HomeMy WebLinkAboutWPO202100057 VSMP - SWPPP 2021-10-12I_� � ►� _1:T���IiP►�7
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN
FOR CONSTRUCTION ACTIVITIES AT:
Pantops Shopping Ctr-Enterprise Car Wash
392/396 Pantops Ctr, Charlottesville, VA 22911
Charlottesville, VA 22911
PREPARED BY:
Collins Engineering, INC
200 Garrett Street, Suite K
Charlottesville, VA 22902
434-293-3719
PREPARED FOR:
Pantops Shopping Center, LLC
P.O. Box 5526
Charlottesville, VA 22905
SWPPP PREPARATION DATE: 10/8/21
PROJECT START DATE:1/1/22
PROJECT COMPLETION DATE:1/1/23
TABLE OF CONTENTS:
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. IMPAIRED WATERS
8. QUALIFIED PERSONNEL
9. CERTIFICATION
10. DELEGATION OF AUTHORITY
APPENDICES:
A. DEPARTMENT OF ENVIRONMENTAL QUALITY GENERAL PERMIT
B. INSPECTION REPORT
C. CORRECTIVE ACTION FORM
D. POLLUTION PREVENTION TOOLBOX MEETING LOG
E. GRADING AND STABILIZATION ACTIVITES LOG
F. AMENDMENT LOG
SECTION 1
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SECTION 2
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SECTION 3
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NATURE OF ACTIVITY
PROJECT NAME: Pantops Shopping Ctr-Enterprise Car Wash
PROJECT LOCATION: 392/396 Pantops Ctr, Charlottesville, VA 22911
PROJECT DESCRIPTION:
THE PURPOSE OF THIS LAND DISTURBING ACTIVITY IS TO GRADE THE SITE TO FOR A CAR WASH AND
ASSOCIATED PARKING LOT. THE TOTALAREA TO BE DISTURBED WITH THIS PLAN IS 0.59 ACRES.
EXISTING SITE CONDITIONS:
THIS SITE IS MAINLY A GRASSED AREA WITH WOODS AND SLOPES TO THE NORTHWEST. THE SITE IS
LOCATED TO THE WEST OF PANTOPS SHOPPING CENTER PARKING LOT BY ENTERPRISE RENT -A -CAR. A
PORTION OF THE SITE JUST NORTH OF ENTERPRISE RENT -A -CAR IS CURRENTLY PAVED. THE MAJORITY
OF THE SITE DRAINS DIRECTLY NORTHWEST TOWARDS THE RIVANNA RIVER.
ADJACENT AREAS:
THIS SITE IS BORDERED TO THE NORTHWEST BY VACANT LAND ALONG THE RIVANNA RIVER, TO THE
SOUTH BY EXISTING COMMERCIAL BUILDING, TO THE EAST BY PANTOPS SHOPPING CENTER PARKING
LOT, AND TO THE NORTH BY ETERPRISE RENT -A -CAR.
OFFSITE LAND DISTURBANCE:
NO OFFSITE LAND DISTURBANCE IS PROPOSED WITH THIS PLAN.
CRITICAL AREAS:
TREE PROTECTION FENCING AND SILT FENCE SHALL BE MAINTAINED ALONG THE NORTHWEST
PROPERTY LINES AS SHOWN ON THE PLAN TO PROTECT THE ADJACENT PROPERTIES. CONTRACTOR
SHALL ENSURE THAT ALL SEDIMENT MAINTENANCE CONTROLS ARE ALONG THE PARKING LOT
ENTRANCE TO ENSURE THAT NO SEDIMENT LEAVES THE SITE AND DRAINS ONTO THE ROADS.
SOILS:
SOILS MAP IS INCORPORATED INTO EROSION CONTROL PLAN PHASE I WITH SOILS DATA INCLUDED
WITH THIS NARRATIVE.
SEQUENCE OF CONSTRUCTION:
PHASE I:
1. NOTIFY ALBEMARLE COUNTY TO SCHEDULE A PRE -CONSTRUCTION MEETING AS REQUIRED.
2. PRIOR TO DISTURBANCES, THE LIMITS OF DISTURBANCE SHALL BE FLAGGED AND THE TREE
PROTECTION FENCING SHALL BE INSTALLED.
3. NO EROSION CONTROL MEASURES MAY BE REMOVED DURING THE CONSTRUCTION PROCESS
WITHOUT THE APPROVAL FROM THE INSPECTOR ON THE PROJECT.
