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Instructions for Completing the Registration Statement General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10) GENERAL The entities that are considered operators will commonly consist of the owner or developer of a project(the party with control of project plans A.Coverage Under this General Permit. and specifications)or the general contractor(the party with day to day operational control of the activities at the project site which are Any operator applying for coverage under this general permit who is necessary to ensure compliance with the general permit). required to submit a Registration Statement (see Section B below) must submit a complete Registration Statement to the Department. Provide the legal name(do not use a colloquial name),contact,mailing The Registration Statement serves as a Notice of Intent for coverage address, telephone number, and email address (if available) of the under the General VPDES Permit for Discharges of Stormwater from construction activity operator;general permit coverage will be issued to Construction Activities(VAR10). this operator. Indicate if the Department may transmit general permit correspondence electronically. B. Single-family Detached Residential Structures. Item 2:Existing General Permit Registration Number. Operators with an existing stormwater discharge or proposing a new stormwater discharge associated with the construction of a single- For reapplications only, provide the existing general permit registration family detached residential structure are not required to submit a number for the construction activity. This item does not need to be Registration Statement or the Department of Environmental Quality completed for new construction activities applying for general permit (DEQ)portion of the general permit fee. coverage. Operators of these types of discharges are authorized to discharge Item 3: Name and Location of the Construction Activity under this general permit immediately upon the general permit's Information. effective date of July 1,2014. Provide the official name,street address(if available),city or county(if C.To Apply for Permit Coverage. not located within a City)of the construction activity. Also, provide the latitude and longitude in decimal degrees of the approximate center of 1. New Construction Activities. Any operator proposing a new the construction activity(e.g., N 37.5000,W 77.5000). stormwater discharge from construction activities shall submit a complete Registration Statement to the Department prior to the Name and Location of Off-site Support Activity Information. commencement of land disturbance, unless exempted by Section B above. Any operator proposing a new stormwater discharge from This general permit also authorizes stormwater discharges from construction activities in response to a public emergency where the support activities (e.g., concrete or asphalt batch plants, equipment related work requires immediate authorization to avoid imminent staging yards, material storage areas, excavated material disposal endangerment to human health or the environment is immediately areas, borrow areas) located on-site or off-site provided that (i) the authorized to discharge under this general permit and must submit a support activity is directly related to a construction activity that is complete Registration Statement to the Department no later than 30 required to have general permit coverage;(ii)the support activity is not days after commencing land disturbance; documentation to a commercial operation, nor does it serve multiple unrelated substantiate the occurrence of the public emergency must construction activities by different operators; (iii) the support activity accompany the Registration Statement. does not operate beyond the completion of the construction activity it supports; (iv) the support activity is identified in the registration 2. Existing Construction Activities. Any operator that was statement at the time of general permit coverage; (v) appropriate authorized to discharge under the general permit issued in 2009, control measures are identified in a SWPPP and implemented to and who intends to continue coverage under this general permit, address the discharges from the support activity areas; and (vi) all shall submit a complete Registration Statement to the Department applicable state, federal, and local approvals are obtained for the on or before June 1,2014,unless exempted by Section B above. support activity. D.Where to Submit Registration Statements. Provide the official name,street address(if available),City and County (if not located within a City) of all off-site support activities to be All Registration Statements should be submitted to: covered under this general permit. Also, provide the latitude and longitude in decimal degrees of the approximate center of the off-site Department of Environmental Quality support activities (e.g., N 37.5000, W 77.5000). Also, if an off-site Office of Stormwater Management, 10"'Floor support activity is going to be covered under this general permit the P.O.Box 1105 total land area of the off-site support activity and the estimated area to Richmond,VA 23218 be disturbed by the off-site support activity need to be included in Item #9. LINE-BY-LINE INSTRUCTIONS Item 4:Status of the Construction Activity. Item 1:Construction Activity Operator Information. Indicate the appropriate status (Federal, State, Public, or Private) of "Operator" means the owner or operator of any facility or activity the construction activity. subject to the Stormwater Management Act and regulations. In the context of stormwater associated with a large or small construction Item 5: Nature of the Construction Activity. activity, operator means any person associated with a construction project that meets either of the following two criteria:(i)the person has Provide a brief description of the construction activity, such as direct operational control over construction plans and specifications, commercial, residential, agricultural,oil and gas, etc.This list is not all including the ability to make modifications to those plans and inclusive. specifications or (ii) the person has day-to-day operational control of those activities at a project that are necessary to ensure compliance Item 6: Receiving Waters(s)and HUC Information. with a stormwater pollution prevention plan for the site or other state permit or VSMP authority permit conditions(i.e.,they are authorized to Provide the name of the receiving water(s)and corresponding HUC for direct workers at a site to carry out activities required by the all stormwater discharges including any stormwater discharges from stormwater pollution prevention plan or comply with other permit off-site support activities to be covered under this general permit. conditions). Hydrologic Unit Code or HUC is a watershed unit established in the most recent version of Virginia's 6th order national watershed boundary dataset. 07/2014 Page 1 of 2 �oF 4eitt i"'C. Z MA— Itijiiael" w DIP COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road,North Wing Charlottesville,Virginia 22902-4596 Phone(434)296-5832 Fax(434)972-4126 EROSION CONTROL PERFORMANCE BOND RELEASE PROJECT NAME: _StaA toy MAv � a-t 1-4 (/y.,, ea,,.( ��.;,,Cz, i-e.-- 6 A c rf-6 PLAN/PERMITNO.: tj Po zZe. 1 g-00062 N/A_M\v,on ©br DATE: 5-1 a Y 'a"2 This project has been satisfactorily completed and the erosion control performance bond maybe released at this time if all re-inspection and annual maintenance fees invoiced have been paid. L-- —Z Erosion Control Inspector Lief. DEQ Termination Date 00fl/Zr N/A \)AR‘OGIoo Community Development Department All fees invoiced on the above project have been colt e . Director of Cps mun' Deve o merit County Engineer Date Cc: Ana Kilmer Revised:07/03/2018