HomeMy WebLinkAboutWPO202200045 VSMP - SWPPP 2022-10-31oe AI� COUNTY OF ALBEMARLE
$ Department of Community Development
401 McIntire Road, North Wing
Charlottesville, Virginia 22902-4596
TeL (434) 296-5832 • Fax (434) 972-4126
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Stormwater Pollution Prevention Plan (SWPPP)
For Construction Activities At:
Project Name: Scottsville Phase 4 — Water Main Replacement
Address: Albemarle County — Town of Scottsville
Tax Map 130-38E
Prepared by:
Name: Whitman, Requardt, & Associates LLP
Prepared for:
Name: (Contractor to Be Determined)
SWPPP Preparation Date:
(This document is to be made publicly available according to 9VAC25-880-70, Part II, section D)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
CONTENTS: (from Albemarle County Code Sec. 17-405)
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. Discharges to impaired waters, surface waters within an applicable TMDL wasteload
allocation, and exceptional waters.
8. Qualified personnel
9. Signed Certification
10. Delegation of authority.
11. General permit copy
12. Inspection logs
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 1. Registration statement
(Provide a signed completed copy of the DEQ registration statement)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Registration Statement
General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10)
(Please Type or Print All Information)
1. Construction Activity Operator: (General permit coverage will be issued to this operator. The Certification in Item #12 must be
signed by the appropriate person associated with this operator.)
Name: Albemarle County Service Authority
Contact -Alex Morrison
Mailing Address: 168 Spotnap Road
city: Charlottesville State: VA zip: 222911 Phone: (434) 977-4511
Email address (if available):
Indicate if DEQ may transmit general permit correspondence electronically: Yes ✓� No
2. Existing General Permit Registration Number (for renewals only):
3. Name and Location of the Construction Activity:
Name: Scottsville Phase 4 - Water Main Replacement
Address (if available): Tax Map 130-38E
City: State: VA zip: 24590
County (if not located within a city): Albemarle County
Latitude (decimal degrees): N 37.7988 Longitude (decimal degrees): W 78.4956
Name and Location of all Off -site Support Activities to be covered under the general permit:
Name
Address (if available):
City: State: Zip:
County (if not located within a City):
Latitude (decimal degrees): Longitude (decimal degrees):
4. Status of the Construction Activity (check only one): Federal State Public rV1 Private
5. Nature of the Construction Activity (e.g., commercial, industrial, residential, agricultural, oil and gas, etc.):
MuniciDal
6. Name of the Receiving Water(s) and Hydrologic Unit Code (HUC):
02080204/0208020401
Mechums River -Beaver Creek
020802040102
7. If the discharge is through a Municipal Separate Storm Sewer System (MS4), the name of the MS4 operator:
Albemarle Countv
8. Estimated Project Start and Completion Date:
Start Date (mm/dd/yyyy): May 1, 2023 Completion Date (mm/dd/yyyy): June 1, 2025
9. Total Land Area of Development (to the nearest one -hundredth acre): 3.8 acres
Estimated Area to be Disturbed (to the nearest one -hundredth acre): 3.8 acres
10. Is the area to be disturbed part of a larger common plan of development or sale? Yes No
11. 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 this Registration Statement.
By signing this Registration Statement the operator is certifying that the SWPPP has been prepared.
12. 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: Title:
Signature: Date:
(Please sign in INK. This Certification must be signed by the appropriate person associated with the operator identified in
Item #1.)
07/2014 Page 1 of 1
Instructions for Completing the Registration Statement
General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10)
GENERAL
A. Coverage Under this General Permit.
Any operator applying for coverage under this general permit who is
required to submit a Registration Statement (see Section B below)
must submit a complete Registration Statement to the Department.
The Registration Statement serves as a Notice of Intent for coverage
under the General VPDES Permit for Discharges of Stormwater from
Construction Activities (VAR10).
B. Single-family Detached Residential Structures.
Operators with an existing stormwater discharge or proposing a new
stormwater discharge associated with the construction of a single-
family detached residential structure are not required to submit a
Registration Statement or the Department of Environmental Quality
(DEQ) portion of the general permit fee.
