HomeMy WebLinkAboutWPO202200040 VSMP - SWPPP 2022-09-21ALBEMARLE COUNTY
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN
FOR CONSTRUCTION ACTIVITIES AT:
BROOKHILL -ARCHER AVE EXTENSION
ARCHER AVENUE
CHARLOTTESVILLE, VA 22911
PREPARED BY:
COLLINS ENGINEERING
200 GARRETT STREET, SUITE K
CHARLOTTESVILLE, VA 22902
PREPARED FOR:
RIVERBEND DEVELOPMENT
455 SECOND STREET SE, SUITE 201
CHARLOTTESVILLE, VA 22902
SWPPP PREPARATION DATE: 9/9/2022
PROJECT START DATE: 11/01/2022
PROJECT COMPLETION DATE: 06/01/2024
TABLE OF CONTENTS:
1. REGISTRATION STATEMENT
2. NOTICE OF GENERAL PERMIT COVERAGE
3. NATURE OF ACTIVITY
4. EROSION AND SEDIMENT CONTROL PLAN
5. STORMWATER MANAGEMENT PLAN
6. POLLUTION PREVENTION PLAN
7. IMPAIRED WATERS
8. QUALIFIED PERSONNEL
9. CERTIFICATION
10. DELEGATION OF AUTHORITY
APPENDICES:
A. DEPARTMENT OF ENVIRONMENTAL QUALITY GENERAL PERMIT
B. INSPECTION REPORT
C. CORRECTIVE ACTION FORM
D. POLLUTION PREVENTION TOOLBOX MEETING LOG
E. GRADING AND STABILIZATION ACTIVITES LOG
F. AMENDMENT LOG
SECTION 1
I N :1ci 1.11 MIT —A I RR, IR2 fill I a LVA I ALI k I
VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT#:
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM PLAN/ID #:
CONSTRUCTION ACTIVITIES (VAR10) TECHNICAL CRITERIA: IIB El IIC El
REGISTRATION STATEMENT 2019
Application type. EW P ERM IT I SSUANCE
(CHOOSE ONE) 0 DIFICATION WITH ACREAGE INCREASE
MO DI FICATION WITHOUT ACREAGE INCREASE
EXISTI NG PERMIT RE -ISSUANCE
Section 1. Opera ation.
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 111. K. of the VAR10 Permit).
Operator Name:
RIVERBEND DEVELOPMENT
Contact person:
ALAN TAYLOR
Address:
455 SECOND STREET SE, SUITE 201
City, State and Zip Code:
CHARLOTTESVILLE, VA 22902
Phone Number:
434-245-4970
Primary and CC Email:
alan@riverbenddev.com
B. Electronic correspondence. To receive an emailed coverage letter orto pay by credit card
and include a valid email. May we transmit correspondence electronically? YES [;�Norjoumus
t h YES
c oose
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:
BROOKHILL - ARCHER AVE EXTENSION
Address:
ARCHER AVENUE
City and/or County and Zip Code:
CHARLOTTESVILLE, VA 22911
Construction Activity Entrance Location
(description, street address and/or
latitude/longitude in decimal degrees):
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):
Primary estimated area to be disturbed (include portions with
Erosion and Sediment Control Plan approval only):
Off -site estimated area to be disturbed (if applicable):
D.
Property Owner Status:
FEDERALI
ISTATEI
JPUBUCL]
PRIVATEFV�
E.
Nature of the Construction Activity Description (i.e. commercial,
industrial, residential, agricultural, environmental, utility):
RESIDENTIAL
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:
11/01/2022
Completion Date:
06/OIL2024
H.
Is this construction activity part of a larger common plan of
development or sale?
YES V 0
Rev 11/2020 PAGE 116
CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019
1. 6" Order Hydrologic Unit Code (HUC) and Receiving Water Name(s). Include additional areas on a separate page.
HUC
NAME(S) OF RECEIVING WATERBODY
020802040203
SOUTH FORK RIVANNA RIVER
Section Ill. 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):
YESD40
Is this off -site activity an excavated material disposal
area?
