HomeMy WebLinkAboutWPO202200031 VSMP - SWPPP 2022-07-25BARER
& ASSOCIATES
Storm Water Pollution Prevention Plan
In compliance with:
Storm Water Construction General Permit No. VAR10
Virginia Stormwater Management Program
(VSMP)
Castle Rock Farm - Phase 1
SWPPP and Construction Plans
Prepared by
Balzer & Associates, Inc.
104 Industry Way
Staunton, VA 24401
(540)248-3220
Date: July 20, 2022
NOTE: UPON COMMENCEMENT OF LAND DISTURBANCE, THE OPERATOR SHALL POST CONSPICUOUSLY A COPY OF THE
NOTICE OF PERMIT COVERAGE LETTER NEAR THE MAIN ENTRANCE OF THE CONSTRUCTION ACTIVITY AND SHALL
MAINTAIN A COPY OF THE SWPPP ON -SITE IN A JOB TRAILER, MAILBOX, OR PERMIT BOX IN ACCORDANCE wrTH PART II
D OF THE PERMIT. THE LOCATION FOR PUBLIC ACCESS TO THE SWPPP SHALL BE POSTED CONSPICUOUSLY NEAR THE
MAIN ENTRANCE AND MAINTAINED IN ACCORDANCE wrrH PART II C OF THE PERMIT. THE OPERATOR SHALL MAINTAIN
THE POSTED INFORMATION UNTIL TERMINATION OF GENERAL PERMIT COVERAGE AS SPECIFIED IN PART I F.
Castle Rock Farm - Phase 1
County of Albemarle
Storm Water Pollution Prevention Plan (SWPPP)
In compliance with:
Storm Water Construction General Permit No. VAR10
Virginia Stormwater Management Program
(VSMP)
SWPPP Coordinator:
(Signature)
(Name of Person)
(Company)
(Phone#)
" I certify under penalty of law that I have read and understand this document and that this
document and all attachments were prepared in accordance with a system designed to assure that
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."
"I certify that the SWPPP coordinator named above is my duly authorized representative for this
Project".
S ignature: Date:
[Authori=ed Representative per Part III. K.1. of the Permit, Appendix A]
Name:
Title:
Legal Entity:
Castle Rock Farm - Phase 1
Storm Water Pollution Prevention Plan
INTRODUCTION...
A) Plan Purpose
B) Background- Construction General Permit No. VARIO..................................................................................I
II PLAN REQUIREMENTS.................................................................................................... 2
A) General Requirements.............................................................................................................................................2
1) Deadlines.........................................................................................................................................................2
2) Incorporation of Other Plans...........................................................................................................................2
3) Plan Administration.........................................................................................................................................2
4) Plan Updates....................................................................................................................................................3
5) Potential Construction Site Storm Water Pollutants........................................................................................3
B)
Specific Requirements.........................................................................................................................................4
1)
Site and Activity Description..........................................................................................................................4
2)
Controls and Measures....................................................................................................................................5
a)
Erosion and Sediment Control....................................................................................................................5
b)
SWM/BMP's...............................................................................................................................................6
c)
Fuels and Oils.............................................................................................................................................6
d)
Solid Waste.................................................................................................................................................7
e)
Fertilizer.....................................................................................................................................................7
f)
Paint and other Chemicals..........................................................................................................................7
g)
Concrete......................................................................................................................................................7
h)
Water Testing.............................................................................................................................................8
i)
Sanitary Waste............................................................................................................................................8
J)
Grading and E & S Activities.....................................................................................................................8
k)
Demolition Activities.................................................................................................................................8
3)
Spills..............................................................................................................................................................10
4)
Maintenance..................................................................................................................................................11
5)
Inspections.....................................................................................................................................................11
6)
Non -Storm Water Discharges.......................................................................................................................14
7)
Total maximum daily loads...........................................................................................................................15
8)
Impaired waters.............................................................................................................................................16
C) Contractor Certification....................................................................................................................................16
D) Amendments, Modifications, and Updates.......................................................................................................16
REFERENCES........................................................................................................................... 18
Appendix A Storm Water Construction General Permit No. VAR10
Appendix B Forms; Notice of Registration and Notice of Termination
Appendix C Record of Land Disturbance
Appendix D Record of Inspections
Appendix E Record of Contractor Certification
Appendix F Record of Amendments, Modifications, and Updates Log
Appendix G Construction drawings
I Introduction
A) Plan Purpose
This Storm Water Pollution Prevention Plan (Plan) has been developed as a requirement
of the Virginia Stormwater Management Program (VSMP) General Permit for Discharges
of Storm Water from Construction Activities (Permit), as defined in 9VAC25-880 et seq.
The purpose of this plan is to:
1) Identify potential sources of pollution that may reasonably be expected to affect the
quality of storm water discharges from the construction site, and,
2) To describe and ensure the implementation of practices that will be used to reduce
pollutants in storm water discharges from the construction site and to assure compliance
with the conditions of the Permit.
Implementation of the components of this plan is required as a condition of the Permit
(Appendix A). Depending on the location of the construction activity, either the
Department of Environmental Quality (Department) or a local VSMP Authority has been
granted authority to administer the VPDES program and is therefore the regulatory
authority overseeing the implementation of this plan.
B) Background - Construction General Permit No. VAR] 0
The Permit has a fixed term of 5 years from the effective date of July 1, 2019 and is required
for all land disturbing activities except those subject to the exemptions specified in §62.1-
44.15:34 of the Code of Virginia. To obtain a Permit, operators must submit a Registration
Statement (Appendix B) to the VSMP Authority at least 15 days prior to the
commencement of construction activities (clearing, grading, or other activities that result
in soil disturbance).
The Permit authorizes the discharge of storm water from construction activities until the
Permit's expiration date. The Permit also authorizes the discharge of storm water from
offsite support activities, provided that certain conditions are met as outlined in the Permit
(Part I.A.2.). Certain non -storm water discharges are also authorized by the Permit,
provided the conditions contained in the Permit (Part I.E.) are met.
The operator of the construction activity shall submit a Notice of Termination (Appendix
B) to the VSMP authority after one or more of the following conditions have been met:
1. 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;
Storm Water Pollution Prevention Plan Page I
County of Albemarle, Virginia
Castle Rock Farm - Phase I
2. Another operator has assumed control over all areas of the site that have not been
finally stabilized and obtained coverage for the ongoing discharge;
3. Coverage under an alternative VPDES or state permit has been obtained; or
4. For residential construction only, temporary soil stabilization has been completed
and the residence has been transferred to the homeowner.
Authorization to discharge terminates at midnight on the date that the Notice of
Termination is submitted for the conditions set forth in subdivisions 2 through 4 of this
subsection unless otherwise notified by the VSMP authority or the Department.
