)

21412 Weekly Report of “Low Slump Concrete”

21763 Concrete Aggregate Worksheet

21764 Concrete Aggregate Worksheet JMF - Paving

21765 Concrete Aggregate Worksheet JMF

24143 Weekly Certified Ready-Mix Plant Report (Verification)

24300 ID Card Cement Samples

24308 ID Card Fly Ash Samples

24327 Field Core Report

Concrete W/C Ratio Calculation Worksheet

Incentive/Disincentive Smoothness Worksheet

Bituminous

Form No. Form Name

2413 Asphalt Sample Identification Card

Miscellaneous

Form No. Form Name

2410 Sample ID Card

02415 Inspection Report on ……... (May be used for documentation or use another method to capture required documentation)

2403 Inspection Report for Small Quantities (May be used for documentation or use another method to capture required documentation)

Certification Form for Type of Fence used (right side of page at website location below) www.dot.state.mn.us/materials/lab.html

NPDES CONSTRUCTION STORM WATER GENERAL PERMIT

ATT-2

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Application for General Stormwater Permit for Construction Activity

(NPDES/SDS Permit: MN R100001) Construction Stormwater Permit Program

Doc Type: Permit Application

Instructions on Page 4

To obtain a Submittal Number, please contact the Construction Stormwater Program staff at 651-757-2119 or 800-657-3804 or by e-mail at [email protected]. Note: this form will be returned to sender without a Submittal Number granted by the Minnesota Pollution Control Agency (MPCA). Submittal No.:

Please read: All permits must be applied for online unless granted a Submittal Number from the MPCA. Sites that disturb 50 acres or more and have a discharge point within one mile of, and flows to, a Special or Impaired Water listed in Appendix A of the Construction Stormwater General Permit must apply using this form with the MPCA-granted Submittal Number, 30 days before the anticipated start date. Mail, fax, or deliver this Permit Application, Stormwater Pollution Prevention Plan (SWPPP), and the required attachments (if applicable) to the MPCA. SWPPPs may be submitted electronically to: [email protected] or you may request other electronic means of submittal.

This form is for new permit applications only. Use the Notice of Termination/Permit Modification form to transfer permit coverage for a project or a portion of a project to a new owner/contractor. Forms are available at the MPCA’s Construction Stormwater website: http://www.pca.state.mn.us/water/stormwater/stormwater-c.html.

Please refer to the application instructions and the National Pollutant Discharge Elimination System (NPDES)/State Disposal System (SDS) General Stormwater Permit for Construction Activity (MN R100001) as you complete this form. Brackets ‘[ ]’ refer to specific parts of the permit.

Submit form and check to:

Fiscal Services – 6th floor Minnesota Pollution Control Agency 520 Lafayette Road North St. Paul, MN 55155-4194

Questions: Call the Construction Stormwater Program at 651-757-2119 or toll-free at 800-657-3804.

Application Checklist (check to determine if ready to apply)

1. Stormwater Pollution Prevention Plan (SWPPP): a. Has a SWPPP been developed for this project and incorporated into the project’s plans and

specifications as required in the General Stormwater Permit [Part III.A]? Yes No

b. If an environmental review was required for this project or any part of a common plan of development or sale that includes this project, has this review been completed and all Stormwater related mitigation measures contained in it incorporated into the SWPPP [Part III.A.6]? Yes No N/A

2. Discharges to special or impaired waters: a. If any portion of the project has a discharge point within one mile (aerial radius measurement) of

a special water or a water that is impaired for sediment or a sediment related parameter [Appendix A. Part B.10], does the SWPPP contain the additional requirements found in Appendix A, Part A-C? If the project does not have a discharge point within one mile of a special water or a water that is impaired for sediment or a sediment related parameter of the permit indicate ‘NA’. Yes No N/A

3. Additional application review: a. Will the project disturb 50 acres or more and is there a discharge point within one mile of an

impaired or special water whose discharge may reach an impaired or special water listed in Appendix A of the permit? [Part II.B.1.b] If yes, this application and the SWPPP must be submitted a minimum of 30 days before construction starts. Yes No

b. If ‘Yes,’ is the SWPPP (including a map of the project) included with this application or has it been submitted to the MPCA? Yes No

4. Application fee: a. Is the required $400 Application Fee (payable to the MPCA) enclosed? Yes

Stop if you responded ‘No’ to any question above. A SWPPP must be developed prior to submitting a permit application.

Complete the above requirements and check ‘Yes’ before submitting this application. Continue if you responded ‘Yes’ or ‘N/A’ to all questions above.

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Construction Activity Information

5. Project name:

2014 Culvert Replacement and Turn Lane Construction

6. Project location:

a. Briefly describe where the construction activity occurs (For example: “Intersection of 45th St. and Irving Ave.”) Include address if available:

CSAH 24 from The El River to CSAH 11 (Latitude - 45.4008, Longitude - 93.8381)

CR 35 from Zebulon Street to CR 44 (Latitude - 45.3186, Longitude - 93.6159)

CR 50 from CSAH 11 to Hwy 10 (Latitude - 45.3302, Longitude - 93.7994)

CR 73 from Manitou Street tp the Elk River (Latitude - 45.3622, Longitude - 93.7740)

b. List all of the cities where the project will occur:

Becker, Big Lake, Elk River

c. List all of the counties where the project will occur:

Sherburne

d. List all of the townships where the project will occur:

Becker, Big Lake

e. Project zip code:

55308, 55309, 55330

f. Latitude and longitude of approximate centroid of project:

Latitude: 4 5 . 4 0 0 8 ○ N (decimal) Preferred Longitude: 9 3 . 8 3 8 1 ○

W (decimal) Preferred

○ ‘ N (degrees, minutes, seconds) ○ ‘ W (degrees, minutes, seconds)

g. Method used to collect latitude and longitude:

GPS USGS topographic map – map scale: Other: MPCA WEB Site

7. Project size:

Number of acres to be disturbed to the nearest tenth acre: 10.4

8. Project type:

Residential Commercial/Industrial Road construction

Residential/Road construction Commercial/Road construction Commercial/Residential/Road construction

Other:

9. Cumulative impervious surface:

a. Existing area of impervious surface in acres: 53.94

b. Post-construction area of impervious surface in acres (If additional new impervious surface created by the project is less than one acre, skip to Question 11): 53.94

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10. Permanent stormwater management:

Check the type (check all that apply) of permanent stormwater management that will be used if one or more acres of new impervious surface area is created by this project [Part III.D].

Infiltration Stormwater harvest and reuse Filtration Wet sedimentation basin Regional ponding Other (e.g., payment in lieu of onsite treatment, green roofs or other technologies)

11. Receiving waters:

Identify surface waters within one mile of project boundary that will receive stormwater from the site or discharge from permanent stormwater management system. Include waters shown on USGS 7.5 minute quad or equivalent, and all Special Waters and Impaired waters identified in Appendix A of the permit (To find Special or Impaired Waters, use the Special and Impaired Waters Search tool at http://www.pca.state.mn.us/water/stormwater/stormwater-c.html). The Impaired Waters* list, also known as the Section 303(d) list can be found at http://www.pca.state.mn.us/water/tmdl/index.html. Attach additional paper if necessary.

* Impaired waters for the purpose of this permit are those identified as impaired for the following pollutant(s) or stressor(s): phosphorus, turbidity, dissolved oxygen, or biotic impairment.

Name of water body

Type of water body

(Ditch, pond, wetland, stream, river, calcareous fen)

Special Water?

(See Stormwater Permit, Appendix A)

Impaired Water?

(See Stormwater Permit, Appendix A)

Rice Creek Stream Yes No Yes No

Elk River River Yes No Yes No

Lake Orono Lake Yes No Yes No

Mississippi River Rivers Yes No Yes No

12. Dates of construction:

Note: For the purposes of this permit, the construction start date is defined as the day land disturbing activity is expected to commence.

a. Start date (mm/dd/yyyy): 5/5/2014 b. Estimated completing date (mm/dd/yyyy): June 27, 2014

13. Applicant type:

Select the title below that best describes you as the person completing this application for this Permit.

Owner of project or site (company) Operator/General contractor 3rd party agent of behalf of permittee

Certification

Owner

Name of firm or organization: Sherburne County Public Works

Mailing address: 425 Jackson Avenue

City: Elk River State: mn Zip code: 56330

Contact name: Daniel Knapek Title: Assistant County Engineer

Contact phone: 763-765-3353 E-mail: [email protected]

Alternate contact: Brian Lord Phone: 763-765-3359 E-mail: [email protected]

Both parties must sign This form will not be accepted if the owner and contractor contact information sections are not completed and signed. Note: If the owner is also the contractor, or a contractor has not yet

been selected, the owner must also fill out the contractor information section and sign again.

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Operator/General Contractor

Name of firm or organization:

Mailing address:

City: State: Zip code:

Contact name: Title:

Contact phone: E-mail:

Alternate contact: Phone: E-mail:

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 gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage this system, or the persons directly responsible for gathering the information, the information 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 knowing violations.

I also certify under penalty of law that I have read, understood, and accepted all terms and conditions of the NPDES/SDS General Stormwater Permit Construction Activity (MN R100001) that authorizes stormwater discharges associated with the construction site identified on this form.

Authorized signatures

This application must be signed by: • Corporation: a principal executive officer of at least the level of vice-president or the duly authorized representative or agent of the executive

officer if the representative or agent is responsible for the overall operation of the facility that is the subject of the permit application. • Partnership or Sole Proprietorship: a general partner or the proprietor. • Municipality, State, Federal, or Other Public Agency: principal executive officer or ranking elected official.

Owner: Operator/General Contractor

Print name: Daniel Knapek Print name:

Title: Assistant county Engineer Date: 2/4/2014 Title: Date:

Signature: Signature:

Instructions

Submission of an application is notice that the owner and general contractor identified on the application intend to be authorized by an NPDES/SDS permit issued for Stormwater discharges associated with a construction activity in the State of Minnesota.

All permits must be applied for online unless granted a Submittal Number from the Minnesota Pollution Control Agency (MPCA). Sites that disturb 50 acres or more and have a discharge point within one mile of a Special or Impaired Water listed in Appendix A of the Construction Stormwater General Permit must apply using this form with the MPCA granted Submittal Number, 30 days before the anticipated start date. Mail, fax, or deliver this Permit Application, Stormwater Pollution Prevention Plan (SWPPP), and the required attachments (if applicable) to the MPCA. SWPPPs may be submitted electronically to: [email protected] or you may request other electronic means of submittal.

To obtain a Submittal Number, please contact the Construction Stormwater Program staff at 651-757-2119 or 800-657-3804 or by e-mail at [email protected]. Note: this form will be returned to sender without a Submittal Number granted by the Minnesota Pollution Control Agency (MPCA).

Application Checklist (check to determine if ready to apply)

1. Indicate if a Stormwater Pollution Prevention Plan (SWPPP) has been prepared and the appropriate sections (a. and b. of this question) have been addressed by answering “Yes” or “No.” A SWPPP is a plan for Stormwater discharge that includes erosion prevention measures and sediment controls that, when implemented, will decrease soil erosion on a parcel of land and decrease pollution in receiving waters. This plan must be developed prior to submitting a permit application. A sample plan and development tools are available from the U.S. Environmental Protection Agency (EPA) Stormwater Pollution Prevention Plans for Construction Activities website at http://cfpub1.epa.gov/npdes/stormwater/swppp.cfm and from the MPCA “Stormwater Compliance Tool Kit for Small Construction Operators”.

For section “b” indicate if an Environmental Review has been completed if required, by answering “Yes” or “No” or “N/A” (not applicable). Environmental review looks at how a proposed project could potentially affect the environment and looks at ways to avoid or minimize impacts before the project is permitted and built. Examples of categories that may need an environmental review include residential development; industrial, commercial, and institutional facilities; and also highway projects. For certain projects, environmental review is mandatory. For more details see the Guide to Minnesota Environmental Review Rules, Chapter 6 found on the Department of Administration website at http://www.mnplan.state.mn.us/.

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2. Discharges to Special or Impaired Waters

a. Special waters have qualities that warrant extra protection. There are several categories of special waters and the requirements are different for each. A list of these special water categories can be found in Appendix A of the permit. The additional requirements apply only to those portions of a project that drain to a discharge point on the project that is within one mile of and flows to the special water. Refer to Appendix A of the permit for the list of special waters and what additional requirements apply to each. The information is also available using the Special and Impaired Waters Search Tool found on the MPCA Stormwater Program for Construction Activity webpage at http://www.pca.state.mn.us/wfhya5b.

Impaired waters are bodies of water that do not meet the water quality standards set up for their designated use as determined by the State. Projects discharging to impaired waters also have additional requirements. The additional requirements apply only to those portions of a project that drain to a discharge point on the project that is within 1 mile of and flows to the impaired water. The specific requirements can be found in Appendix A of the permit. Impaired waters for the purpose of this permit are limited to those identified as impaired pursuant to section 303(d) of the Clean Water Act where the pollutant(s) or stressor(s) are phosphorus (nutrient eutrophication biological indicators), turbidity, dissolved oxygen, or biotic impairment (fish bioassessment, aquatic plant bioassessment and aquatic macroinvertebtrate bioassessment). Use the interactive Special and Impaired Waters Search Tool (found on the MPCA Stormwater Program for Construction Activity webpage at http://www.pca.state.mn.us/wfhya5b) to determine if your project is required to follow the additional requirements. On the application, indicate if the SWPPP for the project incorporates the additional requirements, if applicable. Consult the MPCA’s Minnesota Impaired Waters and TMDLs webpage at http://www.pca.state.mn.us/xggx950 for additional information including a list of impaired waters.