If this off -site activity is an excavated material disposal
area, list the contents of the excavated fill material:
YESF O�
Willa separate VPDES permit cover this off -site activity?
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 YESZ400
submitted to the VESC Authority for review?
Erosion and Sediment Control Plan Approval Date (for
the estimated area to be disturbed MM/DD/YYYY):
YEsEkoRl
C.
Has land -disturbance commenced?
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 Secti
E.
Billing information (leave blank if same as the Operator identified in Section 1. 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 1. A. and meeting the requirements
of 9VAC25-880-70. Part Ill. K must physically sign this certification. A typed signature is not acceptable. Please note thal
operator is defined in 9VAC2S-870-10 as follows:
"Operator" means the owner or operator of anyfacility 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 thefollowing two criteria: fl) 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
storm water pollution prevention plan or comply with other permit conditions). In the context of storm water discharges from
Municipal Separate Storm Sewer Systems (MS4s), operator means the operator of the regulated MS4 system.
9VAC25-880-70. Pa rt I 11. K. Signato ry Req u i rements. 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: (J) a president, secretary, treasurer, or vice-president of the corporation in charge of a principal businessfunction, 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 regulatedfacility 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 wh ere 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 (H) 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: ALAN TAYLOR
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
CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 INSTRUCTIONS
PLEASE DO NOTPRINTOR SUBMIT
This Registration Statement is for coverage under the General VPDES Permit for Discharges of Stormwater from Construction Activities. This form
covers the following permit actions: new permit issuance, existing permit modification with an increase in acreage, existing permit modifications
that result in a plan modification but do not result in an increase in disturbed acreage, and reissuance of an active permit coverage.
Application type. Select NEW PERMIT ISSUANCE to obtain a new permit coverage. Modifications are for modifying an existing, active permit
coverage. Select MODIFICATION WITH ACREAGE INCREASE when the previously approved acreage(s) increases (permit modifications are not
performed for decreases in acreage unless they result in plan changes — see Modification WITHOUT Acreage Increase). Select MODIFICATION
WITHOUT ACREAGE INCREASE when there is a change to the site design resulting in a change to the approved plans with no increase in acreage(s)
Select EXISTING PERMIT REISSUANCE to extend an expiring permit coverage for the next permit cycle and include the existing permit number.
Section 1. 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. For companies, use the complete, active, legal entity name as registered with
a state corporation commission. Entities that are considered operators commonly consist of the property owner, developer of a project (the party
with control of project plans and specifications), or general contractor (the party with day-to-day operational control of the activities at the project
site that are necessary to ensure compliance with the general permit). If an individual person is listed as the operator, that person (or a legal
representative of) must sign the certification in Section V. An operator may be one of the following:
9VAC25-870-la Definitions.
"Operator" means the owner or operator of anyfacility or activity subject to theAct and this chapter. In the context of stormwater associated with a
large orsmall construction activity, operatormeans anyperson associated with a construction project thatmeets eitherof thefollowing two
criteria: N the person has direct operational control over construction plans and specifications, including the ability to make modifications to those
plans and specifications or (if) 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 V5MP 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 (MS4), operator means the operator of the regulated MS4 system.
"Owner" means the Commonwealth or any of its political subdivisions including, but not limited to, sanitation district commissions and authorities,
and any public or private institution, corporation, association, firm or company organized or existing under the laws of this or any other state or
country, or any officer or agency of the United States, or any person or group of persons acting individually or as a group that owns, operates,
charters, rents, or otherwise exercises control over or is responsible for any actual or potential discharge of sewage, industrial wastes, or other
wastes or pollutants to state waters, or any facility or operation that has the capability to after the physical, chemical, or biological properties of
state waters in contravention of § 62.1-44. of the Code of Virginia, the Act and this chapter.
"Person" means any individual, corporation, partnership, association, state, municipality, commission, or political subdivision of a state,
governmental body, including afederal, state, or local entity as applicable, any interstate body or any other legal entity.