4. THE PROPOSED CONSTRUCTION ENTRANCE WITH WASH AREAS SHALL BE INSTALLED AS
SHOWN ON THE PLANS. THE CONSTRUCTION ENTRANCE TO BE INSTALLED WHERE CONSTRUCTION
VEHICLE ROUTES INTERSECT PAVED PUBLIC ROADS, PROVISIONS SHALL BE MADE TO MINIMIZE THE
TRANSPORT OF SEDIMENT BY (VEHICULAR) TRACKING ONTO THE PAVED SURFACE. WHERE SEDIMENT
IS TRANSPORTED ONTO A PUBLIC ROAD SURFACE, THE ROAD SHALL BE CLEANED THOROUGHLY AT THE
END OF EACH DAY. SEDIMENT SHALL BE REMOVED FROM THE ROADS BY SHOVELING OR SWEEPING
AND TRANSPORTING TO A SEDIMENT CONTROL DISPOSAL AREA. STREET WASHING SHALL BE
ALLOWED ONLY AFTER SEDIMENT IS REMOVED IN THIS MANNER.
5. INSTALL THE INITIAL CONSTRUCTION MEASURES AS SHOWN ON THE PHASE I EROSION
CONTROL SHEET. THIS INCLUDES WIRE SILT FENCE AND INLET PROTECTION. MEASURES INTENDED TO
TRAP SEDIMENT SHALL BE CONSTRUCTED AS A FIRST STEP WITH ANY LAND DISTURBANCE ACTIVITY
AND SHALL BE MADE FUNCTIONAL BEFORE UPSLOPE LAND DISTURBANCE TAKES PLACE.
6. ONCE ALL THE PHASE I EROSION CONTROL ITEMS HAVE BEEN INSTALLED AS SHOWN ON THE
EROSION CONTROL PHASE I PLAN AND THE INSPECTOR HAS APPROVED THE EROSION CONTROL
MEASURES, THE CONTRACTOR CAN BEGIN THE MINIMUM GRADING OPERATIONS AND BUILDING THE
RETAINING WALL. STABILIZATION MEASURES SHALL BE APPLIED TO EARTHEN STRUCTURES SUCH AS
DAMS, DIKES, AND DIVERSIONS IMMEDIATELY AFTER INSTALLATION.
7. ONCE ROUGH GRADING IS COMPLETE, CONTRACTOR CAN BEGIN INSTALLING UTILITIES,
ROAD/SIDEWALK CONSTRUCTION, AND BUILDING THE CAR WASH BUILDING. INLET PROTECTION SHALL
BE APPLIED TO INLETS AS THEY ARE BUILT AS SHOWN ON THE PLAN.
8. PERMANENT OR TEMPORARY SOIL STABILIZATION SHALL BE APPLIED TO DENUDED AREAS
WITHIN SEVEN DAYS AFTER FINAL GRADE IS REACHED ON ANY PORTION OF THE SITE. TEMPORARY
SOIL STABILIZATION SHALL BE APPLIED WITHIN SEVEN DAYS TO DENUDED AREAS THAT MAY NOT BE AT
FINAL GRADE BUT WILL REMAIN DORMANT (UNDISTURBED) FOR LONGER THAN 30 DAYS. PERMANENT
STABILIZATION SHALL BE APPLIED TO AREAS THAT ARE TO BE LEFT DORMANT FOR MORE THAN ONE
YEAR.
PHASE II:
9. ONCE THE SITE IS STABILIZED AND THE INSPECTOR HAS GIVEN APPROVAL, THE CONTRACTOR
CAN BEGIN REMOVAL OF SEDIMENT TRAPPING MEASURE. NO ITEM SHALL BE REMOVED UNLESS THE
UPSTREAM AREAS ARE STABILIZED AND THE INSPECTOR GIVES PERMISSION.
10. MAINTAIN ALL EROSION CONTROL MEASURES AS SPECIFIED IN THE VIRGINIA EROSION AND
SEDIMENT CONTROL HANDBOOK, REMOVING ONLY WHEN APPROVED BY THE LOCAL PROGRAM
ADMINISTRATOR IN ACCORDANCE WITH THE VIRGINIA EROSION AND SEDIMENT CONTROL
HANDBOOK.