3. Additional Application Review

a. If the project disturbs 50 acres or more and has a discharge point (including sheet flow) that is within one mile of and flows to an impaired or special water listed in Appendix A, the application and SWPPP need to be submitted to the MPCA a minimum of 30 days prior to the start of construction.

b. Include the SWPPP with the application or submit it to the MPCA electronically. SWPPPs may be submitted electronically to: [email protected] or you may request other electronic means of submittal.

4. The application requires a $400 application fee. Indicate that the application fee has been enclosed by answering “Yes.” Please make checks payable to: Minnesota Pollution Control Agency and submit the check with the completed application to: Fiscal Services- 6th Floor, Minnesota Pollution Control Agency, 520 Lafayette Road North, St. Paul, MN 55155-4194. Applications received without the required fee will be returned to the sender.

Construction Activity Information

5. List the construction project’s name. Be specific. Examples: “Driveway at 123 Main St, Hudson,” “Highway 169 bridge replacement (#79605) at the Rum River.”

6. Project Location

a. Provide an address (if available) and brief description of the construction activity’s location (for example, “North West Corner of the Intersection of 45th Street and Irving Avenue, Minneapolis, MN”). Use any type of description that accurately portrays the project location.

b-e. Provide the names of all cities, counties, zip codes, and townships the construction activity takes place in (for example, a roadway may cross county, city, or township boundaries).

f. Give the latitude and longitude of the centroid of the site. If the centroid of the site is not within the site, give the latitude and longitude of a point within the site that is closest to the centroid of the site. Give these values in degrees and decimal of degrees (preferred) alternatively in degrees, minutes and seconds. To obtain the decimals of a degree, divide the minutes by 60 and the seconds by 360 and add this to the degrees.

g. State how the information was gathered, if by GPS, by using a USGS topographic map (give the scale), or an online tool, such as the Toxics Release Inventory Facility Siting Tool found on the EPA’s website at http://www2.epa.gov/toxics-release-inventory-tri-program. To use this tool, type either the zip code or the city/township and the state. Zoom in to obtain the latitude and longitude.

7. List, in acres, the amount of area that will be disturbed for this project. This is not the size of the property; do not include areas of the project that will not be disturbed.

8. Indicate the type of construction activity by checking the appropriate box. Check “Residential and Road Construction” if the road is part of a common plan of development and is developed in association with residential development. If you check “Other”, describe the project.

9. Indicate to the nearest quarter acre, the existing and resulting areas of impervious surfaces. Impervious surface means a constructed hard surface that either prevents or retards the entry of water into the soil and causes water to run off the surface in greater quantities and at an increased rate of flow than prior to development. Examples include rooftops, sidewalks, patios, driveways, parking lots, storage areas, and concrete, asphalt, or gravel roads. (a.) “Existing” area means

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the area of impervious surface that is present prior to the start of this construction project. (b.) “Post construction” means the entire area of impervious surface after construction is completed. Subtract (a.) from (b.) to determine the area of new impervious surface.

10. For projects creating one or more acres of cumulative new impervious surfaces, check the appropriate box to indicate which type(s) of permanent stormwater management practices will be used. The “Other” box is limited to those situations (such as proximity to bedrock) that are described in Part III.D of the permit. See the permit for a further description. If the “Other’ box is checked, describe which situation outlined in Part III. D fits the project and what other permanent treatment (such as grassed swales, smaller ponds and/or grit chambers) will be used on the project.

11. Briefly describe which water body(s) will receive stormwater runoff from the construction site or from the discharge from permanent Stormwater management systems by completing the table. To determine which water body(s) will receive stormwater runoff discharges, make a brief survey of the project’s surrounding area. Include the waters identified on a USGS 7.5-minute quad or equivalent map. See Appendix A Special Waters List of this permit to determine if a water body is a special water found on the MPCA Stormwater Program for Construction Activity website at http://www.pca.state.mn.us/wfhya5b. Impaired waters for the purpose of this permit are those identified as impaired for the following pollutant(s) or stressor(s) phosphorus (nutrient eutrophication biological indicators), turbidity, dissolved oxygen, or biotic impairment (fish bioassessment, aquatic plant bioassessment and aquatic macroinvertebrate bioassessment). The easiest way to find special or impaired waters in addition to all waterbodies is to use the interactive map tool, Special and Impaired Waters Search tool (found on the MPCA Stormwater Program for Construction Activity webpage at http://www.pca.state.mn.us/wfhya5b).

12. List the start and estimated completion dates of the construction project.

13. Select the title that best describes the person completing this application for this Permit.

Responsible Parties

14. Owner Information: Provide the information requested of the owner of the company, organization, or other entity for which this construction project is being done. The Owner means the person or party possessing the title of the land on which the construction activities will occur; or if the construction activity is for a lease, easement, or mineral rights license holder, the party or individual identified as the lease, easement or mineral rights license holder; or the contracting government agency responsible for the construction activity. The owner is the party responsible for the compliance with all terms and conditions of the permit. The alternate contact should be the owner’s representative in charge of the project that the MPCA can, if needed, contact regarding the SWPPP or the conditions of the construction site.

After completing this application, certify it with a signature and date from an individual authorized to sign the application. This application form must be signed by either a principal executive officer, vice president, representative agent responsible for overall operations, general partner, or a proprietor. If the activity is being conducted by a unit of government (state, county, municipality, or township), this application must be signed by a principal executive officer or ranking elected official (for example, city or county engineer, administrator, or manager; director of public works; mayor, etc.) For additional information, see Minnesota Rules 7001.0060.

15. Contractor (Operator) Information: Provide the information requested of the contractor. The Contractor means the party who signs the construction contract with the owner to construct the project described in the final plans and specifications. Where the construction project involves more than one contractor, the general contractor will be the party responsible for managing the project on behalf of the owner. In some cases the owner may be the general contractor. In these cases, the owner may contract an individual as the operator who would be the co-permittee. The operator (usually the general contractor) is jointly responsible with the owner for compliance with Part II.B., Part II.C., and Part IV of the permit.

After this application has been completed by the owner, the contractor must certify it with a signature and date from an individual authorized to sign the form. The application must be signed by either a principal executive officer, vice president, representative agent responsible for overall operations, general partner, or a proprietor. If the general contractor is a unit of government (state, county, municipality, or township), this application must be signed by a principal executive officer, ranking elected official, administrator, manager, coordinator, or engineer. (For additional information, see Minnesota Rules 7001.0060.) The alternate contact should be the contractor’s representative in charge of the project that the MPCA can, if needed, contact regarding the SWPPP or the conditions of the construction site.

GENERAL PERMIT AUTHORIZATION TO DISCHARGE

Page 1 of35 Permit No: MN RlOOOOl

STORMWATER ASSOCIATED WITH CONSTRUCTION ACTIVITY UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM/

STATE DISPOSAL SYSTEM PROGRAM

ISSUANCE DATE: August 1, 2013 EXPIRATION DATE: August 1, 2018

This permit is issued in compliance with the provisions of the Clean Water Act, as amended, {33 U.S.C. 1251 et seq.), 40 Code of Federal Regulations (CFR) 122, 123, 124,and 450 as amended; Minnesota Statute chapters 115 and 116, as amended, and Minn. R. chs. 7001, 7050, 7060 and 7090.

This permit regulates discharges associated with stormwater affected by construction activity to waters of the state of Minnesota. This permit covers the stormwater discharges identified in Part I.A. of this permit. The limitations on permit coverage are identified in Part I. B. of this permit.

Minn. R. 7090.2040 requires owner(s) of a construction activity to complete a Stormwater Pollution Prevention Plan (SWPPP) prior to submitting an application for this permit and prior to conducting any construction activity. No person shall commence construction activity covered by Part I.A. until permit coverage under this permit is effective or, if applicable, until the Minnesota Pollution Control Agency (MPCA) has issued an individual National Pollutant Discharge Elimination System (NPDES)/State Disposal System (SDS) Construction Stormwater (CSW) Permit for the project.

Unless notified by the MPCA to the contrary, applicants who submit a complete and accurate application (including permit fee) in accordance with the requirements of this permit are authorized to discharge stormwater associated with construction activity under the terms and conditions of this permit as described in Part II.B.

Signature: ~~ J7<-.· Jo line Stine Commissioner

If you have questions on this permit, including the specific permit requirements, permit reporting or permit compliance status, please contact the appropriate MPCA offices. Note that bolded words throughout the permit are defined in Appendix B.

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Minnesota Pollution Control Agency Municipal Division Construction Stormwater Program 520 Lafayette Road North St. Paul, MN 55155-4194 Telephone: 651-296-6300 Toll free in MN: 800-657-3864

TDD (for hearing and speech impaired only): (651)282-5332

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Page 2 of 34 Permit No: MN R100001

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TABLE OF CONTENTS                              Page I.  PERMIT COVERAGE AND LIMITATIONS ............................................................................ 3  

A.  Permit Coverage ........................................................................................................... 3 B.  Limitations of Coverage ................................................................................................ 3 

 II.  SUBMITTING THE APPLICATION ...................................................................................... 4  

A.  Prerequisite for Submitting a Permit Application ........................................................ 4 B.  Application and Duration of Coverage ......................................................................... 5 C.  Termination of Coverage .............................................................................................. 6  

III.  STORMWATER DISCHARGE DESIGN REQUIREMENTS ....................................................... 7  

A.  Stormwater Pollution Prevention Plan Content ........................................................... 7 B.  SWPPP Amendments .................................................................................................. 10 C.  Temporary Sediment Basins ....................................................................................... 11 D.  Permanent Stormwater Management System........................................................... 12 E.  Record Retention ........................................................................................................ 15 F.  Training Requirements ............................................................................................... 16  

IV.  CONSTRUCTION ACTIVITY REQUIREMENTS ................................................................... 16  

A.  Stormwater Pollution Prevention Plan ....................................................................... 16 B.  Erosion Prevention Practices ...................................................................................... 17 C.  Sediment Control Practices ........................................................................................ 18 D.  Dewatering and Basin Draining .................................................................................. 20 E.  Inspections and Maintenance .................................................................................... 20 F.  Pollution Prevention Management Measures ........................................................... 22 G.  Final Stabilization........................................................................................................ 24 

 V.  GENERAL PROVISIONS .................................................................................................. 24  

A.  Applicability Criteria ................................................................................................... 24 B.  Record Availability ...................................................................................................... 25 C.  Prohibitions ................................................................................................................ 25 D.  Transfer of Ownership or Control .............................................................................. 25 E.  Civil and Criminal Liability ........................................................................................... 25 F.  Severability ................................................................................................................. 25 G.  NPDES/SDS Rule Standard General ‐Conditions ......................................................... 26 

  H.  Inspection and Entry ................................................................................................... 26  APPENDIX A ........................................................................................................................... 26    APPENDIX B ‐ DEFINITIONS .................................................................................................... 31  

Page 3 of 34 Permit No: MN R100001

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PART I.  PERMIT COVERAGE AND LIMITATIONS  

I.A. PERMIT COVERAGE  1. This permit is required for construction activity that results in land disturbance of equal to or 

greater than one acre or a common plan of development or sale that disturbs greater than one acre, and authorizes, subject to the terms and conditions of this permit, the discharge of stormwater associated with construction activity.     Construction activity does not include a disturbance to the land of less than five (5) acres for the purpose of routine maintenance that is performed to maintain the original line and grade, hydraulic capacity, or original purpose of the facility. Pavement rehabilitation that does not disturb the underlying soils (e.g., mill and overlay projects) is not considered construction activity.    

2.  This permit covers all areas of the State of Minnesota.  3. Coverage under this permit is not required when all stormwater from construction activity is 

routed directly to and treated by a “treatment works”, as defined in Minn. Stat. § 115.01,  subd. 21, that is operated under an individual NPDES/SDS permit with a Total Suspended Solids effluent limit for all treated runoff. 

 4.  Previously Permitted Ongoing Projects: Permittee(s) of ongoing projects covered initially under 

the previous MPCA‐issued NPDES/SDS Construction Stormwater General Permit (issuance date August 1, 2008) are granted coverage under this reissued permit. 

 a. The Permittee(s) of those ongoing projects shall amend the SWPPP for the project to meet 

the requirements of this reissued permit no later than 18 months after the issuance date of this reissued permit if the termination‐of‐coverage requirements in Part II.C. will not be met within 18 months of the issuance date of this reissued permit and shall thereafter comply with this permit. However, additional permanent treatment required in this reissued permit is not required for previously permitted projects. 

 b. If the previously permitted ongoing project will meet the termination‐of‐coverage 

requirements in Part II.C. within 18 months of the issuance date of this reissued permit, the Permittee(s) shall comply with the 2008 construction general permit until the project is complete and a Notice of Termination (NOT) consistent with Part II.C. of this reissued permit is submitted. 

 c. If a previously permitted ongoing project will not be able to meet the terms and conditions 

of this reissued permit (other than the additional permanent treatment requirement) and will continue longer than 18 months after the issuance date of this permit, the Permittee(s) shall apply for an individual permit in accordance with Minn. R. ch. 7001. 