B. May we transmit correspondence electronically? If you choose YES to this question and provide an email address in Section 1. A., all
correspondence, forms, invoices and notifications will be transmitted by email to the operator. This will also give the operator the ability to pay by
credit card and to receive Dermit coverage aDDroval letters immediatehi uDon Dermit aDDroval.
Section II. Construction Activity Information.
A. A site map indicating the location of the existing or proposed land -disturbing activities, the limits of land disturbance, construction entrances
and all water bodies receiving stormwater discharges from the site must be included with the submittal of this form. Aerial imagery maps or
topographic maps showing the required items are acceptable. Plan sheet sized site maps are not required. Please consult your VSMP authority if
you have additional questions regarding site map requirements.
B. Construction Activity Name and location. Provide a descriptive project name (it is helpful to use the same naming convention as listed on the
Stormwater Management plans), 911 street address (if available), city/county of the construction activity, and the 6-digit latitude and longitude in
decimal degrees format for the centraid, main construction entrance or start and end points for linear projects (i.e. 37.1234N/-77.1234W).
C. Acreage totals for all land -disturbing activities, on- and off -site, to be included under this permit. Acreages are to be reported to the nearest
one -hundredth acre (two decimal places; i.e. 1.15 acres). Provide the total acreage of the primary development site as approved on the
Stormwater Management Plans and the primary on -site estimated acreage to be disturbed by the construction activity as approved under the
Erosion and Sediment Control Plans. The off -site estimated area to be disturbed is the sum of the disturbed acreages for all off -site support
activities to be covered under this general permit. Do not include the off -site acreage totals in the primary, on -site total and estimated disturbed
acreage totals. Permit fees are calculated based on your disturbed acreage total for all on- and off -site areas being disturbed under this permit
coverage (the sum of all on -site and off -site disturbed acreages).
D. Property owner status. The status of the construction activity property owner. Any property not owned by a government entity or agency (i.e.
federal, state or local governments) is PRIVATE.
Rev 11/2020 PAGE 4 16
CONSTRUCTION GENERAL PERMIT [VAR10) REGISTRATION STATEMENT 2019 INSTRUCTIONS
PLEASE DO NOTPRINTOR SUBMIT
E. Nature of the construction activity description. Choose the designation that best describes the post -construction use of this project (you may
choose more than one). (i.e. Residential, Commercial, Industrial, Agricultural, Environmental, Educational, Oil and Gas, Utility, Transportation,
Institutional, etc.). Describe the post -construction use of the project (i.e. Commercial — one new office building and associated parking and
utilities; Transportation — Linear roads, sidewalks and utilities; Agricultural — 3 Poultry Houses, etc.).
F. Municipal Separate Storm Sewer System (MS4) name(s) if discharging to a MS4. If stormwater is discharged through a MS4 (either partially or
completely), provide the name of the MS4(s) that will be receiving water from this construction activity. The MS4 name is typically the town, city,
county, institute or federal facility where the construction activity is located.
G. Estimated project dates. Provide the estimated project start date and completion date in Month/Day/year or MM/DD/YYYY format (i.e.
07/30/2019).
H. Is this construction activity is part of a larger common plan of development or sale? "Common plan of development or sale" means a contiguous
area where separate and distinct construction activities may be taking place at different times on different schedules per 9VAC25-870-10.
Definitions. Le. a subdivision, commercial development, business park, etc.
1. 6th Order Hydrologic Unit Code (HUC) and associated Receiving Water Name(s). Provide all 6th order HUCs and receiving waterbody names, for
the primary site and any Off -site areas included under this permit coverage, that could potentially receive stormwater runoff discharging from this
activity. The HUC can be either a 12-digit number (i.e. 0208010101) or 2-letter, 2-number code (i.e. JL52). Include additional HUCs or receiving
waters on a separate page. You may utilize DEQ!s web -based GIS application, VEGIS, to obtain this information.
