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WPO201600012 Permit WPO VSMP 2017-09-22
Notice of Termination General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR70) (Please Type or Print All Information) 1. Construction Activity Operator: I Name: p.rrllIn 'ail Contact: a, r.'dIL Mailing Address: 10 2 q Pie o.s 4- tleSce.4 Voce., �( E City: t?arral's ()Li State: (/A Zip: ,Ms'y l Phone: 1 Oii{_3if /'iS ? Email address(if available): 151A3rAe.<9 li1uaavot1(04\5r►tck-ktr1 ,(11)IM 2. Name and Location of the Construction Activity: (As listed on the Registration Statement.) Name: Loild' torL b,�t,cn 14-4f,9c►,i Address (if available)): I c`'' , ✓.y .' /1-1.441 City. C E 1a tt!Ls a l Ile State: VA Zip: 29i/ County(if not located within a City): A l L_M a✓ t✓t (o w� �. Latitude(decimal degrees): 13 .S Longitude(decimal degrees): '7 S., 41S1.7 3. General Permit Registration Number: UAlt 10 S 214 4. Reason for Terminating Coverage Under the General Permit: (The operator shall submit a Notice of Termination after one or more of the following conditions have been met.) KI A. Necessary permanent control measures included in the SWPPP for the site are in place and functioning effectively and final stabilization has been achieved on all portions of the site for which the operator is responsible. When applicable, long-term responsibility and maintenance requirements for permanent control measures shall be recorded in the local land records prior to the submission of a notice of termination; 0 B.Another operator has assumed control over all areas of the site that have not been finally stabilized and obtained coverage for the ongoing discharge; ❑ C.Coverage under an alternative VPDES or state permit has been obtained,or 0 D. For residential construction only, temporary soil stabilization has been completed and the residence has been transferred to the homeowner. The notice of termination should be submitted no later than 30 days after one of the above conditions being met.Authorization to discharge terminates at midnight on the date that the notice of termination is submitted for the conditions set forth in subsections B through D above, unless otherwise notified by the VSMP authority or the Department. Termination of authorizations to discharge for the conditions set forth in subsection A above shall be effective upon notification from the Department that the provisions of subsection A have been met or 60 days after submittal of the notice of terminations,whichever occurs first. 5. Permanent Control Measures Installed: (When applicable, a list of the on-site and off-site permanent control measures (both structural and nonstructural)that were installed to comply with the stormwater management technical criteria. Attach a separate list if additional space is needed.) Permanent Control Measure#1 Type of Permanent Control Measure: ��P rd.-6;4`6Ln Date Functional:, 1/6 /10 1 ?- Address(if available) _,�}y, ►ivy )r ' _ City: -w�o l .16 State: tJ 4 Zip: ,) 9 l d County(if not located within a City): latitude(decimal degrees): 3'V. 1 3 0,2 Longitude(decimal degrees): 7f. LIS/ 2 Receiving Water: Solicit, f v -L Lj.v Total Acres Treated: �^ 3,1 Impervious Acres Treated: o. 0112014 Pagel of 2 Permanent Control Measure#2 Type of Permanent Control Measure: N1 Date Functional: Address(if available): City: State: Zip:. County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): Receiving Water: Total Acres Treated: Impervious Acres Treated: Permanent Control Measure#3 Type of Permanent Control Measure: Date Functional: Address (if available): City: State: County(if not located within a City) Latitude(decimal degrees): Longitude(decimal degrees): Receiving Water: Total Acres Treated: Impervious Acres Treated: 6. Participation In a Regional Stormwater Management Plan: (When applicable, information related to the participation in a regional stormwater management plan. Attach a separate list if additional space is needed.) Regional Stormwater Management Facility Type of Regional Stormwater Management Facility: Address(if available): City: State: Zip: County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): Total Site Acres Treated: _ . _ Impervious Site Acres Treated: 7. Perpetual Nutrient Credits: (When applicable, information related to perpetual nutrient credits that were acquired in accordance with§62.1-44.15:35 of the Code of Virginia.Attach a separate list if additional space is needed.) Nonpoint Nutrient Credit Generating Entity Name. A,/A Perpetual Nutrient Credits Acquired(lbs/acre/year):, B. Certification: "I certify under penalty of law that I have read and understand this Notice of Termination and that this document and all attachments were prepared in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment for knowing violations." Printed Name' C--�r�--t n" 1 Title: Latif- LP. DP ~1)rS Signature' Date: g1=�f7 (Please sign in INK. This Certification must be signed by the appropriate person associated with the operator Identified in Item#1.) 