HomeMy WebLinkAboutWPO201400084 Correspondence 2020-09-18Notice of Termination
General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10)
(Please Type of Print All Information)
1. Construction Activity Operator:
Names Albemarle County Service Authority
Contact: Mr. Jeremy Lynn, P.E.
Mailing Address: 168 Spotnap Road
City: CharlottesviRe State: VA Zip: 22911 Phone: (434) 977-4511
Email address (if available): jlynn@servicenuthority.org
2. Name and Location of the Construction Activity: (As listed on the Registration Statement.)
Name, Gleumore Ground Storage Tank, Pump Station and Water Main Project
Address (if
Keswick
County (if not located within a
Latitude (decimal
3. General Permit Registration
Near the intersection of Gleumore Way and Steamer Drive
State: VA Zip: 22947
Albemarle
38.0049 Longitude (decimal degrees):-78.3764
VAR10K618
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
❑ 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 Mess
Date Functional:
Address (if
Keswick
County (if not located within a
Latitude (decimal degrees):_
Receiving Water:
Total Acres Treated:
Bio-retention Basin
Spring 2019
3501 Steamer Drive
VA
Albemarle
38.048 Longitude (decimal
Rivanna River
22947
-78.3764
0.43 Impervious Acres Treated: 0.09
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Permanent Control Measure #2
Type of Permanent Control Mess
Date Functional:
Address (if available):
City:
County (if not located within a Cit,
Latitude (decimal degrees):_
Receiving Water:
Total Acres Treated:
Not Applicable
Longitude (decimal
Impervious Acres Treated:
Permanent Control Measure #3
Type of Permanent Control Measure: Not Applicable
Date Functional:
Address (if available):
City:
County (if not located within a
Latitude (decimal degrees):_
Receiving Water:
Total Acres Treated:
Longitude (decimal degrees):
impervious Acres
Zip:
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: Not Applicable
Address (if
County (if not located within a
Latitude (decimal
Total Site Acres
Longitude (decimal
Impervious Site Acres
Zip:
7. Perpetual Nutrient Credits: (When applicable, information related to perpetual nutrient credits that were acquired in accordance
with § 62.144.15:35 of the Code of Virginia. Attach a separate list if additional space is needed.)
Nonvoint Nutrient Credit Generating Entity
Not
Perpetual Nutrient Credits Acquired
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
Jeremy Lynn - ACSA
Senior Civil Engineer
9/18/2019
(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
9(191404 jA60 4o Actimso Itilaw
Instructions for Completing the Notice of Termination
General VDPES Permit for Discharges of Stormwater from Construction Activities (VAR10)
GENERAL
A Notice of Termination must be submitted when an operator no longer
wishes to be covered under the General VPDES Permit for Discharges
of Stormwater from Construction Activities (VAR10).
All Notice of Terminations should be submitted to:
Department of Environmental Quality
Office of Stormwater Management, 10"' Floor
P.O. Box 1105
Richmond, VA 23218
LINE -BY-LINE INSTRUCTIONS
Item 1: Construction Activity Operator Information.
Provide the legal name (do not use a colloquial name), contact, mailing
address, telephone number, and email address (if available) of the
construction activity operator that was issued general permit coverage.
Item 2: Name and Location of the Construction Activity
Information.
Provide the official name, street address (if available), city or county (if
not located within a City) of the construction activity. Also, provide the
latitude and longitude in decimal degrees of the approximate center of
the construction activity (e.g., N 37.5000, W 77.5000). NOTE: This
information can be obtained from the previously submitted Registration
Statement.
Item 3: General Permit Registration Number
Provide the existing general permit registration number for the
construction activity identified in Item 2.
Item 4: Reason for Termination.
Indicate the appropriate reason for submitting this Notice of
Termination. The Notice of Termination may only be submitted 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 Iona -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.
Item 5: Permanent Control Measures (when applicable).
For each on -site and off -site permanent control measure (both
structural and non-structural) that was installed to comply with the
stormwater management technical criteria provide the following
information:
a. The type of permanent control measure;
b. The date that the permanent control measure became functional
as a post -development stormwater management control;
c. The street address (if available), City or County (if not located
within a City) of the permanent control measure;
d. The latitude and longitude in decimal degrees of the approximate
center of the permanent control measure;
e. The receiving water of the permanent control measure; and
I. The number of total and impervious acres treated by the
permanent control measure (to the nearest one -tenth of an acre).
Attach a separate list if additional space is needed.
Item 6: Participation in a Regional Stormwater Management Plan
(when applicable).
For each Regional Stormwater Management Facility provide the
following information:
a. The type of regional facility to which the site contributes;
b. The street address (if available), City or County (if not located
within a City) of the regional facility;
c. The latitude and longitude in decimal degrees of the approximate
center of the regional facility; and
d. The number of total and impervious site acres treated by the
regional facility (to the nearest one -tenth of an acre).
Attach a separate list if additional space is needed.
Item 7: Perpetual Nutrient Credits (when applicable).
Provide the following information related to perpetual nutrient credits
that were acquired in accordance with § 62.1-44.15:35 of the Code of
Virginia:
a. The name of the nonpoint nutrient credit generating entity from
which perpetual nutrient credits were acquired; and
b. The number of perpetual nutrient credits acquired (lbs. per acre
per year).
Attach a separate list if additional space is needed.
Item 8: Certification.
A properly authorized individual associated with the operator identified
in Item 1 of the Registration Statement is responsible for certifying and
signing the Registration Statement. Please sign the Registration
Statement in INK.
State statutes provide for severe penalties for submitting false
information on the Registration Statement. Stale regulations require
that the Registration Statement be signed as follows:
a. For a corporation: by a responsible corporate officer. For the
purpose of this part, a responsible corporate officer means:
(1) A president, secretary, treasurer, or vice-president of the
corporation in charge of a principal business function, or any other
person who performs similar policy -making or decision -making
functions for the corporation, or
fl) the manager of one or more manufacturing, production, or
operating facilities, provided the manager is authorized to make
management decisions that govern the operation of the regulated
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