• VEGIS application link: DEas VEGIS Mapping Application
• Instructions for utilizing DE(Xs VEGIS application link: CGP-GIS HUC Instructions
Section Ill. Off -site Support Activity Location Information.
This general permit also authorizes stormwater discharges from support activities (e.g., concrete or asphalt batch plants, equipment staging yards,
material storage areas, excavated material disposal areas, borrow areas) located on -site or off -site provided that (I) the support activity is directly
related to a construction activity that is required to have general permit coverage; (ii) the support activity is not a commercial operation, nor does
it serve multiple unrelated construction activities by different operators; (III) the support activity does not operate beyond the completion of the
construction activity it supports; (iv) the support activity is identified in the Registration Statement at the time of general permit coverage; (v)
appropriate control measures are identified in a SWPPP and implemented to address the discharges from the support activity areas; and (vi) all
applicable state, federal, and local approvals are obtained for the support activity.
Off -site activity name and location information. Provide a descriptive off -site project name, 911 street address (if available), construction entrance
location (address or decimal degrees coordinates and description), city/county and the 6-digit latitude and longitude in decimal degrees (i.e.
37.1234N,-77.1234W) of all off -site support activities. Indicate whether the off -site support activity will be covered under this general permit or a
separate VPDES permit.
If excavated material (i.e., fill) will be transported off -site for disposal, the name and physical location address, when available, of all off -site
excavated material disposal areas including city or county; 6-digit latitude and longitude in decimal degrees (i.e. 37.1234N,-77.1234W) and the
contents of the excavated material.
List additional off -site areas to be included under this permit coverage on a separate page. Off -site areas not included on this registration will need
to obtain coverage under a separate VPDES permit.
Section IV. Other Information.
A. A stormwater pollution prevention plan (SWPPP) must be prepared prior to submitting the Registration Statement per 9VAC25-880. See
9VAC25-880-70. Part II. of the General Permit for the SWPPP requirements.
B. If the Erosion and Sediment Control Plan for the estimated area to be disturbed listed in Section II. C. has been submitted to the VESC Authority
for review and plan approval, choose YES. If you are submitting this application to reissue an existing permit coverage, please provide the date that
the VESC Authority approved the Erosion and Sediment Control Plan for the estimated area to be disturbed.
C. If land disturbance has commenced, choose YES. "Land disturbance" or "land -disturbing activity" means a man-made change to the land surface
that may result in soil erosion or has the potential to change its runoff characteristics, including construction activity such as the clearing, grading,
excavating, or filling of land per §62.1-44.15:24. Definitions.
D. If this project is using approved Annual Standards and Specifications (AS&S), attach the completed AS&S Entity Form.
If the AS&S Entity is different from the operator identified in Section 1. A., list the AS&S Entity Name. The AS&S entity is the entity or agency that
holds the approved annual standards & specification. Please indicate if this project is also requesting a plan waiver.
0 AS&S Entity Form link: Annual Standards and Specifications Entity Information Form
Rev 11/2020 PAGE 5 16
CONSTRUCTION GENERAL PERMIT [VAR10) REGISTRATION STATEMENT 2019 INSTRUCTIONS
PLEASE DO NOTPRINTOR SUBMIT
E. Billing information. if the person or entity responsible for billing/invoicing is different from the operator, please complete this section. Ifthey
are the same, leave this section blank.
Section V. Certification.
A properly authorized individual associated with the operator identified in Section 1. A. of the Registration Statement is responsible for certifying
and signing the Registration Statement. A person must physically sign the certification, a typed signature is unacceptable. State statutes provide
for severe penalties for submitting false information on the Registration Statement. State regulations require that the Registration Statement be
signed as follows per 9VAC25-880-70 Part Ill. K. I.:
a. For a corporation: by a responsible corporate officer. For the purpose of this part, a responsible corporate officer means:
(i) A president, secretary, treasurer, or vice-president of the corporation in charge of a principal businessfunction, or any other person who
performs similar policy -making or decision-makingfunctionsfor the corporation, or
(H) the manager of one or more manufacturing, production, or operatingfiacilities, provided the manager is authorized to make
management decisions that govern the operation of the regulatedfacility 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 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.
c. For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official. For purposes of this part,
a principal executive officer of a public agency includes:
(i) The chief executive officer of the agency, or
(H) A senior executive officer having responsibilityfor the overall operations of a principal geographic unit of the agency.
