HomeMy WebLinkAboutWPO201800019 Other 2018-09-25Surface Water Impact Certification
Statement of Basis
I understand that any surface water or wetland impacts associated with this project, including any
subsequent modifications or additions thereto, may require specific authorization from DEQ under the
Virginia Water Protection Permit Program before any such impacts are taken. I also understand that
impacting surface waters including wetlands without a permit, when such a permit is required, may
subject the project proponent to enforcement action for violations of State Law and/or Regulation. As
such, I have used due diligence in assessing the presence of surface waters, including wetlands, on the
project site to ensure that no unauthorized impacts are associated with the proposed project.
This assessment included the following (please check all that apply):
0 USACE Confirmed Jurisdictional Determination
Q On-site evaluation by a qualified wetland professional
NRCS Soil Maps
0 National Wetland Inventory Maps
USGS Topographic Maps
0 Other (please specify) NWI Map shows R4SBC (Riverine, intermittent, streambed, seasonally flooded).
Based on this review, I hereby certify that:
E:1 No surface waters or wetlands exist on the property.
0✓ Surface waters or wetlands exist on the property but no impacts to those regulated areas will
occur as a result of this project.
0 Surface waters or wetlands will be impacted but those impacts are exempted from permit
requirements per 9 VAC 25-210-60. Please cite specific exemption:
No impact; this natural -method stream restoration project is anticipated to enhance aquatic /wetland values.
Surface waters or wetlands will be impacted and have been permitted by the DEQ and/or the
AUSACE. Copies of these permits are attached.
Printed Name and Title
Date
Surface Water Impact Certification
Statement of Basis
I understand that any surface water or wetland impacts associated with this project, including any
subsequent modifications or additions thereto, may require specific authorization from DEQ under the
Virginia Water Protection Permit Program before any such impacts are taken. I also understand that
impacting surface waters including wetlands without a permit, when such a permit is required, may
subject the project proponent to enforcement action for violations of State Law and/or Regulation. As
such, I have used due diligence in assessing the presence of surface waters, including wetlands, on the
project site to ensure that no unauthorized impacts are associated with the proposed project.
This assessment included the following (please check all that apply):
0 USACE Confirmed Jurisdictional Determination
0 On-site evaluation by a qualified wetland professional
0 NRCS Soil Maps
0 National Wetland Inventory Maps
0 USGS Topographic Maps
0 Other (please specify) NWI Map: offsite R4SBC (Riverine, intermittent, streambed, seasonally flooded).
Based on this review, I hereby certify that:
0 No surface waters or wetlands exist on the property.
0✓ Surface waters or wetlands exist on the property but no impacts to those regulated areas will
occur as a result of this project.
0 Surface waters or wetlands will be impacted but those impacts are exempted from permit
requirements per 9 VAC 25-210-60. Please cite specific exemption:
Project consists of restoration of a failed stormwater management facility > 0.1 Mi. from R4SBC resource.
0 Surface waters or wetlands will be impacted and have been permitted by the DEQ and/or the
U,SACE. Copies of these permits are attached.
7 4 r
Date
Printed Name and Title
Surface Water Impact Certification
Statement of Basis
I understand that any surface water or wetland impacts associated with this project, including any
subsequent modifications or additions thereto, may require specific authorization from DEQ under the
Virginia Water Protection Permit Program before any such impacts are taken. I also understand that
impacting surface waters including wetlands without a permit, when such a permit is required, may
subject the project proponent to enforcement action for violations of State Law and/or Regulation. As
such, I have used due diligence in assessing the presence of surface waters, including wetlands, on the
project site to ensure that no unauthorized impacts are associated with the proposed project.
This assessment included the fallowing (please check all that apply):
F-71 USACE Confirmed Jurisdictional Determination
F_ On-site evaluation by a qualified wetland professional
0 NRCS Soil Maps
0 National Wetland Inventory Maps
0 USGS Topographic Maps
0 Other (please specify) NWI Map /JD show R4SBC (Riverine, intermittent, streambed, seasonally flooded).
Based on this review, I hereby certify that:
0 No surface waters or wetlands exist on the property.
0 Surface waters or wetlands exist on the property but no impacts to those regulated areas will
occur as a result of this project.
E] Surface waters or wetlands will be impacted but those impacts are exempted from permit
requirements per 9 VAC 25-210-60. Please cite specific exemption:
Temp. impact; natural -method stream restoration project is anticipated to enhance aquatic /wetland values.
0 Surface waters or wetlands will be impacted and have been permitted by the DEQ and/or the
I USACE. Copies of these permits are attached.
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Z
irature Date
Printed Name and Title