HomeMy WebLinkAboutWPO202200045 Correspondence 2022-10-31Registration Statement
General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10)
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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.)
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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.
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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.
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