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HomeMy WebLinkAboutWPO201700031 Correspondence 2019-06-27VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY FOR OFFICE USE ONLY GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM ID Number: CONSTRUCTION ACTIVITIES (VAR10) Technical Criteria: Ila ❑ IIC ❑ REGISTRATION STATEMENT 2019 NEW ISSUANCE ❑ MODIFICATION WITH ACREAGE INCREASE ❑ Existing Permit Coverage Number (If applicable, Section 1. Operator/Permittee Information. RE -ISSUANCE IR MODIFICATION WITHOUT ACREAGE INCREASE ❑ VAR10I239 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 III. K. of the VARSO Permit). Construction Activity Operator Name: Contact person: Address: University of Virginia Foundation P O Box 400218 City, State, Zip code: Charlottesville, VA 22904-4218 Phone Number: Primary Email: (434) 911 cschooley@uvafoundation.com CC Emaill: fmissel®uvafoundation.com B. Billing Information (leave blank It some as the Operator Identified In Section I. 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. PrimaryEmail: CC Email: C. May we transmit correspondence electronically? You must choose JUand include a valid email in order to pay by credit card and to receive your permit coverage approval letter via email: YES IX NO ❑ Rev 04/2019 PAGE 1 1 7 31 CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 Section II, 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. UVA Indoor Golf Practice Facility B. Construction Activity Name: Address: City and/or County and Zip Code: Latitude and Longitude (6-digit, decimal degrees format): C. Construction Activity Entrance Location (description, street address and/or latitude/longitude In decimal degrees): Charlottesville, VA 22903 0q(01 "V—?8.5381 Route 250 Boar's Head Drive Section Ill. Offsite Support Activity Location Information. List alloffsite 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. A. Offsite Activity Name: Address: City and/or County and Zip Code: Latitude and Longitude (6-digit, 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 in the Stormwater 4.06ac area to be disturbed as approved Management Plan):`2 Primary estimated area to be disturbed (portions with ac Erosion and Sediment Control Planapproval only): �o Offsite estimated area to be disturbed (if applicable): C. Property Owner Status: D. Nature of the Construction Activity Description (i.e. commercial, Industrial, residential, agricultural, environmental): E. Municipal Separate Storm Sewer System (MS4) name (if discharging to a MS4): B. Estimated Project Dates (MM/DD/YYYY) Start date: 12/31 /19 Completion date: FEDERAL ❑ STATE ❑ PUBLIC ❑ PRIVATE CX Commercial 11171 Rev 04/2019 PAGE 2 17 GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 F. Is this construction activity part of a common plan of development or sale? YES ❑ NO CK G. 6' Order Hydrologic Unit Code (HUC) and Receiving Water Name(s). Attach a separate list if needed. HUC RECEIVING WATERBODY(S) 02080204 Rivanna Maoes�s C 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 ofStormwater from Construction Activities orlor 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? YES II 0 Erosion and Sediment Control Plan Approval Date (for estimated area to be disturbed).: /1 2B C. Has land disturbance has commenced? YES IN 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 If. A.): SEE THE FOLLOWING PAGE FOR SIGNATURE AND CERTIFICATION REQUIREMENTS AND INFORMATION Rev 04/2019 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 9VAC25-880-70. Part III. K must physically sign this certification. A typed signature is not acceptable. Please note that operator is defined In 9VAC25-870-10 as follows: "Operator" means the owner or operdtorsif any facility or activity subject to the Act and this chapter. In the context of stormwater associated with a large orsmall construction activity, operator means any person associated with a construction project that meets either of the following two criteria: (i) the person has direct operational control over construction. plans and specifications, including the ability to make modifications to those plans and specifcations or (il) the person has day -today operational control of those activities at a project that are necessary to ensure compliance wither stormwdter pollution prevention plan for the site or other state permit or VSMP authority permit conditions (I.e, they are authorized to direct workers at a site to carry out activities required by the stormwater pollution prevention plan or comply with other permit conditions). In the context of stormwater discharges from Municipal Separate Storm Sewer Systems (MS4s), operator means the operator of the regulated MS4 system. 