11. ALL TEMPORARY EROSION AND SEDIMENT CONTROL MEASURES SHALL BE REMOVED WITHIN
30 DAYS AFTER FINAL SITE STABILIZATION OR AFTER THE TEMPORARY MEASURES ARE NO LONGER
NEEDED, UNLESS OTHERWISE AUTHORIZED BY THE LOCAL PROGRAM ADMINISTRATOR. TRAPPED
SEDIMENT AND THE DISTURBED SOIL AREAS RESULTING FROM THE DISPOSITION OF TEMPORARY
MEASURES SHALL BE PERMANENTLY STABILIZED TO PREVENT FURTHER EROSION AND
SEDIMENTATION.
SECTION 4
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SECTION 6
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POLLUTION PREVENTION PLAN
A. PERSON RESPONSIBLE FOR POLLUTION PREVENTION PRACTICES
The qualified personnel, contractor listed below, will be responsible for the implementation and
maintenance of the pollutant control measures. This may include delegating this responsibility
to other contractors as they become involved with the project and begin the anticipated
pollutant generating activity. They are required to hold weekly toolbox meetings to review the
pollution prevention plan with their team.
COMPANY NAME: Pantops Shopping Center, LLC
CONTACT NAME:
QUALIFICATION:
PHONE NUMBER:
EMAIL:
QAULIFIED INSPECTOR/CONTRACTOR
COMPANY NAME:
CONTACT NAME:
QUALIFICATION:
PHONE NUMBER:
EMAIL:
QAULIFIED SUBCONTRACTOR/CONSTRUCTION MANAGER
COMPANY NAME:
CONTACT NAME:
QUALIFICATION:
PHONE NUMBER:
EMAIL:
B. POLLUTION PREVENTION AWARENESS
DEQ's Office of Pollution Prevention hosts numerous programs and initiatives that serve as a
conduit for non -regulatory assistance to businesses and communities. The contractor will ensure
that their team is trained and knowledgably aware of all measures in this document before
construction begins. Contractor shall conduct a "walk through" of the site with their team
identifying areas of possible pollution and discussing how they will implement the prevention
practices outlined in this report and shown on the plans. They are required to hold weekly
toolbox meetings with their team to review the pollution prevention plan and give any updates
on changes through the construction phase.
C. SPILL PREVENTION AND RESPONSES
The first priority is to protect all people, secondly protect the equipment and property, and
lastly protect the environment. The contractor shall regularly check the equipment on site and
any pollutants shall be stored properly to prevent spills. Spills will be immediately and promptly
cleaned up by the contractor. Most spills can be cleaned up following manufacturer
specifications. Absorbent/oil dry, sealable containers, plastic bags, and shovels/brooms are
suggested minimum spill response items that should be available at this location. The following
steps shall be taken in the case of a spill:
1. Check for hazards (flammable material, noxious fumes, cause of spill) — if flammable liquid,
turn off engines and nearby electrical equipment. If serious hazards are present leave the
area and call 911. Large spills are likely to present a hazard.
2. Make sure the spill area is safe to enter and that it does not pose an immediate threat to
health or safety of any person.
3. Stop the spill source (most spills can be cleaned up following manufacturer specifications —
absorbent/oil dry, sealable containers, plastic bags, and shovels/brooms are suggested
minimum spill response items)
4. Call co-workers and supervisor for assistance and to make them aware of the spill and
potential dangers.
5. If possible, stop spill from entering drains (use absorbent or other material if necessary).
6. Stop spill from spreading (use absorbent or other material if necessary).
7. If spilled material has entered a storm sewer; contact locality's storm water department.
8. Clean up spilled material according to manufacturer specifications, for liquid spills use
absorbent materials and do not flush area with water.
9. Properly dispose of cleaning materials and used absorbent material according to
manufacturer specifications.