Operators of these types of discharges are authorized to discharge
under this general permit immediately upon the general permit's
effective date of July 1, 2014.
C. To Apply for Permit Coverage.
1. New Construction Activities. Any operator proposing a new
stormwater discharge from construction activities shall submit a
complete Registration Statement to the Department prior to the
commencement of land disturbance, unless exempted by Section B
above. Any operator proposing a new stormwater discharge from
construction activities in response to a public emergency where the
related work requires immediate authorization to avoid imminent
endangerment to human health or the environment is immediately
authorized to discharge under this general permit and must submit a
complete Registration Statement to the Department no later than 30
days after commencing land disturbance; documentation to
substantiate the occurrence of the public emergency must
accompany the Registration Statement.
2. Existing Construction Activities. Any operator that was
authorized to discharge under the general permit issued in 2009,
and who intends to continue coverage under this general permit,
shall submit a complete Registration Statement to the Department
on or before June 1, 2014, unless exempted by Section B above.
D. Where to Submit Registration Statements.
All Registration Statements should be submitted to:
Department of Environmental Quality
Office of Stormwater Management, 1O' Floor
P.O. Box 1105
Richmond, VA 23218
LINE -BY-LINE INSTRUCTIONS
Item 1: Construction Activity Operator Information.
"Operator" means the owner or operator of any facility or activity
subject to the Stormwater Management Act and regulations. 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 modification to those plans and
specifications or (ii) the person has day -today 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).
The entities that are considered operators will commonly consist of the
owner or developer of a project (the party with control of project plans
and specifications) or the general contractor (the party with day to day
operational control of the activities at the project site which are
necessary to ensure compliance with the general permit).
Provide the legal name (do not use a colloquial name), contact, mailing
address, telephone number, and email address (if available) of the
construction activity operator; general permit coverage will be issued to
this operator. Indicate if the Department may transmit general permit
correspondence electronically.
Item 2: Existing General Permit Registration Number
For reapplication only, provide the existing general permit registration
number for the construction activity. This item does not need to be
completed for new construction activities applying for general permit
coverage.
Item 3: Name and Location of the Construction Activity
Information.
Provide the official name, street address (if available), city or county (if
not located within a City) of the construction activity. Also, provide the
latitude and longitude in decimal degrees of the approximate center of
the construction activity (e.g., N 37.5000, W 77.5000).
Name and Location of Off -site Support Activity 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.
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
covered under this general permit. Also, provide the latitude and
longitude in decimal degrees of the approximate center of the off -site
support activities (e.g., N 37.5000, W 77.5000). Also, if an off -site
support activity is going to be covered under this general permit the
total land area of the off -site support activity and the estimated area to
be disturbed by the off -site support activity need to be included in Item
#9.
Item 4: Status of the Construction Activity.
Indicate the appropriate status (Federal, State, Public, or Private) of
the construction activity.
Item 5: Nature of the Construction Activity.
Provide a brief description of the construction activity, such as
commercial, residential, agricultural, oil and gas, etc. This list is not all
inclusive.
Item 6: Receiving Waters(s) and HUC Information.
Provide the name of the receiving water(s) and corresponding HUC for
all stormwater discharges including any stormwater discharges from
off -site support activities to be covered under this general permit.
Hydrologic Unit Code or HUC is a watershed unit established in the
most recent version of Virginia's 60 order national watershed boundary
dataset.
07/2014 Page 1 of 2
Item 7: MS4 Information
If stormwater is discharged through a municipal separate stone sewer
system (MS4), provide the name of the MS4 operator. The name of the
MS4 operator is generally the Town, City, County, Institute or Federal
facility where the construction activity is located.
Item 8: Construction Activity Start and Completion Date
Information.
Provide the estimated start date (month/day/year) of the construction
activity. Provide the estimated completion date (month/day/year) of
the construction activity.
Item 9: Construction Activity Area Information.
Provide the total area (to the nearest one -hundredth acre) of the
development (i.e.., the total acreage of the larger common plan of
development or sale). Include the total acreage of any off -site support
activity to be covered under this general permit.
Provide the estimated area (to the nearest one -hundredth acre) to be
disturbed by the construction activity. Include the estimated area of
land disturbance that will occur at any off -site support activity to be
covered under this general permit.