 I.B. LIMITATIONS OF COVERAGE 

   This permit does not authorize discharges related to the following activities: 

 1. Discharges or releases that are not stormwater (except those non‐stormwater discharges 

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authorized under Part IV.D.).  2. The placement of fill into waters of the state requiring local, state or federal authorizations 

(such as U.S. Army Corps of Engineers Section 404 permits, Minnesota Department of Natural Resources Public Waters Work Permits or Local Governmental Unit Wetland Conservation Act replacement plans or determinations). 

 3. Discharges associated with industrial activity except for construction activity.  Discharges 

associated with industrial activity may need to obtain coverage under a separate NPDES/SDS permit once day‐to‐day operational activities commence even if construction is ongoing.  

 4. Discharges from non‐point source agricultural and silvicultural activities excluded from NPDES 

permit requirements under 40 CFR pt. 122.3(e).  5. Discharges to the waters  identified below unless the requirements of Appendix A are complied 

with:  

a.  Discharges into outstanding resource value waters as listed in Minn. R. 7050.0180, subp. 3, 4, 5, 6, 6a and 6b. 

 b.  Discharges into trout waters as listed in Minn. R. 6264.0050, subp. 2 and 4.  c.  Discharges into wetlands as defined in Minn. R. 7050.0186 subd.1a.B.  d.  Discharges from projects that have not completed applicable Environmental Review 

requirements under state or federal laws.  e.  Discharges that adversely impact or contribute to adverse impacts on a state or federally 

listed endangered or threatened species or adversely modify a designated critical habitat.  f.  Discharges that adversely affect properties listed or eligible for listing in the National 

Register of Historic Places or affecting known or discovered archeological sites.  

6. Discharges to waters identified as impaired pursuant to section 303(d) of the federal Clean Water Act (33 U.S.C. § 303(d)) where the identified pollutant(s) or stressor(s) are phosphorus (nutrient eutrophication biological indicators), turbidity, dissolved oxygen, or biotic impairment (fish bioassessment, aquatic plant bioassessment and aquatic macroinvertebrate bioassessment), and with or without a U.S. Environmental Protection Agency (USEPA) approved Total Maximum Daily Load (TMDL) for any of these identified pollutant(s) or stressor(s), unless the applicable requirements of Part III.A.8. are met. 

 PART II.  SUBMITTING THE APPLICATION  

II.A. PREREQUISITE FOR SUBMITTING A PERMIT APPLICATION  

The owner must develop an accurate and complete SWPPP in accordance with Part III. (Stormwater Discharge Design Requirements) of this permit prior to submitting the application for coverage. The SWPPP is not required to be submitted to the MPCA (unless the project size is 50 acres or more and will discharge to certain waters as described in Part II.B.1.b.) but is to be retained by the owner in 

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accordance with Part III.E. (Record Retention). The owner’s failure to prepare an accurate and complete SWPPP prior to submitting the application is grounds for MPCA to revoke the permit.   II.B. APPLICATION AND DURATION OF COVERAGE 

 1. Application Required. 

 a. The owner and operator shall submit a complete and accurate on‐line application form with 

the appropriate fee to the MPCA for each project that disturbs one (1) or more acres of land or for a common plan of development or sale that will ultimately disturb one (1) or more acres. If the applicant is not able to apply on‐line, contact the MPCA for technical assistance or a waiver.  

b. For certain projects or common plans of development or sale disturbing 50 acres or more, the application must be submitted at least 30 days before the start of construction activity. This requirement pertains to projects that have a discharge point on the project that is within one mile (aerial radius measurement) of, and flows to, a special water listed in Appendix A, Part B. or waters listed as impaired under section 303(d) of the federal Clean Water Act (see the MPCA’s website) where the identified pollutant(s) or stressor(s) are phosphorus (nutrient eutrophication biological indicators), turbidity, dissolved oxygen, or biotic impairment (fish bioassessment, aquatic plant bioassessment and aquatic macroinvertebrate bioassessment). Applicants of projects listed in this part must submit a complete and accurate application form and SWPPP including all calculations for the Permanent Stormwater Management System (see Parts III.A.‐D.). 

 2. All persons meeting the definition of owner and operator are Permittees and must be listed on 

the application. The owner is responsible for compliance with all terms and conditions of this permit. The operator is responsible for compliance with Parts II.B, II.C, III.B‐F, IV, V, and applicable construction activity requirements found in Appendix A, Part C. of this permit and is jointly responsible with the owner for compliance with those portions of the permit.  

3. Permit Coverage Effective Date: The commencement of any construction activity (e.g., land disturbing activities) covered under Part I.A. of this permit is prohibited until permit coverage under this permit is effective. 

 a. For projects listed in Part II.B.1.a. permit coverage will become effective seven (7) calendar 

days after the electronic submittal date or the postmarked date of a complete application form.  

b. For projects listed in Part II.B.1.b. permit coverage will become effective 30 calendar days after the electronic submittal date, the postmarked date or MPCA date stamp (whichever is first) of the complete application. For incomplete applications (e.g., lack of fees or signature) or incomplete SWPPPs (e.g., missing calculations, Best Management Practice (BMP) specifications, estimated quantities of the BMPs, or timing of BMP installation narrative), the permit becomes effective 30 calendar days after all required information is submitted. 

 4.  Coverage Notification: Permittee(s) will be notified of coverage in a manner as determined by 

the Commissioner (e.g., e‐mail, online notification or letter).  

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5.  Change of Coverage: For construction projects where the owner or operator changes, (e.g., an original developer sells portions of the property to various homebuilders or sells the entire site to a new owner) the current owner and the new owner or operator shall submit a complete permit modification on a form provided by the Commissioner. The form must be submitted prior to the new owner or operator commencing construction activity on site or in no case later than 30 days after taking ownership of the property. The owner shall provide a SWPPP to the new owner and operator that specifically addresses the remaining construction activity. 

 II.C. TERMINATION OF COVERAGE 

 1. Termination of coverage when construction is complete: All Permittee(s) must submit a Notice 

of Termination (NOT) to the MPCA on a form provided by the Commissioner within 30 days after all activities required for Final Stabilization (see Part IV.G.) are complete. The Permittee(s)’ coverage under this permit terminates at midnight on the submission date of the NOT.  

2. Termination of coverage when transfer of ownership occurs: All Permittee(s) must submit a NOT on a form provided by the Commissioner within 30 days after selling or otherwise legally transferring the entire site, including permit responsibility for roads (e.g., street sweeping) and stormwater infrastructure final clean out, or transferring portions of a site to another party. The Permittee(s)’ coverage under this permit terminates at midnight on the submission date of the NOT.  

3.  Permittee(s) may terminate permit coverage prior to completion of all construction activity if all of the following conditions are met. After the permit is terminated under this Part, if there is any subsequent development on the remaining portions of the site where construction activity was not complete, new permit coverage must be obtained if the subsequent development itself or as part of the remaining common plan of development or sale will result in land disturbing activities of one (1) or more acres in size. 

 a.  Construction activity has ceased for at least 90 days. 

 b.  At least 90 percent (by area) of all originally proposed construction activity has been   completed and permanent cover established on those areas.  c. On areas where construction activity is not complete, permanent cover has been 

established.  

d. The site is in compliance with Part IV.G.2. and Part IV.G.3. and where applicable, Part IV.G.4. or Part IV.G.5. 

 4. Permittee(s) may terminate coverage upon approval by the MPCA if information is submitted to 

the MPCA documenting that termination is appropriate because the project is cancelled.   

PART III.  STORMWATER DISCHARGE DESIGN REQUIREMENTS  

III.A. STORMWATER POLLUTION PREVENTION PLAN CONTENT  

  The owner must develop a Stormwater Pollution Prevention Plan (SWPPP). The SWPPP shall be 

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completed prior to submitting any permit application and prior to conducting any construction activity by any required Permittee(s). For stormwater discharges from construction activity where the owner or operator changes, the new owner or operator can implement the original SWPPP created for the project, modify the original SWPPP, or develop and implement their own SWPPP. Permittee(s) shall ensure either directly or through coordination with other Permittee(s) that their SWPPP meets all terms and conditions of this permit and that their activities do not render another party’s erosion prevention and sediment control BMPs ineffective. The SWPPP must include the following: 

 1. A description of the construction activity: The description must be a combination of narrative, 

plan sheets, and (if appropriate) standard detail sheets that address the foreseeable conditions, at any stage in the construction or post construction activities. The SWPPP must identify the potential for discharge of sediment and/or other potential pollutants from the site. The SWPPP must propose erosion prevention and sediment control BMPs to control the discharge of sediment and/or other potential pollutants from the site. 

 2. Knowledgeable person/chain of responsibility: As part of the SWPPP, the owner must identify a 

person knowledgeable and experienced in the application of erosion prevention and sediment control BMPs who will oversee the implementation of the SWPPP, and the installation, inspection and maintenance of the erosion prevention and sediment control BMPs (see Part III.F.1.) before and during construction. The owner must identify in the SWPPP who will have the responsibility for long‐term operation and maintenance of the Permanent Stormwater Management System (see Part III.D.). The owner shall include in the SWPPP a chain of responsibility with all operators on the site, or if not known, the title or position of the responsible party, to ensure that the SWPPP will be implemented and stay in effect until the construction project is complete, the entire site has undergone Final Stabilization, and an NOT has been submitted to the MPCA. Once the identity of the responsible party is known, the SWPPP must be amended to include this information. 

 3. Training documentation: The Permittee(s) shall ensure the individuals identified in Part III.F. 

have been trained in accordance with this Permit’s training requirements. The Permittee(s) shall ensure the training is recorded in or with the SWPPP before the start of construction or as soon as the personnel for the project have been determined. Documentation shall include: 

 a. Names of the personnel associated with this project that are required to be trained per Part 

III.F.1. of this permit.  

b. Dates of training and name of instructor(s) and entity providing training.  

c. Content of training course or workshop including the number of hours of training.  

4. Designs, calculations, and narrative: The SWPPP must incorporate the requirements of Part III (Stormwater Discharge Design Requirements) including calculations, Part IV (Construction Activity Requirements) and Appendix A for the project. A narrative describing the timing for installation of all erosion prevention and sediment control BMPs and permanent stormwater management systems required in Part III, Part IV and Appendix A must also be included in the SWPPP. 

 5. SWPPP components: The SWPPP requirements must be incorporated into the project's final 

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plans and specifications and/or project documentation, as appropriate, and must include:  

a. Location and type of all temporary and permanent erosion prevention and sediment control BMPs along with procedures to be used to establish additional temporary BMPs as necessary for the site conditions during construction. Standard details and/or specifications for the BMPs used on the project must be included in the final plans and specifications for the project. 

 b. Quantities: Estimated preliminary quantities tabulation anticipated at the start of the project 

for the life of the project must be included for all erosion prevention and sediment control BMPs in the SWPPP (e.g., linear feet of silt fence or ft2 of erosion control blanket). 

 c. Impervious surface: The number of acres of impervious surface for both pre‐ and post‐

construction must be specified.  d. Site map: A site map with existing and final grades, including dividing lines and direction of 

flow for all pre‐and post‐construction stormwater runoff drainage areas located within the project limits must be included. The site map must indicate the areas of steep slopes. The site map must also include impervious surfaces, soil types and locations of potential pollutant‐generating activities as identified in Part IV.F. 

 e. Locations of areas not to be disturbed: Buffer zones, as required for temporary BMPs during 

construction in Part IV.C.9., or if required as permanent BMPs in Appendix A, Part C.3., must be described and identified on plan sheets or project maps in the SWPPP. 

 f. Construction phasing: Location of areas where construction will be phased to minimize 

duration of exposed soil areas must be described.  g. Maps of surface waters and wetlands: The SWPPP must include a map of all surface waters, 

existing wetlands, and stormwater ponds or basins which can be identified on maps such as United States Geological Survey 7.5 minute quadrangle maps, the National Wetland Inventory map or equivalent maps within one mile (aerial radius measurement) from the project boundaries that will receive stormwater from the construction site, during or after construction. Where surface waters receiving stormwater associated with construction activity will not fit on the plan sheet, they must be identified with an arrow, indicating both direction and distance to the surface water. The SWPPP must identify if the surface water is a special or impaired water. The site map must also show construction activity areas that are adjacent to and drain to Public Waters for which the Department of Natural Resources has promulgated “work in water restrictions” during specified fish spawning time frames. 

 h. Final stabilization: Methods to be used for Final Stabilization of all exposed soil areas must 

be described.  i. BMP design factors: The SWPPP must account for the following factors in designing the 

temporary erosion prevention and sediment control BMPs:  

i. The expected amount, frequency, intensity, and duration of precipitation.  ii. The nature of stormwater runoff and run‐on at the site, including factors such as 

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expected flow from impervious surfaces, slopes, and site drainage features.  iii. If any stormwater flow will be channelized at the site, the Permitte(s) must design 

BMPs to control both peak flowrates and total stormwater volume to minimize erosion at outlets and to minimize downstream channel and streambank erosion. 

 iv. The range of soil particle sizes expected to be present on the site. 

 j. Soil Management: Methods used to minimize soil compaction and preserve topsoil must be 

described. Minimizing soil compaction is not required where the function of a specific area of the site dictates that it be compacted. 

 k. Maintenance plan: For projects that include permanent stormwater treatment systems, the 

SWPPP must include a maintenance plan identifying who will be performing future maintenance of the system. 

 l. Chemical treatments: Any specific chemicals and the chemical treatment systems that may be 

used for enhancing the sedimentation process on the site, and how compliance will be achieved with the requirements in Part IV.C.10., must be described. 

 m. Documentation of infeasibility: If the Permittee(s) determine(s) that compliance with the 

requirement for temporary sediment basins (Part III.C.) is infeasible on the project site; the Permittee(s) must document that determination and the substitute BMPs in the SWPPP.  If Permittee(s) cannot obtain right‐of‐way for the permanent stormwater management system; the Permittee(s) must document the infeasibility of obtaining right‐of‐way (Part III.D.) 

