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WPO202100017 VSMP - SWPPP 2021-04-01
oB A COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road, North Wing Charlottesville, Virginia 22902-4596 Tel. (434) 296-5832 • Fax (434) 972-4126 �'IRGI1flP Stormwater Pollution Prevention Plan (SWPPP) For Construction Activities At: Project Name: Ivy Proper Address: Ivy Road, Charlottesville, VA 22902 Prepared by: Timmons Group 608 Preston Avenue, Suite 200 Charlottesville, VA 22903 434.295.8317 Prepared for: Building Management Co. 400 Locust Ave, Suite 3 Charlottesville, VA 22902 Contact: Mr. Reid Murphy 434-977-6406 SWPPP Preparation Date: March 19, 2021 (This document is to be made publicly available according to 9VAC25-880-70, Part II, section D) Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County CONTENTS: (from Albemarle County Code Sec. 17405) 1. Registration statement 2. Notice of general permit coverage 3. Nature of activity 4. Erosion and Sediment Control Plan. 5. Stormwater Management Plan 6. Pollution Prevention Plan. 7. Discharges to impaired waters, surface waters within an applicable TMDL wasteload allocation, and exceptional waters. 8. Qualified personnel 9. Signed Certification 10. Delegation of authority. 11. General permit copy 12. Inspection logs Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 1. Registration statement (Provide a signed completed copy of the DEQ registration statement) Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT #: GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM PLAN/ID #: CONSTRUCTION ACTIVITIES (VAR10) TECHNICAL CRITERIA: 1113 ❑ IIC ❑ REGISTRATION STATEMENT 2019 Application type. 0 NEW PERMIT ISSUANCE (CHOOSE ONE) ❑ MODIFICATION WITH ACREAGE INCREASE ❑ MODIFICATION WITHOUT ACREAGE INCREASE ❑ EXISTING PERMIT RE -ISSUANCE Section I. Operator/Permittee Information. 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 V. (per Part III. K. of the VAR10 Permit). Operator Name: Contact person: Address: City, State and Zip Code: Phone Number: Primary and CC Email: B. Electronic correspondence. To receive an emailed coverage letter or to pay by credit card, you must choose YES and include a valid email. May we transmit correspondence electronically? YES ❑O NO ❑ Section II. Construction Activity 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 waterbodies receiving stormwater discharges from the site. B. Project site location information. Construction Activity Name: Address: City and/or County and Zip Code: Construction Activity Entrance Location (description, street address and/or latitude/longitude in decimal degrees): Latitude and Longitude (6-digit, decimal degrees format): C. 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 (include entire area to be disturbed as approved in the Stormwater Management Plan): Primary estimated area to be disturbed (include portions with Erosion and Sediment Control Plan approval only): Off -site estimated area to be disturbed (if applicable): D. Property Owner Status: FEDERAL ❑ STATE ❑ PUBLIC ❑ PRIVATE El E. Nature of the Construction Activity Description (i.e. commercial, industrial, residential, agricultural, environmental, utility): F. Municipal Separate Storm Sewer System (MS4) name(s) (if the site is discharging to a MS4): G. Estimated Project Dates (MM/DD/YYYY). Start Date: Completion Date: H. Is this construction activity part of a larger common plan of development or sale? YES ❑ NO 0 Rev 11/2020 PAGE 1 1 6 CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 I. 6" Order Hydrologic Unit Code (HUC) and Receiving Water Name(s). Include additional areas on a separate page. HUC NAME(S) OF RECEIVING WATERBODY Section III. Off -site Support Activity Location Information. List all off -site support activities and excavated material disposal areas being utilized for this project. Include additional areas on a separate page. Off -site Activity Name: Address: City or County: Off -site Activity Entrance Location (description, street address and/or latitude/longitude in decimal degrees): Latitude and Longitude (6-digit, decimal degrees format): Is this off -site activity an excavated material disposal area? YES ❑ NO ❑ If this off -site activity is an excavated material disposal area, list the contents of the excavated fill material: Willa separate VPDES permit cover this off -site activity? YES ❑ NO ❑ Section IV. 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 prior 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 VESC Authority for review? YES © NO ❑ Erosion and Sediment Control Plan Approval Date (for the estimated area to be disturbed MM/DD/YYYY): C. Has land -disturbance commenced? YES ❑ NO O D. Annual Standards and Specifications. If this project is utilizing approved Annual Standards and Specifications (AS&S), attached the completed AS&S Entity Form. AS&S Entity Name (if different from the Operator identified in Section I): E. Billing information (leave blank if same as the Operator identified in Section I. above). This entity will receive Annual Permit Maintenance and Permit Modification Fee invoices (if applicable). Billing Name: Contact Name: Address: City, State and Zip Code: Phone Number: Primary and CC Email: Rev 11/2020 PAGE 2 16 CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 Section V. 