Item 10: Common Plan of Development or Sale Information
Indicate if the area to be disturbed by the construction activity is part of
a larger common plan of development or sale. Larger common plan of
development or sale is defined as a contiguous area where separate
and distinct construction may be taking place at different times on
different schedules. Plan is broadly defined as any announcement or
documentation, including a sign, public notice or hearing, sales pitch,
advertisement, drawing, permit application, zoning request, etc., or
physical demarcation such as boundary signs, lot stakes, or surveyor
markings indicating that construction activities may occur.
Item 11: Stormwater Pollution Prevention Plan (SWPPP).
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 (VAR10) prior to
submitting this Registration Statement. By signing this Registration
Statement the operator is certifying that the SWPPP has been
prepared.
Item 12: Certification
A properly authorized individual associated with the operator identified
in Item 1 of the Registration Statement is responsible for certifying and
signing the Registration Statement. Please sign the Registration
Statement in INK.
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:
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 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 duly 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
(ii) A senior executive officer having responsibility for the overall
operations of a principal geographic unit of the agency.
07/2014 Page 2 of 2
Section 2. Notice of general permit coverage
(This notice is to be posted near the main entrance according to 9VAC25-880-70, Part II, section C.)
(Provide a copy of the DEQ coverage letter when obtained)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 3. Nature of activity
(Provide a detailed narrative of the construction activities. Include or reference a construction schedule and
sequence. Include any phasing.)
Construction Activities
1. Clearing and grubbing along roadway or easement.
2. Furnish and install 8", 6", and 4" Ductile Iron water main.
3. Install temporary aboveground water main where specified.
4. Provide temporary steel plating and/or temporary ramps, walkways, etc. over temporary water
main and services.
5. Provide temporary pavement where required during water main installations.
6. Furnish and install 8" and 4" valves.
7. Furnish and install fire hydrants, air release valves, and blow offs.
8. Locate and connect to existing water mains.
9. Install/Replace tank valves and piping at Scottsville tank and pump station site.
10. Restoration of all easements, yards, parking lot.
11. Place asphalt pavement according to VDOT specifications.
12. Test all pipe and all appurtenances.
13. Disinfection of water main.
14. Any incidental work to complete project.
Anticipated Schedule
Start Construction: May 1, 2023
End Construction: June 1, 2025
Sequence of Construction
From Scottsville Water Treatment Plant (WTP) to Warren Street/Harrison Street Intersection
1. Confirm required connections at the Scottsville WTP and coordinate the starting location at the
WTP without making the connection to the WTP piping.
2. Install water main, valves, hydrants, and appurtenances from the Scottsville WTP, along James
River Road to the 8-inch gate valve at the Warren Street/Harrison Street Intersection.
3. Close the 8-inch gate valve at the Warren Street/Harrison Street Intersection. Provide temporary
blocking at gate valve as required to perform all testing. Perform all specified testing and
disinfection of installed water main and water withdrawal from existing water mains.
4. Install the remaining water service laterals and connections, and place completed water main up
to the Warren Street/Harrison Street Intersection into service.
From Warren StreetdHarrtson Street Intersection to Moores Hill and Replacement Work at
Existing Tank And Pump Station
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Provide all required fittings and adapters and install temporary aboveground water main from
new fire hydrant at the Warren Street/Harrison Street Intersection to the existing fire hydrant at
the corner of Warren Street and Valley Street.
2. Install temporary water services to all existing meters.
Install required connection to existing 12-inch water main at the intersection of James River
Road before it becomes Warren Street.
4. Place the new water main from the Scottsville WTP to Warren Street and the temporary water
main along Warren Street into service.
5. Complete the required replacement work along Warren Street and at the existing pump station
and tank site concurrently, while keeping the new gate valves installed on the branches of the
tees along the 10-inch DI water main closed until all replacement work at the tank and pump
station has been completed and successfully tested and disinfected.
6. Coordinate closure of existing gate valves at intersection of Warren Street and Harrison Street
and at the designated endpoint of the in -place replacement. Isolate and drain existing water main,
begin in -place water main replacement along Warren Street. Remove and dispose existing AC
water main. Install all new water services, fire hydrants, valves and improvements shown on
contract drawings.