01/2014 Page 2 of 2 • Instructions for Completing the Notice of Termination General VDPES Permit for Discharges of Stormwater from Construction Activities (VAR10) GENERAL b. The dale that the permanent control measure became functional A Notice of Termination must be submitted when an operator no longer as a post-development stormwater management control; wishes to be covered under the General VPDES Permit for Discharges of Stormwater from Construction Activities(VAR10). c, The street address (if available), City or County (if not located within a City)of the permanent control measure; All Notice of Terminations should be submitted to: d The latitude and longitude In decimal degrees of the approximate Department of Environmental Quality center of the permanent control measure; Office of Stormwater Management,1061 Floor P.O.Box 1105 e.The receiving water of the permanent control measure;and Richmond,VA 23218 f. The number of total and impervious acres treated by the LINE-BY-LINE INSTRUCTIONS permanent control measure(to the nearest one-tenth of an acre) Item 1: Construction Activity Operator Information. Attach a separate list If additional space Is needed. Provide the legal name(do not use a colloquial name),contact,mailing Item 6: Participation in a Regional Stormwater Management Plan address, telephone number, and email address (if available) of the (when applicable). construction activity operator that was issued general permit coverage For each Regional Stormwater Management Facility provide the Item 2: Name and Location of the Construction Activity following information Information. a The type of regional facility to which the site contributes, Provide the official name,street address(if available),city or county(if not located within a City)of the construction activity. Also,provide the b, The street address (if available), City or County (if not located latitude and longitude in decimal degrees of the approximate center of within a City)of the regional facility: the construction activity (e.g., N 37.5000, W 77.5000). NOTE: This information can be obtained from the previously submitted Registration c The latitude and longitude in decimal degrees of the approximate Statement. center of the regional facility;and Item 3:General Permit Registration Number. d. The number of total and impervious site acres treated by the regional facility(to the nearest one-tenth of an acre). Provide the existing general permit registration number for the construction activity identified in Item 2. Attach a separate list if additional space is needed. Item 4:Reason for Termination. Item 7:Perpetual Nutrient Credits(when applicable). Indicate the appropriate reason for submitting this Notice of Provide the following information related to perpetual nutrient credits Termination. The Notice of Termination may only be submitted after that were acquired in accordance with §62.1-44.15:35 of the Code of one or more of the following conditions have been met. Virginia: a. Necessary permanent control measures included in the SWPPP a. The name of the nonpoint nutrient credit generating entity from for the site are in place and functioning effectively and final which perpetual nutrient credits were acquired;and stabilization has been achieved on all portions of the site for which the operator is responsible,When applicable.long-term resoonsibility b, The number of perpetual nutrient credits acquired (lbs per acre and maintenance requirements for permanent control measures shall per year). be recorded in the local land records prior to the submission of a notice of termination; Attach a separate list if additional space is needed. b. Another operator has assumed control over all areas of the site Item 8:Certification. that have not been finaily stabs zed and obtained coverage for the ongoing discharge; A properly authorized individual associated with the operator identified in Item 1 of the Registration Statement Is responsible for certifying and c Coverage under an alternative VPDES or state permit has been signing the Registration Statement. Please sign the Registration obtained;or Statement In INK. d, For residential construction only, temporary soil stabilization has State statutes provide for severe penalties for submitting false been completed and the residence has been transferred to the information on the Registration Statement. State regulations require homeowner. that the Registration Statement be signed as follows: The Notice of Termination should be submitted no later than 30 days a For a corporation: by a responsible corporate officer For the after one of the above