Termination of authorizations to discharge for the conditions set forth in subdivision 1 of
this subsection shall be effective upon notification from the department that the provisions
of subdivision 1 of this subsection have been met or 60 days after submittal of the notice
of terminations, whichever occurs first.
II Plan Requirements
A) General Requirements
1) Deadlines
The plan shall be prepared prior to the submittal of the Registration Statement and
shall provide for compliance with the terms and schedule of the Permit beginning
with the initiation of construction activities.
2) Incorporation of Other Plans
The plan requirements of the Permit are satisfied by incorporating by reference
other plans developed for this construction activity, provided that the other plans
meet or exceed the requirements of Part IT of the Permit. The construction plans
developed for this project, Castle Rock Farm - Phase 1, have been approved by the
County of Albemarle. The construction plans meet current Albemarle County
requirements regarding erosion and sediment control and storm water management,
and also comply with State regulatory requirements as presented in the Virginia
Erosion and Sediment Control Handbook. All plans incorporated by reference into
the plan are enforceable under the Permit.
3) Plan Administration
The plan shall be certified in accordance with the Permit (the certification statement
is presented in the beginning of this plan). Copies of the plan and this permit shall
be kept on -site and be made available to the VSMP Authority, other regulatory
agencies having authority, and the general public, upon request. The plan must also
be available to all operators identified as having responsibilities to carry out
provisions contained in the plan. The operator shall make the SWPPP available for
public review in an electronic format or in hard copy. Information for public access
Storm Water Pollution Prevention Plan Page 2
County of Albemarle, Virginia
Castle Rock Farm - Phase I
to the SWPPP shall be posted and maintained in accordance with Part II D. If not
provided electronically, public access to the SWPPP may be arranged upon request.
4) Plan Updates
The plan shall be amended whenever there is a change in design, construction,
operation, or maintenance of the construction site that has a significant effect on
the potential for the discharge of pollutants to surface waters and that has not been
addressed in the normal implementation of the plan. The plan shall also be updated
whenever it is found to be ineffective in meeting the requirements of the Permit. In
the event the VSMP Authority notifies the permittee that the plan does not meet
one or more of the provisions of the Permit, within a period of 7 days the permittee
must make the required changes to the plan and submit a certification to the VSMP
Authority stating that the required changes have been made.
5) Potential Construction Site Storm Water Pollutants
The plan is focused upon limiting the pollution potential from the following:
Table 1
Potential Construction Site Storm Water Pollutants
Trade Name
Chemical/Physical
Storm Water Pollutants
Material
Description
Pesticides (insecticides,
Various colored to colorless liquid,
Chlorinated hydrocarbons,
fungicides,
powder, pellets, or grains
organophosphates, carbamates,
herbicides, rodenticides)
arsenic
Fertilizer
Liquid or solid grains
Nitrogen, phosphorous
Plaster
White granules or powder
Calcium sulphate, calcium
carbonate, sulfuric acid
Cleaning solvents
Colorless, blue, or yellow -green
Perchloroethylene, methylene
liquid
chloride, trichloroethylene,
petroleum distillates
Asphalt
Black solid
Oil, petroleum distillates
Concrete
White solid
Limestone sand
Glue, adhesives
White or yellow liquid
Polymers, epoxies
Paints
Various colored liquid
Metal oxides, stoddard solvent,
talc, calcium carbonate, arsenic
Curing compounds
Creamy white liquid
Naphtha
Wastewater from construction
Water
Soil, oil & grease, solids
equipment washing
Wood preservatives
Clear amber or dark brown liquid
Stoddard solvent, petroleum
distillates, arsenic, copper,
chromium
Hydraulic oil/fluids
Brown oily petroleum hydrocarbon
Mineral oil
Gasoline
Colorless, pale brown or pink
Benzene, ethyl benzene, toluene,
petroleum hydrocarbon
xylene, MTBE
Storm Water Pollution Prevention Plan Page 3
County of Albemarle, Virginia
Castle Rock Farm - Phase I
Diesel Fuel
Clear, blue-green to yellow liquid
Petroleum distillate, oil & grease,
naphthalene, xylenes
Kerosene
Pale yellow liquid petroleum
Hydrocarbon
Coal oil, petroleum distillates
Antifreeze/coolant
Clear green/yellow liquid
Ethylene glycol, propylene glycol,
heavy metals (copper, lead, zinc
Erosion
Solid Particles
Soil, Sediment
B) Specific Requirements
1) Site and Activity Description
The developer is proposing a 5,760 square foot, two story horse barn with parking areas
and access drives. The total site area is 171.76 acres and the total limits of construction
is 0.82 acres.
The items required by the Permit regarding the site description (Part II.B.1.) can be
found in the project design plans, Castle Rock Farm - Phase 1, which are incorporated
by reference into this plan. A summary of the required elements is provided in Table 2,
with a reference to the sheet number in the design plans where the required element can
be located:
Table 2. Site Description Elements
Please refer to the referenced location (i.e. Plan Sheet #) in
Castle Rock Farm - Phase 1 or as referenced elsewhere
Permit Part
H..B.1....
Required Element
Location'
a
Signed copy of the registration statement
SWPPP
b.
Upon receipt, a copy of the notice of coverage under the general VPDES permit
SWPPP
O.
Upon receipt, a copy of the general VPDES permit
SWPPP
d.
A narrative description of the nature of the construction activity
C3.0
e.
Site plan identifying:
e.(1)
- Directions of stormwater flow and approximate slopes
C2.0
e.(2)
- Limits of disturbance
C2.0
e. 3
- Major structural and non-structural controls
C2.0, C3.0
e.(4)
- Locations of surface waters
N/A
e.(5)
- Locations where concentrated stormwater is discharged
N/A
e.(6)
- Locations of support activities, when applicable and when required by the
VSMP authority
N/A
e.(7)
- When applicable, the location of the on -site rain gauge or the methodology
established to identify measurable storm events
SWPPP
I'Attach to this Plan any required elements that are notfound in the design plans./
Storm Water Pollution Prevention Plan Page 4
County of Albemarle, Virginia
Castle Rock Farm - Phase I
2) Controls and Measures
The Permit requires the implementation of various types of controls and measures that
are implemented to control pollutants in storm water discharges from the project site.
The Permit specifically requires the implementation of erosion and sediment control
practices (both structural and non-structural), storm water management practices, and
specific other controls to reduce pollutants. All E & S and SWMBMP controls
employed in this project were selected to meet and/or exceed State and local
requirements and are detailed in the referenced design plans.
