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Home My WebLink AboutWPO201900018 Other 2020-07-14VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR30) NOTICE OF TERMINATION 2019 Permit Coverage Number (VARI04119t : Section I. Operator/Permittee Information. The person or entity that has active permit coverage approval and 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 VII (per Part III. K. of the VAR 10 Permit). Construction Activity ��s Operator Name: PEA%3a)D`1 ScAll Contact Person: 61E44pao Address: S74w-7 A*$6 City, State, Zip Code: LM4rt6.VK1 ktix LA 2Z9o2 Phone Number: y3 a!-L9(_6 f01 Primary Email: _ oKt.trrw N P �n7 sc�c .atG CC Email: Section Il. Construction Activity Location Information. Project site information. /� Construction Activity Name: M0,92 S6h(aL Address: /i S7oaaac7 Xmk�x A ,4#5 City and/or County and Zip Code: Z2ilioz Latitude and Longitude J (6-digit, decimal degrees format): 38. WZ BY t—ir7.<D/Z%3 Section Ill. Reason for Terminating Coverage under the General Permit. The operator shall submit a Notice of Termination within s300 days after meeting one or more of the following conditions (select one OF more): q A. Necessary permanent control measures Included in the SWPPP for the site are in place and functioning effectively Ind Mal / 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; ❑ R. 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, the operator has provided written notification to the homeowner about the Importance of final stabilitalion and Incorporating a copy of the notification and signed rertiRratinn statement into the SWPPP and the residence has been transferred to the homeowner. Rev 04/2019 PAGE 1 j 6 CONSTRUCTION GENERAL PERMIT (VAR10) NOTICE OF TERMINATION 2019 Section IV. Participation in a Regional Stormwater Management Plan. If your site discharges to a regional stormwater management facility, provide information related to the regional stormwater management plan. Attach a separate list if discharging to multiple regional facilities. Regional Stormwater Management Facility Type: Address: City and/or County and Zip Code: Latitude and Longitude (6-di it, decimal degrees format): Total Acres Treated by Regional Facility (report to one -hundredth of an acre Impervious Acres Treated by Regional Facility (report to one -hundredth of an acre): Section V. Perpetual Nutrient Credits. If your site Is utilizing nutrient credits, provide information related to the perpetual nutrient credits that were acquired in accordance with § 62.144.15:35 of the Code of Virginia. Attach a separate list d needed, Nonpoint Nutrient Credit Generating Entity Perpetual Nutrient Credits Acquired Include the affidavit of sale for all nutrient credits acquired. Is the affidavit of sale of nutrient credits attached? OYES ONO Section VI. Permanent Control Meawres- If applicable, list the post -development stormwater management facilities or best management practices (BMPs) that were constructed and installed as part of this activity to comply with the stormwater management technical criteria (structural and nonstructural, on -site and off -site). Attach a separate list if needed. If you have permanent control measures, the following items are required to be Included with this form in order to complete your Notice of Termination submittal: Engineer's Certification Statement As -built plans (construction record drawings)— digital As -built plans (construction record drawings) — full-sized, paper Stormwater Management Plans — digital E. BMP Maintenance Agreement— notarized original, for public and private projects under DEQ's VSMP Authority Stormwater Management Facility Types (please choose from the followina bills; type ) Bioretention 1 Bioretention 2 Bioretention basin Bioretention filter Constructed Wetland 1 Constructed Wetland 2 Constructed wetlands Dry Swale 1 Dry Swale 2 Extended detention (2 x WQ Vol) Extended Detention Pond 1 Extended Detention Pond 2 Extended detention -enhanced Filtering Practice 1 Filtering Practice 2 Grass Channel Grassed Swale Infiltration (1. WQ Vol) Infiltration (2 x WQ Vol) Infiltration 1 Infiltration 2 Other 118 (manufactured treatment device, etc.) I er IlC Imanufmtwe treatment 2; in etc.) Permeable Pavement 1 Permeable Pavement 2 Rainwater Harvesting Retention basin 1(3x WQ Voll Retention basin II (4. WQ Vol) Retention basin 111 a x WQ Vol with aquatic bench) Sand filter Sheelflow to Vegetated Filter or Conserved Open Space 2 Soil Amendments Urban Boretention Vegetated finer strip Vegetated Roof 1 vegetated Roof 2 Wet Pond 1 We Pond 2 Wet Swale 1 Wet Swale 2 Rev 04/2019 PAGE 2 16 CONSTRUCTION GENERAL PERMIT (VAR10) NOTICE OF TERMINATION 2019 Stormwater Management Facility e1 BMP Tvoe- I V, dIWA Zoo— MCY (-- rate Date BMP Became Functional: sr Address (if available): %L iZ SJJW S N/,7 City and/or County and Zip Code: 0j"i-xiow a z4fa Latitude and Longitude (6Ei it, decimal de revsformat): 3F.Q'aZ ' 7,j S'012fJ Receiving Waters) outfall dischar e): g rJ.SC.tnI /�,✓ ,�?Ll Total Acres Treated (report to one -hundredth of an acre): Q_ 2L Impervious Acres Treated (rep2rt to one -hundredth of an acre): Stormwoter Management Facility e2 BMP Type: Date BMP Became Functional: Address III available): City and/or County and Zip Code: Latitude and Longitude 6-di it, decimal degrees format): Receiving Water(s) (outfall discharge): Total Acres Treated (report to one -hundredth of an acre): Impervious Acres Treated (report to one -hundredth of an acre): PAGE 3 16 CONSTRUCTION GENERAL PERMIT (VAR10) NOTICE OF TERMINATION 2019 Section VII. Certification. This Certification must be signed by a person representing the operator identified in Section I. and meeting the requirements of 9VAC25-880-70 Part III K. 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: Signature (signed in ink): Date: Section Vill. Submittal Instructions. Please submit this form to the Virginia Stormwater Management Program (VSMP) Authority that has jurisdiction for your construction activity. If the locality is the VSMP Authority, please submit your form dIre" ly to the locality; do NOT send this form to DEQ. A list of local VSMP Authorities is available here: VSMP Authorities. If DEQ is the VSMP Authority please send to: If the locality is the VSMP Authority, please send to: Department of Environmental Quality Office of Stormwater Management Suite 1400 Po Box 110S Richmond VA 23218 co nst ru ct i ongp@ d ea. v ireinia.gov Lic. 0. 035791 -7lyi2. LVIE, YJMr Permit terminations may be delayed if there are outstanding annual permit maintenance fee balances due. Rev 04/2019 PAGE 4 1 b