The following agency should be considered for notification in the case of a spill:
City of Charlottesville Fire Department: 434-970-3240
City of Charlottesville Police Department: 434-970-3280
Charlottesville Health Department: 434-972-6200
Virginia Department of Conservation & Recreation: 1-804-786-2094
Virginia Department of Environmental Quality: 1-540-574-7824
Virginia Department of Emergency Services: 1-800-468-8892
D. POTENTIAL SOURCES OF POLLUTANTS AND POLLUTION PREVENTION PRACTICES
POLLUTANTS
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Clearing, grading, excavating,
X
X
1
and unstabilized areas
✓
Paving operations
X
X
X
2
✓
Concrete washout and
X
X
X
3
cement waste
✓
Structure construction,
X
X
X
X
4
stucco, painting, and cleaning
✓
Dewatering operations
X
X
X
5
✓
Material delivery and storage
X
X
X
X
X
X
X
6
✓
Material use during building
X
X
X
X
X
X
7
process
✓
Solid waste disposal
X
X
8
✓
Sanitary waste
X
X
X
9
✓
Landscaping operations
X
X
X
X
X
10
Other:
11
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. These items shall be
contained while on site in the designated washout area shown on the plans and covered at
the end of each workday and before precipitation events.
Pollution Prevention Practices:
(1) Clearing, grading, excavating and un-stabilized areas — Utilize erosion and sediment controls to
prevent sediment laden or turbid runoff from leaving the construction site. Dispose of clearing
debris at acceptable disposal sites. Apply permanent or temporary stabilization, sodding and/or
mulching to denuded areas in accordance with the erosion and sediment control specifications
and the general VPDES permit for discharges of stormwater from construction activities.
(2) Paving operations —Cover storm drain inlets during paving operations and utilize pollution
prevention materials such as drip pans and absorbent/oil dry for all paving machines to limit leaks
and spills of paving materials and fluids.
(3) Concrete washout and cement waste — Direct concrete wash water into a leak -proof container or
leak -proof settling basin that is designed so that no overflows can occur due to inadequate sizing
or precipitation. Hardened concrete wastes shall be removed and disposed of in a manner
consistent with the handling of other construction wastes. Washout areas shall be placed in an
area that isn't susceptible to stormwater runoff and shall be covered at the end of each workday
and before any rain events.
(4) Structure construction, stucco, painting, and cleaning — Enclose, cover or berm building material
storage areas if susceptible to contaminated stormwater runoff. Conduct painting operations
consistent with local air quality and OSHA regulations. Mix paint indoors, in a containment area or
in a flat unpaved area. Prevent the discharge of soaps, solvents, detergents, and wash water from
construction materials, including the clean-up of stucco paint, form release oils and curing
compounds by doing so in a contained area and collecting the discharged pollutants in a leak proof
container that can be disposed of in the dumpster on site. Equipment and other tools may be
washed in the concrete washout area.
(5) Dewatering operations — Construction site dewatering from building footings or other sources
may not be discharged without treatment. Sediment laden or turbid water shall be filtered,
settled, or similarly treated prior to discharge.
(6) Material delivery and storage — Designate areas of the construction site for material delivery and
storage. Place near construction entrances, away from waterways, and avoid transport near
drainage paths or waterways.
(7) Material use during building process — Use materials only where and when needed to complete
the construction activity. Follow manufacturer's instructions regarding uses, protective
equipment, ventilation, flammability and mixing of chemicals.
(8) Solid waste disposal — Designate a waste collection area on the construction site that does not
receive a substantial amount of runoff from upland areas and does not drain directly to a
waterway. Ensure that containers have lids so they can be covered at the end of each day and
during periods of rain and keep containers in a covered area whenever possible. Schedule waste
collection to prevent the containers from overfilling.
(9) Sanitary waste — Prevent the discharge of sanitary waste by providing convenient and well -
maintained portable sanitary facilities. Locate sanitary facilities in a convenient location away
from waterways.
(10) Landscaping operations— Maintain as much existing vegetation as practicable. Apply permanent
or temporary stabilization, sodding and/or mulching to denuded areas in accordance with the
erosion and sediment control specifications and the general VPDES permit for discharges of
stormwater from construction activities. Apply nutrients in accordance with manufacturer's
recommendations and not during rainfall events.