Several requirements of the Permit relating to controls (Part II.A.) are not included in
the referenced design plans. A description of all the required items (including E&S and
SWMBMP) is presented below, along with how they are addressed in this Plan:
a) Erosion and Sediment Control
The design plans for this project, Castle Rock Farm - Phase 1, contain detailed
information regarding erosion and sediment controls used in this project.
Specifically, E & S control measures can be found on sheets C2.0 and C3.0.
Stabilization measures shall be initiated as soon as practicable in portions of the site
where construction activities have temporarily or permanently ceased, but in no case
more than seven days after the construction activity in that portion of the site has
temporarily or permanently ceased. Permanent or temporary soil stabilization shall
portion of the site.
Where construction activity on a portion of the site is temporarily ceased, and earth
disturbing activities will be resumed within 14 days, temporary stabilization
measures do not have to be initiated on that portion of the site.
In drought -stricken areas where initiating perennial vegetative stabilization
measures is not possible within seven days after construction activity has
temporarily or permanently ceased, final vegetative stabilization measures shall be
initiated as soon as practicable.
All control measures must be properly selected, installed and maintained in
accordance with manufacturer specifications and good engineering practices. If
periodic inspections or other information indicates a control has been used
inappropriately, or incorrectly, the permittee must replace or modify the control for
site situations as soon as practicable.
If sediment escapes the construction site, off -site accumulations of sediment must
be removed as soon as practicable to minimize off -site impacts. The operator shall
notify the VSMP authority and the department as well as obtain all applicable
Storm Water Pollution Prevention Plan Page 5
County of Albemarle, Virginia
Castle Rock Farm - Phase I
federal, state, and local authorizations, approvals, and permits prior to the removal
of sediments accumulated in surface waters including wetlands.
Litter, construction debris, and construction chemicals exposed to storm water shall
be prevented from becoming a pollutant source in storm water discharges. Such
items will be elevated away from runoff and covered or tarped whenever
practicable to reduce exposure to stormwater.
No solid materials, including building materials, garbage, and debris shall be
discharged to surface waters of the state, except as authorized by a Clean Water
Permit Section 404 permit.
b) SWMBMP's
The design plans for this project, Castle Rock Farm - Phase 1, contain detailed
information regarding SWMBMP controls used in this project. Specifically,
Stormwater Management Control Measures can be found on sheet C4.0.
c) Fuels and Oils
(i) On -site vehicle refueling will be conducted in a dedicated location away from
access to surface waters. Since the location of fueling activities will
periodically move during construction, the design plans do not contain a
specific location. For each phase of work a location will be determined in the
field and noted in the Site Inspection Log (Appendix D). Containment berms
will be located adjacent to the refueling area that will contain any inadvertent
spills until they can be cleaned up. Any on -site storage tanks will have a means
of secondary containment. In the event of a spill, it will be cleaned up
immediately and the material, including any contaminated soil, will be disposed
of according to all federal, state, and local regulations.
(ii) All vehicles on site will be monitored for leaks and receive regular preventive
maintenance to reduce the chance of leakage.
(iii) Petroleum products will be stored in tightly sealed containers which are clearly
labeled.
(iv) Spill kits will be stored and readily available at all fueling sources and
maintenance activities.
(v) Any asphalt substances used onsite will be applied according to the
manufacturer's recommendation.
Storm Water Pollution Prevention Plan Page 6
County of Albemarle, Virginia
Castle Rock Farm - Phase I
d) Solid Waste
(i) No solid materials shall be discharged to surface water. Solid materials,
including building materials, garbage, and debris shall be cleaned up daily and
deposited into dumpsters, which will be periodically removed from the site and
deposited into a landfill.
(ii) Waste containers must be closed during precipitation events and at the end
of each business day to minimize the discharge of pollutants in stormwater
coming in contact with building materials in containers.
e) Fertilizer
(i) Fertilizers will be applied only in the minimum amounts recommended by the
manufacturer or an approved nutrient management plan and shall not be applied
during rainfall events.
(ii) Fertilizers will be worked into the soil to limit exposure to storm water.
(iii) Fertilizers will be stored in a covered shed and partially used bags will be
transferred to a sealable bin to avoid spills.
f) Paint and other Chemicals
(i) All paint containers and curing compounds will be tightly sealed and stored
when not required for use. Excess paint will not be discharged to the storm
sewers but will be properly disposed according to the manufacturer's
instructions.
(ii) Spray guns will be cleaned on a removable tarp.
(iii) Chemicals used on -site are kept in small quantities and stored in closed
containers undercover and kept out of direct contact with storm water. As with
fuels and oils, any inadvertent spills will be cleaned up immediately and
disposed of according to federal, state, and local regulations.
g) Concrete
(i) Concrete trucks will not be allowed to wash out or discharge surplus concrete
or drum wash water on the site, except into leak -proof containers or leak -proof
settling basins which are located in the designated concrete disposal area.
(ii) Form release oil used for decorative stone work will be applied over a pallet
covered with an absorbent material to collect excess fluid. The absorbent
material will be replaced and disposed of properly when saturated.
Storm Water Pollution Prevention Plan Page 7
County of Albemarle, Virginia
Castle Rock Farm - Phase I
h) Water Testing
When testing/cleaning of water supply lines, the discharge from the tested pipe will
be collected and conveyed to a completed storm water pipe system for ultimate
discharge into a sedimentation basin or SWMBMP facility. Chlorinated water that
is flushed shall be dechlorinated by discharging the water over dichlorination tablets
in a manner approved by the authority having jurisdiction.
i) Sanitary Waste
Portable lavatories are located on -site and are serviced on a regular basis by a
contractor. They will be located in upland areas away from direct contact with
surface waters. Any spills occurring during servicing will be cleaned up
immediately, including any contaminated soils, and disposed of according to all
federal, state, and local regulations.
j) Grading and E & S Activities
A record of the dates when major grading activities occur, when construction
activities temporarily or permanently cease on a portion of the site, and when
stabilization measures are initiated shall be maintained and included in Appendix C
of this plan or in another acceptable location onsite.
k) Demolition Activities
Where construction activities include the demolition of a structure greater than
10,000 square feet of floor space built or renovated prior to July 1980, the following
additional measures shall be performed as appropriate:
(i) Separate work areas from non -work areas and select appropriate personal
protective equipment and tools.
