HomeMy WebLinkAboutWPO202000034 VSMP - SWPPP 2022-11-23 (2)IDENTIFICATION OF QUALIFIED PERSONNEL
In accordance with the General VPDES Permit for Discharges of Stormwater
from Construction Activities, the individuals responsible for conducting on -site
and off -site inspections must be identified. If the identified individual changes or
additional individuals are given this responsibility after the preconstruction
meeting occurs, the changes/additions must be noted below and submitted to the
Prince William County Watershed Management Site Inspector.
Print Name: Kent Raine
Company: Roudabush, Gale & Assoc., Inc.
Address: 999 2nd St SE Charlottesville, VA 22902
Phone #: 434-977-0205
Qualifications: Q Responsible Land Disturber # 16152
Q Certified ESC Inspector # 2027
❑ Certified SWM Inspector #
❑ Licensed Professional (P.E., L.S., etc.)
❑ Other:
Print Name: Nicole Jamison
Company: Roudabush, Gale & Assoc., Inc.
Address: 999 2nd St SE Charlottesville, VA 22902
Phone #: 434-977-0205
November 2015 Page 1 of 3
Qualifications: Q
Q
Print Name:
Company:
Address:
Phone #:
Qualifications:
Print Name:
Company:
Address:
Phone #:
Qualifications:
Responsible Land Disturber # 05933
Certified ESC Inspector #
Certified SWM Inspector #
Licensed Professional (P.E., L.S., etc.)
Other: _Dual Inspector #DIN1114
Responsible Land Disturber #
Certified ESC Inspector #
Certified SWM Inspector#
Licensed Professional (P.E., L.S., etc.)
Other:
Responsible Land Disturber #
Certified ESC Inspector #
Certified SWM Inspector #
Licensed Professional (P.E., L.S., etc.)
November 2015 Page 2 of 3
❑ Other:
November 2015 Page 3 of 3