HomeMy WebLinkAboutWPO200800037 Permit WPO VSMP 2018-08-30C3 AIS
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COUNTY OF ALBEMARLE
Community Development
401 McIntire Road
Charlottesville, Vriginia 22902-4596
(434)296-5832
EROSION CONTROL PERMIT
Date of Application:
04/08/2008
Permit Effective Date:
11/02/2018
Number:
WPO -2008-00037
DEQ Permit #: VAR10I648
LANDOWNER:
4F LLC / Atta Donnie Foster
Phone:
4349739079
2885 EARLYSVILLE ROAD
EARLYSVILLE VA22936
CONTRACTOR:
BBX Corporation
Phone:
(434) 53I-5548
2400 Rivercrest Drive
Charlottesville VA 2290I0000
REPONSIBLE LAND
G. Brad Booker
Phone:
(434) 531-5548
DISTURBER:
2400 Rivercrest Drive
Charlottesville, VA2290I
Cer ification/License #:
10878
Type:
Responsible Land Disturber
Plans Prepared By: Terra Concepts Attn Marty Silman
Plans Dated: 10/01/2018 Last Revised: 10/01/2018
Plans Entitled: EarIysville Business Park Location:
Dist. 9.2
Acreage:
Tax Map: 03100-00-00-021AO Hydrological 7808
Unit:
Additional Information:
Annual Maintenance Fees [Sections 17-207 & 208 of the Albemarle County Code] —Annual maintenance fees will be assessed in
March of every year this permit is active. Fees cannot be prorated after the first year of permit lssuance.
RMIM- i Rv- Kan— T'L-1 —
Title: Erosion Control Officer
7 /
Date
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Registration Statement
General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10)
(Please Type or Print All Information)
1. Construction Activity Operator: (General permit coverage will be issued to this operator. The Certification in Item #12 must be
signed by the appropriate person associated with this operator.)
Name:_
Contact: VOWNr76 F 0 ST ER
Mailing Address: 2 9 8 5 473aLYs(/IL 1.e, a Q�
City:ei34.0f1,./ br State: VA Zip12 ? Phone: t/3t{-' 78i/3G0
Email address (if available): (A Fr-as-ter w e Pi e ii cloud, Corr
• Indicate if DEQ may transmit general permit correspondence electronically: Yes ® No ❑
2. Existing General Permit Registration Number(for renewals only): i/A2/Gl2' G"9e
3. Name and Location of the Construction Activity:
Name: Earlysville Business Park VSMP
Address(if available): 395 Reas Ford Road
City: Earlysville State: VA Zip: 22936
County(if not located within a City): Albemarle
Latitude(decimal degrees): 38.141905 Longitude (decimal degrees): -78.495396
Name and Location of all Off-site Support Activities to be covered under the general permit:
Name: Not Applicable
Address (if available):
City: State: Zip:
County(if not located within a City):
Latitude(decimal degrees): Longitude (decimal degrees):
4. Status of the Construction Activity (check only one): Federal ❑ State n Public Private El
5. Nature of the Construction Activity (e.g., commercial, industrial, residential, agricultural, oil and gas, etc.):
Commercial
6. Name of the Receiving Water(s)and Hydrologic Unit Code (HUC):
Name South Fork Rivanna River Name:
HUC: JR08 HUC:
7. If the discharge is through a Municipal Separate Storm Sewer System (MS4), the name of the MS4 operator:
8. Estimated Project Start and Completion Date:
Start Date(mm/dd/yyyy): 09/01/2018 Completion Date (mm/dd/yyyy): 03/01/2019
9. Total Land Area of Development(to the nearest one-hundredth acre): 28.94 Acres
Estimated Area to be Disturbed (to the nearest one-hundredth acre): 9.20 Acres
10. Is the area to be disturbed part of a larger common plan of development or sale? Yes® No ❑
11. A stormwater pollution prevention plan (SWPPP) must be prepared in accordance with the requirements of the General
VPDES Permit for Discharges of Stormwater from Construction Activities prior to submitting this Registration Statement.
By signing this Registration Statement the operator is certifying that the SWPPP has been prepared.
12. Certification:"I certify under penalty of law that I have read and understand this Registration Statement 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 owing vi lations."
Printed Name: (0Gc)
Cf (& Title: P( ...5(...eJ
Signature: Date: .515'0 l l r
(Please sign in INK. This Certification must be signed by the appropriate person associated with the operator identified in
Item#1.)
07/2014
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