 6. Stormwater pollution mitigation measures identified in environmental review or other required 

review: The SWPPP must include any stormwater mitigation measures approved as part of a final environmental review document, endangered species review, archeological or other required local, state or federal review conducted for the project. For the purposes of this permit provision, mitigation measures means actions necessary to avoid, minimize, or rectify (e.g., repairing, rehabilitating, restoring), reducing, eliminating or compensating for impacts related to: (1) stormwater discharges associated with the project’s construction activity; and (2) erosion prevention, sediment control and the Permanent Stormwater Management System for the project. 

 7.  Karst areas: The SWPPP must identify additional or different measures necessary (e.g. 

impervious liner in pond bottom) to assure compliance with surface and groundwater standards in Minn. R. chs. 7050 and 7060 in karst areas and to ensure protection of drinking water supply management areas (see Minn. R. 4720.5100, subp. 13). 

 8.  Impaired Waters and Total Maximum Daily Loads (TMDLs): The SWPPP must address the 

following:  a. For projects that have a discharge point on the project that is within one mile (aerial radius 

measurement) of and which flows to an impaired water, the Permittee(s) must identify the impaired water(s) in the SWPPP, and whether or not there is a USEPA‐approved TMDL for the pollutant(s) or stressor(s) identified in Appendix A, Part B.10. Unless otherwise notified by the MPCA in writing, the Permittee(s)’ identification of impaired waters must be based 

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on the most recent USEPA approved section 303(d) Clean Water Act list of impaired waters and USEPA approved TMDLs at the time a complete permit application is submitted. The Permittee(s)’ identification must include those TMDLs, applicable to the project’s stormwater discharge, that were approved at any time prior to permit application submittal and are still in effect.  

b. If the TMDL identifies specific implementation activities regarding construction stormwater that would apply to the site discharges, the Permittee(s) must include the BMPs identified in the TMDL and any other specific construction stormwater related implementation activities identified in the TMDL.  

III.B. SWPPP AMENDMENTS  

The Permittee(s) must amend the SWPPP as necessary to include additional requirements, such as additional or modified BMPs that are designed to correct problems identified or address situations whenever: 

 1. There is a change in design, construction, operation, maintenance, weather or seasonal 

conditions that has a significant effect on the discharge of pollutants to surface waters or underground waters. 

 2. Inspections or investigations by site owner or operators, USEPA or MPCA officials indicate the 

SWPPP is not effective in eliminating or significantly minimizing the discharge of pollutants to surface waters or underground waters or that the discharges are causing water quality standard exceedances (e.g., nuisance conditions as defined in Minn. R. 7050.0210, subp. 2). 

 3. The SWPPP is not achieving the general objectives of minimizing pollutants in stormwater 

discharges associated with construction activity, or the SWPPP is not consistent with the terms and conditions of this permit. 

 4. At any time after permit coverage is effective, the MPCA may determine that the 

project’s stormwater discharges may cause, have reasonable potential to cause, or contribute to non‐attainment of any applicable water quality standard, or that the SWPPP does not incorporate the applicable requirements in Part III.A.8., (Impaired Waters and TMDLs). If a water quality standard changes during the term of this permit, the MPCA will make a determination as to whether a modification of the SWPPP is necessary to address the new standard.  If the MPCA makes such determination(s) or any of the determinations in Parts III.B.1.‐3., the MPCA will notify the Permittee(s) in writing. In response, the Permittee(s) must amend the SWPPP to address the identified concerns and submit information requested by the MPCA, which may include an individual permit application. If the MPCA’s written notification requires a response, failure to respond within the specified timeframe constitutes a permit violation. 

 III.C. TEMPORARY SEDIMENT BASINS 

 Where ten (10) or more acres of disturbed soil drain to a common location, the Permittee(s) must provide a temporary sediment basin to provide treatment to the runoff before it leaves the construction site or enters surface waters. A temporary sediment basin may be converted to a permanent basin after construction is complete. The temporary basin is no longer required when 

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permanent cover has reduced the acreage of disturbed soil to less than ten (10) acres draining to a common location. The Permittee(s) is/are encouraged, but not required, to install temporary sediment basins where appropriate in areas with steep slopes or highly erodible soils even if less than ten (10) acres drains to one area. The basins must be designed and constructed according to the following requirements: 

 1. The basins must provide live storage for a calculated volume of runoff from a two (2)‐year, 24‐

hour storm from each acre drained to the basin, except that in no case shall the basin provide less than 1,800 cubic feet of live storage from each acre drained to the basin. 

 2. Where the calculation in Part III.C.1. has not been performed, a temporary sediment basin 

providing 3,600 cubic feet of live storage per acre drained to the basin shall be provided for the entire drainage area of the temporary basin. 

 3. Temporary basin outlets must be designed to prevent short‐circuiting and the discharge of 

floating debris. The basin must be designed with the ability to allow complete basin drawdown for maintenance activities, and must include a stabilized emergency overflow to prevent failure of pond integrity. The outlet structure must be designed to withdraw water from the surface in order to minimize the discharge of pollutants, except that the use of a surface withdrawal mechanism for discharge of the basin may be temporarily suspended during frozen conditions. Energy dissipation must be provided for the basin outlet (see Part IV.B.5.). 

 4. Sediment Basins must be situated outside of surface waters and any buffer zone required  under 

Appendix A.C.3, and must be designed to avoid draining water from wetlands unless the impact to the wetland is in compliance with the requirements of Appendix A, Part D. 

 5. The temporary basins must be constructed and made operational prior to 10 or more acres of 

disturbed soil draining to a common location.   

6. Where a temporary sediment basin meeting the requirements of this part is infeasible, equivalent sediment controls such as smaller sediment basins, and/or sediment traps, silt fences, vegetative buffer strips, or any appropriate combination of measures are required for all down‐slope boundaries of the construction area and for side‐slope boundaries as dictated by individual site conditions. In determining whether installing a sediment basin is infeasible, the Permittee(s) must consider public safety and may consider factors such as site soils, slope, and available area on site. This determination of infeasibility must be documented in the SWPPP per Part III.A.5.m. 

 III.D. PERMANENT STORMWATER MANAGEMENT SYSTEM  

The Permittee(s) shall design the project so that all stormwater discharged from the project during and after construction activities does not cause a violation of state water quality standards, including nuisance conditions, erosion in receiving channels or on downslope properties, or a significant adverse impact to wetlands caused by inundation or decrease of flow.    The Permittee(s) shall construct a permanent stormwater management system meeting the requirements of this Part, or if the project is located in a jurisdiction subject to a NPDES/SDS Municipal Separate Storm Sewer System (MS4) permit and that permit has established permanent treatment requirements that include volume reduction, the Permittee(s) can comply with the 

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permanent treatment requirements established under the MS4 permit in lieu of the permanent treatment requirements of this permit.  Where a project’s ultimate development replaces vegetation and/or other pervious surfaces with one (1) or more acres of cumulative impervious surface, the Permittee(s) must design the project so that the water quality volume of one (1) inch of runoff from the new impervious surfaces created by the project is retained on site (i.e. infiltration or other volume reduction practices) and not discharged to a surface water. For purposes of this part, surface waters does not include man‐made drainage systems that convey stormwater to a compliant permanent stormwater management system.  For those projects where infiltration is prohibited (see Part III.D.1.j.), the Permittee(s) shall consider other methods of volume reduction and the water quality volume (or remainder of the water quality volume if some volume reduction is achieved) must be treated by a wet sedimentation basin, filtration system, regional ponding or equivalent methods prior to the discharge of stormwater to surface waters.  Where the proximity to bedrock precludes the installation of any of the permanent stormwater management practices outlined in Part III.D., other treatment, such as grassed swales, filtration systems, smaller ponds, or grit chambers, is required prior to the discharge of stormwater to surface waters.  For work on linear projects with lack of right‐of‐way where the Permittee(s) cannot obtain an easement or other permission for property needed to install treatment systems capable of treating the entire water quality volume on site, the Permittee(s) must maximize the water quality volume that can be treated prior to discharge to surface waters.  Treatment can be provided through other methods or combination of methods such as grassed swales, filtration systems, smaller ponds, or grit chambers, prior to discharge to surface waters. A reasonable attempt must be made to obtain right‐of‐way during the project planning process. Documentation of these attempts must be in the SWPPP per Part III.A.5.m. in the section addressing infeasibility.  When constructing any of the permanent stormwater management systems in this part, the Permittee(s) must incorporate the following design parameters: 

 1. Infiltration/Filtration  

a. Infiltration/Filtration options include but are not limited to: infiltration basins, infiltration trenches, rainwater gardens, sand filters, organic filters, bioretention areas, natural or enhanced swales, dry storage ponds with underdrain discharge, off‐line retention areas, and natural depressions. Infiltration must be used only as appropriate to the site and land uses. The method selected by the Permittee(s) must remove settleable solids, floating materials, and oils and grease from the runoff to the maximum extent practicable before runoff enters the infiltration/filtration system. Filtration systems must be designed to remove at least 80 percent of total suspended solids. When designing the system the Permittee(s) must evaluate the impact of constructing an infiltration practice on existing hydrologic features (e.g., existing wetlands) and the system must be designed to maintain pre‐existing conditions (e.g., do not breach a perched water table that is supporting a wetland). For a discussion of potential stormwater hotspots, groundwater warnings, design measures, maintenance considerations or other retention, detention, and treatment devices, see the 

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Minnesota Stormwater Manual found on the MPCA’s website.  b. Infiltration systems must not be excavated to final grade until the contributing drainage area 

has been constructed and fully stabilized unless rigorous erosion prevention and sediment controls are provided (Part III.D.1.c.). 

 c. When an infiltration system is excavated to final grade (or within three (3) feet of final 

grade), the Permittee(s) must employ rigorous erosion prevention and sediment controls (e.g., diversion berms) to keep sediment and runoff completely away from the infiltration area. The area must be staked off and marked so that heavy construction vehicles or equipment will not compact the soil in the proposed infiltration area. 

 d. To prevent clogging of the infiltration or filtration system, the Permittee(s) must use a 

pretreatment device such as a vegetated filter strip, small sedimentation basin, or water quality inlet (e.g., grit chamber) to settle particulates before the stormwater discharges into the infiltration or filtration system. 

 e. The Permittee(s) must design infiltration or filtration systems that provide a water quality 

volume (calculated as an instantaneous volume) of one (1) inch of runoff (or one (1) inch minus the volume of stormwater treated by another system on the site) from the new impervious surfaces created by the project. 

 f. The Permittee(s) must design the infiltration/filtration system to discharge the water quality 

volume routed to the system through the soil surface or filter media within 48 hours or less. Additional flows that cannot be infiltrated or filtered within 48 hours must be routed to bypass the system through a stabilized discharge point. The Permittee(s) must design the infiltration system to provide a means to visually verify that the system is discharging through the soil surface or filter media within 48 hours or less. 

 g. The Permittee(s) shall employ appropriate on‐site testing consistent with the 

recommendations found in the Minnesota Stormwater Manual to verify soil type and to ensure a minimum of three (3) feet of separation from the seasonally saturated soils (or from bedrock) and the bottom of the proposed infiltration/filtration system. 

  h. The Permittee(s) must ensure filtration systems with less than three (3) feet of separation 

from seasonally saturated soils or from bedrock are constructed with an impermeable liner.  i. The Permittee(s) must design adequate maintenance access (typically eight (8) feet wide).  j. Infiltration is prohibited when the infiltration system will be constructed in: 

 i. Areas that receive discharges from vehicle fueling and maintenance.  

ii. Areas with less than three (3) feet of separation distance from the bottom of the infiltration system to the elevation of the seasonally saturated soils or the top of bedrock. 