Section Vi. Submittal Instructions.
Submit this form to the VSIVIP Authority that has jurisdiction for your construction activity. The VSIVP Authority maybe either DEQor your locality
depending on the location and type of project. If your project is under the jurisdiction of a Local VSIVIP Authority, please contact the locality for
additional submittal instructions. A blank area is provided for the Local VSIVIP Authority's mailing address.
Who is the V5JWP Authority for my Prolect? DEQ or the locality?
* DEQ: DEQ is the VSIVIP Authority and administers permit coverage for land -disturbing activities that are:
> within a locality that is not a VSIVIP Authority;
> owned by the State or Federal government; or
> utilizing approved Annual Standards and Specifications.
The Locality: The local government (locality) is the VSIVIP Authority and administers permit coverage for all other projects not covered by DEQ
as listed above. For these projects, please submit permit forms directly to the Local VSIMP Authority. A list of Local VSIVIP Authorities is
available on DEQ!s website here: Local VSNIP Authority List.
www.deg.virginia.gov/Programslwater/StormwaterManagement/VSMPPermits/ConstructionGeneralPermit.aspx
Email the completed and signed form to:
constructiongpCcDdeg.virginia.gov
Rev 11/2020 PAGE 6 16
SECTION 2
I Ll M 1141*61 KCI a Ll I a 17-114 a a 11 LIFA I I drarelyl a a,?—ATCI A
SECTION 3
ILI Y-11% to] 11:901 E—AT41 I kyj IVA
NATURE OF ACTIVITY
PROJECTNAME: BROOKHILL- ARCHER AVE EXTENSION
PROJECT LOCATION: ARCHER AVENUE
PROJECT DESCRIPTION:
EXISTING SITE CONDITIONS:
ADJACENTAREAS:
OFFSITE LAND DISTURBANCE:
CRITICAL AREAS:
SOILS:
SEQUENCE OF CONSTRUCTION:
SECTION 4
I a 01191.1 M 0, W-11 Ll I IM a 011 Al I a Ll k 11col Ll k I D1161 4 a W-11 Ll I
SECTION 5
4 to] 11 LIFA kylyl-All I a It AA f-A 0, ETA a LIFA I a Ll k 9 a W-Al Ll
SECTION 6
1:1014 Itill I DR I a 0 :kvj a Ll k I Is] 0 1 U W-A 0, 1
POLLUTION PREVENTION PLAN
A. PERSON RESPONSIBLE FOR POLLUTION PREVENTION PRACTICES
The qualified personnel, contractor listed below, will be responsible for the implementation and
maintenance of the pollutant control measures. This may include delegating this responsibility
to other contractors as they become involved with the project and begin the anticipated
pollutant generating activity. They are required to hold weekly toolbox meetings to review the
pollution prevention plan with their team.
COMPANY NAME: RIVERBEND DEVELOPMENT
CONTACT NAME: ALAN TAYLOR
QUALIFICATION:
PHONE NUMBER: 434-245-4970
EMAIL: alan@riverbenddev.com
QAULIFIED INSPECTOR/CONTRACTOR
COMPANY NAME:
CONTACT NAME:
QUALIFICATION:
PHONE NUMBER:
EMAIL:
QAULIFIED SUBCONTRACTOR/CONSTRUCTION MANAGER
COMPANY NAME:
CONTACT NAME:
QUALIFICATION:
PHONE NUMBER:
EMAIL:
B. POLLUTION PREVENTION AWARENESS
DEQ!s Office of Pollution Prevention hosts numerous programs and initiatives that serve as a
conduit for non -regulatory assistance to businesses and communities. The contractor will ensure
that their team is trained and knowledgably aware of all measures in this document before
construction begins. Contractor shall conduct a "walk through" of the site with their team
identifying areas of possible pollution and discussing how they will implement the prevention
practices outlined in this report and shown on the plans. They are required to hold weekly
toolbox meetings with their team to review the pollution prevention plan and give any updates
on changes through the construction phase.