7. Install water main across Valley Street to the new 8-inch gate valve preceding Moores Hill
including interconnection piping to existing water main in the intersection, without making
connection to the existing main. Isolate interconnections to the existing water main, fire hydrant
at the intersection of Warren and Valley Streets and close the new 8-inch gate valve.
8. Perform all required testing of new water main installed along Warren Street and across Valley
Street. Maintain all temporary water mains and water services along Warren Street until the
successful completion of all testing and disinfection of the new water mains.
9. Complete installation of all water services, new meter boxes and meters, and connections to
existing services on customer side of all meter boxes along Warren Street.
10. Make the connection to the existing 6" water main at Valley Street and the existing fire hydrant
at the Warren/Valley Street intersection. Coordinate operation of 8-inch gate valve at the
intersection of Warren and Harrison Street, and the existing gate valve and fire hydrant at the
Warren/Valley Street intersection. Maintain closure of new 8-inch gate valve preceding Moores
Hill.
11. Place new water main and water services into operation along Warren Street.
Along Moores Hill to Hardware Street Connection
Install new water main, valves, fire hydrants, and water services along Hardware Street,
beginning near connection at the end of the alignment on Hardware Street to the new 45-degree
bend on Moores Hill preceding the proposed PRV vault. Install restrained cap/plug at new 45-
degree bend.
2. Install pressure reducing valve vault, associated piping and valves at locations along new water
main alignment.
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Maintain closed gate valve preceding Moores Hill and install the following fire hydrant tee,
valve and fire hydrant and temporary, restrained cap/plug on fire hydrant tee.
4. Install temporary aboveground water main from fire hydrant at the bottom of Moores Hill to the
fire hydrant at the top of Moores Hill.
5. Install temporary water services to all existing meters along Moores Hill.
6. Perform all specified testing and disinfection of installed water main. Use the existing gate valve
preceding Moores Hill to make the connection to the existing DI water main in Valley Street and
for this portion of water main to be placed into service.
7. Schedule temporary shutdown of system and connect to existing DI water main to the end of the
Hardware Street alignment. Close the existing gate valves at end of Moores Hill and at new
interconnection to Valley Street to allow for isolation of existing AC water main along Hardware
Street and Moores Hill. Drain, cut, and cap existing AC water main at connection to existing DI
water main.
8. Coordinate opening of existing gate valve on existing DI water main on upper end of Hardware
Street to supply water to new water main along Hardware Street and along temporary water main
and services along Moores Hill.
9. Complete installation of all water services, new meter boxes and meters, and connections to
existing services on customer side of all meter boxes along Hardware Street portion of new water
main to restrained bend preceding the new PRV vault.
10. Begin in -place replacement of existing AC water main along Moores Hill. Install new DI water
main along Moores Hill along alignment of existing AC water main.
11. Perform all specified testing and disinfection of installed water main along Moores Hill up to
connection the new 45-degree bend preceding the new PRV vault.
12. Coordinate temporary shutdown to make connection to new DI water main at the new 45-degree
bend preceding the new PRV vault. Install all new water services, fire hydrants, valves and
improvements shown on contract drawings.
13. Coordinate opening of new gate valve preceding Moores Hill to put new water main along
Moores Hill and Hardware Street into service with water mains previously placed into service
from the Scottsville WTP, along James River Road and Warren Street.
Valley Street, Fleet Street, Page Street and Bird Street
Begin water main installation in the intersection of Valley Street and West Main Street at the 45-
degree bend preceding the proposed West Main Street 8" x 8" tee without making connection to
existing water main. Continue installation of water main and all appurtenances along Valley
Street, through the Jamco Property and into Fleet Street. Continue water main installation
westward along Fleet Street and to Page Street.
2. Continue installation of new water main and appurtenances northward along Page Street without
making connections to existing water mains. Install temporary, restrained cap/plugs on new
water main portions to facilitate all required testing and disinfection.
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
3. Terminate water main installation at new 45-degree bend prior to in -place replacement portion
along Page Street. Install restrained cap/plug on new 45-degree bend and thrust block to allow
and to prepare for testing.
