HomeMy WebLinkAboutWPO201900039 Other 2022-10-04VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR10)
NOTICE OF TERMINATION 2019
Permit Coverage Number (VARIO###tt): VAR10N982
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: Michael McGinnis
Contact Person: �,me
Address: 373 Mt Torrey Rd
City, State, Zip Code: Lyndhurst, VA 22952
Phone Number: (540) 836-1383
Primary Email: mmcginnis@r717.net
CC Email:
Section II. Construction Activity Location Information. Project site information.
Construction Activity Name: Hlllcrest Vineyard Tasting & Venue VSMP
Address: Hazy Mountain Ln
City and/or County and Zip Code: Afton, VA 22920
Latitude and Longitude
(6-digit, decimal degrees format): 38.0200,-78.8079
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):
0 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;
E3B. 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.
Rev04/2019 PAGE 1 16
CONSTRUCTION GENERAL PERMIT (VAR10) 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 Managemnt
N/
FacilityTyp .
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 E ity N/A
(Bank Nam
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? [3yEsEfN_0 IJ4
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:
0 A. Engineer's Certification Statement
0 B. As -built plans (construction record drawings) —digital
0 C. As -built plans (construction record drawings) —full-sized, paper
0 D. stormwater Management Plans — digital
OE. BMP Maintenance Agreement — notarized original, for public and private projects under DEas VSMP Authority
Stormwater Management Facility Types !please choose from the following bmp 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 xWQ Vol)
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 118 (manufactured
treatment device, etc.)
Other IIC (manufactured
treatment device, etc.)
Permeable Pavement 1
Permeable Pavement 2
Rainwater Harvesting
Retention basin 1 (3 x WQ Vol)
Retention basin II (4 x WQ Vol)
Retention basin III (4x 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
t vNa I KUGI IVN GtNtRAL PtitMIT (VARlIt) NOTICE OF TERMINATION 2019
Stormwater ManType; agement Facility Detentions (Pond 1) /&Pw A5 O—
BMP Type: i�C.g/
Date BMP Became Functional; ';7 —1
Hazy Mountain Ln
Address (if available):
Afton, VA 22920
Latitude and Longitude
38.016555,-78.804342
(6-digit, decimal degrees format):
Receiving Water(s)
Andersons Creek - North Fork Rockfish River
(outfall discharge):
Total Acres Treated
5.21 AC
(report to one -hundredth of an acre):
Impervious Acres Treated
3.63
(report to one -hundredth of an acre):
vomk//o I' u *V''r' B�f'L
Stormwater Management Facility #2 Detention I2 M PPond 2)
BMPTvoe: //,( a7
Date BMP Became Functional: I C-;?' I - ao2
Hazy Mountain Ln
Afton, VA 22920
Latitude and Longitude
38,014306,-78.807593
(6-di it, decimal degrees format):
Receiving Water(s)
Andersons Creek - North Fork Rockfish River
(outfall discharge):
Total Acres Treated
13.79
(report to one -hundredth of an acre):
Impervious Acres Treated
026
(report to one -hundredth of an acre):
el Spreader ^��ry/� �j
P-'v &'t1_ i f */ IVAJ
BMPT pe
Date BMP Became Functio al:
" a�
Hazy Moun in Ln
Address (if avails Ie):
Afton, VA 22920
City and/or County and Zip ode:
Latitude and Lon tude
38.016174, -78.80 1
(6-digit, decimal degrees fo at):
Receiving Wa er(s)
Andersons C ek - North Fo Rockfish River
(outfall discha ge):
Total Acres Tre ted
Outlet fo and 1- 5.21
(report to one -hundredth of an ac ):
Impervious Acres Treate
Outle for Pond 1-3.63
(report to one•hundredth of an acre):
Rev 04/2019 PAGE 34 6
CONSTRUCTION GENERAL PERMIT (VAR10) NOTICE OF TERMINATION 2019
ZAW
Stormwater Management Facility
Forest / Open Space Easement r�
BMP Type:
ie -
Date BMP Became Functional:
Hazy Mountain Ln
Address (f available):
Afton, VA 22920
City and/or County and Zip Code:
Latitude and Longitude
38.016360,-78.810200
(6-digit, decimal degrees format):
Receiving Water(s)
Andersotns Creek - North Fork Rockfish River
outfall discharge):
Total Acres Treated
(report to one-hundredth`of an acre):
us
%�
'fi - Q� #C)
Impervious Acres Treated
(report to one -hundredth of an acre):
—
Q,
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 Facilty ft3
BMP Type:
Date BMP Became Functional:
Address (if available):
City and/or County and Zip Code:
Latitude and Longitude
(6-di it, 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 31bj 6
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 23219
co n structi o nep@ deg.vi rein i a.¢ov
If the locality is the VSMP Authority please send to:
The Local VSMP Authority (insert address below)
Albemarle County, Engineering Division
Attn: John Anderson
401 McIntire Rd, North Wing
Charlottesville, VA 22902
Permit terminations may be delayed if there are
outstanding annual permit maintenance fee balances due.
Rev 04/2019 PAGE 4 16
WPO FILE CLOSEOUT CHECKLIST
WPOft- a?01q coo 34 4(zia'rs% UiNF� p�A � Sri F i"��
BIR Inspections
BIESC performed with approved plan.
i/ BISWM performed with As -Built plan.
Required Docs (either in CV or Paper copy)
CIS P VAR10 for this project: ✓hR10 01982-
i CGP VAR10 that treats SWM for this project: A//A
Albemarle County Application
�G General VPDES Permit Registration Statement
J� Approved E&SC and SWM Plans
SWPPP
Approved Bond Estimate
AU,A Nutrient Credit Purchase Affidavit
Recorded Documents: SWM Maintenance Aerr+n_n+Pnt Easements Iasi 4 Zozo-7y9 I-2z-zo
&icTr 1 AS -Built Construction Record Drawings/Certification ation 11 * 2oza-39yL 4-9-zO
Manufacturing and Installation records FAS, * zozo - y2v8 y-ib-La
Pipe video = ?�
Current survey 69 CC =
General VPDES Permit N.O.T. ORaw."n 2 4weOtlLO
Verify all fields; verify still active; reference other VAR10 "comments" for swm
Inspections: 2 minimum with photos. Photos of all swm bmps
✓ BIR release/reduction form
Erosion Control. or SWM Performance Bond Release:
For releases: Update CV review status to' approved complete".
For reductions: Update CV review status to denied/complete", and enter reasons for denial in
the comments box.
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