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Home My WebLink AboutWPO201800036 Correspondence 2019-06-04f VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM FOR OFFICE USE ONLYID ID Number: CONSTRUCTION ACTIVITIES (VAR30) REGISTRATION STATEMENT 2019 Technical Criteria: 11S ❑ lic ❑ NEW ISSUANCE G RE -ISSUANCE MODIFICATION WITH ACREAGE INCREASE C1 MODIFICATION WITHOUT ACREAGE INCREASE ❑ Existing Permit Coverage Number (if applicable-, VARIo####): VAR10L241 20f1? i Section 1. Operator/Permittee Information, i�rr A. Construction Activity Operator (Permittee). The person or entity that is applying for permit coverage and will have operational control over construction activities to ensure compliance with the general permit. A person with signatory authority for this operator must sign the certification in Section VI. (per Part Ili. K. of the VAR10 Permit). Construction Activity Operator Name: Stony Point Design Build LLC Contact person: Josh Batman Address: 200 Garreft St. Suite O City, state, Zip Code: Charlottesville, VA 22902 Phone Number: 434 941 5257 Primary Email: jbatman@stonypointdb.com CC Email: chenry@stonypointdb.com accounting@sEDnypointdb.c om B. Billing Information (leave blank if some as the Operator identified in Section 1. A. above). This entity will receive Annual Permit Maintenance and Permit Modification Fee invoices (if applicable). Name: Contact Person: Address: City, State Zip Code: Phone Number: Primary Email: CC Email: C. May we transmit correspondence electronically? You must choose YES and include a valid email In order to pay by credit card and to receive your permit coverage approval letter via email: YES G7 NO E Rev 04/2019 PAGE 1 ( 7 01 L 5 r• CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 Section If. Construction Activity Location Information. Project site information. A. Include a site map showing the location of the existing or proposed land -disturbing activities, the limits of land disturbance, construction entrances and all water bodies receiving stormwater discharges from the site. a. Construction Activity Name: Dunlora Park Lots 12, 13, 14, 22, 23 and 24 Townhomes Address: Varick St and Marin Ct City and/or County and Zip Codes Charlottesville, VA 22901 Latitude and Longitude Q (6-digit, decimal degrees format); L4T S g_D(n PU j 7 LdhlG� - 7 S, L711Wo � C. Construction Activity Entrance Location (description, street address and/or latitude/longitude in decimal degrees): Section Ill. Offsite Support Activity Location Information. List all offske support activities to be included under this permit registration. Enter additional areas on a separate page. Offsite areas not Included on this registration may need to obtain coverage under a separate VPDES permit. /I A. OFfsiteActivity Name:,! - Address: City and/or County and Zip Code: Latitude and Longitude (6digit, decimal degrees format): B. Offsite Activity Entrance Location (description, street address and/or latitude longitude in decimal degrees): Section IV. Site Information, A. Acreage totals for all land -disturbing activities to be included under this permit coverage. Report to the nearest one -hundredth of an acre. Total land area of development (including the entire area to be disturbed as approved in the Stormwater QD . Management Plan): Primary estimated area to be disturbed (portionswith i iD Erosion and Sediment Control. Plan approval onl Offsite estimated area to be disturbed (if applicable): !,UIA C. Property Owner Status: B. Estimated Project Dates Start date: Completion date: 1141/)S-12dil FEDERAL ❑ STATE ❑ PUBLIC ❑ PRIVATE V D. Nature of the Construction Activity Description (i.e. commercial, industrial, residential, agricultural, environmental): Residential E. Municipal Separate Storm Sewer System (MS4) name (if discharging to a MS4): Rev 04/2019 PAGE 2(7 PERMIT (VAR10) REGISTRATION STATEMENT 2019 F. Is this construction activity part of a common plan of development or sale? YES NO ❑ G. 6"' Order Hydrologic Unit Code (HUC) and Receiving Water Name(s). Attach a separate list If needed. HUC I RECEIVING WATERRODY(S) bZ o gat oyd y0 (_ I R)VA41 I Section V. Other Information. A. 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 erior to submitting the Registration Statement. By signing the Registration Statement, the operator Is certifying that the SWPPP has been prepared. B. Has an Erosion and Sediment Control Plan been submitted to the; VESCP Authority for review? YESVNO ❑ Erosion and Sediment Control Plan Approval Date (for estimated area to be disturbed).: h1Aat A+Ilk r A01 F C. Has land disturbance has commenced? YES izll NO D. If this project is using approved Annual Standards and Specifications (AS&S), attach the completed AS&S Entity Form. AS&S Entity Name (if different from the Operator identified in Section II. A.): SEE THE FOLLOWING PAGE FOR SIGNATURE AND CERTIFICATION REQUIREMENTS AND INFORMATION Revtk/1019 PAGE 3 17 CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 Section VI. Certification. A person representing the operator as identified in Section I. A. and meeting the requirements of 9VAC2"90-70. Part Ill. K must physically sign this certification. A typed signature is not acceptable. Please note that operator is defined in 9VAC25-870-10 as follows: ' Opemtor" means the owner or opemtorof anyfacilityiar activity subject to the Art and this chapter. in the context of stormwater associated with a large or small construction activity, operator means any person associated with a construction project that meets either of the following two criteria: fi) the person hos direct operational control over construction plans and specifications, including the ability to make modifications to those plans and speeiflcations or (ii) the person has day -today operational control of those activities at a project that are necessary to ensure compgonce with o stormwoter pollution prevention pion for the site or otherstate Permit or VSMPauthorttypermft conditions f1.e., they qre authorized to direct workers at a site to carry out activities required bythe storarwoter pollution prevention plan or comply with other permit conditions). In the context of stormwaterdischarges from Munldpol Seporate storm Sewer Systems (M54s), operator means the operatorof theregulatedM54 system. 9VAC25.880-70. Part IIL K. Signatory Requirements, Registration Statement. AgRegistration Statements shall be signed asfollows• a. For a corpomrlon: by a responsible corporate officer. For the purpose ofthis -chapter, o responsible corporate after means: (1) a president, secretary, treasurer, or Vice-president of the corporation in charge of a prindpaf business function, or any other person who performs similar policy -making or declsion-nwklog functlans for the corporation; or (11) the manager of one or more manufacturing, production, or operating fodlities, provided the manager is authorized to make management decisions that govern the operation of the regulated faciflty 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 environmentatlaws and regulanons,• the manager con ensure that the necessarysystems are established or actions taken to gather complete and accurat8 information for state 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 b general partner or the proprietor, respectively; or c. For a municipality, state, federal, or other parbfic agency: by either a principal executive officer or ranking elected official. Far purposes of this chapter, a principal executive officer of a pubfic agency includes., il) the chief executive officer of the agency or (4) a sen lor executive officer having;responsibifity for the overall operations of o principal geographic unit of the agency. Certification: "I certify under penalty of law that iihave 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 knowing violations." Printed Name: Signature (signed In Ink); Date: Section V11. Submittal Insti Authority. If the locality is the VSMP Authority, please send your Registration Statement submittal directly to the locality, do NOT send this form to DEQ. A Ilst oflocal VSMP Authorlties its available here: y5MP Authorities. If DFOIs the VSMP Authority, please send to: If the locality Is the VSMP Authority, please send to: Department of Environmental Quality Office of 5tormwater Management Suite 1400 PO Brut 1105 Richmond VA 23218 cos tignw@di i.Vi+.8I0ia.zo Rev04/2019 PAGE 17