(ii) Construct a containment area so that all dust or debris generated by the
work remains within the protected area.
a. Apply plastic sheeting to the floor, ground, or other applicable
surfaces to prevent contamination of the building interior or exterior
from dust generated by the work.
b. Put all necessary tools and supplies on the protective sheeting in the
work area before you begin work to avoid stepping off the protective
sheeting before the work is complete.
c. Construct a decontamination area outside of the work area by placing
heavy plastic sheeting on the ground. Use this area for removing
personal protective equipment and for cleaning equipment used in
the enclosure.
i. Every time you leave the plastic sheeting, remove disposable
shoe covers, and wipe or vacuum shoes, especially, the soles,
Storm Water Pollution Prevention Plan Page 8
County of Albemarle, Virginia
Castle Rock Farm - Phase I
before stepping off the plastic sheeting. A large disposable
tack pad on the floor can help to clean the soles of shoes.
ii. Remove or vacuum off Tyvek suits when exiting the work
area so the dust stays inside the work area.
(iii) For locations where a containment area cannot be constructed, consider the
following techniques:
a. Cover the ground and plants with heavy plastic sheeting to catch
debris. The covering should extend at least ten feet out from the
building. Secure the covering to the exterior wall with a wood strip
and staples, or tape.
b. Seal off any vents or air exchange systems into the building that are
located within the work area
c. Move or cover any play areas within 20 feet of the work area.
d. To prevent debris from falling beyond the ten -foot covering when
working on the second story or above, extend the sheeting farther out
from the base of the building and to each side of the area where
materials are being disturbed.
e. To prevent the spread of debris when work is close to a sidewalk,
street, or property boundary, or the building is more than three stories
high, scaffolding sides should be covered in plastic.
f. Avoid working in high winds. Otherwise, take special precautions to
keep the work area contained when the wind is strong enough to
move dust and debris. For example, a wind screen can be constructed
of plastic at the edge of the ground -cover plastic to keep dust and
debris from migrating.
(iv) For inside work, consider placing the containment area under negative air
pressure and/or using high -efficiency particulate air (HEPA).
(v) Use tools that minimize dust and heat (<212 deg. F)
a. When using electromechanical tools, use HEPA vacuum attachments
to contain the dust generated.
b. Use wet sanders and misters to keep down the dust created during
sanding, drilling, and cutting.
(vi) Leave the work area clean at the end of every day and at the end of the
project.
a. Daily activities include:
i. Pick up as you go. Put trash in heavy-duty plastic bags.
ii. Vacuum the work area with a HEPA vacuum cleaner
frequently during the day and at the end of the day.
iii. Clean tools at the end of the day.
iv. Dispose of or clean off personal protective equipment.
v. Properly dispose of wastewater produced during the job.
b. End of project activities include:
i. Make sure all trash and debris, including building
components, are disposed of properly.
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County of Albemarle, Virginia
Castle Rock Farm - Phase I
ii. Vacuum any exposed surfaces, including walls and ceilings,
with a HEPA vacuum cleaner.
iii. Mist dusty sections of the plastic sheeting with water before
taking them down to keep dust from becoming airborne
again.
iv. Remove plastic sheeting carefully, fold it with the dirty side
in, tape it shut, and properly dispose of it.
v. Visually inspect the site to ensure that no dust or debris is
present and re -clean the area thoroughly if you find dust or
debris.
3) Spills
Oil, chemical or other hazardous substance spills in excess of reportable quantities, in
accordance with Part III. of the Permit, will be reported to the Department and the VSMP
Authority as soon as the discharge is discovered, but no later than 24 hours. A reportable
quantity of oil is defined as a discharge to a surface water that causes a sheen,
discoloration, and/or an emulsion. Reports will be made to the following:
DEQ Valley Regional Office
Phone: (540) 574-7800
Fax: (540) 574-7878
For reports outside normal working hours, leave a message.
(For the Regional Office List by County go to
https://www.deq.vir ig nia.gov/Locations.aspx)
Virginia Department of Emergency Management
Emergency Operations Center (EOC)
Phone: 1-(800) 468-8892
County of Albemarle
Engineering Department
Phone: (434) 296-5832
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. Spills
large enough to reach the storm sewers will be reported to the National Response Center
at 1-800-424-8802. If serious hazards to personal health are present, leave area and call
911.
Storm Water Pollution Prevention Plan Page 10
County of Albemarle, Virginia
Castle Rock Farm - Phase I
4) Maintenance
Maintenance of the erosion and sediment controls and the storm water
management/BMP facilities incorporated into this project must be maintained on a
regular basis to assure their continued effectiveness. This includes repairs to all erosion
and sediment controls, including cleanout of all sediment basins and storm water
management facilities at the required intervals. Those controls found to be ineffective
during routine inspections (as described in the following section) shall be repaired
before the next anticipated storm event or as soon as practicable. A more detailed
description of the maintenance procedures is contained in the design plans, Castle Rock
Farm - Phase 1, on sheet C3.0, and is incorporated in this plan by reference.
5) Inspections
Inspections by qualified personnel shall be conducted of all areas of the site disturbed
by construction activity, and areas used for storage of materials that are exposed to storm
water. "Qualified personnel" means a licensed professional engineer, responsible land
disturber (RLD), or other knowledgeable person who (i) holds a certificate of
competence from the board in the area of project inspection; or (ii) is enrolled in the
board's training program for project inspection or combined administrator and
successfully completes such program within one year of enrollment.
Inspections shall include the review of all disturbed areas, structural and non-structural
control measures, material storage areas, and vehicular access points. For construction
activities that discharge to a surface water identified in Part II.B.5 and 6 as impaired or
having an approved TMDL or Part I B 7 as exceptional, inspections are to be
performed at least (i) once every four (4) business days or (ii) once every rive (5)
business days and no later than 24 hours following a measurable storm event. A
rain gauge shall be installed on -site in an open and accessible area to measure such
storm events. In the event that a measurable storm event occurs when there are
more than 24 hours between business days, the inspection shall be conducted on
the next business day. Except as specified above, inspections shall be conducted at a
frequency of at least once every five (5) business days or at least once every ten (10)
business days and no later than 24 hours following a measurable storm event. In the
event that a measurable storm event occurs when there are more than 24 hours between
business days, the inspection shall be conducted on the next business day. Areas that
already have been stabilized or where runoff is unlikely due to frozen or snow covered
ground shall be inspected at least on a monthly basis.
Inspections are intended to identify areas where the pollutant control measures at the
site are ineffective and are allowing pollutants to enter surface waters. Receiving waters
shall be inspected to ascertain whether control measures are effective in preventing
significant impacts. Locations where vehicles enter or exit the site shall be inspected
for evidence of offsite sediment tracking.