 

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iii. Areas that receive discharges from industrial facilities which are not authorized to infiltrate industrial stormwater under an NPDES/SDS Industrial Stormwater Permit issued by the MPCA. 

 iv. Areas where high levels of contaminants in soil or groundwater will be mobilized by the 

infiltrating stormwater.  

v. Areas of predominately Hydrologic Soil Group D (clay) soils unless allowed by a local unit of government with a current MS4 permit. 

 vi. Areas within 1,000 feet up‐gradient, or 100 feet down‐gradient of active karst features 

unless allowed by a local unit of government with a current MS4 permit.  

vii. Areas within a Drinking Water Supply Management Area (DWSMA) as defined in Minn. R. 4720.5100, subp. 13., unless allowed by a local unit of government with a current MS4 permit. 

 viii. Areas where soil infiltration rates are more than 8.3 inches per hour unless soils are 

amended to slow the infiltration rate below 8.3 inches per hour or as allowed by a local unit of government with a current MS4 permit. 

 2. Wet Sedimentation Basin 

 a. The Permitte(s) must design the basin to have a permanent volume of 1,800 cubic feet of 

storage below the outlet pipe for each acre that drains to the basin. The basin’s permanent volume must reach a minimum depth of at least three (3) feet and must have no depth greater than 10 feet. The basin must be configured such that scour or resuspension of solids is minimized. 

 b. The Permittee(s) must design basins to provide live storage for a water quality volume 

(calculated as an instantaneous volume) of one (1) inch of runoff (or one (1) inch minus the volume of stormwater treated by another system on the site) from the new impervious surfaces created by the project. 

 c. The Permittee(s) must design basin outlets such that the water quality volume is discharged 

at no more than 5.66 cubic feet per second (cfs) per acre of surface area of the pond.  d. The Permittee(s) must design basin outlets to prevent short‐circuiting and the discharge of 

floating debris. Basin outlets must have energy dissipation.  e. The Permittee(s) must design the basin to include a stabilized emergency overflow to 

accommodate storm events in excess of the basin’s hydraulic design.  

f. The Permittee(s) must design adequate maintenance access (typically eight (8) feet wide).  g. The Permittee(s) must design sediment Basins to be situated outside of surface waters and 

any buffer zone required under Appendix A, Part C.3. and they must be designed to avoid draining water from wetlands unless the impact to the wetland is in compliance with the requirements of Appendix A, Part D. 

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 3.   Regional Ponds  

When the entire water quality volume cannot be retained onsite, the Permittee(s) can use or create regional ponds provided that they are constructed ponds, not a natural wetland or water body, (wetlands used as regional ponds must be mitigated for, see Appendix A, Part D) and designed in accordance with this permit’s design requirements (Part III.D.2.) for all water from impervious surfaces that reach the pond. Permittee(s) shall not construct regional ponds in wetlands, regardless of their condition, quality or designation by local plans, unless the mitigative sequence in Appendix A, Part D. of this permit has been completed. There must be no significant degradation of the waterways between the project and the regional pond. The owner must obtain written authorization from the applicable local governmental unit (LGU) or private entity that owns and maintains the regional pond. The LGU’s or private entity’s written authorization must identify that the regional pond will discharge the water quality volume (one (1) inch of runoff from the impervious watershed area) at no more than 5.66 cfs per acre of surface area of the pond. The owner must include the LGU’s or private entities’ written authorization in the SWPPP. The LGU’s or private entity’s written authorization must be obtained before the owner finalizes the SWPPP and before any application for this permit is made to the MPCA.  

III.E RECORD RETENTION  

The SWPPP (original or copies) including, all changes to it, and inspections and maintenance records must be kept at the site during construction by the Permittee(s) who has/have operational control of that portion of the site. The SWPPP can be kept in either the field office or in an on‐site vehicle during normal working hours.  All owner(s) must keep the following records on file for three (3) years after submittal of the NOT as outlined in Part II.C. This does not include any records after submittal of the NOT.  1. The final SWPPP  2. Any other stormwater related permits required for the project  3. Records of all inspection and maintenance conducted during construction (Part IV.E. Inspections 

and Maintenance)  4. All permanent operation and maintenance agreements that have been implemented, including 

all right‐of‐way, contracts, covenants and other binding requirements regarding perpetual maintenance and 

 5. All required calculations for design of the temporary and permanent Stormwater Management 

Systems.  

III.F. TRAINING REQUIREMENTS  The Permittee(s) shall ensure the following individuals identified in this part have been trained in accordance with this Permit’s training requirements.  

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1. Who must be trained:  

a. Individual(s) preparing the SWPPP for the project  

b. Individual(s) overseeing implementation of, revising, and amending the SWPPP and individual(s) performing inspections as required in Part IV.E. One of these individual(s) must be available for an onsite inspection within 72 hours upon request by the MPCA.  

c. Individual(s) performing or supervising the installation, maintenance and repair of BMPs. At least one individual on a project must be trained in these job duties.  

2. Training content: The content and extent of training must be commensurate with the individual’s job duties and responsibilities with regard to activities covered under this permit for the project. At least one individual present on the permitted project site (or available to the project site in 72 hours) must be trained in the job duties described in Part III.F.1.b. and Part III.F.1.c.  

3. The Permittee(s) shall ensure that the individuals are trained by local, state, federal agencies, professional organizations, or other entities with expertise in erosion prevention, sediment control, permanent stormwater management and the Minnesota NPDES/SDS Construction Stormwater Permit. An update refresher‐training must be attended every three (3) years starting three (3) years from the issuance date of this permit. 

 PART IV.  CONSTRUCTION ACTIVITY REQUIREMENTS 

   IV.A.  STORMWATER POLLUTION PREVENTION PLAN    The Permittee(s) must implement the SWPPP and the requirements of this part.  The BMPs 

identified in the SWPPP and in this permit must be selected, installed, and maintained in an appropriate and functional manner that is in accordance with relevant manufacturer specifications and accepted engineering practices.  

  IV.B.  EROSION PREVENTION PRACTICES  

1. The Permittee(s) must plan for and implement appropriate BMPs such as construction phasing, vegetative buffer strips, horizontal slope grading, inspection and maintenance of Part IV.E. and other construction practices that minimize erosion as necessary to comply with this permit and protect waters of the state. The location of areas not to be disturbed must be delineated (e.g., with flags, stakes, signs, silt fence etc.) on the project site before work begins. The Permittee(s) must minimize the need for disturbance of portions of the project that have steep slopes. For those sloped areas which must be disturbed, the Permittee(s) must use techniques such as phasing and stabilization practices designed for steep slopes (e.g., slope draining and terracing). 

 2. The Permittee(s) must stabilize all exposed soil areas (including stockpiles). Stabilization must 

be initiated immediately to limit soil erosion whenever any construction activity has permanently or temporarily ceased on any portion of the site and will not resume for a period exceeding 14 calendar days. Stabilization must be completed no later than 14 calendar days after the construction activity in that portion of the site has temporarily or permanently ceased. For Public Waters that the Minnesota Department of Natural Resources has promulgated “work 

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in water restrictions” during specified fish spawning time frames, all exposed soil areas that are within 200 feet of the water’s edge, and drain to these waters must complete the stabilization activities within 24 hours during the restriction period. Temporary stockpiles without significant silt, clay or organic components (e.g., clean aggregate stockpiles, demolition concrete stockpiles, sand stockpiles) and the constructed base components of roads, parking lots and similar surfaces are exempt from this requirement but must be in compliance with Part IV.C.5. 

 3. If using stormwater conveyance channels ,the Permittee(s) must design the channels to route 

water around unstabilized areas on the site and to reduce erosion, unless infeasible. The Permittee(s) must use erosion controls and velocity dissipation devices such as check dams, sediment traps, riprap, or grouted riprap at outlets within and along the length of any constructed stormwater conveyance channel, and at any outlet, to provide a non‐erosive flow velocity, to minimize erosion of channels and their embankments, outlets, adjacent stream banks, slopes, and downstream waters during discharge conditions.  

4. The Permittee(s) must stabilize the normal wetted perimeter of any temporary or permanent drainage ditch or swale that drains water from any portion of the construction site, or diverts water around the site, within 200 lineal feet from the property edge, or from the point of discharge into any surface water. Stabilization of the last 200 lineal feet must be completed within 24 hours after connecting to a surface water or property edge. 

   The Permittee(s) shall complete stabilization of the remaining portions of any temporary or permanent ditches or swales within 14 calendar days after connecting to a surface water or property edge and construction in that portion of the ditch has temporarily or permanently ceased.  

  Temporary or permanent ditches or swales that are being used as a sediment containment system during construction (with properly designed rock‐ditch checks, bio rolls, silt dikes, etc.) do not need to be stabilized during the temporary period of its use as a sediment containment system. These areas must be stabilized within 24 hours after no longer being used as a sediment containment system. 

 Applying mulch, hydromulch, tackifier, polyacrylamide or similar erosion prevention practices is not acceptable stabilization in any part of a temporary or permanent drainage ditch or swale. 

 5.  Pipe outlets must be provided with temporary or permanent energy dissipation within 24 hours   after connection to a surface water.  6. Unless infeasible due to lack of pervious or vegetated areas, the Permittee(s) must direct 

discharges from BMPs to vegetated areas of the site (including any natural buffers) in order to increase sediment removal and maximize stormwater infiltration. The Permittee(s) must use velocity dissipation devices if necessary to prevent erosion when directing stormwater to vegetated areas. 

 IV.C. SEDIMENT CONTROL PRACTICES 

 1. The Permittee(s) must employ Sediment control practices as necessary to minimize sediment 

from entering surface waters, including curb and gutter systems and storm sewer inlets.  

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a. Temporary or permanent drainage ditches and sediment basins that are designed as part of a sediment containment system (e.g., ditches with rock‐check dams) require sediment control practices only as appropriate for site conditions. 

 b. If the down gradient sediment controls are overloaded (based on frequent failure or 

excessive maintenance requirement), the Permittee(s) must install additional upgradient sediment control practices or redundant BMPs to eliminate the overloading, and the SWPPP must be amended to identify these additional practices as required in Part III.B 1.‐3. 

 2. Sediment control practices must be established on all down gradient perimeters and be located 

upgradient of any buffer zones. The perimeter sediment control practice must be in place before any upgradient land‐disturbing activities begin. These practices shall remain in place until Final Stabilization has been established in accordance with Part IV.G.  A floating silt curtain placed in the water is not a sediment control BMP to satisfy perimeter control requirements in this part except when working on a shoreline and below the waterline.  In those cases, a floating silt curtain can be used as a perimeter control practice if the floating silt curtain is installed as close to shore as possible. Immediately after the short term construction activity (e.g. installation of rip rap along the shoreline) in that area is complete, an upland perimeter control practice must be installed if exposed soils still drain to the surface water.. 

 3.  The Permittee(s) shall re‐install all sediment control practices that have been adjusted or 

removed to accommodate short‐term activities such as clearing or grubbing, or passage of vehicles, immediately after the short‐term activity has been completed. The Permittee(s) shall complete any short‐term activity that requires removal of sediment control practices as quickly as possible. The Permittee(s) must re‐install sediment control practices before the next precipitation event even if the short‐term activity is not complete. 

 4.  All storm drain inlets must be protected by appropriate BMPs during construction until all 

sources with potential for discharging to the inlet have been stabilized. Inlet protection may be removed for a particular inlet if a specific safety concern (street flooding/freezing) has been identified by the Permittee(s) or the jurisdictional authority (e.g., city/county/township/MnDOT engineer).The Permittee(s) must document the need for removal in the SWPPP.  

 5.  Temporary soil stockpiles must have silt fence or other effective sediment controls, and cannot 

be placed in any natural buffers or surface waters, including stormwater conveyances such as curb and gutter systems, or conduits and ditches unless there is a bypass in place for the stormwater. 

 6.  Where vehicle traffic leaves any part of the site (or onto paved roads within the site):  

a. The Permittee(s) must install a vehicle tracking BMP to minimize the track out of sediment from the construction site. Examples of vehicle tracking BMPs include (but are not limited to) rock pads, mud mats, slash mulch, concrete or steel wash racks, or equivalent systems.  

b. The Permittee(s) must use street sweeping if such vehicle tracking BMPs are not adequate to prevent sediment from being tracked onto the street (see Part IV.E.5.d.). 

 7. The Permittee(s) must install temporary sedimentation basins as required in Part III.C. of this 

permit. 

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 8. The Permittee(s) must minimize soil compaction and, unless infeasible, preserve topsoil.  

Minimizing soil compaction is not required where the function of a specific area of the site dictates that it be compacted.  

 9. The Permittee(s) must preserve a 50 foot natural buffer or (if a buffer is infeasible on the site) 

provide redundant sediment controls when a surface water is located within 50 feet of the project’s earth disturbances and stormwater flows to the surface water. Natural buffers are not required adjacent to road ditches, judicial ditches, county ditches, stormwater conveyance channels, storm drain inlets, and sediment basins. The Permittee(s) is/are not required to enhance the quality of the vegetation that already exists in the buffer or provide vegetation if none exist. However, Permittee(s) can improve the natural buffer with vegetation.  