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 operator of any facility or activity subject to the Act 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: (i) the person has direct operational control over construction plans and specifications, including the ability to make modifications to those plans and specifications or (ii) the person has day-to-day operational control of those activities at a project that are necessary to ensure compliance with a stormwater 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. For a corporation: by a responsible corporate officer. For the purpose of this chapter, a responsible corporate officer means: (i) 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 (ii) 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 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 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. For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official. For purposes of this chapter, a principal executive officer of a public agency includes: (i) the chief executive officer of the agency or (ii) a senior executive officer having responsibility 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 Signed: Section VI. Submittal Instructions. Submit this form to the 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 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 1105 Richmond VA 23218 constructiongp@deg.virginia.gov Rev 11/2020 PAGE 3 16 CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 INSTRUCTIONS PLEASE DO NOT PRINT OR SUBMIT This Registration Statement is for coverage under the General VPDES Permit for Discharges of Stormwater from Construction Activities. This form covers the following permit actions: new permit issuance, existing permit modification with an increase in acreage, existing permit modifications that result in a plan modification but do not result in an increase in disturbed acreage, and reissuance of an active permit coverage. Application type. Select NEW PERMIT ISSUANCE to obtain a new permit coverage. Modifications are for modifying an existing, active permit coverage. Select MODIFICATION WITH ACREAGE INCREASE when the previously approved acreage(s) increases (permit modifications are not performed for decreases in acreage unless they result in plan changes — see Modification WITHOUT Acreage Increase). Select MODIFICATION WITHOUT ACREAGE INCREASE when there is a change to the site design resulting in a change to the approved plans with no increase in acreage(s) Select EXISTING PERMIT REISSUANCE to extend an expiring permit coverage for the next permit cycle and include the existing permit number. Section I. Operator/Permittee Information. 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. For companies, use the complete, active, legal entity name as registered with a state corporation commission. Entities that are considered operators commonly consist of the property owner, developer of a project (the party with control of project plans and specifications), or general contractor (the party with day-to-day operational control of the activities at the project site that are necessary to ensure compliance with the general permit). If an individual person is listed as the operator, that person (or a legal representative of) must sign the certification in Section V. An operator may be one of the following: 9VAC25-870-10. Definitions. "Operator" means the owner or operator of any facility or activity subject to the Act 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: (i) the person has direct operational control over construction plans and specifications, including the ability to make modifications to those plans and specifications or (if) the person has day-to-day operational control of those activities at a project that are necessary to ensure compliance with a stormwater pollution prevention plan for the site or other state permit or V5MP 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 (MS4), operator means the operator of the regulated MS4 system. "Owner" means the Commonwealth or any of its political subdivisions including, but not limited to, sanitation district commissions and authorities, and any public or private institution, corporation, association, firm or company organized or existing under the laws of this or any other state or country, or any officer or agency of the United States, or any person or group of persons acting individually or as a group that owns, operates, charters, rents, or otherwise exercises control over or is responsible for any actual or potential discharge of sewage, industrial wastes, or other wastes or pollutants to state waters, or any facility or operation that has the capability to alter the physical, chemical, or biological properties of state waters in contravention of § 62.1-44.5 of the Code of Virginia, the Act and this chapter. "Person" means any individual, corporation, partnership, association, state, municipality, commission, or political subdivision of a state, governmental body, including a federal, state, or local entity as applicable, any interstate body or any other legal entity. B. May we transmit correspondence electronically? If you choose YES to this question and provide an email address in Section I. A., all correspondence, forms, invoices and notifications will be transmitted by email to the operator. This will also give the operator the ability to pay by credit card and to receive Dermit coverage aooroval letters immediately uoon Dermit aooroval. Section II. Construction Activity Information. A. A site map indicating 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 must be included with the submittal of this form. Aerial imagery maps or topographic maps showing the required items are acceptable. Plan sheet sized site maps are not