conditions being met. purpose of this part,a responsible corporate officer means. Item 5: Permanent Control Measures(when applicable). (i) A president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function,or any other For each on-site and off-site permanent control measure (both person who performs similar policy-making or decision-making structural and non-structural) that was installed to comply with the functions for the corporation,or stormwater management technical criteria provide the following information' (ii) the manager of one or more manufacturing, production, or operating facilities, provided the manager is authorized to make a The type of permanent control measure; management decisions that govern the operation of the regulated 012014 Page 1 of 2 facility including having the explicit or implicit duty of making major capital investment recommendations. and initiating and directing other comprehensive measures to assure longterm compliance with environmental laws and regulations;the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures b. For a partnership or sole proprietorship: by a general partner or the proprietor,respectively. c. For a municipality,state,federal,or other public agency by either a principal executive officer or ranking elected official For purposes of this part,a principal executive officer of a public agency includes (i)The chief executive officer of the agency,or (ii) A senior executive officer having responsibility for the overall operations of a principal geographic un4 of the agency • 0112014 Page 2 of 2 oy County of Albemarle Department of Community Development 401 McIntire Road, Charlottesville,VA,22902 434-296-5832 Memorandum To: Kirk Hughes From: Christopher P.Perez,Senior Planner Division: Planning Date: November 2,2017 Subject: SUB201700165 Phase 1 &2 Village Square Property Owners Association-Easement Plat The County of Albemarle Planning Division will grant or recommend approval of the easement plat referenced above once the following comments have been addressed: [Each comment is preceded by the applicable reference,which is to the Subdivision/Zoning Ordinances unless otherwise specified.] 1. [14-303(A)(4)] Easements. The"New 10'Greenway Access Trail Easement", shall be labeled as private. 2. [14-302(A)] Vicinity Map. The vicinity map shall be of a scale to 1"=2,000' 3. [14-303(D)]Acreage of Lots. Provide the acreage of the lots. 4. [14-302(B)(5)]Zoning Classification. Label and depict the managed slopes overlay district. Parks and Recreation—Dan Mahon 1)The new greenway trail easement shall be labeled as "private" 2)A note shall be added to the plat to state the following: "The new 10'greenway trail easement shall be reserved for future dedication to public use upon demand of the County". Engineering Review—Matthew Wentland -Engineering has no objection,but would like to see the proposed grading and trail details as part of the Village Square LOR. ACSA-Alex Morrison No objection. Staff has provided references to the County Code.The Code is kept up-to-date by the County Attorney's office and may be found at www.albemarle.org/countycode.In accord with the provisions of Section 14-229(B)of Chapter 14,if the applicant fails to submit a revised plat to address all of the requirements within six(6)months after the date of this letter,then the application shall be deemed voluntarily withdrawn.Please contact Christopher Perez at the Division of Current Development at cperez@albemarle.org or 434-296-5832 ext. 3443 for further information. Notice of Termination General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10) (Please Type or Print All Information) 1. Construction Activity Operator: Name: 14ce,n 1m on5-t-r,.4.vt-'ar1 Contact: or c r,aUz Mailing Address: !0a q Pit Coc ,,rr l City: 14w-r,'Sn n Q State: 1/A Zip: S'G�I Phone:_ISqO I 3f- '/qs 9 Email address(if available): y(160c:C1.e_©IINt vV,afl(o, rut kkbY.1 ,((91N1 2. Name and Location of the Construction Activity: (As listed on the Registration Statement.) Name: . M OIL 'ti .‘J.1 .at Address (if available): ;W City: C cw.1Q 110 u:1t&' State: Vel Zip: .29// County(if not located within a City): A(/ t i salt! (Qs,-t e Latitude(decimal degrees): ;'c. (3p.S 7 Longitude(decimal degrees): 3. General Permit Registration Number: VAlt (0 1 219 4. Reason for Terminating Coverage Under the General Permit: (The operator shall submit a Notice of Termination after one or more of the following conditions have been met.) gi A. Necessary permanent control measures included in the SWPPP for the site are in place and functioning effectively and final stabilization has been achieved on all portions of the site for which the operator is responsible. When applicable, long-term responsibility and maintenance requirements for permanent control measures shall be