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WPO201800064 Bond Release 2021-08-06
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COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road,North Wing Charlottesville,Virginia 22902-4596 Phone(434)296-5832 Fax(434)972-4126 EROSION CONTROL PERFORMANCE BOND RELEASE PROJECT NAME: ©ld Tra il Al k7- t Oft r ? - 7 PLAN/PERMIT NO.: \!jk9 .ZQ f 7 6006 7 DATE: 0 "5 --?f This project has been satisfactorily completed and the erosion control performance bond may be released at this time if all re-inspection and annual maintenance fees invoiced have been paid. 1 ' (j' /. /, osion o 1 of Inspec DEQ Termination Date O 6 - e( or N/A 1/4-gi 10 P 3//5— Community Development Department All fees invoiced on the above project have been collec d. 10( Director of C 721u7yDevelopmeWte ) 7 r Date Cc: Ana Kilmer Revised:07/03/2018 -9e1/1-74 4-na -4141-1ALrkti;g3 �j G� COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road,North Wing Charlottesville,Virginia 22902-4596 Phone(434)296-5832 Fax(434)972-4126, STORMWATER MANAGEMENT PERFORMANCE BOND RELEASE PROJECT NAME: (c J FQc I -I') k 7- I (,-} l3 ✓/ ' PLAN/PERMIT No.: "'j 4 21) I ? °CVO C-/ , DATE: 7 5 - L I This project has been satisfactorily completed and the stormwater management performance bond may be released at this time if all re-inspection and annual maintenance fees invoiced have been paid. Date As-built plan was approved by Engineering Division: or /A DEQ Termination Date b '15' 2 I or N/A VbI ooa43 VAlft l 0 rs 5 v Enginee ing Reviewer Community Development Department All fees invoiced on the above project have been colle Director of Community Developm t/County Engin Date Cc: Ana Kilmer Revised:07/03/2018 VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES(VAR10) VAR NOTICE� OF TERMINATION 2019 / Permit Coverage Number(VAR10####): V 10 f p345 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 VAR10 Permit). • , Construction Activity C -Lid/is UK.I S Operator Name: r Contact Person: VY1 I Vane D. Cro.t.q. Address: f.0 . LJU,X Lid L City,State,Zip Code: Coy1oi-Jecva( L , l a a iou Phone Number: (44) P' -0.31/4 Primary Email: W I Lli aMdCraj e 3 mad.«m CC Email: f Q. I 1 U!alo.t.vs iP trajbuikiers. Cam Section II. Construction Activity Location Information. Project site information. Construction Activity me: � D l j �FtA i Na ,1 , B(ock —7, 1_0)-s 13—I 8 , Address: 445— +55 Pt n nti Qo City and/or County and Zip Code: ORD7fZ1", UP eata9 3a Latitude and Longitude (6_digit,decimal degrees format): 3'6, 0$ o z. $- 7- , r f q 0 7_ Section III. Reason for Terminating Coverage under the General Permit. The operator shall submit a Notice of Termination within 30 days after meeting one or more of the following conditions(select one or more): Ut 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 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 • `7 /•.For residential construction only,temporary soil stabilization has been completed,the operator has provided written notification to the homeowner about the importance of final stabilization and incorporating a copy of the notification and signed certification statement into the SWPPP,and the residence has been transferred to the homeowner. ' ' Rev 04/2019 PAGE 1 16 , 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: \e4 Po t d • .Address: O(a I Pad 1 City and/or County and Zip Code: . CroZe4- Z,1, °j 3 Z Latitude and Longitude (6-digit,decimal degrees format): 3 eb , 06 ©0?(13 - Fe / L)51 1 V Total Acres Treated by Regional Facility 6 (report to one-hundredth of an acre): 0, 0 Impervious Acres Treated by Regional Facility (report to one-hundredth of an acre): • I li 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§62.1-44.15:35 of the Code of Virginia.Attach a separate list if needed. Nonpoint Nutrient Credit Generating Entity ' (Bank Name): it)/J Perpetual Nutrient Credits Acquired (pounds/acres/year): Ai( '� r .get Include the affidavit of sale or all nutrient credits acquired. Is the affidavit of sale of nutrient credits attached? DYES l0 Section VI. Permanent Control Measures. 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: ' -❑A. Engineer's Certification Statement ❑ B. As-built plans(construction record drawings)-digital El C. As-built plans(construction record drawings)-full-sized,paper ❑ D. Stormwater Management Plans-digital ❑ E. BMP Maintenance Agreement-notarized original,for public and private projects under DEQ's VSMP Authority 0 Stormwater Management Facility Types(please choose from the following bmp types): Bioretention 1 Extended detention-enhanced Other IIC(manufactured Soil Amendments Bioretention 2 Filtering Practice 1 treatment device,etc.) Urban Bioretention Bioretention basin Filtering Practice 2 Permeable Pavement 1 Vegetated filter strip Bioretention filter Grass Channel Permeable Pavement 2 Vegetated Roof 1 Constructed Wetland 1 Grassed swale Rainwater Harvesting Vegetated Roof 2 Constructed Wetland 2 Infiltration(1 x WQ Vol) Retention basin I(3 x WQ Vol) Wet Pond 1 Constructed wetlands Infiltration(2 x WQ Vol) Retention basin II(4 x WQ Vol) Wet Pond 2 Dry Swale 1 Infiltration 1 Retention basin III(4 x WQ Vol. Wet Swale 1 Dry Swale 2 " Infiltration 2 with aquatic bench) Wet Swale 2 Extended detention(2 x WQ Vol) Other IIB(manufactured Sand filter Extended Detention Pond 1 treatment device,etc.) Sheetflow to Vegetated Filter or Extended Detention Pond 2 Conserved Open Space 2 Rev 04/2019 PAGE 2 1 6 CONSTRUCTION GENERAL PERMIT(VAR10)NOTICE OF TERMINATION 2019 Stormwater Management Facility#1 BMP Type Date BMP Became Functional: Address(if available) City and/or County and Zip Code: Latitude and Longitude (6-digit,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): Stormwater Management Facility#2 BMP Type: Date BMP Became Functional: Address(if available): City and/or County and Zip Code: Latitude and Longitude (6-digit,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): Stormwater Management Facility#3 BMP Type: Date BMP Became Functional. Address(if available): City and/or County and Zip Code: Latitude and Longitude (6-digit,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): Rev 04/2019 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 forgathering 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: �)�,,1 QIY l), urod l Signature(signed in ink): klas, Date: 6I3la I Section VIII.