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Home My WebLink AboutWPO202100050 Notice of Termination - VSMP 2023-02-13 VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES(VAR10) NOTICE OF TERMINATION 2019 Permit Coverage Number(VAR10####): VAR1ON007 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 CHARLOTTESVILLE ALBEMARLE AIRPORT AUTHORITY Operator Name: Contact Person: MELINDA CRAWFORD, EXECUTIVE DIRECTOR Address: 100 BOWEN LOOP,SUITE 200 City,State,Zip Code: CHARLOTTESVILLE,VA 22911 Phone Number: (434)973-8342 Primary Email: MCRAWFORD@GOCHO.COM CC Email: JDEVILLIER@GOCHO.COM Section II. Construction Activity Location Information. Project site information. PARKING LOT ELEVATOR&STAIR REPLACEMENT @ CHARLOTTESVILLE-ALBEMARLE Construction Activity Name: AIRPORT Address: 100 BOWEN LOOP CHARLOTTESVILLE,VA 22911 City and/or County and Zip Code: Latitude and Longitude 38.1417N,78.4474W (6-digit,decimal degrees format): 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): ® 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; El 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 6 CONSTRUCTION GENERAL PERMIT(VAR10) NOTICE OF TERMINATION 2019 Sectio . articipation in a Regional Stormwater Management Plan. If your site discharges to a regional stormwater Alk agement facility, provide information related to the regional stormwater management plan.Attach a separate list if discharging to multiple regional facilities. Regional Stormwater Manageme N/A Facility Typ (..._. 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. P rpetual Nutrient Credits. If your site is utilizing nutrient credits, provide information related to the perpetual nutrient its 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): IVY CREEK NUTRIENT BANK Perpetual Nutrient Credits Acquired (pounds/acres/year): 0.05 LBS Include the affidavit of sale fore alll nutrient credits acquired. Is the affidavit of sale of nutrient credits attached? ®YES ENO 5 £ (G'r«`.r...A�lref`I�A Section V ermanent Con easures. If applicable, list the post-development stormwater management facilities or best agement 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: ® A. Engineer's Certification Statement ❑ B. As-built plans(construction record drawings)—digital ❑C. As-built plans(construction record drawings)—full-sized, paper ❑ D. Stormwater Management Plans—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 bmp types): Bioretention 1 Extended detention-enhanced Other IIC(manufactured Soil Amendments Bioretention 2 Filtering Practice 1 treatment device,etc.) Urban Bioretention Bioretention basin Filtering Practice 2 Permeable Pavement 1 Vegetated filter strip Bioretention filter Grass Channel Permeable Pavement 2 Vegetated Roof 1 Constructed Wetland 1 Grassed swale Rainwater Harvesting Vegetated Roof 2 Constructed Wetland 2 Infiltration(1 x WQ Vol) Retention basin I(3 x WQ Vol) Wet Pond 1 Constructed wetlands Infiltration(2 x WQ Vol) Retention basin II(4 x WQ Vol) Wet Pond 2 Dry Swale 1 Infiltration 1 Retention basin III(4 x WQ Vol Wet Swale 1 Dry Swale 2 Infiltration 2 with aquatic bench) Wet Swale 2 Extended detention(2 x WQ Vol) Other IIB(manufactured Sand filter Extended Detention Pond 1 treatment device,etc.) Sheetflow to Vegetated Filter or Extended Detention Pond 2 Conserved Open Space 2 Rev 04/2019 PAGE 2 16 CONSTRUCTION GENERAL PERMIT(VAR10) NOTICE OF TERMINATION 2019 Stormwater Management Facility#1 BMP Type: N/A Date BMP Became Functional: C KWCIA Address(if available): -5(/. ws, sicr-iS FI 8 U p„p \M K. to N c6 7 City and/or County and Zip Code: A a) (A) ZO 19 000 `3 Latitude and Longitude • (6-digit,decimal degrees format): 4 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 of 