recorded in the local land records prior to the submission of a notice of termination; ❑ B. Another operator has assumed control over all areas of the site that have not been finally stabilized and obtained coverage for the ongoing discharge; O C. Coverage under an alternative VPDES or state permit has been obtained;or ❑ D. For residential construction only, temporary soil stabilization has been completed and the residence has been transferred to the homeowner. The notice of termination should be submitted no later than 30 days after one of the above conditions being met. Authorization to discharge terminates at midnight on the date that the notice of termination is submitted for the conditions set forth in subsections B through 0 above, unless otherwise notified by the VSMP authority or the Department. Termination of authorizations to discharge for the conditions set forth in subsection A above shall be effective upon notification from the Department that the provisions of subsection A have been met or 60 days after submittal of the notice of terminations, whichever occurs first. 5. Permanent Control Measures Installed: (When applicable, a list of the on-site and off-site permanent control measures (both structural and nonstructural)that were installed to comply with the stormwater management technical criteria. Attach a separate list if additional space is needed.) Permanent Control Measure#1 Type of Permanent Control Measure, B"t7 fr1 Date Functional: 1/6 / 20 11// Address (if available): S ,t t l'+1�'%-'ti f City 611 (0 State: J 4 zip: 4 I 1 County(if not located within a City): /41,4E r+ U !C Latitude(decimal degrees): ' t� 3 V. 1 3 0. Longitude(decimal degrees): 7g. yci.2 Receiving Water: �jc�%LAN Fv L k ,v,a t+1c► :mac. Total Acres Treated: _-3 Li Impervious Acres Treated: 01/2014 Page 1 of 2 Permanent Control Measure#2 Type of Permanent Control Measure: /v!A Date Functional: Address(if available): City: State: Zip:._ County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): Receiving Water: Total Acres Treated: Impervious Acres Treated. Permanent Control Measure#3 Type of Permanent Control Measure: LVIA Date Functional: Address (if available): City: State: Zip: County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): Receiving Water: Total Acres Treated: Impervious Acres Treated: 6. Participation in a Regional Stormwater Management Plan: (When applicable, information related to the participation in a regional stormwater management plan. Attach a separate list if additional space is needed.) Regional Stormwater Management Facility Type of Regional Stormwater Management Facility: /V/A Address(if available): City: State: Zip: County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): Total Site Acres Treated: Impervious Site Acres Treated: 7. Perpetual Nutrient Credits: (When applicable, information related to perpetual nutrient credits that were acquired in accordance with§62.1-44.15:35 of the Code of Virginia.Attach a separate list if additional space is needed.) Nonpoint Nutrient Credit Generating Entity Name. N'/4 Perpetual Nutrient Credits Acquired(lbs/acre/year): _ 8. Certification:"I certify under penalty of law that I have read and understand this Notice of Termination and that this document and all attachments were prepared in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment for knowing violations" Printed Name. C- ,L� M 1S Title: 17tH.. LF. oParu0:- D o-S Signature: Cc�n.,.--e Date: cl( tl (Please sign in INK. This Certification must be signed by the appropriate person associated with the operator identified in Item#1.) 01/2014 Page 2 of 2 Instructions for Completing the Notice of Termination General VDPES Permit for Discharges of Stormwater from Construction Activities (VAR10) GENERAL b. The dale that the permanent control measure became functional A Notice of Termination must be submitted when an operator no longer as a post-development stormwater management control; wishes to be covered under the General VPDES Permit for Discharges of Stormwater from Construction Activities(VAR10). c. The street address (if available), City or County (if not located within a City)of the permanent control measure; All Notice of Terminations should be submitted to: d The latitude and longitude in decimal degrees of the approxrnate Department of Environmental Quality center of the permanent control measure; Office of Stormwater Management,10'n Floor P.O.Box 1105 e The receiving water of the permanent control measure;and Richmond,VA 23218 f. The number of total and impervious acres treated by the LINE-BY-LINE INSTRUCTIONS permanent control measure(to the nearest one-tenth of an acre) Item 1: Construction Activity Operator Information. Attach a separate list if additional space Is needed. Provide the legal name(do not use a colloquial