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HomeMy WebLinkAboutWPO202100015 Bond Release 2022-09-12 ��ll,, j\O 41r7.1171 A A4( ?m,-7-6 -iii 0\ A ii \qtrliritiii-;74' 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 ❑ MITIGATION PERFORMANCE BOND RELEASE ❑ STORMWATER MANAGEMENT PERFORMANCE BOND RELEASE PROJECT NAME: /111/19/45/) G%-117 Cl.4 - 60Y Ca-v /4,41 PLAN/PERMITNO.: Gv1/2 ? Z/ CW/5 Date As-built plan was approved by Engineering Division: or mmt ap �C,G� DEQ Termination Date or N/A DEQ Permit No.: V 9i /O0 /53— or N/A If town homes in a Common Plan,list Common Plan DEQ Permit No.: N/4 This project has been satisfactorily completed and the performance bond may be released at this time if all recti n and annual maintenance fees invoiced have been paid. /j re-in 2 7 /A`` 2 Z DATE: Erosion Control Inspector Community Development Department All fees invoiced on the above project have been col ed. (/(/4., Director f Community Deve lopme ountyEngine W/ // 0_.,__ _ Date Cc: Ana Kilmer 'e�r c f Revised:04/11/20Z2 ` ��� % / e, /,,,„,x_,,....t---72-67 olg. A- jesvarte /I,/ e4r,s744;A9-- / ie-4 .(c) VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES(VAR10) NOTICE OF TERMINATION 2019 Pr rmit Coverage Number(VAR10####): � Q (lJ Q(55 Section I. Operator/Permittee Information.The person or entity that has active permit coverage approval and opera.ional control over construction activities to ensure compliance with the general permit. A person with signatory authority for this cperator must sign the certification in Section VII (per Part Ill. K.of the VAR10 Permit), Construction Activity Operator Name: 1* QB-64UN FQrm,..,3 4-0,•t COKN4.,.4 C.l,..,b Contact Person: 5(0 i1 W., Aa h Address: �I�li s (0v"A 4-t,5 Ctwb C,VLl City,State,Zip Code: ( (io({eL Vtitf jJA Z,Z 9.1 Phone Number: L(1Iy, 7,q S' 5.370 Primary Email: 50 4 kj ."4•+ re fwN ..,54" cc• coM CV Kegs. VR,3 rv. 7)-C R4ft" S r%-: CC Email: SI4tr1,-A4N kil FC-Lv4, CoM-) Section II. Construction Activity Location Information. Project site information.mt Construction Activity Name: rat •% 4,r% (0utn1+� 4 C44,1 - `o I� 64,trk 14-die Address: I(et r `-064n4 Clk‘ C etci( Sty and/or County and Zip Code: C le“%fi• i}t 1 vial V A 2 t 9° I Latitude and Longitude f 6-digit,decimal degrees format): �g} _ 3 3.bt 37 or Ln.,f : - 78. 5-3$o r"I 36.as5s-, 78.SY!7) - ReistR.an— s-1191 -..a-- ;eetion W. Reason for Terminating Coverage under the General Permit. The operator shall submit a Notice of Termi cation within 0 days after meeting one or more of the following conditions(select one or more): Necessary permanent control measures included in the SWPPP for the site are in place and functioning effectively final A.A. 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; 13 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 coov of the notificition and signed certification statement into the SWPPP,and the residence has been transferred to the homeowner. ev 04/2019 PAGE 1 1 6 CONSTRUCTION GENERAL PERMIT(VAR10) NOTICE OF TERMINATION 2019 1J Ii Section IV. rticipation in a Regional Stormwater Management Plan. If your site discharges to a regional stormwater ement facility, provide information re;ated to the regional stormwater management plan.Attach a separate lisp 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 V2Perpetual Nutrient Credits. If your site is utilizing nutrient credits,provide information related to the perp nual nutrient 1' credit at 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? ❑YE'. ONO Section VI. Permanent Control Measures. If applicable,list the post-development stormwater management facilities or best 6ti________,,hrja agement practices(BMPs)that were constructed and installed as part of this activity to comply with the stormwaler management technical criteria(structural and nonstructural,on-site and off-site).Attach a separate list if needed. f you have permanent control measures,the following items are required to be included with this form in order to co nplete your Notice of Termination submittal: D 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 9 E. BMP Maintenance Agreement—notarized original,for public and private projects under DEQ's VSMP Authority 1 Stormwater Management Facility Types(please choose from the following bmp types): i ioretention 1 Extended detention-enhanced Other IIC(manufactured Soil Amendments 3ioretention 2 Filtering Practice 1 treatment device,etc.) Urban Bioretentio 1 3ioretention basin Filtering Practice 2 Permeable Pavement 1 Vegetated filter st ip 3ioretention filter Grass Channel Permeable Pavement 2 Vegetated Roof 1 :onstructed Wetland 1 Grassed swale Rainwater Harvesting Vegetated Roof 2 :onstructed Wetland 2 Infiltration(1 x WQ Vol) Retention basin I(3 x WQ Vol) Wet Pond 1 'onstructed wetlands Infiltration(2 x WQ Vol) Retention basin II(4 x WQ Vol) Wet Pond 2 )ry Swale 1 Infiltration 1 Retention basin III(4 x WQ Vol Wet Swale 1 Dry Swale 2 Infiltration 2 with aquatic bench) Wet Swale 2 xtended detention(2 x WQ Vol) Other IIB(manufactured Sand filter xtended Detention Pond 1 treatment device,etc.) Sheetflow to Vegetated Filter or xtended Detention Pond 2 Conserved Open Space 2 I I 1 Rev 04/2019 F AGE 2 16 1 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): Lv 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 Sectic n 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: 5 co {'t' K h v►a n Signature(signed in ink): Date: Section VIII.Submittal Instructions. Please submit this form to the Virginia Stormwater Management Program(VSMF)Authority that has jurisdiction for your construction activity. If the locality is the VSMP Authority,please submit your form directly to the locality;do NOT send this form to DEQ. A list of local VSMP Authorities is available here: VSMP Authorities. If DEQ is the VSMP Authority,please send to: If the locality is the VSMP Authority,please send to: Department of Environmental Quality The Local VSMP Authority(insert address belo v) Office of Stormwater Management Suite 1400 PO Box 1105 Richmond VA 23218 constructiongp@deq.virginia.gov Permit terminations may be delayed if there are outstanding annual permit maintenance fee balances due. • Rev04/2019 PAGE 4 6