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-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): Rev 04/2019 PAGE 3 16 CONSTRUCTION GENERAL PERMIT(VAR10) NOTICE OF TERMINATION 2019 tion VII. Certification. This Certification must be signed by a person representing the operator identified in Section I.a•: mee ' g the requirements of 9VAC25-880-70 Part Ill K. Certificatio • "I certify under penalty of law that I have read and understand this Notice of Termination and t.. this document and all attachment- ere prepared in accordance with a system designed to assure that qualified personnel p .perly gathered and evaluated the info a ation submitted. Based on my inquiry of the person or persons who manage the . stem or those persons directly responsible f. :athering the information,the information submitted is to the best of my owledge and belief true, accurate,and complete. .m aware that there are significant penalties for submitting false in : mation including the possibility of fine and imprisonment for k awing violations." Printed Name: ;w Y CON TRIJ'.+� • + . Signature(signed in ink): Date: Section VIII.Submittal Instructions. Please submit this fo o the Virginia Stormwater Management Program(VSMP)Authority that has jurisdiction for your construction activity. If th- •ca is the VSMP Authority, please submit your form directly to the locality;do NOT send this form to DEQ. A list of loca 'SMP Auth. 'ties is available here: VSMP Authorities. If DEQ is the VSMP Authority,please send to: I e localit is the VSMP Authority, please send to: Department of Environmental Quality The Loc. VSMP Authority(insert address below) Office of Stormwater Managemen uite 1400 ALBEMA' . COUNTY PO Box 1105 Richmond VA 23218 COMMUNITY c VELOPMENT DEPARTMENT construction:• • de..vir.' ia.:ov 401 MCINTIRE RO A CHARLOTTESVILLE, VA 22902 ATTN: DAN RATZLAFF ow/ex Cc >e-c f2,474 w Permit terminations may be delayed if there are outstanding annual permit maintenance fee balances due. Rev 04/2019 PAGE 4 16 CONSTRUCTION GENERAL PERMIT(VARIO)NOTICE OE TERMINATION 7D19 Section VII Certltication `has CeTtrfirator r^1;s1 be skgooO h'V a verso,•reorncef trtr the cperrrre idrmhed n Sr[rvorl I.arrd —et'Pr rt.. t r••e Win, .r7 9vACI5*fit+70►art tr r �r•rtlr✓Reim I evenly urriOwl t' atbr rot taw teat I n.a.•e re ell anf tlndfrit?n"t*IS fkr."ce of"frame anon and ma: OCKLIt 5Mredreetlt VW. 311 attachrnrms were prepued in actordante with a sy:tee-d °Sn esed to assrrn,that auaif"e'd Personnel pra y 4aPert evaluator?the ink aural m submitted bases an my oNai,r4 of tfr!persC+,Of PerSQr S%who Mirage the system,or threat pendant 1.,e tv resoons>bfe for eatherir4 the leor melon,tr+e atetrrreation suhmetrr.o tc tte bell eel raw knrantedde a el b►tre'tn+r r"o�•a'.E,and trtrnrarele.I am aware alit there are Srjntl<ant ornaditn. false tnforna1IOl gut Wog the oomtaitiry C"t •roc aid inImo tsort/rrrnt teat taitelita4 etatatisi';• ulnae Name Mitt FIOOO KtNSRIOGF[Otis 4;,noivCCO - f "Sat ra;sstted inYt Swat +ate C/23/zc Section VIR.Submittal IwafrlettYatN. Mame submit tIi b to t0 mar al et nrar.+ltw*+at+t rfeellt'(VW )Asnnvottlr that has 7lrndkbon for your construCtan activity H tls►tocamr+s Eh.vSMP Autho'Ry,p-ra a u..tnit roar kern three-the to the op 0+C1 te''e th s fort t to OF fa A Int of ktaf VKMP Auihontles is aya4atA►r+rrr `tI ItigailLthoPVPIT.Aliagrtt,Mrase terse to t *OCII'S,IIre v5%tP Ai1hen&Orise send to elPflrtrnhN of tnvtranr'"r^^MI dralky he Local VSmP Autborittr pInsret aMtlrtr$s&4n ) Wilke of Stermwater Manap^rent Suite 1400 ALBEMARt F COUNTY PO!ea 1les r�.re Monotone VA 23211 COMMUN D1 YLITY LOPM'ENT OtPARTIMNt rOn.t-ur t,er.gpeoesciinti,s4.f!or VA.229'01 4i01 MCA,IRE ROAD,CHARLQ ATTN OK*1 RAT7LAFi Permit terminations may be delayed if there are outstanding annual permit maintenance fee balances due. Rev G4/201,4