name),contact,mailing Item 6: Participation In a Regional Stormwater Management Plan address, telephone number, and email address (if available) of the (when applicable). construction activity operator that was issued general permit coverage For each Regional Stormwater Management Facility provide the Item 2: Name and Location of the Construction Activity following information:' Information. a The type of regional facility to which the site contributes; Provide the official name,street address(if available),city or county(if not located within a City)of the construction activity. Also, provide the b. The street address (if available), City or County (if not located latitude and longitude in decimal degrees of the approximate center of within a City)of the regional facility: the construction activity (e.g., N 37.5000, W 77.5000). NOTE: This information can be obtained from the previously submitted Registration c The latitude and longitude in decimal degrees of the approximate Statement. center of the regional facility;and Item 3:General Permit Registration Number. d. The number of total and impervious site acres treated by the regional facility(to the nearest one-lenth of an acre). Provide the existing general permit registration number for the construction activity identified in Item 2. Attach a separate list if additional space is needed. Item 4:Reason for Termination. Item 7:Perpetual Nutrient Credits(when applicable). Indicate the appropriate reason for submitting this Notice of Provide the following information related to perpetual nutrient credits Termination, The Notice of Termination may only be submitted after that were acquired in accordance with §62.1-44.15:35 of the Code of one or more of the following conditions have been met. Virginia: a. Necessary permanent control measures included in the SWPPP a The name of the nonpoint nutrient credit generating entity from for the site are in place and functioning effectively and final which perpetual nutrient credits were acquired;and stabilization has been achieved on all portions of the site for which the operator Is responsible.When applicable.long-term responsibility b. The number of perpetual nutrient credits acquired (lbs per acre and maintenance requirements for permanent control measures shall per year) be recorded in the local land records prior to the submission of a notice of termination; Attach a separate list if additional space is needed. b. Another operator has assumed control over all areas of the site Item 8:Certification. that have not been fina,ty stabilized and obtained coverage for the ongoing discharge; A properly authorized individual associated with the operator identified in Item 1 of the Registration Statement is responsible for certifying and c Coverage under an alternative VPDES or state permit has been signing the Registration Statement. Please sign the Registration obtained;or Statement In INK. d. For residential construction only, temporary soil stabilization has State statutes provide for severe penalties for submitting false been completed and the residence has been transferred to the information on the Registration Statement. State regulations require homeowner. that the Registration Statement be signed as follows: The Notice of Termination should be submitted no later than 30 days a For a corporation: by a responsible corporate officer. For the after one of the above conditions being met. purpose of this part,a responsible corporate officer means Item 5: Permanent Control Measures(when applicable). (i) A president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function,or any other For each on-site and off-site permanent control measure (both person who performs similar policy-making or decision-making structural and non-structural) that was installed to comply with the functions for the corporation,or stormwater management technical criteria provide the following information' (ii) the manager of one or more manufacturing, production, or operating facilities, provided the manager is authorized to make a The type of permanent control measure; management decisions that govern the operation of the regulated 012014 Page 1 of 2 • facility including having the explicit or implicit duty of making major capital investment recommendations and Initiating and directing other comprehensive measures to assure long-term compliance with environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures b. For a partnership or sole proprietorship: by a general partner or the proprietor,respectively. c. For a municipality,state, federal, or other public agency by either a principal executive officer or ranking elected official For purposes of this part,a principal executive officer of a public agency includes (i)The chief executive officer of the agency,or (ii) A senior executive officer having responsibility for the overall operations of a principal geographic unit of the agency 01(2014 Page 2 of 2 Notice of Termination General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10) (Please Type or Print All Information) 1. Construction Activity Operator: Name- 14ran t .4.11 Contact &a.ru Mailing Address. 