Storm Water Pollution Prevention Plan Page 11
County of Albemarle, Virginia
Castle Rock Farm - Phase I
The operator shall implement the corrective action(s) identified as a result of an
inspection as soon as practicable but no later than seven (7) days after discovery or a
longer period as approved by the VSMP authority. If approval of a corrective action by
a regulatory authority is necessary, the plan shall be updated and submitted to the VSMP
Authority within a period of 7 calendar days and additional control measures shall be
implemented to minimize pollutants in stormwater discharges until such approvals can
be obtained. If control measures need to be modified to assure effectiveness or if
additional measures are determined to be necessary, implementation shall be completed
prior to the next anticipated storm event or as soon as practicable.
A report summarizing the inspections and the subsequent maintenance activities must
be completed and maintained as part of the plan. The inspection report shall be included
into the SWPPP no later than four business days after the inspection is complete. The
sample inspection forms are included in Appendix D. Required elements include major
observations (including information on control measure performance and incidents of
non-compliance), and information on the inspecting personnel. If an inspection does
not identify any incidents of non-compliance, then the certification statement contained
in the inspection form will apply.
Required inspection elements include but are not limited to:
1. Recording the date and time of the inspection and when applicable the date and
rainfall amount of the last measurable storm event;
2. Recording the information and a description of any discharges occurring at the time
of the inspection;
3. Recording any land -disturbing activities that have occurred outside of the approved
erosion and sediment control plan;
4. Inspecting the following for installation in accordance with the approved erosion
and sediment control plan, identification of any maintenance needs, and evaluation
of effectiveness in minimizing sediment discharge, including whether the control
has been inappropriately or incorrectly used:
a. All perimeter erosion and sediment controls, such as silt fence;
b. Soil stockpiles, when applicable, and borrow areas for stabilization or sediment
trapping measures;
c. Completed earthen structures, such as dams, dikes, ditches, and diversions for
stabilization; General Permit No.: VAR10 Page 12 of 21
d. Cut and fill slopes;
e. Sediment basins and traps, sediment barriers, and other measures installed to
control sediment discharge from stormwater;
f Temporary or permanent channel, flume, or other slope drain structures
installed to convey concentrated runoff down cut and fill slopes;
g. Storm inlets that have been made operational to ensure that sediment laden
stormwater does not enter without first being filtered or similarly treated; and
h. Construction vehicle access routes that intersect or access paved roads for
minimizing sediment tracking;
Storm Water Pollution Prevention Plan Page 12
County of Albemarle, Virginia
Castle Rock Farm - Phase I
5. Inspecting areas that have reached final grade or that will remain dormant for more
than 14 days for initiation of stabilization activities;
6. Inspecting areas that have reached final grade or that will remain dormant for more
than 14 days for completion of stabilization activities within seven days of reaching
grade or stopping work;
7. Inspecting for evidence that the approved erosion and sediment control plan,
"agreement in lieu of a plan," or erosion and sediment control plan prepared in
accordance with department -approved annual standards and specifications has not
been properly implemented. This includes but is not limited to:
a. 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,
b. Sediment laden or turbid flows of stormwater that have not been filtered or
settled to remove sediments prior to discharge;
c. 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;
d. Sediment deposition on any property (including public and private streets)
outside of the construction activity covered by this general permit;
e. Required stabilization has not been initiated or completed on portions of the
site;
f. 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;
g. 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
h. Land disturbance outside of the approved area to be disturbed;
8. Inspecting areas that have reached final grade or that will remain dormant for more
than 14 days for initiation of stabilization activities;
9. Identify any pollutant generating activities not identified in the pollution prevention
plan; and
10. Identify and document the presence of any evidence of the discharge of pollutants
prohibited by this general permit.
Required documentation elements include but are not limited to:
1. Summarized findings of the inspection;
2. The location(s) of prohibited discharges;
3. The locations(s) of control measures that require maintenance;
4. The locations(s) of control measures that have failed to operate as designed or
proved inadequate or inappropriate for a particular location;
5. The locations(s) where any evidence identified under section 7 above exists;
Storm Water Pollution Prevention Plan Page 13
County of Albemarle, Virginia
Castle Rock Farm - Phase I
6. The locations(s) where any additional control measure is needed that did not exist at
the time of inspection;
7. A list of corrective actions required (including any changes to the SWPPP that are
necessary) as a result of the inspection or to maintain permit compliance;
8. Documentation of any corrective actions required from a previous inspection that
have not been implemented; and
9. The date and signature of the qualified personnel and the operator or its duly
authorized representative.
Utility line installation, pipeline construction, and other examples of long, narrow, linear
construction activities may limit the access of inspection personnel to the areas
described in Part II.G.2.d. Inspection of these areas could require that vehicles
compromise temporarily or even permanently stabilized areas, cause additional
disturbance of soils, and increase the potential for erosion. In these circumstances,
controls must be inspected on the same frequencies as other construction projects, but
representative inspections may be performed. For representative inspections, personnel
must inspect all outfalls and controls along the construction site for 0.25 miles above
and below each access point where a roadway, undisturbed right-of-way, or other similar
feature intersects the construction site and allows access to the areas described above.
The conditions of the controls, along each inspected 0.25-mile segment may be
considered as representative of the condition of controls along that reach extending from
the end of the 0.25-mile segment to either the end of the next 0.25-mile segment, or to
the end of the project, whichever comes first. Inspection locations must be listed in the
report required by Part II. G.2.d.
If adverse weather causes the safety of the inspection personnel to be in jeopardy, the
inspection may be delated until the next business day on which it is safe to perform the
inspection. Any time inspections are delayed due to adverse weather conditions,
evidence of the adverse weather conditions shall be included in the SWPPP with the
dates of occurrence. (Part II G.2.e)
6) Non -Storm Water Discharges
With the exception of flows from fire fighting activities, allowable sources of non -storm
water discharges (Part I.A.2. of the Permit must be identified in the plan. Appropriate
measures must be taken to ensure that pollution prevention measures for the non -storm
water component of the discharge are implemented. The non -storm water discharges
associated with this project identified at this time are:
a) Testing of Water.
Other permitted discharges include (Part I.E.):
a) Discharges from fire fighting activities;
b) Fire hydrant flushings;
Storm Water Pollution Prevention Plan Page 14
County of Albemarle, Virginia
Castle Rock Farm - Phase I
c) Waters used to wash vehicles where soaps, solvents, or detergents have not been used
and the wash water has been filtered, settled, or similarly treated prior to discharge;
d) Water used to control dust that has been filtered, settled, or similarly treated prior to
discharge;
e) Potable water sources, including uncontaminated waterline flushings;
f) Routine external building wash down where soaps, solvents, or detergents have not
been used and the wash water has been filtered, settled, or similarly treated prior to
discharge;
g) Pavement wash waters where spills or leaks of toxic or hazardous materials have not
occurred (or where all spilled or leaked material has been removed prior to washing);
where soaps, solvents, or detergents have not been used; and where the wash water has
been filtered, settled, or similarly treated prior to discharge;
h) Uncontaminated air conditioning or compressor condensate;
i) Uncontaminated ground water or spring water;
j) Foundation or footing drains where flows are not contaminated with process materials
such as solvents;
k) Uncontaminated excavation dewatering, including dewatering of trenches and
excavations that have been filtered, settled, or similarly treated prior to discharge; and
1) Landscape irrigation.