required. Please consult your VSMP authority if you have additional questions regarding site map requirements. B. Construction Activity Name and location. Provide a descriptive project name (it is helpful to use the same naming convention as listed on the Stormwater Management plans), 911 street address (if available), city/county of the construction activity, and the 6-digit latitude and longitude in decimal degrees format for the centroid, main construction entrance or start and end points for linear projects (i.e. 37.1234N/-77.1234W). C. Acreage totals for all land -disturbing activities, on- and off -site, to be included under this permit. Acreages are to be reported to the nearest one -hundredth acre (two decimal places; i.e. 1.15 acres). Provide the total acreage of the primary development site as approved on the Stormwater Management Plans and the primary on -site estimated acreage to be disturbed by the construction activity as approved under the Erosion and Sediment Control Plans. The off -site estimated area to be disturbed is the sum of the disturbed acreages for all off -site support activities to be covered under this general permit. Do not include the off -site acreage totals in the primary, on -site total and estimated disturbed acreage totals. Permit fees are calculated based on your disturbed acreage total for all on- and off -site areas being disturbed under this permit coverage (the sum of all on -site and off -site disturbed acreages). D. Property owner status. The status of the construction activity property owner. Any property not owned by a government entity or agency (i.e. federal, state or local governments) is PRIVATE. Rev 11/2020 PAGE 4 16 CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 INSTRUCTIONS PLEASE DO NOT PRINT OR SUBMIT E. Nature of the construction activity description. Choose the designation that best describes the post -construction use of this project (you may choose more than one). (i.e. Residential, Commercial, Industrial, Agricultural, Environmental, Educational, Oil and Gas, Utility, Transportation, Institutional, etc.). Describe the post -construction use of the project (i.e. Commercial — one new office building and associated parking and utilities; Transportation — Linear roads, sidewalks and utilities; Agricultural-3 Poultry Houses, etc.). F. Municipal Separate Storm Sewer System (MS4) name(s) if discharging to a MS4. If stormwater is discharged through a MS4 (either partially or completely), provide the name of the MS4(s) that will be receiving water from this construction activity. The MS4 name is typically the town, city, county, institute or federal facility where the construction activity is located. G. Estimated project dates. Provide the estimated project start date and completion date in Month/Day/Year or MM/DD/YYYY format (i.e. 07/30/2019). H. Is this construction activity is part of a larger common plan of development or sale? "Common plan of development or sale" means a contiguous area where separate and distinct construction activities may be taking place at different times on different schedules per 9VAC25-870-50. Definitions. Le. a subdivision, commercial development, business park, etc. I. 6th Order Hydrologic Unit Code (HUC) and associated Receiving Water Name(s). Provide all 6th order HUCs and receiving waterbody names, for the primary site and any Off -site areas included under this permit coverage, that could potentially receive stormwater runoff discharging from this activity. The HUC can be either a 12-digit number (i.e. 0208010101) or 2-letter, 2-number code (i.e. JL52). Include additional HUCs or receiving waters on a separate page. You may utilize DEQ!s web -based GIS application, VEGIS, to obtain this information. • VEGIS application link: DEas VEGIS Mapping Application • Instructions for utilizing DE(Xs VEGIS application link: CGP-GIS HUC Instructions Section III. Off -site Support Activity Location Information. This general permit also authorizes stormwater discharges from support activities (e.g., concrete or asphalt batch plants, equipment staging yards, material storage areas, excavated material disposal areas, borrow areas) located on -site or off -site provided that (i) the support activity is directly related to a construction activity that is required to have general permit coverage; (ii) the support activity is not a commercial operation, nor does it serve multiple unrelated construction activities by different operators; (III) the support activity does not operate beyond the completion of the construction activity it supports; (iv) the support activity is identified in the Registration Statement at the time of general permit coverage; (v) appropriate control measures are identified in a SWPPP and implemented to address the discharges from the support activity areas; and (vi) all applicable state, federal, and local approvals are obtained for the support activity. Off -site activity name and location information. Provide a descriptive off -site project name, 911 street address (if available), construction entrance location (address or decimal degrees coordinates and description), city/county and the 6-digit latitude and longitude in decimal degrees (i.e. 37.1234N, 77.1234W) of all off -site support activities. Indicate whether the off -site support activity will be covered under this general permit or a separate VPDES permit. If excavated material (i.e., fill) will be transported off -site for disposal, the name and physical location address, when available, of all off -site excavated