(11) Others—
E. AUTHORIZED NON-STORMWATER DISCHARGES
Non-Stormwater Discharge
Location on Site
✓
Discharges from firefighting activities
Designated area shown on
plan
✓
Fire hydrant flushings
Fire hydrants shown on plan
Washing vehicles or equipment (soaps, solvents, or
✓
detergents have not been used and the wash water has been
Wash waters shown on plan
filtered, settled, or similarly treated prior to discharge)
✓
Dust Control (wash water has been filtered, settled, or
Dust control shown on plan
similarly treated prior to discharge)
✓
Potable water sources, including uncontaminated waterline
Water sources shown on
flushings
plan
External building wash down (soaps, solvents, or detergents
✓
have not been used and the wash water has been filtered,
Designated area shown on
settled, or similarly treated prior to discharge)
plan
Pavement washings (where spills or leaks of toxic or
✓
hazardous materials have not occurred; soaps, solvents, or
Wash waters shown on plan
detergents have not been used and the wash water has been
filtered, settled, or similarly treated prior to discharge)
✓
Uncontaminated air conditioning or compressor condensate
Designated area shown on
plan
✓
Uncontaminated ground water or spring water
Designated area shown on
plan
✓
Foundation or footing drains (where flows are not
Designated area shown on
contaminated with process materials such as solvents)
plan
Uncontaminated excavation dewatering (including
✓
dewatering of trenches and excavations that have been
Designated area shown on
filtered, settled, or similarly treated prior to discharge)
plan
✓
Landscape irrigation
Landscape areas shown on
plan
All non-stormwater discharges as stated in CGP I E. 1 through 12 are the only non-stormwater
discharges allowed by the construction general permit. With the exception of flows from
firefighting activities, allowable sources of non-stormwater discharges must be identified in
the SWPPP. Appropriate measures must be taken to ensure that pollution prevention
measures for the non-stormwater component of the discharge are implemented.
SECTION 7
II►Vil]_11:14DIVJ/_llIa:4.1
IMPAIRED WATERS
Name(s) of Receiving Waterbody: Rivanna River -Meadow Creek
Hydrologic Unit Code (HUC): JR14
Waterbody Condition: Impaired
If the site discharges to an impaired waterbody then the construction activity operator and
contractors shall comply with CGP II A.5.b. and provide clear direction that:
1. Permanent or temporary soil stabilization shall be applied to denuded areas within 7
days after final grade is reached on any portion of the site.
2. Nutrients shall be applied in accordance with manufacturer's recommendations or an
approved nutrient management plan and shall not be applied during rainfall events.
3. A modified inspection schedule shall be implemented in accordance with CGP II G2.a.
e Glossary ® Data 9 About ® Contact Us
How's My Waterway?
Informing the conversation about your waters.
Waterbody Report
• Rivanna River
Assessment Unit ID:VAV-H28R RVNO1A00
Waterbody Condition: Impaired
Existing Plans for Restoration: Yes
303(d) Listed: No
Year Reported: 2020
Organization Name (ID): Virginia (21VASWCB)
What type of water is this?
River (5.48 Miles)
Where is this water located?
Rivanna River from its confluence with North/South Fork Rivanna downstream to its confluence with Moores Creek.
Charlo
county of.
Assessment Information from 2020
What is this water used for?
Aquatic Life
Fish Consumption
Recreation
Wildlife
Expand All O
Impaired
Not Assessed
Impaired
Good
Probable sources contributing to impairment from 2020:
Source Confirmed
Non -Point Source No
Source Unknown No
Plans to Restore Water Quality
What plans are in place to protect or restore water quality?
Links below open in a new browser tab.
Plan Impairments Type Date
Rivanna River Benthic Macroinvertebrates TMDL 2008-06-11
Rivanna River Escherichia Coli(E. coli) TMDL 2008-12-29
SECTION 8
QUALIFIED PERSONNEL
QUALIFIED PERSONNEL
THE FOLLOWING PERSONNEL ARE RESPONSIBLE FOR IMPLEMENTING THE POLLUTION
PREVENTION PLAN AND PERFORMING WEEKLY TOOBOX MEETINGS AND INSPECTIONS ON THE
PROJECT SITE:
CONSTRUCTION ACTIVITY OPERATOR
COMPANY NAME: Pantops Shopping Center, LLC
CONTACT NAME:
QUALIFICATION:
PHONE NUMBER:
EMAIL:
QAULIFIED INSPECTOR/CONTRACTOR
COMPANY NAME:
CONTACT NAME:
QUALIFICATION:
PHONE NUMBER:
EMAIL:
QAULIFIED SUBCONTRACTOR/CONSTRUCTION MANAGER
COMPANY NAME:
CONTACT NAME:
QUALIFICATION:
PHONE NUMBER:
EMAIL:
SECTION 9
1414,4919 DF-A 9 RR, I
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."