C. SPILL PREVENTION AND RESPONSES
The first priority is to protect all people, secondly protect the equipment and property, and
lastly protect the environment. The contractor shall regularly check the equipment on site and
any pollutants shall be stored properly to prevent spills. Spills will be immediately and promptly
cleaned up by the contractor. Most spills can be cleaned up following manufacturer
specifications. Absorbent/oil dry, sealable containers, plastic bags, and shovels/brooms are
suggested minimum spill response items that should be available at this location. The following
steps shall be taken in the case of a spill:
1. Check for hazards (flammable material, noxious fumes, cause of spill) — if flammable liquid,
turn off engines and nearby electrical equipment. If serious hazards are present leave the
area and call 911. Large spills are likely to present a hazard.
2. Make sure the spill area is safe to enter and that it does not pose an immediate threat to
health or safety of any person.
3. Stop the spill source (most spills can be cleaned up following manufacturer specifications —
absorbent/oil dry, sealable containers, plastic bags, and shovels/brooms are suggested
minimum spill response items)
4. Call co-workers and supervisor for assistance and to make them aware of the spill and
potential dangers.
5. If possible, stop spill from entering drains (use absorbent or other material if necessary).
6. Stop spill from spreading (use absorbent or other material if necessary).
7. If spilled material has entered a storm sewer; contact locality's storm water department.
8. Clean up spilled material according to manufacturer specifications, for liquid spills use
absorbent materials and do not flush area with water.
9. Properly dispose of cleaning materials and used absorbent material according to
manufacturer specifications.
The following agency should be considered for notification in the case of a spill:
Albemarle County Fire Rescue: 434-296-5833
Albemarle County Police Department: 434-296-5807
Virginia Department of Health: 434-972-6259
Virginia Department of Conservation & Recreation: 1-804-786-2094
Virginia Department of Environmental Quality: 1-540-574-7824
Virginia Department of Emergency Services: 1-800-468-8892
D. POTENTIAL SOURCES OF POLLUTANTS AND POLLUTION PREVENTION PRACTICES
POLLUTANTS
POLLUTANT GENERATING
E
POLLUTION
ACTIVITY
>
U
PREVENTION
0
PRACTICE
E
Z
0
co
0
Clearing, grading, excavating,
X
X
1
and unstabilized areas
V�
Paving operations
X
X
X
2
Concrete washout and
X
X
X
3
cement waste
v/
Structure construction,
X
X
X
X
4
stucco, painting, and cleaning
v/
Dewatering operations
X
X
X
5
v/
Material delivery and storage
X
X
X
X
X
X
X
6
Material use during building
X
X
X
X
X
X
7
process
v/
Solid waste disposal
X
X
8
V�
Sanitary waste
X
X
X
9
V�
Landscaping operations
X
X
X
X
X
10
Other:
Minimize the exposure of building materials, building products, construction wastes, trash,
landscape materials, fertilizers, pesticides, herbicides, detergents, sanitary waste, and other
materials present on the site to precipitation and to stormwater. These items shall be
contained while on site in the designated washout area shown on the plans and covered at
the end of each workday and before precipitation events.
Pollution Prevention Practices:
(1) Clearing, grading, excavating and un-stabilized areas — Utilize erosion and sediment controls to
prevent sediment laden or turbid runoff from leaving the construction site. Dispose of clearing
debris at acceptable disposal sites. Apply permanent or temporary stabilization, sodding and/or
mulching to denuded areas in accordance with the erosion and sediment control specifications
and the general VPDES permit for discharges of stormwater from construction activities.
(2) Paving operations — Cover storm drain inlets during paving operations and utilize pollution
prevention materials such as drip pans and absorbent/oil dry for all paving machines to limit leaks
and spills of paving materials and fluids.