10. If the Permittee(s) intend to use polymers, flocculants, or other sedimentation treatment chemicals on the project site, the Permittee(s) must comply with the following minimum requirements: 

 a. The Permittee(s) must use conventional erosion and sediment controls prior to chemical 

addition to ensure effective treatment. Chemicals may only be applied where treated stormwater is directed to a sediment control system which allows for filtration or settlement of the floc prior to discharge.  

b. Chemicals must be selected that are appropriately suited to the types of soils likely to be exposed during construction, and to the expected turbidity, pH, and flow rate of stormwater flowing into the chemical treatment system or area.    

c. Chemicals must be used in accordance with accepted engineering practices, and with dosing specifications and sediment removal design specifications provided by the manufacturer or provider/supplier of the applicable chemicals. 

 IV.D.  DEWATERING AND BASIN DRAINING  

 1. The Permittee(s) must discharge turbid or sediment‐laden waters related to dewatering or basin 

draining (e.g., pumped discharges, trench/ditch cuts for drainage) to a temporary or permanent sedimentation basin on the project site unless infeasible. The Permittee(s) may discharge from the temporary or permanent sedimentation basins to surface waters if the basin water has been visually checked to ensure adequate treatment has been obtained in the basin and that nuisance conditions (see Minn. R. 7050.0210, subp. 2) will not result from the discharge. If the water cannot be discharged to a sedimentation basin prior to entering the surface water, it must be treated with the appropriate BMPs, such that the discharge does not adversely affect the receiving water or downstream properties. If the Permittee(s) must discharge water that contains oil or grease, the Permittee(s) must use an oil‐water separator or suitable filtration device (e.g. cartridge filters, absorbents pads) prior to discharging the water. The Permittee(s) must ensure that discharge points are adequately protected from erosion and scour. The discharge must be dispersed over natural rock riprap, sand bags, plastic sheeting, or other accepted energy dissipation measures. 

 

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2.  All water from dewatering or basin‐draining activities must be discharged in a manner that does not cause nuisance conditions, erosion in receiving channels or on downslope properties, or inundation in wetlands causing significant adverse impact to the wetland. 

 3. If the Permittee(s) is/are using filters with backwash water, the Permittee(s) must haul the 

backwash water away for disposal, return the backwash water to the beginning of the treatment process, or incorporate the backwash water into the site in a manner that does not cause erosion. The Permittee(s) may discharge backwash water to the sanitary sewer if permission is granted by the sanitary sewer authority.  The Permittee(s) must replace and clean the filter media used in dewatering devices when required to retain adequate function. 

 IV.E.  INSPECTIONS AND MAINTENANCE 

 1. The Permittee(s) must ensure that a trained person (as identified in Part III.A.3.a.) will routinely 

inspect the entire construction site at least once every seven (7) days during active construction and within 24 hours after a rainfall event greater than 0.5 inches in 24 hours. Following an inspection that occurs within 24 hours after a rainfall event, the next inspection must be conducted within seven (7) days after the rainfall event. 

 2. All inspections and maintenance conducted during construction must be recorded within 24 

hours in writing and these records must be retained with the SWPPP in accordance with Part III.E. Records of each inspection and maintenance activity shall include: 

 a.  Date and time of inspections 

 b.  Name of person(s) conducting inspections 

 c.  Findings of inspections, including the specific location where corrective actions are needed 

 d.  Corrective actions taken (including dates, times, and party completing maintenance 

activities)  

e.  Date and amount of all rainfall events greater than 1/2 inch (0.5 inches) in 24 hours. Rainfall amounts must be obtained by a properly maintained rain gauge installed onsite, a weather station that is within 1 mile of your location or a weather reporting system that provides site specific rainfall data from radar summaries. 

 f. If any discharge is observed to be occurring during the inspection, a record of all points of 

the property from which there is a discharge must be made, and the discharge should be described (i.e., color, odor, floating, settled, or suspended solids, foam, oil sheen, and other obvious indicators of pollutants) and photographed. 

 g.  Any amendments to the SWPPP proposed as a result of the inspection must be documented 

as required in Part III.B. within seven (7) calendar days.  

3. Inspection frequency adjustment  a. Where parts of the project site have permanent cover, but work remains on other parts of 

the site, the Permittee(s) may reduce inspections of the areas with permanent cover to 

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once per month.  

b.  Where construction sites have permanent cover on all exposed soil areas and no construction activity is occurring anywhere on the site, the site must be inspected during non‐frozen ground conditions at least once per month for a period of twelve (12) months. Following the twelfth month of permanent cover and no construction activity, inspections may be terminated until construction activity is once again initiated unless the Permittee(s) is/are notified in writing by the MPCA that erosion issues have been detected at the site and inspections need to resume. 

 c.  Where work has been suspended due to frozen ground conditions, the inspections may be 

suspended. The required inspections and maintenance schedule must begin within 24 hours after runoff occurs at the site or 24 hours prior to resuming construction, whichever comes first. 

 4. The Permittee(s) is/are responsible for the inspection and maintenance of temporary and 

permanent water quality management BMPs, as well as all erosion prevention and sediment control BMPs, until another Permittee has obtained coverage under this Permit according to Part II.B.5. or the project has undergone Final Stabilization, and an NOT has been submitted to the MPCA.  

5. The Permittee(s) must inspect all erosion prevention and sediment control BMPs and Pollution Prevention Management Measures to ensure integrity and effectiveness during all routine and post‐rainfall event inspections. All nonfunctional BMPs must be repaired, replaced, or supplemented with functional BMPs by the end of the next business day after discovery, or as soon as field conditions allow access unless another time frame is specified below. The Permittee(s) must investigate and comply with the following inspection and maintenance requirements: 

 a. All perimeter control devices must be repaired, replaced, or supplemented when they 

become nonfunctional or the sediment reaches one‐half (1/2) of the height of the device. These repairs must be made by the end of the next business day after discovery, or thereafter as soon as field conditions allow access.  

b. Temporary and permanent sedimentation basins must be drained and the sediment removed when the depth of sediment collected in the basin reaches one‐half (1/2) the storage volume. Drainage and removal must be completed within 72 hours of discovery, or as soon as field conditions allow access (see Part IV.D.). 

 c. Surface waters, including drainage ditches and conveyance systems, must be inspected for 

evidence of erosion and sediment deposition during each inspection. The Permittee(s) must remove all deltas and sediment deposited in surface waters, including drainage ways, catch basins, and other drainage systems, and restabilize the areas where sediment removal results in exposed soil. The removal and stabilization must take place within seven (7) days of discovery unless precluded by legal, regulatory, or physical access constraints. The Permittee(s) shall use all reasonable efforts to obtain access. If precluded, removal and stabilization must take place within seven (7) calendar days of obtaining access. The Permittee(s) is/are responsible for contacting all local, regional, state and federal authorities and receiving any applicable permits, prior to conducting any work in surface waters. 

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 d. Construction site vehicle exit locations must be inspected for evidence of off‐site sediment 

tracking onto paved surfaces. Tracked sediment must be removed from all paved surfaces both on and off site within 24 hours of discovery, or if applicable, within a shorter time to comply with Part IV.C.6. 

 e.  Streets and other areas adjacent to the project must be inspected for evidence of off‐site 

accumulations of sediment. If sediment is present, it must be removed in a manner and at a frequency sufficient to minimize off‐site impacts (e.g., fugitive sediment in streets could be washed into storm sewers by the next rain and/or pose a safety hazard to users of public streets). 

 6. All infiltration areas must be inspected to ensure that no sediment from ongoing construction 

activity is reaching the infiltration area. All infiltration areas must be inspected to ensure that equipment is not being driven across the infiltration area. 

 IV.F.  POLLUTION PREVENTION MANAGEMENT MEASURES 

   The Permittee(s) shall implement the following pollution prevention management measures on the 

site:  

1. Storage, Handling, and Disposal of Construction Products, Materials, and Wastes: The Permittee(s) shall comply with the following to minimize the exposure to stormwater of any of the products, materials, or wastes. Products or wastes which are either not a source of contamination to stormwater or are designed to be exposed to stormwater are not held to this requirement: 

 a. Building products that have the potential to leach pollutants must be under cover (e.g., 

plastic sheeting or temporary roofs) to prevent the discharge of pollutants or protected by a similarly effective means designed to minimize contact with stormwater.  

b. Pesticides, herbicides, insecticides, fertilizers, treatment chemicals, and landscape materials must be under cover (e.g., plastic sheeting or temporary roofs) to prevent the discharge of pollutants or protected by similarly effective means designed to minimize contact with stormwater.  

c. Hazardous materials, toxic waste, (including oil, diesel fuel, gasoline, hydraulic fluids, paint solvents, petroleum‐based products, wood preservatives, additives, curing compounds, and acids) must be properly stored in sealed containers to prevent spills, leaks or other discharge. Restricted access storage areas must be provided to prevent vandalism. Storage and disposal of hazardous waste or hazardous materials must be in compliance with Minn. R. ch. 7045 including secondary containment as applicable. 

 d. Solid waste must be stored, collected and disposed of properly in compliance with Minn. R. 

ch. 7035.  e. Portable toilets must be positioned so that they are secure and will not be tipped or knocked 

over. Sanitary waste must be disposed of properly in accordance with Minn. R. ch. 7041.  

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2. Fueling and Maintenance of Equipment or Vehicles; Spill Prevention and Response: The Permittee(s) shall take reasonable steps to prevent the discharge of spilled or leaked chemicals, including fuel, from any area where chemicals or fuel will be loaded or unloaded including the use of drip pans or absorbents unless infeasible. The Permittee(s) must conduct fueling in a contained area unless infeasible. The Permittee(s) must ensure adequate supplies are available at all times to clean up discharged materials and that an appropriate disposal method is available for recovered spilled materials. The Permittee(s) must report and clean up spills immediately as required by Minn. Stat. § 115.061, using dry clean up measures where possible.  

 3. Vehicle and equipment washing: If the Permittee(s) wash the exterior of vehicles or equipment 

on the project site, washing must be limited to a defined area of the site. Runoff from the washing area must be contained in a sediment basin or other similarly effective controls and waste from the washing activity must be properly disposed of. The Permittee(s) must properly use and store soaps, detergents, or solvents. No engine degreasing is allowed on site. 

 4. Concrete and other washouts waste: The Permittee(s) must provide effective containment for 

all liquid and solid wastes generated by washout operations (concrete, stucco, paint, form release oils, curing compounds and other construction materials) related to the construction activity. The liquid and solid washout wastes must not contact the ground, and the containment must be designed so that it does not result in runoff from the washout operations or areas. Liquid and solid wastes must be disposed of properly and in compliance with MPCA rules. A sign must be installed adjacent to each washout facility that requires site personnel to utilize the proper facilities for disposal of concrete and other washout wastes. 

 IV.G.  FINAL STABILIZATION  The Permittee(s) must ensure Final Stabilization of the site. Final Stabilization is not complete until all requirements of Parts IV.G.1‐5. are complete:  1.  All soil disturbing activities at the site have been completed and all soils are stabilized by a 

uniform perennial vegetative cover with a density of 70 percent of its expected final growth density over the entire pervious surface area, or other equivalent means necessary to prevent soil failure under erosive conditions.  

2.  The permanent stormwater management system is constructed, meets all requirements in     Part III.D. and is operating as designed. Temporary or permanent sedimentation basins that are 

to be used as permanent water quality management basins have been cleaned of any accumulated sediment. All sediment has been removed from conveyance systems and ditches are stabilized with permanent cover. 

 3.  All temporary synthetic and structural erosion prevention and sediment control BMPs (such as 

silt fence) have been removed on the portions of the site for which the Permittee(s) is/are responsible. BMPs designed to decompose on site (such as some compost logs) may be left in place. 

 4.  For residential construction only, individual lots are considered finally stabilized if the 

structure(s) are finished and temporary erosion protection and downgradient perimeter control has been completed and the residence has been sold to the homeowner. Additionally, the Permittee has distributed the MPCA’s “Homeowner Fact Sheet” to the homeowner to inform 

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the homeowner of the need for, and benefits of, permanent cover.  

5.  For construction projects on agricultural land (e.g., pipelines across crop, field pasture or range land) the disturbed land has been returned to its preconstruction agricultural use. 

 PART V.  GENERAL PROVISIONS 

 V.A.  APPLICABILITY CRITERIA 

 1. If the Commissioner determines that pollution in stormwater discharges associated with a 

construction activity are contributing to a violation of a water quality standard or due to specific site considerations rendering a substantial portion of the requirements of this permit impossible to comply with, and the Commissioner determines that the construction activity would be more appropriately regulated by an individual permit, the Commissioner may terminate coverage under this general permit and require the owner and operator to continue the construction activity subject to an individual stormwater discharge permit. Upon issuance of an individual permit, this general permit would no longer apply. Prior to termination of coverage under this general permit, the Commissioner will provide notice and an opportunity to request a contested case hearing. 

 2. If the terms and conditions of this general permit cannot be met, an owner may request an 

individual permit, in accordance with Minn. R. 7001.0210 subp. 6.  

3.  Any interested person may petition the MPCA to require an individual NPDES/SDS permit in accordance with 40 CFR 122.28(b)(3). 