4. Perform all specified testing and disinfection of installed water main from Valley Road, along
Fleet Street, and Page Street, up to 45-degree bend prior to in -place replacement portion along
Page Street.
5. Install temporary water main along Page Street from fire hydrant on the comer of Page and Fleet
Street to existing fire hydrant along Page Street at Lindsay Street. Install temporary water
services for all existing meters along Page Street.
6. Install new 8-inch water main and appurtenances along Bird Street westward from the Harrison
Street intersection up to the beginning of in -place replacement. Perform all specified testing and
disinfection of installed water main prior to making connection in the Harrison Street
intersection.
7. Install temporary water main and temporary services up to the existing meters for the properties
along Bird Street (between Harrison and Page Streets). Temporary water main to be installed
from new fire hydrant preceding the Harrison Street intersection.
8. Activate the temporary water mains along Page Street and Bird Street and complete the
installation of the temporary services to all existing meter boxes and meters.
9. Isolate temporary water main along Page Street at existing fire hydrant valve at Lindsay Street to
allow for in -place replacement along Page Street. Put temporary water services into place along
Page Street and install new water main and appurtenances as shown on the contract drawings.
10. Perform connections to the existing DI water mains leading to East Main Street in Valley Road,
to the existing vault at Page and Fleet Street, and in the Harrison Street intersection. Place the
temporary water main along Bird Street into service.
11. Begin in -place replacement of existing AC water main along Page Street. Install new DI water
main and appurtenances for in -place replacement portion along Page Street alignment of existing
AC water main up to new 8-inch gate valve preceding the 8" x 8" tee leading westward into Bird
Street. Isolate main using existing gate valves along in -place portion to install 8-inch gate valve
and temporary restrained cap/plug on gate valve along Bird Street at westward leading tee.
12. Continue in -place water main replacement northward along Page Street and eastward along Bird
Street. Isolate new DI water mains until all testing and disinfection activities have successfully
been completed. Installation of new 8-inch water main and appurtenances westward along Bird
Street from Page Street intersection may occur concurrently with the in -place installations along
Page Street and Bird Street.
13. Perform all specified testing and disinfection of installed in -place water main along Page Street
concurrently with the new water mains along Bird Street.
14. Make final connection to the new water main previously installed along Bird Street eastward at
the end of the in -place replacement portion. Perform all final water service connections and
meter box installations. Coordinate all isolation valve operations and place completed water
mains into service.
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 4. Erosion and Sediment Control Plan.
(Provide a reduced, I W 7 copy of the latest Erosion and Sediment Control Plan. Do not reference only.)
(To be inserted into SWPPP following final review and approval.)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 5. Stormwater Management Plan
(Provide a reduced 11x 17 copy of the latest stormwater management plan. Do not reference only.)
(Not required.)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 6. Pollution Prevention Plan.
(reference County Code 17-404 and State Regulation 9VAC25-880-70 part II section A.4)
A. Plan showing pollution activities and prevention practices
(Provide a reduced I W 7 copy of a site plan on which all of the following activity locations are clearly marked.
Keep this plan up-to-date with ongoing site changes and inspections.)
(To be inserted into SWPPP following final review and approval.)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
sources or rouutants, iocatrons, anu
Pollutant, or Pollutant Location on site Prevention Practices,
Generating Activity Control Measures
No additional activities — N/A
C. Sources of Pollutants continued. Common activities and minimum control and prevention
practices
Pollutant, or Pollutant
Location on site
Prevention Practices,
Generating Activity
Control Measures
Follow Erosion and Sediment Control
Clearing, grading, excavating, and on-
Land disturbance area
Plan. Dispose of clearing debris at
stabilized areas
acceptable disposal sites. Seed and mulch,
or sod within 7 days of land clearing
Cover storm drain inlets and use drip pans
Paving operations
Roads and driveways
and absorbentloil dry for all paving
machines to limit leaks ands ills
Direct concrete wash water into a leak -
Concrete washout and
Current location and detail shown on
proof container or leak -proof settling basin
cement waste
plan
that is designed so that no overflows can
occur
Enclose or cover material storage areas.