OPERATOR NAME:
COMPANY: Pantops Shopping Center, LLC
TITLE:
SIGNATURE:
DATE: 10/8/21
SECTION 10
DELEGATION OF AUTHORITY
DELEGATION OF AUTHORITY
(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
Pantops Shopping Ctr-Enterprise Car Wash 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: Pantops Shopping Center, LLC
TITLE:
SIGNATURE:
DATE: 10/8/21
APPENDIX A
DEPARTMENT OF ENVIRONMENTAL QUALITY GENERAL PERMIT
APPENDIX B
INSPECTION REPORT:
PROJECT NAME:
SWPPP CONTACT:
Inspector Name:
Time of Inspection:
Last Rain Event:
Rainfall Amount:
Summary
of Inspection (See back of this sheet for checklist):
•
Location of Prohibited Discharges:
•
E&S or Pollution Prevent Measures that require maintenance:
•
Failed Control Measures (E&S or Pollution Prevention):
•
Locations where the approved plans were not implemented properly:
•
Corrective Actions Required:
•
Outstanding Items if present from last inspection:
Inspector Signature
Operator Signature
Date
Date
"If this report does not identify any incidents of non-compliance, I certify that the construction activity is in compliance
with the SWPPP and Construction General Permit"
Inspections shall be completed at least once every four business days; or at least once every 5 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. Representative
inspections used by utility line installation, pipeline construction, or other similar linear construction activities shall
inspect all outfalls discharging to exceptional water.
INSPECTION REQUIREMENTS:
• Inspect proper installation, maintenance needs, and effectiveness of:
Perimeter controls (silt fence, tree protection, etc.)
Soil stockpiles and borrow areas
Completed earthen structures (dams, dikes, ditches, diversions, etc.)
Cut and fill slopes
Measures installed to control sediment discharge from stormwater (sediment basins, traps, or barriers, etc.)
Measures installed to convey concentrated runoff (channels, flumes, slope drain structures, storm inlets,
construction vehicle access routes, etc.)
• Areas at final grade or to remain dormant for more than 14 days:
Initiate stabilization activities
Complete stabilization activities within 7 days of stopping work
• Evidence that ESCP has not been properly implemented:
Concentrated flows of stormwater in conveyances such as rills, rivulets or channels that have not been
filtered, settled, or similarly treated prior to discharge, or evidence thereof;
Sediment laden or turbid flows of stormwater that have not been filtered or settled to remove sediments
prior to discharge;
Sediment deposition in areas that drain to unprotected stormwater inlets or catch basins that discharge to
surface waters. Inlets and catch basins with failing sediments controls due to improper installation, lack of
maintenance, or inadequate design are considered unprotected;
Sediment deposition on any property (including public and private streets) outside of the construction activity
covered by this general permit;
Required stabilization has not been initiated or completed on portions of the site;
Sediment basins without adequate wet or dry storage volume or sediment basins that allow the discharge of
stormwater from below the surface of the wet storage portion of the basin;
Sediment traps without adequate wet or dry storage or sediment traps that allow the discharge of
stormwater from below the surface of the wet storage portion of the trap; and
Land disturbance outside of the approved area to be disturbed
• Pollutant generating activities from Pollution Prevention Plan:
Proper implementation, maintenance, and effectiveness of the procedures and practices
• Describe discharges at time of inspection:
• Record land -disturbing activities outside approved ESCP:
0 Identify any pollutant generating activity or evidence of discharge not identified in the pollution prevention plan:
APPENDIX C
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CORRECTIVE ACTION FORM:
SECTION A— INITIAL REPORT (CGP PART 5.4.1)
(Complete this section within 24 hours of identifying the condition that triggered corrective action)
Project Name:
NPDES ID No:
Today's Date:
Date Problem First Discovered:
Time Problem First Discovered:
Name and Contact:
What site conditions triggered the requirements to conduct corrective action:
❑ A stormwater control needs repair or replacement (beyond routine maintenance required under Part 2.1.4)
❑ A stormwater control necessary to comply with the requirements of this permit was never installed or installed incorrectly
❑ A discharge is causing an exceedance of applicable water quality standards
❑ A Part 1.3 prohibited discharge has occurred
❑ EPA requires correction action as a result of permit violations found during an EPA inspection carried out under Part 4.8
Provide a description of the problem:
Deadline for completing corrective action:
❑ Immediately take all reasonable steps to address the condition, including cleaning up any contaminated surfaces so the
material will not discharge in subsequent storm events
❑ Complete by close of the next business day when problem does not require a new or replacement control or significant
repair
❑ No later than 7 calendar days from the time of discovery for problems that require a new or replacement control or
significant repair
❑ Infeasible to complete the installation or repair within 7 calendar days.