(3) Concrete washout and cement waste — Direct concrete wash water into a leak -proof container or
leak -proof settling basin that is designed so that no overflows can occur due to inadequate sizing
or precipitation. Hardened concrete wastes shall be removed and disposed of in a manner
consistent with the handling of other construction wastes. Washout areas shall be placed in an
area that isn't susceptible to stormwater runoff and shall be covered at the end of each workday
and before any rain events.
(4) Structure construction, stucco, painting, and cleaning — Enclose, cover or berm building material
storage areas if susceptible to contaminated stormwater runoff. Conduct painting operations
consistent with local air quality and OSHA regulations. Mix paint indoors, in a containment area or
in a flat unpaved area. Prevent the discharge of soaps, solvents, detergents, and wash water from
construction materials, including the clean-up of stucco paint, form release oils and curing
compounds by doing so in a contained area and collecting the discharged pollutants in a leak proof
container that can be disposed of in the dumpster on site. Equipment and other tools may be
washed in the concrete washout area.
(5) Dewatering operations — Construction site clewatering from building footings or other sources
may not be discharged without treatment. Sediment laden or turbid water shall be filtered,
settled, or similarly treated prior to discharge.
(6) Material delivery and storage — Designate areas of the construction site for material delivery and
storage. Place near construction entrances, away from waterways, and avoid transport near
drainage paths or waterways.
(7) Material use during building process — Use materials only where and when needed to complete
the construction activity. Follow manufacturer's instructions regarding uses, protective
equipment, ventilation, flammability and mixing of chemicals.
(8) Solid waste disposal — Designate a waste collection area on the construction site that does not
receive a substantial amount of runoff from upland areas and does not drain directly to a
waterway. Ensure that containers have lids so they can be covered at the end of each day and
during periods of rain and keep containers in a covered area whenever possible. Schedule waste
collection to prevent the containers from overfilling.
(9) Sanitary waste — Prevent the discharge of sanitary waste by providing convenient and well -
maintained portable sanitary facilities. Locate sanitary facilities in a convenient location away
from waterways.
(10) Landscaping operations — Maintain as much existing vegetation as practicable. Apply permanent
or temporary stabilization, sodding and/or mulching to denuded areas in accordance with the
erosion and sediment control specifications and the general VPDES permit for discharges of
stormwater from construction activities. Apply nutrients in accordance with manufacturer's
recommendations and not during rainfall events.
(11) Others—
E. AUTHORIZED NON-STORMWATER DISCHARGES
Non-Stormwater Discharge
Location on Site
v�
Discharges from firefighting activities
Designated area shown on
plan
v'
Fire hydrant flushings
Fire hydrants shown on plan
Washing vehicles or equipment (soaps, solvents, or
v'
detergents have not been used and the wash water has been
Wash waters shown on plan
filtered, settled, or similarly treated prior to discharge)
Dust Control (wash water has been filtered, settled, or
Dust control shown on plan
similarly treated prior to discharge)
Potable water sources, including uncontaminated waterline
Water sources shown on
flushings
plan
External building wash down (soaps, solvents, or detergents
have not been used and the wash water has been filtered,
Designated area shown on
settled, or similarly treated prior to discharge)
plan
Pavement washings (where spills or leaks of toxic or
V/
hazardous materials have not occurred; soaps, solvents, or
Wash waters shown on plan
detergents have not been used and the wash water has been
filtered, settled, or similarly treated prior to discharge)
v/
Uncontaminated air conditioning or compressor condensate
Designated area shown on
plan
v/
Uncontaminated ground water or spring water
Designated area shown on
plan
Foundation or footing drains (where flows are not
Designated area shown on
contaminated with process materials such as solvents)
plan
Uncontaminated excavation clewatering (including
dewatering of trenches and excavations that have been
Designated area shown on
filtered, settled, or similarly treated prior to discharge)
plan
Landscape irrigation
Landscape areas shown on
plan
All non-stormwater discharges as stated in CGP I E. 1 through 12 are the only non-stormwater
discharges allowed by the construction general permit. With the exception of flows from
firefighting activities, allowable sources of non-stormwater discharges must be identified in
the SWPPP. Appropriate measures must be taken to ensure that pollution prevention
measures for the non-stormwater component of the discharge are implemented.