 V.B. RECORD AVAILABILITY  1. The Permittee(s) must make the SWPPP, including all certificates, reports, records, or other 

information required by this permit, available to federal, state, and local officials within 72 hours upon request for the duration of the permit and for three (3) years following the NOT. This does not include any records after submittal of the NOT.  

2. When requested by the MPCA, the Permittee(s) must make the responsible person trained as required in Part III.F.1.b. or Part III.F.1.c. available to be onsite during an MPCA inspection within 72 hours of a request. 

 V.C.   PROHIBITIONS 

   This permit prohibits discharges of any material other than stormwater treated in compliance with 

this permit and discharges from dewatering or basin draining activities in accordance with Part IV.D.1.‐2. Prohibited discharges include (but are not limited to) wastewater from washout of concrete, stucco, paint, form release oils, curing compounds and other construction materials, fuels, oils, or other pollutants used in vehicle and equipment operation and maintenance, soaps or solvents used in vehicle and equipment washing and maintenance, and other hazardous substances or wastes. 

 V.D.  TRANSFER OF OWNERSHIP OR CONTROL  

 

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  This permit may not be assigned or transferred by the Permittee(s) except when transfer occurs in accordance with the applicable requirements of Part II.B.5.   

V.E.   CIVIL AND CRIMINAL LIABILITY  

  Nothing in this permit must be construed to relieve the Permittee(s) from civil or criminal penalties for noncompliance with the terms and conditions provided herein. Nothing in this permit must be construed to preclude the initiation of any legal action or relieve the Permittee(s) from any responsibilities, liabilities, or penalties to which the Permittee(s) is/are or may be subject to under Section 311 of the Clean Water Act and Minn. Stat. § 115 and 116, as amended. The Permittee(s) is/are not liable for permit requirements for activities occurring on those portions of a site where the permit has been transferred to another party as required in Part II.B.5. or the Permittee(s) has/have submitted the NOT as required in Part II.C. 

 V.F.   SEVERABILITY 

   The provisions of this permit are severable. If any provision of this permit, or the application of any 

provision of this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the remainder of this permit must not be affected thereby. 

  

V.G.  NPDES/SDS RULE STANDARD GENERAL CONDITIONS      The Permittee(s) must comply with the provisions of Minn. R. 7001.0150, subp. 3 and Minn.    R. 7001.1090, subp. 1(A), 1(B), 1(C), 1(H), 1(I), 1(J), 1(K), and 1(L).  

V.H. INSPECTION AND ENTRY  

The Permittee(s) must allow access as provided in 40 CFR 122.41(i) and Minn. Stat. § 115.04. The Permittee(s) shall allow representatives of the MPCA or any member, employee or agent thereof, when authorized by it, upon presentation of credentials, to enter upon any property, public or private, for the purpose of obtaining information or examination of records or conducting surveys or investigations. 

 APPENDIX A  A. GENERAL REQUIREMENTS    All requirements in this Appendix are in addition to BMPs already specified in the permit. Where 

provisions of Appendix A, conflict with requirements elsewhere in the permit, the provisions in Appendix A take precedence. All BMPs used to comply with this Appendix must be documented in the SWPPP for the project. If the terms and conditions of this Appendix cannot be met, an individual permit will be required in accordance with Minn. R. ch. 7001. 

 B. REQUIREMENTS FOR DISCHARGES TO SPECIAL WATERS AND IMPAIRED WATERS    Additional BMPs and enhanced runoff controls identified in this Part are required for discharges to 

the following special waters (Part B.1 through B.9 of Appendix A) and impaired waters (Part B.10 of Appendix A). The BMPs identified for each special or impaired water are required for those areas of 

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the project draining to a discharge point on the project that is within one mile (aerial radius measurement) of special or impaired water and flows to that special or impaired water. 

 1. Wilderness areas: Boundary Waters Canoe Area Wilderness; Voyageurs National Park; Kettle 

River from the site of the former dam at Sandstone to its confluence with the Saint Croix River; Rum River from Ogechie Lake spillway to the northernmost confluence with Lake Onamia. Discharges to these waters must incorporate the BMPs outlined in C.1., C.2., and C.3. of this Appendix. 

 2. Mississippi River: Those portions from Lake Itasca to the southerly boundary of Morrison County 

that are included in the Mississippi Headwaters Board comprehensive plan dated February 12, 1981. Discharges to these waters must incorporate the BMPs outlined in C.1., C.2. and C.3. of this Appendix. 

 3. Scenic or recreational river segments: Saint Croix River, entire length; Cannon River from 

northern city limits of Faribault to its confluence with the Mississippi River; North Fork of the Crow River from Lake Koronis outlet to the Meeker‐Wright county line; Kettle River from north Pine County line to the site of the former dam at Sandstone; Minnesota River from Lac qui Parle dam to Redwood County State Aid Highway 11; Mississippi River from County State Aid Highway 7 bridge in Saint Cloud to northwestern city limits of Anoka; and Rum River from State Highway 27 bridge in Onamia to Madison and Rice streets in Anoka. Discharges to these waters must incorporate the BMPs outlined in C.1., C.2. and C.3. of this Appendix. 

 4. Lake Superior: (Prohibited and restricted) Discharges to Lake Superior must incorporate the 

BMPs outlined in C.1., C.2. and C.3. of this Appendix.  5. Lake Trout Lakes: Identified in Minn. R. 7050.0470, including those inside the boundaries of the 

Boundary Waters Canoe Area Wilderness and Voyageurs National Park. Discharges to these waters must incorporate the BMPs outlined in C.1., C.2., and C.3. of this Appendix. 

 6. Trout Lakes: Identified in Minn. R. 6264.0050, subp. 2. Discharges to these waters must 

incorporate the BMPs outlined in C.1., C.2., and C.3., of this Appendix.  7. Scientific and natural areas: Boot Lake, Anoka County; Kettle River in sections 15, 22, 23, T 41 N, 

R 20, Pine County; Pennington Bog, Beltrami County; Purvis Lake‐Ober Foundation, Saint Louis County; waters within the borders of Itasca Wilderness Sanctuary, Clearwater County; Iron Springs Bog, Clearwater County; Wolsfeld Woods, Hennepin County; Green Water Lake, Becker County; Blackdog Preserve, Dakota County; Prairie Bush Clover, Jackson County; Black Lake Bog, Pine County; Pembina Trail Preserve, Polk County; and Falls Creek, Washington County. Discharges to these waters must incorporate the BMPs outlined in C.1., C.2., and C.3. of this Appendix. 

 8. Trout Streams: Listed in Minn. R. 6264.0050, subp. 4. Discharges to these waters must 

incorporate the BMPs outlined in C.1., C.2., C.3., and C.4. of this Appendix.  

9. Calcareous Fens: Listed in Minn. R 7050.0180 subp.6b. Discharges to these Calcareous Fens must incorporate the BMPs outlined in C.1. and C.2. of this Appendix.  

10. Impaired Waters: Waters identified as impaired under section 303 (d) of the federal Clean Water 

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Act for phosphorus (nutrient eutrophication biological indicators), turbidity, dissolved oxygen or aquatic biota (fish bioassessment, aquatic plant bioassessment and aquatic macroinvertebrate bioassessment). 

 a. Impaired Water Without an Approved TMDL or With an Approved TMDL and No Waste Load 

Allocation:  

  If runoff from the site discharges to an impaired water, and a TMDL has not been approved by USEPA or there is a USEPA approved TMDL that does not establish a Waste Load Allocation (WLA) for construction stormwater, discharges to these waters must incorporate the BMPs outlined in C.1. and C.2. of this Appendix. 

 b. Impaired Water With an Approved TMDL and WLA:    If runoff from the site discharges to an impaired water for which there is a USEPA approved 

TMDL that establishes a WLA for construction stormwater, and the TMDL does not identify any specific implementation activities that would apply to the site discharges, discharges to these waters must incorporate the BMPs outlined in C.1. and C.2. of this Appendix. 

 If the TMDL identifies specific implementation activities regarding construction stormwater that would apply to the site discharges, the Permittee(s) must include the following in the SWPPP: 

 i.  Identify the receiving water, the areas of the site discharging to it, and the pollutant(s) 

identified in the TMDL and  ii.  BMPs identified in the TMDL and any other specific construction stormwater related 

implementation activities identified in the TMDL.  Note on impaired waters listing terminology: The terms in parenthesis in Appendix A, Part B.10. above are the most current terminology used to list waters as impaired at the time of permit issuance. These terms are subject to change. For example, at one time waters were listed as impaired for phosphorus and now those same waters are listed as impaired for nutrient eutrophication biological indicators. If the terminology changes for one of the pollutant(s) or stressor(s) identified in the permit, the MPCA will keep a list of the new terms on its construction stormwater website.  

 C. ADDITIONAL BMPS FOR SPECIAL WATERS AND IMPAIRED WATERS  

For the BMPs described in C.2., and C.4. of this Appendix:  Where the proximity to bedrock precludes the installation of any of the permanent stormwater management practices outlined in Appendix A, other treatment (such as grassed swales, smaller ponds, or grit chambers) is required prior to discharge to surface waters.  For work on linear projects with lack of right‐of‐way where the Permittee(s) cannot obtain an easement or other permission for property needed to install treatment systems capable of treating the entire water quality volume on site, the Permittee(s) must maximize the water quality volume that can be treated prior to discharge to surface waters.  Treatment can be provided through other 

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methods or combination of methods such as grassed swales, filtration systems, smaller ponds or grit chambers prior to discharge to surface waters. A reasonable attempt must be made to obtain right‐of‐way during the project planning process. Documentation of these attempts must be in the SWPPP per Part III.A.5.m. in the section addressing infeasibility. 

 1.  During construction:  

a. Stabilization of all exposed soil areas must be initiated immediately to limit soil erosion but in no case completed later than seven (7) days after the construction activity in that portion of the site has temporarily or permanently ceased. 

 b. Temporary sediment basin requirements described in Part III.C. must be used for common 

drainage locations that serve an area with five (5) or more acres disturbed at one time.  

2. Post construction: The water quality volume that must be retained on site by the project’s permanent stormwater management system described in Part III.D. shall be one (1) inch of runoff from the new impervious surfaces created by the project. See Part III.D.1. for more information on infiltration design, prohibitions and appropriate site conditions.   

3.  Buffer zone: The Permittee(s) shall include an undisturbed buffer zone of not less than 100 linear feet from the special water (not including tributaries) and this buffer zone shall be maintained at all times, both during construction and as a permanent feature post construction, except where a water crossing or other encroachment is necessary to complete the project. The Permittee(s) must fully document the circumstance and reasons that the buffer encroachment is necessary in the SWPPP and include restoration activities. Replacement of existing impervious surface within the buffer is allowed under this permit. All potential water quality, scenic and other environmental impacts of these exceptions must be minimized by the use of additional or redundant BMPs and documented in the SWPPP for the project. 

 4.  Temperature Controls: The Permittee(s) must design the Permanent Stormwater Management 

System such that the discharge from the project will minimize any increase in the temperature of trout stream receiving waters resulting from the one (1)‐and two (2)‐year 24‐hour precipitation events. This includes all tributaries of designated trout streams within the Public Land Survey System (PLSS) Section that the trout stream is located. Projects that discharge to trout streams must minimize the impact using one or more of the following measures, in order of preference: 

 a. Minimize new impervious surfaces.  b. Minimize the discharge from connected impervious surfaces by discharging to vegetated 

areas, or grass swales, and through the use of other non‐structural controls.  c. Infiltration or other volume reduction practices  to reduce runoff in excess of pre‐project 

conditions (up to the two (2)‐year 24‐hour precipitation event).  d. If ponding is used, the design must include an appropriate combination of measures such as 

shading, filtered bottom withdrawal, vegetated swale discharges or constructed wetland treatment cells that will limit temperature increases. The pond should be designed to draw down in 24 hours or less. 

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 e. Other methods that will minimize any increase in the temperature of the trout stream. 

 D. REQUIREMENTS FOR DISCHARGING TO WETLANDS    If the project has any discharges with the potential for significant adverse impacts to a wetland, 

(e.g., conversion of a natural wetland to a stormwater pond) the Permittee(s) must demonstrate that the wetland mitigative sequence has been followed in accordance with D.1 or D.2 of this Appendix. 

 1.  If the potential adverse impacts to a wetland on a specific project site have been addressed by 

permits or other approvals from an official statewide program (U.S. Army Corps of Engineers 404 program, Minnesota DNR, or the State of Minnesota Wetland Conservation Act) that are issued specifically for the project and project site, the Permittee(s) may use the permit or other determination issued by these agencies to show that the potential adverse impacts have been addressed. For the purposes of this permit, deminimus actions are determinations by the permitting agency that address the project impacts, whereas a non‐jurisdictional determination does not address project impacts. 

