HomeMy WebLinkAboutWPO201600071 Bond 2023-01-06Internal lse d nl N 3N Dare Received
Fee Paid
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BOND INSPECTION REQUEST
APPROVED PLAN #: WPO 201600071
PROJECT NAME (including Phase #): Belvedere Phase II B
(As listed on the approved plan)
This form is used to request a reduction or release of a bond. A fee is required for each inspection. Please
check the appropriate box below for the requested inspection(s). Fees includes 4% Technology Fee.
Inspections for the purposes of bond reduction or release will require a separate fee for each bond.
m VSMP/VESCP Erosion Control, Stormwater Management and/or Mitigation per
Water Protection Ordinance sections 17-207 & 17-208 $294.32
❑ Reduction ia Release
❑ Subdivision (roads, drainage, etc.) per Subdivision Ordinance sections 14-435 & 14-438 $307.84
❑ Reduction ❑ Release
❑ Water & Sewer bond per Subdivision Ordinance section 14-435 $307.84
❑ Reduction ❑ Release
❑ Site Development Performance bond (Incomplete Site Work & Landscaping) $344.24
❑ Reduction (site work only) ❑ Release
TOTAL FEES 294.32
Submit requests to: Department of Community Development, 401 McIntire Road, North Wing, Charlottesville,
VA 22902, Attention: Management Analyst — Phone 434-296-5832; Fax 434-972-4126. All roads and
stormwater facilities will require construction record drawings, inspection reports, videos/photos, plats/esmts,
certifications, and completion processes through VDOT or DEQ (refer to County acceptance procedures).
Bonds will not be reduced or released without record drawings and inspection documentation per the state
requirements and County's published procedures. A minimum 20% of the original posting is held until
acceptance of all bonded improvements. For Site Development Performance bonds, if landscape installation is
part of the bonded site work, a request for reduction should only be made once all landscaping is complete.
If all required documentation is not received within 30 days of receipt of this request, this application shall be
deemed incomplete and shall be rejected. If rejected, a new application, supporting documentation and fee will
be required. Applications may be withdrawn for a full refund within 30 days of receipt.
If this is a reduction request, the revised estimate will be prepared by the plan reviewer and sent to the owner.
Please provide contact information.
EMAIL: skrohn@resortscompanies.com
OR REGULAR MAIL ADDRESS:
Steven C. Krohn
Print Name
ZI zoZZ.
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Revised 7/15/2014, 7/20/2015, 11/32015, 8/14/2017, 1/28/2020, 7/l2021
VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR30)
NOTICE OF TERMINATION 2019
Permit Coverage Number (VAR10####): VAR100858
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: New Belvedere, Inc.
Contact Person: Steve Krohn
Address:
610 West Rio Road
City, State, Zip Code: Charlottesville, VA 22901
Phone Number: 434-242-6122
Primary Email: skrohn@resortscompanies.com
CC Email: jtaggart@roudabush.com
Section II. Construction Activity Location Information. Project site information.
Construction Activity Name:
Belvedere Phase IIB
Address: Belvedere Dr.
City and/or County and Zip Code: Charlottesville. VA 22901
Latitude and Longitude
(6-digit, decimal degrees format): 38.075285,-78.455795
Section III. Reason for Terminating Coverage underthe 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):
® 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;
❑ B. 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.
Rev 04/2019 PAGE 1 1 6
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 Management
Facility Type:
Retention Basin III (4xWQvol with aquatic bench)
Address:
Adjacent to 1218 Farrow Dr.
City and/or County and Zip Code:
Charlottesville, VA 22901
Latitude and Longitude
(6-di it, decimal degrees format):
38.074741,-78.453479
Total Acres Treated by Regional Facility
(report to one -hundredth of an acre):
18.98AC
Impervious Acres Treated by Regional Facility
(report to one -hundredth of an acre):
9.42AC
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 Entity
(Bank Name):
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? ❑YES ❑NO
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:
M A. Engineer's Certification Statement
® B. As -built plans (construction record drawings) — digital
® C. As -built plans (construction record drawings) —full-sized, paper
®D. StormwaterManagementPlans—digital
® E. BMP Maintenance Agreement — notarized original, for public and private projects under DEQ's VSMP Authority
Stormwater Management Facility Types /please choose from the following bma 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 x WQ 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 WQVol)
Infiltration 1
Infiltration 2
Other IIB (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 11 (4 x WQ Vol)
Retention basin III (4 x WQ Vol
with aquatic bench)
Sand filter
SheetRow 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
CONSTRUCTION GENERAL PERMIT (VAR10) NOTICE OF TERMINATION 2019
Stormwater Management Facility #1
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 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 c an acre):
Stormwater Management Facility#3
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 3 16
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 knnwlno vinla*innc "
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 DIED. 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 23218
constructiongp@deg.virginia.gov
If the locality is the VSMP Authorityplease send to:
The Local VSMP Authority (insert address below)
Albemarle County
Department of Community Development
401 McIntire Rd.
Charolottesville, VA 22902
Permit terminations may be delayed if there are
outstanding annual permit maintenance fee balances due.
Rev 04/2019 PAGE 4 1 6