HomeMy WebLinkAboutWPO201300068 Permit 2016-05-01 Notice of Termination
General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10)
(Please Type or Print All Information)
1. Construction Al ctivity Operator:
Name: 'Pi 1OSt 1 ftpry!t5 LLC
Contact: g .A , C)nti. "n ,
Mailing Address: L(v1� c• Alto(V-{k b -_ E 5 t)-7
City: Ckf to.ijitScl;I(e State: VA Zip: da qO d Phone: y3 Li YDR Del d-7
Email address (if available). (XC-kW\ JG , -o.jo5 Jk l!lomt's, Cory)
2. Name and Location of the Construction Activity: (As listed on the Registration Statement.)
Name:.JGL>fn 60i%\ . l3 CLJL S I do
Address (if available): C-0(11(1 - Fi't (.\1)A l� F t7cA.;t 'Sao l'o,'r'f " (?�DbS 17ee t1/Cco 0
City: C`\r,((o1-C.5(-'.Ile State: 1'A Zip: J -qO I
County (if not located within a City): t)1{x'mV(I
qw,Latitude (decimal degrees): 3 g° 6' 5 I. l iI 1( 'i A) 3� i r Longitude(decimal degrees): �7�1�' j,)1 3•6-)b 1 ,L-"
3. General Permit Registration Number: k ACLAD • 167 74•S45 VI'(
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 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:
(l 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 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: i:p,c.,(ic.(
Date Functional: '..,I\12L e 14
Address(if available): Lai i t ; 4 (-ou!I' A
City: CIotlo'�'}QSV,ile State: i!4 Zip: (}cc.
County (if not located within a City): liy?frlQ4I Z 4
Latitude (decimal degrees): 35 0�1� -?5 Longitude (decimal degrees): - 7 S.. 10117
Receiving Water: 6r1 (lt3fir(I 4-f kLk(\,J ot Ae- S[?i'4'R c-o(f6 1,dc•/1/1U Total Acres Treated: :44). 1-0... 0 Impervious Acres Treated: 0• 0 q( '--z' • Ce
01/2014
Page 1 of 2
Permanent Control Measure#2
Type,of PerrnaneritCentrolMeastire: i
-bate Functionab ...
Address'Cif.availablej: . • -
C
City: ,State; _ ZIP: 2...
CTOnnty(if not located within a City):-
. • ,,
ii
i
Latitude(decline!degrees): _ Longitude(decimal degrees)i
13ccektingyVater:- . _
Total Acres Treated. Impervious Acres Treated:-
. . . I
Permanent'Contiol.Measure#3
Type of Permanent Control Measure
Date Fundtionab, -
Address.(itavailable):
City:; _
_ - tate: Zip:t-
_
County(if not located within a City): .
. .,
LatitUde,(deCiMaltdegreeS):- Longitude
Receiving Water . . . . . . . .
- _
:Total Acita Treated: _ _ Iraperyfous AcresTreatedf,
6.: Participation;in a Regional Siorrnweter Management pleni'.(Wherl:'applieibleirifOrMatiOn related to the participation in',a
regional itormwatth'inariegenept plan Atiacheseparateiiatitarlditionalispace ieneeded.)
Regionaraormwater Management Facility
Type of Regional Stormwater Management EaCili
Address(ilaVailable)f - _ - . .
• .
City: . ......._ - State: . Zip:
. -
County(if not located within eCity)::
Latitude(decimal degrees): Longitude(decimal degrees):
-fetal Site Acres Treated:- - .zimperciouiSite Acres Treated:- . . _.
-..
7. Perpetual Nutrient Credits: (VVhen applicablel information related to perpetual nutrient credits that were in'accordance
With§62.1-44.1 S:35 of the Code of Virginia:Attath a-sepàratp Het if additional Spadeis needed),
Nonpoint Nutrient Credit Generating Ent*
Name: 1 . . K
.
Perpetual NOtrieritCredits'Acquired(lbstacreiy.eai): i
, . .
8. Certification:"certify under penaltyCf lawthat I haire read and understand thi&Notice of Termination and thatthis 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 imprisonmeritforinowing violations!'
Printed Neale: line: OtOlec ' — OS 11 thme5:1 el c
At ei
Signature: - — Date: /01)4117(Please erg n:1fr.K. -This CertificatiOn mudt be signed by the appropriate person associated with the operptor Identified in
o44:
Item#1)
b1/2014 Page 2 cif 2
408A
tiNE
illO
COUNTY OF ALBEMARLE
Community Development
401 McIntire Road
Charlottesville,Virginia 229024596
(434)296-5832
EROSION CONTROL PERMIT
Date of Application: 10/28/2013
4/28/2014 Number: WPO-2013-00068
Permit Effective Date:
A Joseph Homes,LLC
LANDOWNER: 827 Nalle Street Phone: (434)409-0927
Charlottesville,VA 22903
CONTRACTOR: Backhoe Bob's Inc. Phone: (434)589-4806
177 Zion Park Road
Troy,VA 22974
RESPONSIBLE Darrin Dwelois Phone: (434)589-4806
LAND 177 Zion Perk Road
DISTURBER: Troy,VA 22974
Certification/License No.: 34433 Type: RLD
Plans Prepared by: Shimp Engineering,PC
Plans Dated: 10/8/2013 Last Revised: 12/12/2013
Plans Entitled: Erosion and Sediment Control Plan for Location: 800 ft of the intersection of Woodlands Rd
Houndstooth-TMP04300-00-00-03800 and Free Union Rd
Dist.Acreage 2.2
Tax Map 43 Parcel:38
Hydrologic Unit H23
Issued by: Kenny Thacker Title: Erosion Control Officer
Signature C\=Ys� Date „5.40,0/ /4/