7) Total maximum daily loads
Per Section 9VAC25-880-70 Part I B4 of the General Permit:
This site discharges into Rivanna River and Mechums River and is part of an approved
TMDL. If it is located within the Chesapeake Bay watershed where a TMDL
wasteload allocation has been established and approved then items a through d below
need to be addressed. Therefore, the operator/contractor must include/implement the
following items:
a) The pollutant(s) of concern, when applicable, shall be identified in the SWPPP;
b) 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;
c) Nutrients shall be applied in accordance with manufacturer's recommendations or
an approved nutrient management plan and shall not be applied during rainfall
events; and
d) A total maximum daily load (TMDL) approved by the State Water Control Board
may include a wasteload allocation to the regulated construction activity that
identifies the pollutant for which stormwater control measures are necessary for
the surface waters to meet water quality standards. The pollutant identified in a
wasteload allocation as of the effective date of this permit must be specified in the
SWPPP. The SWPPP shall include strategies and control measures to ensure
consistency with the assumptions and requirements of the TMDL WLA that apply
to the operator's discharge. In a situation where a TMDL has specified a general
wasteload allocation applicable to construction stormwater discharges, but no
specific requirements for construction sites have been identified in the TMDL, the
operator shall consult with the state or federal TMDL authority to confirm that
Storm Water Pollution Prevention Plan Page 15
County of Albemarle, Virginia
Castle Rock Farm - Phase I
meeting permit requirements will be consistent with the approved TMDL. If the
TMDL specifically precludes such discharges, the operator is not eligible for
coverage under the general permit. Loads & Implementation Plans can be found at
the following links:
https://www.deq.virginia. goy/water/water-quality/implementation/tmdl-
implementation-projects
Approved TMDL Reports Search Tool can be found at the following link:
tmdls
8) Impaired waters
a) In accordance with Part I.B.4, control measures shall be protective of water quality
standards for impaired waters identified as having impairments for pollutants that
may be discharged from the construction activity in the 2016 § 305(b)/303(d) Water
Quality Assessment Integrated Report which can be found at the following link:
https://www.deq.virginia.goy/water/water-quality/assessments/inte atrg ed-report
An integrated map can be found at the following link:
https: //apps. deq. virginia. goy/EDM/
Currently the Rivanna River is listed as impaired by E. Coli (Total Fecal Coliform)
and Sediment (Benthic-Macroinvertebrate Bioassessments). The Mechums River
is listed as impaired by E. Coli (Total Fecal Coliform). No activities associated
with this land disturbance will generate additional E. Coli and Sediment.
C) Contractor Certification
All contractors and/or sub -contractors who have responsibility for implementing and
maintaining the controls identified in this plan must sign the certification statement
contained in Appendix E. The person signing the certification must meet the signatory
requirements, as presented in Part IILK. of the Permit. The certifications must be
maintained as part of the plan.
D) Amendments, Modifications, and Updates
All Amendments, Modifications, and Updates must be logged in Appendix F of the SWPPP
in accordance with Part II.B.0 of the Permit:
1. The operator or their designee shall amend the SWPPP whenever there is a change
in the design, construction, operation, or maintenance that has a significant effect
on the discharge of pollutants to surface waters and that has not been previously
addressed in the SWPPP.
2. The SWPPP must be amended if, during inspections or investigations by the
operator's qualified personnel, or by local, state, or federal officials, it is determined
Storm Water Pollution Prevention Plan Page 16
County of Albemarle, Virginia
Castle Rock Farm - Phase I
that the existing control measures are ineffective in minimizing pollutants in
discharges from the construction activity. Revisions to the SWPPP shall include
additional or modified control measures designed and implemented to correct
problems identified. If approval by the VESCP authority, VSMP authority, or
department is necessary for the control measure, revisions to the SWPPP shall be
completed no later than seven calendar days following approval. Implementation
of these additional of modified control measures must be accomplished as described
in Section 13.3, part 11.
3. The SWPPP must clearly identify the contractor(s) that will implement and
maintain each control measure identified in the SWPPP. The SWPPP shall be
amended to identify any new contractor that will implement and maintain a control
measure.
4. The operator or their designee shall update the SWPPP no later than seven days
following any modification to its implementation. All modifications or updates to
the SWPPP shall be noted in Appendix F and shall include the following items:
a. A record of dates when:
i. Major grading activities occur;
ii. Construction activities temporarily or permanently cease on a
portion of the site; and
iii. Stabilization measures are initiated.
b. Documentation of replaced or modified controls where periodic inspections or
other information have indicated that the controls have been used
inappropriately or incorrectly and where modified as soon as possible;
c. Areas that have reached final stabilization and where no further SWPPP
inspection requirements apply;
d. All properties that are no longer under the legal control of the operator and the
dates on which the operator no longer had legal control over each property;
e. The date of any prohibited discharges, the discharge volume released, and what
actions were taken to minimize the impact of the release;
f. Measures taken to prevent the reoccurrence of any prohibited discharge; and
g. Measures taken to address any evidence identified as a result of an inspection.
5. Amendments, modifications, or updates to the SWPPP shall be signed in
accordance with Part IILK of the Permit.
Storm Water Pollution Prevention Plan Page 17
County of Albemarle, Virginia
Castle Rock Farm - Phase I
REFERENCES
Virginia Department of Conservation and Recreation. 1992.Virginia Erosion and Sediment
Control Handbook. Third Edition. Division of Soil and Water Conservation, Virginia Department
of Conservation and Recreation.