material disposal areas including city or county; 6-digit latitude and longitude in decimal degrees (i.e. 37.1234N, 77.1234W) and the contents of the excavated material. List additional off -site areas to be included under this permit coverage on a separate page. Off -site areas not included on this registration will need to obtain coverage under a separate VPDES permit. Section IV. Other Information. A. A stormwater pollution prevention plan (SWPPP) must be prepared prior to submitting the Registration Statement per 9VAC25-880. See 9VAC25-880-70. Part II. of the General Permit for the SWPPP requirements. B. If the Erosion and Sediment Control Plan for the estimated area to be disturbed listed in Section II. C. has been submitted to the VESC Authority for review and plan approval, choose YES. If you are submitting this application to reissue an existing permit coverage, please provide the date that the VESC Authority approved the Erosion and Sediment Control Plan for the estimated area to be disturbed. C. If land disturbance has commenced, choose YES. "Land disturbance" or "land -disturbing activity" means a man-made change to the land surface that may result in soil erosion or has the potential to change its runoff characteristics, including construction activity such as the clearing, grading, excavating, or filling of land per §62.1-44.15:24. Definitions. D. If this project is using approved Annual Standards and Specifications (AS&S), attach the completed AS&S Entity Form. If the AS&S Entity is different from the operator identified in Section I. A., list the AS&S Entity Name. The AS&S entity is the entity or agency that holds the approved annual standards & specification. Please indicate if this project is also requesting a plan waiver. • AS&S Entity Form link: Annual Standards and Specifications Entity Information Form Rev 11/2020 PAGE 5 16 CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 INSTRUCTIONS PLEASE DO NOT PRINT OR SUBMIT E. Billing information. If the person or entity responsible for billing/invoicing is different from the operator, please complete this section. If they are the same, leave this section blank. Section V. Certification. A properly authorized individual associated with the operator identified in Section I. A. of the Registration Statement is responsible for certifying and signing the Registration Statement. A person must physically sign the certification, a typed signature is unacceptable. State statutes provide for severe penalties for submitting false information on the Registration Statement. State regulations require that the Registration Statement be signed as follows per 9VAC25-880-70 Part III. K. 1.: a. For a corporation: by a responsible corporate officer. For the purpose of this part a responsible corporate officer means: (i) 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 (H) 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 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 environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for 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. c. For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official. For purposes of this part a principal executive officer of a public agency includes: (i) The chief executive officer of the agency, or (ii) A senior executive officer having responsibility far the overall operations of a principal geographic unit of the agency. Section VI. Submittal Instructions. Submit this form to the VSMP Authority that has jurisdiction for your construction activity. The VSMP Authority maybe either DEQ or your locality depending on the location and type of project. If your project is under the jurisdiction of a Local VSMP Authority, please contact the locality for additional submittal instructions. A blank area is provided for the Local VSMP Authority's mailing address. Who is the VSMP Authority for my orofect? DEQ or the locality? • DEQ: DEQ is the VSMP Authority and administers permit coverage for land -disturbing activities that are: ➢ within a locality that is not a VSMP Authority; ➢ owned by the State or Federal government; or ➢ utilizing approved Annual Standards and Specifications. • The Locality: The local government (locality) is the VSMP Authority and administers permit coverage for all other projects not covered by DEQ as listed above. For these projects, please submit permit forms directly to the Local VSMP Authority. A list of Local VSMP Authorities is available on DEQ's website here: Local VSMP Authority List. www.deg.virginia.gov/Progra mslwate r/Sto rmwaterM a nageme nt/VSM PPerm its/ConstructionGenera I Perm it. aspx Email the completed and signed form to: constructiongp@deg.virginia.gov Rev 11/2020 PAGE 6 16 Section 2. Notice of general permit coverage (This notice is to be posted near the main entrance according to 9VAC25-880-70, Part II, section C.) (Provide a copy of the DEQ coverage letter when obtained) Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 3. Nature of activity (Provide a detailed narrative of the construction activities. Include or reference a construction schedule and sequence. Include any phasing.) This project includes the construction of a new commercial building and parking lot with associated utilities and landscaping. The limits of disturbance is 0.79 acres. These improvements are being made within the property boundary. The property is bounded by Ivy Road (State Route 250) on the southwest, C&O Railroad Buckingham Branch on the north, and an existing commercial lot to the east. All construction shall take place in accordance with the Erosion and Sediment Control Sequence of Installation on plan sheet C3.0. Estimated construction dates are as indicated on the Registration Statement. Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 4. Erosion and Sediment Control Plan. (Provide a reduced, 11x17 copy of the latest Erosion and Sediment Control Plan. Do not reference only.) Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 5. Stormwater Management Plan (Provide a reduced I Ix17 copy of the latest stormwater management plan. Do not reference only.) Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 6. Pollution Prevention Plan. (reference County Code 17-404 and State Regulation 9VAC25-880-70 part II section A.4) A. Plan showing pollution activities and prevention practices (Provide a reduced I Ix17 copy of a site plan on which all of the following activity locations are clearly marked. Keep this plan up-to-date with ongoing site changes and inspections.) Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County is. sources or rouuranrs, vocations, anu Pollutant, or Pollutant Location on site Prevention Practices, Generating Activity Control Measures C. Sources of Pollutants continued. Common activities and minimum control and prevention practices Pollutant, or Pollutant Location on site Prevention Practices, Generating Activity Control Measures Follow Erosion and Sediment Control Clearing, grading, excavating, and un- Land disturbance area Plan. Dispose of clearing debris at stabilized areas acceptable disposal sites. Seed and mulch, or sod within 7 days of land clearm Cover storm drain inlets and use drip pans Paving operations Roads and driveways and absorbentloil dry for all paving machines to limit leaks ands ills Concrete washout shall occur in area Direct concrete wash water into a leak - Concrete washout and adjacent to the construction entrance as proof container or leak -proof settling basin cement waste designated on the Pollution Prevention that is designed so that no overflows can Plan. occur Enclose or cover material storage areas. Mix paint indoors in a containment area or Structure construction, stucco, Structures in a flat unpaved area. Prevent the painting, and cleaning discharge of soaps, solvents, detergents and wash water, paint, form release oils and curing compounds. Dewatering if necessary when Water shall be filtered, settled or similarly Dewatering operations converting culvert inlet protection treated prior to discharge as shown on shown on plans plan. Designated areas for material delivery and Material delivery and storage Adjacent to construction entrance and storage. Placed near construction construction trailer, entrances, away from waterways and drainage paths Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Pollutant, or Pollutant Location on site Prevention Practices, Generating Activity Control Measures Material use during building process Building areas Follow manufacturer's instructions. MSDS's attached. Waste collection area will not receive a substantial amount of runoff from upland areas and does not drain directly to a waterway. Containers have lids covered before periods of rain, or are in a covered Solid waste disposal As provided by contractor area. Scheduled collection to prevent overfilling. MATERIALS NOT TO BE BURIED ON -SITE Convenient and well -maintained portable sanitary facilities will be provided, and Sanitary waste Current locations shown on plan located away from waterways or inlets. Such facilities shall be regularly maintained. Apply fertilizers in accordance with Landscaping operations Landscape areas shown on plan manufacturer's recommendations and not during rainfall events To be treated in a sediment basin or better Wash area is located at the construction control as specified on plan. Minimize Wash Waters entrance. Adjacent diversion dike will the discharge of pollutants from divert wash water to sediment trap. equipment and vehicle washing Vehicle and equipment washing Designated areas and details shown on Provide containment and filtering for all plan wash waters per the plan Minimization of exposure to precipitation and stormwater. Minimize the exposure of building materials, building products, construction wastes, trash, landscape materials, fertilizers, pesticides, herbicides, detergents, sanitary waste, and other materials present on the site to precipitation and to stormwater. (Identify all non-stormwater discharges to occur on your site. Keep this plan up-to-date with ongoing site changes and inspections. See CGP, 9VAC25-880-70 section E for examples of non-stormwater discharges.) D. Non-stormwater discharges Discharge Pollutants or Pollutant Constituents Location on Site Dust control water Sediment As shown on plan Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Discharge Pollutants or Pollutant Location on Site Constituents E. Persons responsible for pollution prevention practices (Provide the names and contact information for all persons responsible for prevention practices as listed above.) Mr. Reid Murphy 400 Locust Avenue, Suite 3 Charlottesville, VA 22902 434-977-6406 F. Response and reporting practices Minimize discharges from spills and leaks. Minimize the discharge of pollutants from spills and leaks and implement chemical spill and leak prevention and response procedures as follows. Respond to all spills, leaks and discharges as follows; Materials and equipment necessary for oil or chemical spill cleanup will be kept in the temporary material storage trailer onsite. Equipment will include, but not be limited to, brooms, dust pans, mops, rags, gloves, goggles, kitty litter, sand, saw dust, and plastic and metal trash containers. All oil or other chemical spills will be cleaned up immediately upon discovery. Identify and stop source of discharge. Use absorptive materials to soak up as much chemical as possible. Place all contaminated material in trash containers for disposal. Report all spills, leaks and discharges as follows; (Provide detailed response and reporting practices according to 9VAC25-880-70, Part II, section A.4.e.) Reports will be made to the following: Virginia Department of Emergency Management Emergency Operations Center (EOC) Phone: (800) 468-8892 Spills large enough to reach the storm sewers will be reported to the National Response Center at 1-800-424-8802. Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County G. Pollution Prevention Awareness (Describe training and procedures to provide awareness and compliance for all measures in this document; waste management, wash waters, prevention measures, etc.) The registered land disturber shall oversee all construction activities to implement and maintain pollution prevention measures. As such training and procedures shall be provided by contractor for each worker on site before they begin land disturbing activities. Training on implementation of erosion and sediment control devices/procedures must be provided by registered land disturber each time a new E&SC procedure is constructed. Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 7. Discharges to impaired waters, surface waters within an applicable TMDL wasteload allocation, and exceptional waters. This site discharges to impaired waters as detailed on the following sheets. Enhanced inspection frequency is required as outlined below: (1) Inspections shall be conducted at a frequency of (i) at least once every four business days or (ii) at least once every five business days and no later than 48 hours following a measurable storm event. In the event that a measurable storm event occurs when there are more than 48 hours between business days, the inspection shall be conducted on the next business day; and (2) Representative inspections used by utility line installation, pipeline construction, or other similar linear construction activities shall inspect all outfalls discharging to surface waters identified as impaired or for which a TMDL wasteload allocation has been established and approved prior to the term of this general permit. Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 8. Qualified personnel The following personnel are responsible for inspections; (Provide the name, telephone number, and qualifications of the qualified personnel conducting inspections.) Mr. Reid Murphy 400 Locust Avenue, Suite 3 Charlottesville, VA 22902 434-977-6406 Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 9. Signed Certification (Provide certification according to 9VAC25-870-370. For purposes of plan review and approvals, this certification should be the owner of the property, the same signature as appears on the bonds and applications. Another operator can be designated on the delegation of authority form to follow.) CERTIFICATION "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate 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." Owner/Operator Name: Company: Title: Signature: Date: Mr. Reid Murphy 400 Locust Avenue, Suite 3 Charlottesville, VA 22902 434-977-6406 Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 10. Delegation of authority. (Provide the persons or positions with authority to sign inspection reports or to modify the stormwater pollution prevention plan. A formal, signed delegation of authority is needed.) Delegation of Authority I, (name), hereby designate the person or specifically described position below to be a duly authorized representative for the purpose of overseeing compliance with environmental requirements, including the Construction General Permit, at the construction site. The designee is authorized to sign any reports, stormwater pollution prevention plans and all other documents required by the permit. (name of person or position) (company) (address) (city, state, zip) (phone) By signing this authorization, I confirm that I meet the requirements to make such a designation as set forth in the Construction General Permit (CGP), and that the designee above meets the definition of a "duly authorized representative". Operator Name: Company: Title: Signature: Date: Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 11. General permit copy (Provide a copy of the construction general permit, 9VAC25-880) Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County Section 12. Inspection logs INSPECTION FREQUENCY: (1) Inspections shall be conducted at a frequency of (i) at least once every four business days or (ii) at least once every five business days and no later than 48 hours following a measurable storm event. In the event that a measurable storm event occurs when there are more than 48 hours between business days, the inspection shall be conducted on the next business day; and (2) Representative inspections used by utility line installation, pipeline construction, or other similar linear construction activities shall inspect all outfalls discharging to surface waters identified as impaired or for which a TMDL wasteload allocation has been established and approved prior to the term of this general permit. Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County