10. .. r .. . 1 I i City_.. air, r i aa-a State_._ .' .,.,.._ Zip -2 2 l w., Phone d)113 y J/q-9 Email address(if available). ,LL e ♦ ;%.• a . . s,i u 2. Name and Lication of the Construction Activity:(As listed on the Registration Statement.) Name t Of IL Address(if available). ) ),...i'tao City , ;; a !!®:11 State. v4 Zip: 2,29j/ County(if not located within a City): At f ^ esu tr a,�s Latitude(decimal degrees) = a 1 3 .S7 Longitude(decimal degrees) 3. General Permit Registration Number: VA (0 I 21g 4. Reason for Terminating Coverage Under the General Permit: (The operator shall submit a Notice of Termination after one or more of the following conditions have been met.) A Necessary permanent control measures included in the SWPPP for the site are in place and functioning effectively and final stabilization has been achieved on all portions of the site for which the operator is responsible. When applicable, long-term responsibility and maintenance recruirements for permanent control measures shall be recorded in the local land records prior to the submission of a notice of termination; 0 B.Another operator has assumed control over all areas of the site that have not been finally stabilized and obtained coverage for the ongoing discharge; C.Coverage under an alternative VPDES or state permit has been obtained;or D For residential construction only, temporary soil stabilization has been completed and the residence has been transferred to the homeowner. The notice of termination should be submitted no later then 30 days after one of the above conditions being met.Authorization to discharge terminates at midnight on the date that the notice of termination is submitted for the conditions set forth in subsections B through D above, unless otherwise notified by the VSMP authority or the Department. Termination of authorizations to discharge for the conditions set forth in subsection A above shall be effective upon notification from the Department that the provisions of subsection A have been met or 80 days after submittal of the notice of terminations, whichever occurs first. 5. Permanent Control Measures Installed: (When applicable, a list of the on-site and off-site permanent control measures (both structural and nonstructural)that were installed to comply with the stormwater management technical criteria.Attach a separate list if additional space is needed.) Permanent Control Measure#1 Type of Permanent Control Measure: Date Functional: 1/6 2 Q (1- Address Address(if available}:_ Av Cityff�� r �;� �d#,F� �r..1t� . . ...._Slate �v4 zip: ._,2,2.41j County(if not located within a City): ,.., .-'t, , aa Latitude(decimal degrees):m �._31 3_0 r Longitude(decimal degrees): 71. Receiving Water .r v 1, 1 f✓�,#r cap _ .pb ... I Total Acres Impervious Acres Treated; C,J. 74, 0112814 Page 1 of 2 Permanent Control Measure#2 Type of Permanent Control Measure: Date Functional Address(if available): City: State; . Zip: _.. County(if not located within a City). Latitude(decimal degrees): Longitude(decimal degrees): Receiving Water: Total Acres Treated: Impervious Acres Treated Permanent Control Measure#3 Type of Permanent Control Measure Date Functional Address(if available): City: State Zip'., County(if not located within a City) Latitude(decimal degrees): Longitude(decimal degrees) Receiving Water Total Acres Treated: Impervious Acres Treated 6. Participation in a Regional Stormwater Management Plan: (When applicable, information related to the participation in a regional stormwater management plan.Attach a separate list if additional space is needed.) Regional Stormwater Management Facility Type of Regional Stormwater Management Facility: Address(if available):_ City: State Zip: County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): Total Site Acres Treated: ., Impervious Site Acres Treated: 7. Perpetual Nutrient Credits: (When applicable, information related to perpetual nutrient credits that were acquired in accordance with§62 1-44 15:35 of the Code of Virginia. Attach a separate list if additional space is needed.) Norwoint Nutrient Credit Generating Entity Name. it /A Perpetual Nutrient Credits Acquired(lbs/acre/year). �m 8. Certification:"'I certify under penalty of law that I have read and understand this Notice of Termination and that this document and all attachments were prepared in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate,and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment for knowing violations" Printed Name. Ger,r7 rt—t " Title: -Out- t tPS'aiL to Signature rDate: 4a4t? (Please sign In INK. This Certification must be signed by the appropriate person associated with the operator identified in Item#1.) 