Title of Regulation: 9VAC25-870. Virginia Stormwater Management Program (VSMP) Permit
Regulations (amending 9VAC25-830, 9VAC25-840, 9VAC25-850, 9VAC25-870, 9VAC25-880,
9VAC25-890
Storm Water Pollution Prevention Plan Page 18
County of Albemarle, Virginia
Castle Rock Farm - Phase I
APPENDIX A
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Forms:
2019 VSMP General Permit Registration Statement
2019 VSMP General Permit Notice of Termination
2019 VSMP General Permit Transfer of Ownership Agreement Form
VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT #:
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM PLAN/ID #:
CONSTRUCTION ACTIVITIES (VAR10) TECHNICAL CRITERIA: IIB ❑ IIC ❑
REGISTRATION STATEMENT 2019
Application type. 2 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:
Hope's Legacy Equine Rescue
Contact person:
Maya Proulx
Address:
5745 Taylor Creek Rd.
City, State and Zip Code:
Afton, VA 22920
Phone Number:
434-531-5688
Primary and CC Email:
hopeslegacy@hotmail.com
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 2 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:
Castle Rock Farm - Phase 1
Address:
2080 Castle Rock Rd.
City and/or County and Zip Code:
Albemarle County, VA
Construction Activity Entrance Location
(description, street address and/or
latitude/longitude in decimal degrees):
Lat: 37.9769
Long:-78.7724
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):
0.82 acres
Primary estimated area to be disturbed (include portions with
Erosion and Sediment Control Plan approval only):
0.82 acres
Off -site estimated area to be disturbed (if applicable):
N/A
D.
Property Owner Status:
FEDERAL ❑ STATE ❑ PUBLIC ❑ PRIVATE 2
E.
Nature of the Construction Activity Description (i.e. commercial,
industrial, residential, agricultural, environmental, utility):
Commercial
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:
07/31/2024
H.
Is this construction activity part of a larger common plan of
development or sale?
YES 2 NO ❑
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
020802040101
Stockton Creek-Mechums River
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 ❑
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
VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR10)
NOTICE OF TERMINATION 2019
Permit Coverage Number
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
Operator Name:
Contact Person:
Address:
City, State, Zip Code:
Phone Number:
Primary Email:
CC Email:
Section II. Construction Activity Location Information. Project site information.
Construction Activity Name:
Address:
City and/or County and Zip Code:
Latitude and Longitude
(6-digit, decimal degrees format):
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):
❑ 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, 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 1 6
CONSTRUCTION GENERAL PERMIT IVAR101 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:
Address:
City and/or County and Zip Code:
Latitude and Longitude
(6-digit, decimal degrees format):
Total Acres Treated by Regional Facility
(report to one -hundredth of an acre):
Impervious Acres Treated by Regional Facility
(report to one -hundredth of an acre):
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):
Perpetual Nutrient Credits Acquired
(pounds/acres/year):
Include the affidavit of sale for all nutrient credits acquired. Is the affidavit of sale of nutrient credits attached? OYES ONO
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
❑ 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 DECes VSMP Authority
Stormwater Management Facility Types (please choose from the followina bmv types):
Bioretention 1
Bioretention 2
Bioretention basin
Bioretention filter
Constructed Wetland 1
Constructed Wetland 2
Constructed wetlands
Dry Swale 1
Dry Swale 2
Extended detention (2 x WQVol)
Extended Detention Pond 1
Extended Detention Pond 2
Extended detention -enhanced
Filtering Practice 1
Filtering Practice 2
Grass Channel
Grassed swale
Infiltration (1 x WQ Vol)
Infiltration (2 x WQ Vol)
Infiltration 1
Infiltration 2
Other 1113 (manufactured
treatment device, etc.)
Other IIC (manufactured
treatment device, etc.)
Permeable Pavement 1
Permeable Pavement 2
Rainwater Harvesting
Retention basin I (3 x WQ Vol)
Retention basin II (4 x WQ Vol)
Retention basin III (4 x WQ Vol
with aquatic bench)
Sand filter
Sheetflow to Vegetated Filter or
Conserved Open Space 2
Soil Amendments
Urban Bioretention
Vegetated filter strip
Vegetated Roof 1
Vegetated Roof 2
Wet Pond 1
Wet Pond 2
Wet Swale 1
Wet Swale 2
Rev 04/2019 PAGE 2 16
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 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 Vill. 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:
Department of Environmental Quality
Office of Stormwater Management Suite 1400
PO Box 1105
Richmond VA 23218
co nstru ctlongp@de4.virginia.gov
If the locality is the VSMP Authority, please send to:
The Local VSMP Authority (insert address below)
Permit terminations may be delayed if there are
outstanding annual permit maintenance fee balances due.
Rev 04/2019 PAGE 4 16
VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR10)
TRANSFER OF OWNERSHIP AGREEMENT 2019
Permit Coverage Number (VAR10#4##):
Construction Activity
Section I. Current Construction Activity Operator/Permittee Information. Operator information as it appears on the
current, active permit coverage.
Construction Activity
Operator Name:
Contact Person:
Address:
City, State and Zip Code:
Phone Number:
Primary Email:
CC Email:
"I (We) hereby agree to the transfer of ownership modification to the referenced General VPDES Permit for Discharges
of Stormwater from Construction Activities (VAR10)."
Printed Name:
Signature:
Date:
Section II. New Construction Activity Operator/Permittee Information. Permit coverage will be transferred to this
person or entity.
Construction Activity
Operator Name (NEW):
Contact Person:
Address:
City, State and Zip Code:
Phone Number:
Primary Email:
CC Email:
"I (We) hereby agree to the transfer of ownership modification to the referenced General VPDES Permit for Discharges
of Stormwater from Construction Activities (VAR10)."
Printed Name:
Signature:
Date:
Rev 04/2019 Page 1 of 2
VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR10)
TRANSFER OF OWNERSHIP AGREEMENT 2019
Section III. New Construction Activity Operator/Permittee Billing Information. This entity will receive Annual Permit
Maintenance and Permit Modification Fee invoices (if applicable). Leave this section blank if same as the New Operator
as identified in Section II. A. above.
Billing Entity Name:
Contact Person:
Address:
City, State and Zip Code:
Phone Number:
Primary Email:
CC Email:
May we transmit correspondence electronically? You must choose YES and include a valid email in order to pay by
credit card and to receive your transfer approval letter via email: YES ❑ NO ❑
Section IV. Instructions.
A properly authorized individual as specified in the General VPDES Permit for Stormwater Discharges from Construction
Activities (VAR10), Part III K (Signatory Requirements) must physically sign this Transfer of Ownership Agreement.
Please retain a copy of this agreement form for your records and include a copy in your Stormwater Pollution Prevention
Plan (SWPPP).
Submit this form to the VSMP Authority. If the locality is the VSMP Authority, please submit your Transfer of Ownership
Agreement 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 04/2019 Page 2 of 2
/_1»=1►1U]E(81
Record of Land Disturbance
Record of Land Disturbance
Location (Attach a map showing the location of the activity)
Dates
Disturbance Disturbance Measures
Began I Ended I Implements
APPENDIX D
Record of Site Inspections
VSMP INSPECTION REPORT
Project:
GCP Number:
Notice of Coverage posted? ❑YES ❑ NO
SWPPP available for review? ❑YES ❑ NO
Inspection
Date/Time
Inspection Conducted By
must be the Qualified Personnel identified in the SWPPP
Date of Last
Rainfall
Measureable
Amount
❑ Not applicable since inspection frequency is at least once every four business days
Storm Event
Record the information and a
description of any discharges
occurring at the time of the inspection
Record any land -disturbing activities
that have occurred outside the
approved erosion and sediment
control plan
Have controls
Are controls
Havecontrols
been installed
effectively
been
Describe any maintenance needs or other
Inspection requirements:
in accordance
minimizing
inappropriately
deficiencies that were identified and the location
with the
sediment
orincorrectly
of the deficiencies
approved
discharges?
used?