SECTION 7
I I LVA I 9-Al 1 114 DIVITI-All I a 14.1
IMPAIRED WATERS
Name(s) of Receiving Waterbody: SOUTH FORK RIVANNA RIVER
Hydrologic Unit Code (HUC): 020802040203
Waterbody Condition:
If the site discharges to an impaired waterbody then the construction activity operator and
contractors shall comply with CGP 11 A.5.b. and provide clear direction that:
1. Permanent or temporary soil stabilization shall be applied to denuded areas within 7
days after final grade is reached on any portion of the site.
2. Nutrients shall be applied in accordance with manufacturer's recommendations or an
approved nutrient management plan and shall not be applied during rainfall events.
3. A modified inspection schedule shall be implemented in accordance with CGP 11 G2.a.
SECTION 8
QUALIFIED PERSONNEL
QUALIFIED PERSONNEL
THE FOLLOWING PERSONNEL ARE RESPONSIBLE FOR I MPLEMENTINGTHE POLLUTION
PREVENTION PLAN AND PERFORMING WEEKLY TOOBOX MEETINGS AND INSPECTIONS ON THE
PROJECT SITE:
CONSTRUCTION ACTIVITY OPERATOR
COMPANYNAME: RIVERBEND DEVELOPMENT
CONTACT NAME: ALAN TAYLOR
QUALIFICATION:
PHONE NUMBER: 434-245-4970
EMAIL: alan@riverbenddev.com
QALILIFIED INSPECTOR/CONTRACTOR
COMPANY NAME:
CONTACT NAME:
QUALIFICATION:
PHONE NUMBER:
EMAIL:
QALILIFIED SUBCONTRACTOR/CONSTRUCTION MANAGER
COMPANY NAME:
CONTACT NAME:
QUALIFICATION:
PHONE NUMBER:
EMAIL:
SECTION 9
1414,4919 DF-A 9 RR, I
CERTIFICATION
"I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified
personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering
the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fine and imprisonment for knowing violations."
OPERATOR NAME: ALAN TAYLOR
COMPANY: RIVERBEND DEVELOPMENT
TITLE:
SIGNATURE:
DATE: 9/9/2022
SECTION 10
DELEGATION OF AUTHORITY
DELEGATION OF AUTHORITY
1, ALAN TAYLOR
(name), hereby designate the person or specifically described
position below to be a duly authorized representative for the purpose of overseeing compliance
with environmental requirements, including the Construction General Permit, at the
BROOKHILL - ARCHER AVE EXTENSION
construction site. The designee is authorized
to sign any reports, stormwater pollution prevention plans and all other documents required by
the permit.
(name of person or position)
(company)
(address)
(city, state, zip)
(phone)
By signing this authorization, I confirm that I meet the requirements to make such a designation
as set forth in the Construction General Permit (CGP), and that the designee above meets the
definition of a "duly authorized representative".
OPERATOR NAME: ALAN TAYLOR
COMPANY: RIVERBEND DEVELOPMENT
TITLE:
SIGNATURE:
DATE:
9/9/2022
APPENDIX A
DEPARTMENT OF ENVIRONMENTAL QUALITY GENERAL PERMIT
APPENDIX B
APPENDIX C
Ice] all all : 14 1 kyj : F-A To I M Ll I Is] all Al I
APPENDIX D
1:1014 Itill I MO I a N :kvj a Ll k I Is] 0 1 folol 40-183141 IVA I U I 10 Ics 11810
APPENDIX E
Icilf-A M Orcir-AilL I PIMA *.M I MITI I MO I 1161cl
APPENDIX F
F-11 Al I a Ll 113 Al I a Ll k 9 1161cl