 2.  If there are impacts from the project that are not addressed in one of the permits or other 

determinations discussed in Appendix A, Part D.1. (e.g., permanent inundation or flooding of the wetland, significant degradation of water quality, excavation, filling, draining), the Permittee(s) must minimize all adverse impacts to wetlands by utilizing appropriate measures. Measures used must be based on the nature of the wetland, its vegetative community types and the established hydrology. These measures include in order of preference: 

 a. Avoid all significant adverse impacts to wetlands from the project and post‐project 

discharge.  

b. Minimize any unavoidable impacts from the project and post‐project discharge.  

c. Provide compensatory mitigation when the Permittee(s) determine(s) that there is no reasonable and practicable alternative to having a significant adverse impact on a wetland. For compensatory mitigation, wetland restoration or creation shall be of the same type, size and whenever reasonable and practicable in the same watershed as the impacted wetland. 

 E.  DISCHARGES REQUIRING ENVIRONMENTAL REVIEW    This permit does not replace or satisfy any environmental review requirements, including those 

under the Minnesota Environmental Policy Act or the National Environmental Policy Act. The owner must verify that any environmental review required by law, including any required Environmental Assessment Work sheets or Environmental Impact Statements, Federal environmental review, or other required review is complete before making application for coverage under this permit, and the owner must incorporate any stormwater mitigation measures required as the result of any environmental review into the SWPPP for the project. If any part of your common plan of development or sale requires environmental review, coverage under this permit cannot be obtained until such environmental review is complete. 

 F.  DISCHARGES AFFECTING ENDANGERED OR THREATENED SPECIES  

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   This permit does not replace or satisfy any review requirements for endangered or threatened 

species, from new or expanded discharges that adversely impact or contribute to adverse impacts on a listed endangered or threatened species, or adversely modify a designated critical habitat. The owner must conduct any required review and coordinate with appropriate agencies for any project with the potential of affecting threatened or endangered species, or their critical habitat. 

 G.  DISCHARGES AFFECTING HISTORIC PLACES OR ARCHEOLOGICAL SITES     This permit does not replace or satisfy any review requirements for historic places or archeological 

sites, from new or expanded discharges that adversely affect properties listed or eligible for listing in the National Register of Historic Places or affecting known or discovered archeological sites. The owner must be in compliance with National Historic Preservation Act and conduct all required review and coordination related to historic preservation, including significant anthropological sites and any burial sites, with the Minnesota Historic Preservation Officer. 

 APPENDIX B. – DEFINITIONS  1. “Aerial radius measurement” means the shortest straight line distance measurement between the 

point of stormwater discharge from a project construction site to the nearest edge of the water body the stormwater will flow to. This measurement does not follow the meander flow path. 

 2. “Best Management Practices (BMPs)” means the most effective and practicable means of erosion 

prevention and sediment control, and water quality management practices that are the most effective and practicable means of to control, prevent, and minimize degradation of surface water, including avoidance of impacts, construction‐phasing, minimizing the length of time soil areas are exposed, prohibitions, pollution prevention through good housekeeping, and other management practices published by state or designated area‐wide planning agencies. 

   Individual BMPs found in this permit are described in the current versions of Protecting Water 

Quality in Urban Areas, MPCA and The Minnesota Stormwater Manual, MPCA. BMPs must be adapted to the site and can be adopted from other sources. However, they must be similar in purpose and at least as effective and stringent as MPCA’s BMPs. (Other sources include manufacturers specifications, Storm Water Management for Construction Activities: Developing Pollution Prevention Plans and Best Management Practices, U.S. Environmental Protection Agency 1992, and Erosion Control Design Manual, Minnesota Department of Transportation, et al, 1993). 

 3. “Commissioner” means the Commissioner of the MPCA or the Commissioner's designee.  4. “Common Plan of Development or Sale” means a contiguous area where multiple separate and 

distinct land‐disturbing activities may be taking place at different times, on different schedules, but under one proposed plan. One plan is broadly defined to include design, permit application, advertisement or physical demarcation indicating that land‐disturbing activities may occur. 

 5. “Construction Activity” includes construction activity as defined in 40 C.F.R. pt. 122.26(b)(14)(x) and 

small construction activity as defined in 40 C.F.R. pt. 122.26(b)(15) and construction activity as defined by Minn. R. 7090.0080, subp. 4. This includes a disturbance to the land that results in a change in the topography, existing soil cover (both vegetative and non‐vegetative), or the existing soil topography that may result in accelerated stormwater runoff, leading to soil erosion and 

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movement of sediment into surface waters or drainage systems. Examples of construction activity may include clearing, grading, filling, and excavating. Construction activity includes the disturbance of less than one acre of total land area that is a part of a larger common plan of development or sale if the larger common plan will ultimately disturb one (1) acre or more. Construction activity does not include a disturbance to the land of less than five (5) acres for the purpose of routine maintenance that is performed to maintain the original line and grade, hydraulic capacity, or original purpose of the facility.  

 6. “Dewatering” means the removal of surface or ground water to dry and/or solidify a construction 

site to enable construction activity. Dewatering may require a Minnesota Department of Natural Recourses water appropriation permit and, if dewatering water is contaminated, discharge of such water may require an individual MPCA NPDES/SDS permit. 

 7. “Energy Dissipation” means methods employed at pipe outlets to prevent erosion caused by the 

rapid discharge of water scouring soils. Examples include, but are not limited to: concrete aprons, riprap, splash pads, and gabions that are designed to prevent erosion.  

8. “Erosion Prevention” means measures employed to prevent erosion. Examples include but not limited to: soil stabilization practices, limited grading, mulch, temporary erosion protection or permanent cover, and construction phasing. 

 9. “Final Stabilization” means required actions in Part IV.G. taken after the completion of construction 

activities and prior to submitting the NOT that are intended to prevent discharge of pollutants associated with stormwater discharges from the project.  

10.  “Homeowner Fact Sheet” means a fact sheet developed by the MPCA and available on the MPCA Construction Stormwater website to be given to homeowners at the time of sale by a builder to inform the homeowner of the need for, and benefits of, Final Stabilization. 

 11. “Infeasible” means not technologically possible or not economically practicable and achievable in 

light of the best industry practices.  

12. “Initiated immediately” means taking an action to commence stabilization as soon as practicable, but no later than the end of the work day, following the day when the earth‐disturbing activities have temporarily or permanently ceased, if the Permittee(s) know that construction work on that portion of the site will be temporarily ceased for 14 or more additional calendar days or 7 calendar days where Appendix A.C.1.a applies. The following activities can be taken to initiate stabilization: 

 1. prepping the soil for vegetative or non‐vegetative stabilization 

 2. applying mulch or other non‐vegetative product to the exposed soil area 

 3. seeding or planting the exposed area 

 4. starting any of the activities in # 1 – 3 on a portion of the area to be stabilized, but not on the 

entire area and  

5. finalizing arrangements to have stabilization product fully installed in compliance with the applicable deadline for completing stabilization 

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 13. “Impervious Surface” means a constructed hard surface that either prevents or retards the entry of 

water into the soil and causes water to run off the surface in greater quantities and at an increased rate of flow than prior to development.  Examples include rooftops, sidewalks, patios, driveways, parking lots, storage areas, and concrete, asphalt, or gravel roads.  

14. “National Pollutant Discharge Elimination System (NPDES)” means the program for issuing, modifying, revoking, reissuing, terminating, monitoring, and enforcing permits under the Clean Water Act (Sections 301, 318, 402, and 405) and United States Code of Federal Regulations Title 33, Sections 1317, 1328, 1342, and 1345.  

15. “Natural Buffer” means an area of undisturbed cover surrounding surface waters within which construction activities are restricted. Natural buffer includes the vegetation, exposed rock, or barren ground that exists prior to commencement of earth‐disturbing activities.    

16. “Normal Wetted Perimeter” means the area of a conveyance, such as a ditch, channel, or pipe that is in contact with water during flow events that are expected to occur from a two‐year 24‐hour storm event.  

17. “Notice of Termination (NOT)” means notice to terminate coverage under this permit after construction is complete, the site has undergone Final Stabilization, and maintenance agreements for all permanent facilities have been established, in accordance with all applicable conditions of this permit. 

 18. “Operator” means the person designated by the owner, who has day to day operational control 

and/or the ability to modify project plans and specifications related to the SWPPP. The operator must be named on the permit as a Permittee. 

 19. “Owner” means the person or party possessing the title of the land on which the construction 

activities will occur; or if the construction activity is for a lease, easement, or mineral rights license holder, the party or individual identified as the lease, easement or mineral rights license holder; or the contracting government agency responsible for the construction activity. 

 20. “Permanent Cover” means surface types that will prevent soil failure under erosive conditions. 

Examples include: gravel, asphalt, concrete, rip rap, roof tops, perennial cover, or other landscaped material that will permanently arrest soil erosion. A uniform perennial vegetative cover ( i.e. evenly distributed, without large bare areas) with a density of 70 percent of the native background vegetative cover for the area must be established on all unpaved areas and areas not covered by permanent structures, or equivalent permanent stabilization measures. Permanent cover does not include the practices listed under temporary erosion protection.  

21. “Permittee(s)” means the person or persons, firm, or governmental agency or other entity that signs the application submitted to the MPCA and is responsible for compliance with the terms and conditions of this permit.   

22. “Project(s)” means all construction activity that is planned and/or conducted under a particular permit. The project will occur on the site or sites described in the permit application, the SWPPP and in the associated plans, specifications and contract documents. 

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 23. “Public Waters” means all water basins and watercourses that are described in Minn. Stat. § 

103G.005 subd. 15.  

24. “Saturated Soil” means the highest seasonal elevation in the soil that is in a reduced chemical state because of soil voids being filled with water Saturated soil is evidenced by the presence of redoximorphic features or other information.  

25. “Sediment Control” means methods employed to prevent sediment from leaving the site. Sediment control practices include silt fences, sediment traps, earth dikes, drainage swales, check dams, subsurface drains, bio rolls, rock logs, compost logs, storm drain inlet protection, and temporary or permanent sedimentation basins. A floating silt curtain placed in the water is not a sediment control BMP to satisfy perimeter control requirements, except as provided for in Part IV.C.2.  

26. “Stabilize, Stabilized, Stabilization” means the exposed ground surface has been covered by appropriate materials such as mulch, staked sod, riprap, erosion control blanket, mats or other material that prevents erosion from occurring. Grass, agricultural crop or other seeding alone is not stabilization. Mulch materials must achieve approximately 90 percent ground coverage (typically 2 ton/acre). 

 

27. “Standard details” means generic drawings showing a common or repeated construction activity or practice. 

 28. “Stormwater” is defined under Minn. R. 7077.0105, subp. 41(b), and includes precipitation runoff, 

stormwater runoff, snowmelt runoff, and any other surface runoff and drainage.  29. “Steep Slopes” means slopes that are 1:3 (V:H) (33.3 percent) or steeper in grade. 

 30. “Storm Water Pollution Prevention Plan (SWPPP)” means a plan for stormwater discharge that 

includes all required content under Part III of this Permit and which describes the erosion prevention BMPs, sediment control BMPs and Permanent Stormwater Management Systems that, when implemented, will decrease soil erosion on a parcel of land and decrease off‐site nonpoint pollution. 

 31. “Surface Water or Waters” means all streams, lakes, ponds, marshes, wetlands, reservoirs, springs, 

rivers, drainage systems, waterways, watercourses, and irrigation systems whether natural or artificial, public or private, except that surface waters do not include treatment basins or ponds that were constructed from upland. Treatment basins or ponds that were constructed in wetlands and mitigated in accordance with Appendix A.D are also not considered surface waters for purposes of this permit. 

 32. “Temporary Erosion Protection” means methods employed to prevent erosion during construction 

activities. Examples of temporary erosion protection include, but are not limited to: straw, wood fiber blanket, wood chips, vegetation, mulch, and rolled erosion control products. 

 33. “Underground Waters” means water contained below the surface of the earth in the saturated zone 

including, without limitation, all waters whether under confined, unconfined, or perched conditions, in near surface unconsolidated sediment or regolith, or in rock formations deeper underground. The term ground water shall be synonymous with underground water. 

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 34. “Waters of the State” (as defined in Minn. Stat. § 115.01, subd. 22) means all streams, lakes, ponds, 

marshes, watercourses, waterways, wells, springs, reservoirs, aquifers, irrigation systems, drainage systems and all other bodies or accumulations of water, surface or underground, natural or artificial, public or private, which are contained within, flow through, or border upon the state or any portion thereof. 

 35. “Water Quality Volume” means one (1) inch of runoff from the new impervious surfaces created by 

this project (calculated as an instantaneous volume) and is the volume of water to be treated in the Permanent Stormwater Management System, as required by this permit.  

36. “Wetland” or “Wetlands” is defined in Minn. R. 7050.0186, subp. 1a.B. and includes those areas that are inundated or saturated by surface water or groundwater at a frequency and duration sufficient to support, and that under normal circumstances do support, a prevalence of vegetation typically adapted for life in saturated soil conditions. Wetlands generally include swamps, marshes, bogs, and similar areas. Constructed wetlands designed for wastewater treatment are not waters of the state. Wetlands must have the following attributes: 

 a. A predominance of hydric soils 

 b. Inundated or saturated by surface water or groundwater at a frequency and duration sufficient 

to support a prevalence of hydrophytic vegetation typically adapted for life in a saturated soil condition and  

c. Under normal circumstances support a prevalence of such vegetation.