Why is it infeasible and document schedule for installing control:
Date of corrective action completion:
SECTION B — CORRECTIVE ACTION COMPLETION (CGP PART 5.4.2)
(Complete this section no later than 24 hours after completing the corrective action)
Cause of Problem
Date Detected
How You Determined the Cause
1
2
Stormwater Control Modification
Needed to Correct Problem
Date of
Completion
How You Implemented the Modification
1
2
SECTION C—SIGNATURE AND CERTIFICATION (CGP PART 5.4.3)
CONTRACTOR OR SUBCONTRACTOR ON SITE
"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 gathered and evaluated the information
submitted. Based on my inquiry of the person or person 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
have no personal knowledge that the information submitted is other than 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."
Signature of Contractor or Subcontractor:
Printed Name and Affiliation:
Date:
"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 gathered and evaluated the information
submitted. Based on my inquiry of the person or person 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
have no personal knowledge that the information submitted is other than 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."
Signature of Operator or "Duly Authorized Representative":
Printed Name and Affiliation:
Date:
APPENDIX D
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POLLUTION PREVENTION TOOLBOX MEETING:
PROJECT NAME:
PROJECT LOCATION:
DATE:
SWPPP CONTACT:
ATTENDEES:
MEETING NOTES:
APPENDIX E
GRADING AND STABILIZATION ACTIVITIES LOG:
PROJECT NAME:
SWPPP CONTACT:
DATE
DATE GRADING
DATE WHEN
GRADING
ACTIVITY
DESCRIPTION OF GRADING ACTIVITY
ACTIVITY CEASED
(TEMPORARYLY OR
STABILIZATION
MEASURES ARE
DESCRIPTION OF STABILIZATION MEASURES
AND LOCATION
INITIATED
PERMANENTLY)
INITIATED
SIGNATURE OF CONTRACTOR/SUBCONTRACTOR OR "DULY AUTHORIZED REPRESENTATIVE":
PRINTED NAME AND AFFLIATION: DATE:
SIGNATURE OF CONTRACTOR/SUBCONTRACTOR OR "DULY AUTHORIZED REPRESENTATIVE":
PRINTED NAME AND AFFLIATION: DATE:
DATE
DATE GRADING
DATE WHEN
GRADING
ACTIVITY
DESCRIPTION OF GRADING ACTIVITY
ACTIVITY CEASED
(TEMPORARYLY OR
STABILIZATION
MEASURES ARE
DESCRIPTION OF STABILIZATION MEASURES
AND LOCATION
INITIATED
PERMANENTLY)
INITIATED
SIGNATURE OF CONTRACTOR/SUBCONTRACTOR OR "DULY AUTHORIZED REPRESENTATIVE":
PRINTED NAME AND AFFLIATION: DATE:
SIGNATURE OF CONTRACTOR/SUBCONTRACTOR OR "DULY AUTHORIZED REPRESENTATIVE":
PRINTED NAME AND AFFLIATION: DATE:
DATE
DATE GRADING
DATE WHEN
GRADING
ACTIVITY
DESCRIPTION OF GRADING ACTIVITY
ACTIVITY CEASED
(TEMPORARYLY OR
STABILIZATION
MEASURES ARE
DESCRIPTION OF STABILIZATION MEASURES
AND LOCATION
INITIATED
PERMANENTLY)
INITIATED
SIGNATURE OF CONTRACTOR/SUBCONTRACTOR OR "DULY AUTHORIZED REPRESENTATIVE":
PRINTED NAME AND AFFLIATION: DATE:
SIGNATURE OF CONTRACTOR/SUBCONTRACTOR OR "DULY AUTHORIZED REPRESENTATIVE":
PRINTED NAME AND AFFLIATION: DATE:
APPENDIX F
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AMENDMENT LOG:
PROJECT NAME:
SWPPP CONTACT:
AMENDMENT
NO.
DESCRIPTION OF THE AMENDMENT
DATE OF
AMENDMENT
AMENDMENT PREPARED BY
[NAME(S) AND TITLE]
AMENDMENT
NO.
DESCRIPTION OF THE AMENDMENT
DATE OF
AMENDMENT
AMENDMENT PREPARED BY
[NAME(S) AND TITLE]