Mix paint indoors in a containment area or
Structure construction, stucco,
Structures
in a flat unpaved area. Prevent the
painting, and cleaning
discharge of soaps, solvents, detergents
and wash water, paint, form release oils
and curing compounds.
Water shall be filtered, settled or similarly
Dewatering operations
Dewatering sites shown on plan
treated prior to discharge as shown on
plan.
Designated areas for material delivery and
Material delivery and storage
Designated area shown on plan
storage. Placed near construction
entrances, away from waterways and
drainage paths
Material use during building process
Building areas
Follow manufacturer's instructions.MSDS's
attached.
Waste collection area will not receive a
substantial amount of runoff from upland
areas and does not drain directly to a
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Pollutant, or Pollutant
Location on site
Prevention Practices,
Generating Activity
Control Measures
Current designated container areas on
waterway. Containers have lids covered
Solid waste disposal
plan
before periods of rain, or are in a covered
area. Scheduled collection to prevent
overfilling. MATERIALS NOT TO BE
BURIED ON -SITE
Convenient and well -maintained portable
sanitary facilities will be provided, and
Sanitary waste
Current locations shown on plan
located away from waterways or inlets.
Such facilities shall be regularly
maintained.
Apply fertilizers in accordance with
Landscaping operations
Landscape areas shown on plan
manufacturer's recommendations and not
during rainfall events
To be treated in a sediment basin or better
Wash Waters
Wash areas shown on plan
control as specified on plan. Minimize
the discharge of pollutants from
equipment and vehicle washing
Vehicle and equipment washing
Designated areas and details shown on
Provide containment and filtering for all
plan
wash waters per the plan
Minimization of exposure to precipitation and stormwater. 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.
(Identify all non-stormwater discharges to occur on your site. Keep this plan up-to-date with ongoing site
changes and inspections. See CGP, 9VAC25-880-70 section E for examples of non-stormwater discharges.)
D.
Non-stormwater discharges
Discharge Pollutants or Pollutant Location on Site
Constituents
None anticipated N/A N/A
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
E. Persons responsible for pollution prevention practices
(Provide the names and contact information for all persons responsible for prevention practices as listed above.)
(To be provided by contractor.)
F. Response and reporting practices
Minimize discharges from spills and leaks. Minimize the discharge of pollutants from spills and leaks and implement chemical spill
and leak prevention and response procedures as follows.
Respond to all spills, leaks and discharges as follows,
Report all spills, leaks and discharges as follows,
(Provide detailed response and reporting practices according to 9VAC25-880-70, Part II, section A.4.e.)
(To be provided by contractor.)
G. Pollution Prevention Awareness
(Describe training and procedures to provide awareness and compliance for all measures in this document;
waste management, wash waters, prevention measures, etc.)
(To be provided by contractor.)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 7. Discharges to impaired waters, surface waters within an applicable TMDL
wasteload allocation, and exceptional waters.
(Provide detailed measures for any applicable TMDL)
(Not required — N/A)
Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 8. Qualified personnel
The following personnel are responsible for inspections;
(Provide the name, telephone number, and qualifications of the qualified personnel conducting inspections.)
(To be provided by contractor.)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 9. Signed Certification
(Provide certification according to 9VAC25-870-370. For purposes of plan review and approvals, this
certification should be the owner of the property, the same signature as appears on the bonds and
applications. Another operator can be designated on the delegation of authority form to follow.)
CERTIFICATION
1 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."
Owner/Operator Name:
Company:
Title:
Signature:
Date:
Issued — 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 10. Delegation of authority.
(Provide the persons or positions with authority to sign inspection reports or to modify the stormwater pollution
prevention plan. A formal, signed delegation of authority is needed.)
Delegation of Authority
I, (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 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:
Company:
Title:
Signature:
Date:
(To be provided by contractor.)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 11. General permit copy
(Provide a copy of the construction general permit, 9VAC25-880)
(To be inserted upon receipt.)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County
Section 12. Inspection logs
(Provide templates for your inspections. Requirements are listed in 9VAC25-880-70, Part II, section B and F.)
(To be provided by contractor.)
Issued—10/2014 Stormwater Pollution Prevention Plan (SWPPP) Albemarle County