01/2014 Page 2 of 2 Instructions for Completing the Notice of Termination General VDPES Permit for Discharges of Stormwater from Construction Activities (VAR10) GENERAL b.The dale that the permanent control measure became functional A Notice of Termination must be submitted when an operator no longer as a post-development stormwater management control, wishes to be covered under the General VPDES Permit for Discharges of Stormwater from Construction Activities(VAR10). c The street address (if available), City or County (if not located within a City)of the permanent control measure; All Notice of Terminations should be submitted to: d The latitude and longitude in decimal degrees of the approx male Department of Environmental Quality center of the permanent control measure: Office of Stormwater Management,10'^Floor P.O.Box 1105 e The receiving water of the permanent control measure,and Richmond,VA 2::218 f The number of total and impervious acres treated by the LINE-BY-LINE INSTRUCTIONS permanent control measure(to the nearest one-tenth of an acre) Item 1: Construction Activity Operator Information. Attach a separate list if additional space is needed, Provide the legal name(do not use a colloquial name),contact,mailing Item 6: Participation in a Regional Stormwater Management Plan address, telephone number, and email address (if available) of the (when applicable), construction activity operator that was issued general permit coverage For each Regional Stormwater Management Facility provide the Item 2: Name and Location of the Construction Activity following information Information. a The type of regional facility to wlech the site contributes, Provide the official name,street address(if available),city or county(if not located within a City)of the construction activity. Also,provide the b The street address (if available) C ty or County (if riot located latitude and longitude in decimal degrees of the approximate center of within a City)of the regional fac`,lity: the construction activity (e.g., N 37,5000, W 77.5000), NOTE: This information can be obtained from the previously submitted Registration c The latitude and longitude in decimal degrees of the approximate Statement, center of the regional facility and Item 3:General Permit Registration Number, d. The number of total and impervious site acres treated by the regional facility(to the nearest one-tenth of an acre). Provide the existing general permit registration number for the construction acUvty identified in Item 2. Attach a separate list if additional space is needed. Item 4:Reason for Termination. Item 7:Perpetual Nutrient Credits(when applicable). Indicate the appropriate reason for submitt ng this Notice of Provide the following information related to perpetual nutrient credits Termination. The Notice of Termination may only be submitted after that were acquired in accordance with §52.1-44.15:35 of the Code of one or more of the following conditions have been met. Virgin-a a Necessary permanent control measures included in the SWPPP a The name of the nonpoint nutrient credit generating entity from for the site are in place and functioning effectively and final which perpetual nutrient credits were acquired;and stabilization has been achieved on all portions of the site for which the operator Is responsible When applicable,Iona-term resoonsibility b The number of perpetual nutrient credits acquired (lbs per acre end maintenance requirements for permanent control measures sh II per year) be recorded in the local land records odor to the submission of a notice of termination' Attach a separate list if additional space is needed, b Another operator has assumed control over all areas of the site Item 8'Certification. that have not been fins:y stabi zaed and obtained coverage for the ongoing discharge' A properly authorized individual associated with the operator identified in Item 1 of the Registration Statement is responsible for certifying and c Coverage under an alternative VPDES or state permit has been signing the Registration Statement, Please sign the Registration obtained or Statement In INK. d For residential construction on y, temporary soil stabilization has State statutes provide for severe penalties for submitting false been completed and the residence has been transferred to the information on the Registration Statement. State regulations require homeowner that the Registration Statement be signed as follows: The Notice of Termination should be submitted no later than 30 days a For a corporation: by a responsible corporate officer For the after one of the