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HomeMy WebLinkAboutWPO201700043 Permit WPO VSMP 2018-09-26 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: Rrvt 11001eS Contact: Pau I M�i Mailing Address: 106 s ' ePSo/f( T. 1 City: CJ1grlo tkes ur lit State: VA- Zip:)?yo 1 Phone: 1-"3 y 3 P ? / 7/J Email address(if available): pKoffel (y /v 1f�.I�[ j (0�1 2. Name and Location of thee Construction Activity: (As listed on the Registration Statement.) C Name: 4/r1fct O1,Yr/o Address(if available): Swtscit AtK FjoftKet d City: C tic1 State: V4 Zip: 903 County(if not located within a City): 141 Merit Latitude(decimal degrees): 3 j, 00 4/"YV , Longitude (decimal degrees): "^7Q . 5 b/O/9 3. General Permit Registration Number: vAg 10 fC ' 9 -; 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.) Si 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; ❑ 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 l l /I Type of Permanent Control Measure: © v/ 1 — 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: 01/2014 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: iJ S eT c11 C z620 6D2v 20 60004 Address(if available): City: State: Zip: County(if not located within a City): ,;u _ Latitude(decimal degrees): 3 • r 4-6i Longitude(decimal degrees): 9 ' 6 5 Total Site Acres Treated: /o,9/ 6iC . Impervious Site Acres Treated: Z (P QC 7. Perpetual Nutrient Credits: (When applicable, information related to perpetual nutnent 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 �r t Name: r 1 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. J ' `G � 1'"1 k/Cf Title: VP Signature: /j— Date: (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 COUNTY OF ALBEMARLE Community Development 401 McIntire Road Charlottesville, Vriginia 22902-4596 (434) 296-5832 EROSION CONTROL PERMIT Date of Application: 06/05/2017 Permit Effective Date: 08/24/2017 Number: WPO -2017-00043 LANDOWNER: FORGE FARM LLC Phone: 195 RIVERBEND DRIVE CHARLOTTESVILLE VA229I 1 CONTRACTOR: RYAN HOMES Phone: (434) 328-8697 1885 SEMINOLE TRAIL CHARLOTTESVILLE VA22901 REPONSIBLE LAND PAUL KOPPEL Phone: (434) 328-8697 DISTURBER: 1885 SEMINOLE TRAIL CHARLOTTESVILLE VA22901 Certification/License #: 24308 Type: Responsible Land Disturber Plans Prepared By: COLLINS ENGINEERING Plans Dated: 04/05/2017 Last Revised: 04/05/2017 Plans Entitled: SUNSET OVERLOOK TOWNHOMES - E&S PLAN Location: Dist. 0.61 Acreage: Tax Map: 07600-00-00-05200 Hydrological JR15 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 issuance. Issued By: Kenny Thacker Title: Erosion Control Officer ignature Date