All perimeter erosion and sediment
controls (siltfence, etc.)
❑YES El NO
❑YES El NO
❑YES El NO
Soil stockpiles and borrow areas (for
stabilization orsediment trapping
❑YES ❑ NO
❑YES ❑ NO
❑YES ❑ NO
measures)
Completed earthen structures, such as
dams, dikes, ditches, and diversions for
DYES ❑ NO
DYES
❑ NO
DYES
❑ NO
stabilization
Cut and fill slopes
DYES ❑ NO
DYES
❑ NO
DYES
❑ NO
Sediment basins and traps, sediment
barriers, and other measures (installed to
DYES ❑ NO
DYES
❑ NO
DYES
❑ NO
control sediment discharges from
stormwate
Temporary or permanent channels,
flumes, or other slope drain structures
DYES ❑ NO
❑YES
❑ NO
DYES
❑ NO
(installed to convey concentrated runoff
down cut and fill slopes)
Storm inlets (to ensure that sediment
laden stormwater does not enter without
DYES ❑ NO
DYES
❑ NO
DYES
❑ NO
first being filtered or similarly treated)
Construction entrance and access routes
DYES ❑ NO
DYES ❑ NO
DYES ❑ NO
(for minimizing mud/sediment tracking)
Have stabilization activities begun on areas that have reached final grade or that will remain dormant for more than 14 days?
DYES ❑ NO
Were stabilization activities completed within seven days of reaching final
grade or stopping work on areas that have reached final
grade or that will remain dormant for
more than
14 days?
DYES ❑ NO
Inspect for the presence of the following:
Present?
Location
Concentrated flows of stormwater in conveyances (such as rills, rivulets or
channels) that have not been filtered, settled, or similarly treated prior to
DYES
❑ NO
discharge (or evidence thereof)
Sediment laden runoff that has not been filtered or settled to remove
sediments prior to discharge
DYES
El NO
Sediment deposition in areas that drain to unprotected stormwater inlets
or catch basins that discharge to surface waters
DYES
1-1 NO
Inlets and catch basins with failing sediment controls due to improper
installation, lack of maintenance, or inadequate design
DYES
❑ NO
Sediment deposition on any property (including public and private streets)
outside of the construction activity covered by the general permit
DYES ❑ NO
Required stabilization (initiated or completed on portions ofthe site?)
DYES ❑ NO
Sediment basins/traps without adequate wet or dry storage volume
DYES ❑ NO
Sediment basins where the riser appears to be leaking, water appears to
be leaving the basin around the barrel pipe (rather than through it), or the
DYES ❑ NO
dewatering device appears to be dewatering basin from below the water
surface
Sediment traps that allow stormwater to discharge from below the surface
of the wet storage portion of the trap
DYES ❑ NO
Land disturbance outside of the approved limits of disturbance
DYES ❑ NO
Inspect the pollution prevention controls associated with the pollutant generating activities identified in the Pollution Prevention Plan
Have the controls
Are controls
Inspect the pollution prevention controls
been properly
effectively
Describe any maintenance needs or other
associated with the pollution generating activities
implemented as
minimizing pollutant
deficiencies that were identified and the
identified in table 8.1 of the SWPPP
outlined on the PPP
discharges?
location of the deficiencies
sheet?
Clearing, grading or excavating
❑ N/A
DYES ❑ NO
DYES ❑ NO
Paving operations
❑ N/A
DYES ❑ NO
DYES ❑ NO
Concrete washout and concrete waste
disposal
1-1N/A
DYES ❑ NO
DYES ❑ NO
Structure construction, stucco, painting
or cleaning
1-1N/A
DYES ❑ NO
DYES ❑ NO
Dewatering operations
❑ N/A
DYES ❑ NO
DYES ❑ NO
Material delivery and storage
❑ N/A
DYES ❑ NO
OYES ❑ NO
Material use during building process
❑ N/A
DYES ❑ NO
DYES ❑ NO
Solid waste disposal
❑ N/A
DYES ❑ NO
DYES ❑ NO
Sanitary waste disposal (porta-johns)
❑ N/A
DYES ❑ NO
DYES ❑ NO
Landscaping operations
❑ N/A
DYES ❑ NO
DYES ❑ NO
Vehicle Fueling or Maintenance
❑ N/A
DYES ❑ NO
DYES ❑ NO
Other (describe)
DYES ❑ NO
DYES ❑ NO
Other (describe)
DYES ❑ NO
DYES ❑ NO
Other (describe)
DYES ❑ NO
DYES ❑ NO
Other (describe)
DYES ❑ NO
DYES ❑ NO
Other (describe)
DYES ❑ NO
DYES ❑ NO
Identify the material(s) and document the location or
presence of any evidence of pollutant discharges that are not
authorized by the general permit
List the corrective actions required (including any changes to
the SWPPP that are necessary) as a result of the inspection
or to maintain permit compliance
Document any corrective action(s) required from a previous
inspection that have not been implemented
"I certify under penalty of law that I have read and understand this document 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."
Signature: Date:
Name: Title:
(must be either the Operator or Delegated Authority, not necessarily the person who conducted the inspection)
APPENDIX E
Record of Contractor Certification
Contractor Certification
"I certify under penalty of law that I understand the terms and conditions of this Virginia
Stormwater Management Plan (VSMP) general permit that authorizes the storm water discharges
from the construction activity identified as part of this certification."
Site: Castle Rock Farm - Phase 1
Contractor #
Name:
Title:
Firm: Name:
Address:
Telephone:
Date:
Signature:
Contractor #
Name:
Title:
Firm: Name:
Address:
Telephone:
Date:
Signature:
i-3UU=l U]E�A
Record of Amendments, Modifications, and Updates Log
Amendment No.
Description of the Amendment
Date of Amendment
Amendment Prepared
b Names and Title
" I certify under penalty of law that I have read and understand this document and that this document and all attachments were prepared in accordance
with a system designed to assure that 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."
Signature: Date:
[Authorized Representative per Part III.K 1. of the Permit, Appendix A]
APPENDIX G
Construction Drawings