above conditions being met. purpose of this part,a responsible corporate officer means Item 5: Permanent Control Measures(when applicable). (i) A president, secretary, treasurer, or vice-president of the corporation n charge of a principal business function,or any other For each on-site and off-site permanent control measure (both person who performs similar policy-making or decision-making structural and non structural) that was installed to comply with the functions for the corporation,or stormwater management technical criteria provide the following information' (ii) the manager of one or more manufacturing, production, or operating facilities, provided the manager is authorized to make a The type cf permanent control measure; management decisions that govern the operation of the regulated 012014 Page 1 012 facility including having the explicit or implicit duty of making major capital investment recommendations and Initiating and directing other comprehensive measures to assure longterm compliance with environmentai laws and regulations, the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures b. For a partnership or sole proprietorship by a general partner or the proprietor,respectively c. For a municipality. state federal,or other public agency by either a principal executive officer or ranking elected official For purposes of this part,a principal executive officer of a public agency Includes (i)The chef executive officer of the agency,or (il) A senior executive officer having responsibility for the overall operations of a principal geographic un t of the agency 01/2014 Page2of2 . , ; k , : r r a i �� 1 t, '. . '1,-.......4: `4 ti Sti �;� ��, ^: 1,{.i#r.0#£' t 6 r 4 4 r i I t ! j .�' 4 ; , yc°,.^ �f s-F yii, yF�a. K. ♦" 4'. 's x4 # ti.`",' .. 'V,' a i ..�°' " 1. • X• 4 7 �,r 1.444h . 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' . • d' ''` "'�.:, awn.-"' "' km '70 `- \ '' ; VI 111r '' - a k. "+.. ). %L., ..0,..........,...u.k.,,Z...,.,- Vif ....." ,", AP: tatioinj ip ii li 1 7. A :.:7- A �. n Iv ,+.'r# h, Y A ' _ o. Fp Y ay 4�fy'y.�y17T�Y�iyR� e"" e. i h 1 I. ; Y. +y d ter+ ,. Y Y,iil 1 1 ��xa��E t yam, 1t J J _,a ..,. C maga ADM, �iR1l7. ®�y, 9h ,�per'LJJL 91v „,- 7Liti�I i/f�i�idt! S 111 114 tY 't h' Y hh� yy�R F 1 r �r `�I+Y! POW S t k� * "i4 �a rr.a+ae��'a''syr- ..r. • .. 1 h 4 t ! i +S %./44 'w' s r'r � i 7 4a h 44, 4 .. yar"`.. a Jt. IliallINAMON RAMC UNCAP -.. 411111•111111•••=1111111 SYMBOL sctivirc "swot COMICIN waif Orman' w Oy ALj��, 'tel COUNTY OF ALBEMARLE Community Development 401 McIntire Road Charlottesville,Vriginia 22902-4596 (434)296-5832 EROSION CONTROL PERMIT Date of Application: 02/19/2016 Permit Effective Date: 06/08/2016 Number: WPO-2016-00012 LANDOWNER: Charlottesville-Albemarle Airport Authority Phone: 201 Bowen Loop Charlottesville,VA22911 CONTRACTOR: Harman Construction,Inc. Phone: (540)434-4459 1024 Pleasant Valley Road Harrisonburg,VA22801 REPONSIBLE LAND Harman Construction,Inc.-Gary McBride Phone: (540)434-4459 DISTURBER: 1024 Pleasant Valley Road Harrisonburg,VA22801 Certification/License#: 42052 Type: Responsible Land Disturber Plans Prepared By: Balzer And Associates Inc. Plans Dated: 10/26/2015 Last Revised: 03/22/2016 Plans Entitled: Landmark Aviation Hangar Location: Dist. 1.97 Acreage: Tax Map: 03200-00-00-01000 Hydrological JR08 Unit: Issued By: Kenny Thacker Title:Erosion Control Officer Signature Date COMMONWEALTH of VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY Street address: 629 East Main Street, Richmond, Virginia 23219 Mailing address: P.O. Box 1105, Richmond, Virginia 23218 www.deq.virginia.gov Molly Joseph Ward Secretary of Natural Resources David K. Paylor Director (804) 698-4000 1-800-592-5482November 16, 2017 Harman Construction Inc Gary McBride 1024 Pleasant Valley Rd Harrisonburg, VA 22801 RE:Notice of Termination under the VPDES Construction General Permit (VAR10) General Permit No. VAR10I219 Landmark Aviation Hanger Transportation/Commercial Albemarle Dear Permittee: The Department of Environmental Quality (DEQ) has reviewed and approved your Notice of Termination received on September 22, 2017. Your termination of general permit coverage is effective upon the date of this letter unless you provide an objection in accordance with the paragraph below. As provided by Rule 2A:2 of the Supreme Court of Virginia, you have thirty (30) days from the date you received this decision within which to appeal this decision by filing a notice of appeal in accordance with the Rules of the Supreme Court of Virginia with the Director, Virginia Department of Environmental Quality. If you have any questions about this letter, please contact the DEQ Office of Stormwater Management at ConstructionGP@deq.virginia.gov. Sincerely, Frederick K. Cunningham, Director Office of Water Permits