9VAC25-880-70. Part III, K. Signatory Requirements.. Registration Statement. All Registration Statements shall be signed as follows. a. Fora corporation: by a responsible corporate officer. For the purpose of this chapter, a responsible corporate of er 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 pollcy-making or decision -making functions for the corporation; or(11) 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 facility Induding 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 environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate 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 a general partner or the proprietor, respectively; or c. Fora municipality, state, federab or other public agency: by either principal executive officer or ranking elected official. For purposes of this chapter, a principal executive officer of a pubkc agency Includes: N the chief executive officer of the agency or (11) a senior executive officer having responsiblgty for the overall operations of a principal geographic unit of the agency. Certification- "I certify under penalty of law that I have 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 VII. Submittal Instructions. Submit this form to the Virginia Stormwater Management Program (VSMP) 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 list of local VSMP Authorities is available here: VSMP Authorities. If DEQ is the VSMP Authorityplease send to: If the locality is the VSMP Authorityplease send to - Department of Environmental Quality Office of Stormwater Management Suite 1400 PO Box 110S Richmond VA 23218 constructiongudadea.virginia.gov Rev 04/2019 PAGE 4 7 u DRAWING INDEX GENERAL TI.01 COVER SHEET CIVIL C2.01 GENERAL NOTES C2A3 SOAUBMAP C&DI DEMOLITION PLAN C3.02 DEMOLITION PLAN C4.01 ROADWAY PLAN -STA, 1C+DD TO 15+25 C4.02 ROADWAY PLAN -STA. 18+25 TO 22+00 C7.01 GRADING AND DRAINAGE PLAN C7.02 GRADING AND DRAINAGE PLAN O&DI-CBA2 EROSION AND SEDIMENT CONTROL PLAN - PHASEI C8.03-C8.04 EROSIDN AND SEDIMENT CONTROL PLAN - PHASEU DUE EROSON AND SEDIMENT CONTROL NOTES C9.01 SWM NARRATIVE AND CALCULATIONS C9.02 PRE AND POST DEVELOPMENT LAND USE MAPS C9.03 WATER QUALITY NARRATIVEAND CALCULATIONS C9.04 CHANNEL PROTECTION MAPS A CALCULATIONS C9.05 CNWNMELPROTECTION ROUTINGS CoAs FLO0O PROTECTION MAPS C9.07 FLOOD PROTECTION CALCULATIONS A ROUTINGS C9.08 STORMSEWER MAPS AND CALCULATIONS C8.09 DITCH MAPS AND CALCULATIONS C9.10 CULVERTMAPS AND CALCULATIONS C10.01 CONSTRUCTION DETAILS PROJECT ZONING DATA ALBEMARLE COUNTY ZONING CLASSIRIGNU N: R-1 RESIDENTIAL PROPOSED BUILDING MAXIMUM HEIGHT: WA PROPOSED BUILDING MAXIMUM FOOTPRINT. NIA ALBEMARLE COUNTY MAGISTERIAL DISTRICT. SAMUEL MILLER DISTRICT FEMA FLOOD INSURANCE RATE MAP: ZONEDC NOT WITHIN A FEMA DEFINED 1DD YEAR FLOOD PLAIN PROPERTY NOT WITHIN AN ALBEMARLE COUNTY AND I OR CITY OF GRARLOTTESVILLEWATERSUPPLYWATERSHED CODES VDOT ROAD AND BRIDGE STANDARDS, 2010 VDOTROAD AND BRIDGE SPECIFICATION%2010 FEDERAL HIGHWAY ADMINISTRATION MANUAL OF UNIFORM TRAFFIC CONTROL DEVICES, 2009 VIRGINIA SUPPLEMENT TO THE MANUAL OF UNIFORM TRAFFIC CONTROL DEVICES, 2013 VIRGINIA WORKAREA PROTECTION MANUAL, REV, 1A 2015 DEPARTMENT OF ENVIRONMENHA OUALIIY VIRGINIA EROSION AND SEDIMENT CONTROL H4NDBOOK-1992 ADASTAN114RD4201D CONTACTS OWNER: ENGINEER: UnlvarNlV olWrpinle Fowde90n Doebsiry Egln sInc. OWNER REPRESENTATIVE ENGINEER REPRESENTATIVE: Chdelopher D. 309o9Y MaWh C. Thomas, PE Real Eslels Project Manager PmjecL Manger One Scene Head Pdnle 4B05 Lake Brook Drlve, Su0e 2DO Chedo0"Alls, VA 229D3 Glen Alkn,VAM3 PH: (434)982-3777 PH: (804) 20 -W0 cde?@mervloesvhgMla.edu m Ames@Eenberry.com SUSMITTAL SET NUMBER ❑ PRELIMINARY ❑ CONSTRUCTION ❑ APPROVAL ❑ REVISION 0 BIDDING 0 RECORD LOCATION MAP BOARS HEgp INN IVY RD UNIVIE\ F J f5"