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 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 The Local VSMP Authority(insert address below) Office of Stormwater Management Suite 1400 PO Box 1105 Richmond VA 23218 constructiongp@deq.virginia.gov 1 Permit terminations may be delayed if there are outstanding annual permit maintenance fee balances due. Rev 04/2019 PAGE 4 16 1 , . Internal Use Only Dote Received: a I. \ Fee Paid: X0'" ..f‹..0 A./..44. Received by: . , (101 IN$ Intake: Forria o Management Analyst friiiCirt'W` BOND INSPECTION REQUEST APPROVED PLAN It W PO 0 I 6 - PROJECT NAME: Old TULL i B lock 7 l.Q4-s 13 - 18 (As listed on tile approved plan) This is to request that an inspection be performed by the County. Where fees are assessed,a fee is required for each inspection. Please check the inspections requested. VSMP/VESCP Erosion Control,Stormwater Management and/or Mitigation per 7 Water Protection Ordinance section 17-207 &208 $250 I , O Subdivision (roads,drainage,etc.)per Subdivision Ordinance section 14-435 anck14-438; $269 O Water&Sewer per Subdivision Ordinance section 14-435 $269 O Site Development Performance bond(Incomplete'Site Work&Landscape Maintenance) $301 TOTAL PEES a 60.00 Inspections for the purposes of bond reduction or release will require a separate fee for each bond. Submit-requests to: Department of Community Development,401 McIntire Road,North Wing, Charlottesville, VA 22902,Attentipm Management Analyst- Phone 434-296-5832; Fax 434-972-4126. All roads and stonnwater facilities will require construction record drawings, inspection reports,and completion processes through VDOT or DEQ. Bonds will not be reduced or released without record drawings and inspection documentation per the state requirements and countyrs published procedures. A minimum 20%of the original posting is held until acceptance of all bonded improvements. For Site Development Performance bonds, if landscape installation is part of the bonded incomplete site work,a request for reduction should only be made once all site work is complete. The revised estimate should be sent to; EMAIL: -h 'na.ineothpu3s& craijbkii Ithrs,co(Y-> OR REGULAR MAIL ADDRESS: 335 R'10 Road 1/1/6+ Ciyar-iacs VI I l,f UP .9),?,90 I - Signature of ON er/Developer .. "-- -41.,t4 ge-ift7 alai It Print Name Date Revised 7/15/2014,7/20/2015,11/3/2015 , . Notice of Termination General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10) (Please Type or Print All Information) 1. Construction Activity Operator:_ Name. -'S R V A(R t RU �P�1 Contact:WI�' thetiNl I,�, ( i Mailing Addresss:�pw �1 A Li) . • ' I ' L City £h1L I.011fc 1�� LI-t `f State. Ur) Zip. 632c,..01)I Phone. a�o)- t�3f`o'�f Email address(if available): GO Liam d Glt 0 9 mail..C011(1 - -_ 2. Name and Location of the Construction Activity:`(As listed on the Registration Statement.) Name: Ol� V , I)n\QC , LO S 1I—{ Address(if available): 4s7 Y' City l r r) State: LP— Zip:a'a"lq'a' County(if not located within a City). Latitude(decimal degrees). Lon itude(decimal degrees): 3. General Permit Registration Number: VAR 1 0'P 3/1 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.) L�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 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. 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 Measure: " " e$ 7 C9 N/f Date Functional: `` ����g��' � � Address(if available). Sin w e G S -'-'- - City' State. Zip County(if not located within a City): > Latitude(decimal degrees): — , I�' (ASO Z Longitude(decimal degrees): 3 `I e Q' Q Z. A \1Receiving Water 'S t m. F &t` 1l L" I Total Acres Treated: ,01 Impervious Acres Treated: 01/2014 Page 1 of 2 Permanent Control Measure#2 Type of Permanent Control Measure: Date Functional: Address(if available): City- State. Zip County(if not located within a City): Latitude(decimal degrees): '' Longitude(decimal degrees): Receiving Water Total Acres Treated: Impervious Acres Treated: Permanent Control Measure#3 Type of Permanent Control Measure: • Date Functional: Address(if available): City. State. Zip: County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): Receiving Water Total Acres Treated: Impervious Acres Treated: 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. Address(if available): City. ' State: Zip County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): Total Site Acres Treated: Impervious Site Acres Treated 7. Perpetual Nutrient Credits: (When applicable, information related to perpetual nutrient credits that were acquired in accordance with§62.1-44 15:35 of the Code of Virginia.Attach a separate list if additional space is needed.) Nonpoint Nutrient Credit Generating Entity Name: Perpetual Nutrient Credits Acquired(lbs/acre/year). 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 UIa imprisonment for knowing violations." (� /'� Printed Name: � m I(�. Q LL 1Y V . Title: • P 04 Wnc ‘S: ' Signature: Date: c9) Ohl (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