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Home My WebLink AboutWPO201400059 Inspection Bond Inspection 2019-03-27 Internal Use Only Date Receised: Fee Paid: y OV ACti 1 Received by. al! ", Intake: Forssard to 4Ianagement analyst ®�_ 3/2q120/ v k'f\ \121 A" BOND INSPECTION REQUEST APPROVED PLAN # WPO-2014-59 PROJECT NAME: Briarwood Gas Station (As listed on the approved plan) This is to request that an inspection be performed by the County. Where fees are assessed, a fee is required for each inspection. Please check the inspections requested. 1 VSMPNESCP Erosion Control, Stormwater Management and/or Mitigation per Water Protection Ordinance section 17-207 & 208 $250 ❑ Subdivision (roads, drainage. etc.) per Subdivision Ordinance section 14-435 and 14-438; 5269 ❑ Water& Sewer per Subdivision Ordinance section 14-435 $269 ❑ Site Development Performance bond (Incomplete Site Work& Landscape Maintenance) $301 TOTAL FEES $250.00 Inspections for the purposes of bond reduction or release will require a separate fee for each bond. Submit requests to: Department of Community Development, 401 McIntire Road,North Wing. Charlottesville, VA 22902,Attention: Management Analyst- Phone 434-296-5832; Fax 434-972-4126. All roads and stormwater facilities will require construction record drawings, inspection reports. and completion processes through VDOT or DEQ. Bonds will not be reduced or released without record drawings and inspection documentation per the state requirements and county's published procedures. A minimum 20%of the original posting is held until acceptance of all bonded improvements. For Site Development Performance bonds, if landscape installation is part of the bonded incomplete site work, a request for reduction should only be made once all site work is complete. The revised estimate should be sent to; EMAIL: cabinhillhomes@out look.corn OR REGULAR MAIL ADDRESS: 2471 Cave Ridge Rd. Mt. Jackson, VA. 22842 Signature of Owner/Developer Print Name ate Revised 7/15/2014,7120/2015. 11'32015 Blackwell Engineering, PLC 566 East Market St.-Harrisonburg,Virginia 22801-(540)432-9555-www.8iadcwellEngineering.com March 25, 2019 Matt Wentland Albemarle County Engineering Department 401 McIntire Road Charlottesville, VA 22902 SUBJECT: Briarwood Gas Station/Convenience Store BE: 2459 Mr. Wentland: I have inspected the underground detention system at the Briarwood Gas Station/Convenience Store on Route 29. I found it to be installed and operating as designed. In addition, it has been cleaned as the attached photos show. If there are any questions or concerns,please call me. Cordially, a. eL. Edmond H. Blackwell, P.E. Civil Engineer CIVIL ENGINEERS SPECIALIZING IN LAND DEVELOPMENT,ENVIRONMENAL NEEDS AND CONSTUCTION MANAGEMENT SERVING COMMERCIAL,INDUSTRIAL AND MUNICIPAL CLIENTS BE: 2555 Page 12 MO 41 Z:\Civil\Workfile\2016(2544-)\2555-Acorn Industrial Park-Ken Kline\Project Documents • 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 Holtzman Oil Corp. Contact: Dexter Mumaw Mailing Address: P O. Box 8 City Mt.Jackson State VA Zip 22842 Phone 540-333-2479 Email address(if available): chh@shentel.net 2. Name and Location of the Construction Activity: (As listed on the Registration Statement.) Name Briarwood Gas Station Address(if available). Off of Seminole Trail and Briarwood Drive City Charlottesville State VA Zip 22911 County(if not located within a City). Albemarle Latitude(decimal degrees): 38 1591 Longitude(decimal degrees) -78.4183 3.General Permit Registration Number: 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, 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. Other(Filterra) Date Functional: 3/7-iilY' Address (if available). Off of Seminole Trail and Briarwood Drive City Cnarlottesvitie State. VA Zip 22911 County(if not located within a City) Albemarle Latituae(decimal degrees) 38 15898° Longitude(decimal degrees). -78 41847° Receiving VVater Herring Branch Total Acres Treated 0 40 Impervious Acres Treated: 0.37 VA t0io4 Permanent Control Measure#2 Type of Permanent Control Measure Other(Filterra) Date Functional: f- it-"7/1� Address(if available). City Charlottesville State- VA Zip. 22911 County(if not locatea within a City): Albemarle Latitude(decimal degrees) 38.15892° Longitude(decimal degrees) -78 41851° Receiving Water Herring Branch Total Acres Treated 0 48 Impervious Acres Treated. 0.48 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.) Nonpoint Nutrient Credit Generating Entity Name Perpetua' 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 tha-there are sign!ficant penalties for submitting false information including the possibility of fine and imprisonment for knowing violations" Printed Name Title Signature Date (Please sf3n in INK.This Certification must be signed by the appropriate person associated with the operator identified in Item #1.)