Loading...
HomeMy WebLinkAboutWPO201400072 Permit 2014-07-29 DEPARTMENT OF ENVIRONMENTAL QUALITY CONSTRUCTION ACTIVITY OPERATOR PERMIT FEE FORM (Please Type or Print All Information) Instructions: Applicants for a Construction Activity Individual Permit are required to pay permit application fees. Fees are also required for registration for coverage under a Construction Activity General Permit. Fees must be paid when applications for state permit issuance, reissuance, modification or transfer are submitted. Applications will be considered incomplete if the proper fee is not paid and will not be processed until the fee is received. The fee schedule for state permits is included with this form. Fees for state permit issuance, reissuance, maintenance, modification and transfer are included. Once you have determined the fee for the type of application you are submitting, complete this form. The original copy of the form and your check or money order payable to "Treasurer of Virginia" should be mailed to: Department of Environmental Quality Receipts Control P.O. Box 1104 Richmond,VA 23218 A copy of this form and a copy of your check or money order should accompany the permit application (or registration statement). You should retain a copy for your records. Construction Activity Operator: Name: Horton & Dodd, P.C. Contact: J. Gregory Dodd Mailing Address: 300 George Washington Hwy. N. City: Chesapeake State: VA Zip: 23323 Phone: (757) 487-4535 Email address (if available): gdodd@hdpc .net Name and Location of the Construction Activity: Name: Chick-fil-A, 1626 Richmond Road City: State: VA Zip: 22901 County: Albemarle County Type of State Permit: ❑ Construction Activity Individual Permit © Construction Activity General Permit (from Fee Schedule) Type of Action: ❑ New Issuance © Reissuance ❑ Maintenance ❑ Modification ❑ Transfer Amount of Fee Submitted (from Fee Schedule): $2, 700 . 00 Existing General Permit Registration Number(if applicable): #VAR10F774 FOR DEQ USE ONLY Date: DC#: 01/2014 Page 1 of 1 ����pF AL� 8 4 r11 111 1 � Sew' t'�RGItj1P COUNTY OF ALBEMARLE Community Development 401 McIntire Road Charlottesville,Virginia 229024596 (434)296-5832 EROSION CONTROL PERMIT Date of Application: 8/18/2014 WPO-2014-00072 Permit Effective Date: 3/27/2015 Number: Corven D. Flynn&Katie H. Flynn LANDOWNER: 338 South Keswick Drive Phone: (434)984-3928 Troy,VA 22974 CONTRACTOR: WH Bass, Inc. Phone: (678)987-5700 11300 Johns Creek Parkway,Suite 100 Duluth,GA 30097 RESPONSIBLE Ronnie Parham-Parham Phone: (434)295-9556 LAND Construction 1766 Scottsville Road DISTURBER: Charlottesville,VA 22902 Certification/ License No.: 41520 Type: RLD Plans Prepared by: Horton&Dodd,P.C. Plans Dated: 8/2013 Last Revised: 12/1/2014 Plans Entitled: Site Development Plan of Chick-fil-A Store Location: #03187 At 1626 Richmond Road Albemarle County,Virginia 22901 Dist.Acreage 1.8 Tax Map 78 Parcel:55A2 Hydrologic Unit H30 Issued by: Kenny Thacker Title: Erosion Control Officer Sign ure Date Now -woe 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: Horton & Dodd, P.C. Contact: J. Gregory Dodd, P.E. Mailing Address: 300 George Washington Hwy North City: Chesapeake State: VA Zip: 23323 Phone: (757) 487-4535 Email address(if available): gdodd @hdpc .net Indicate if DEQ may transmit general permit correspondence electronically: Yes © No❑ 2. Existing General Permit Registration Number(for renewals only): #VAR10F774 3. Name and Location of the Construction Activity: Name: Chick-fil-A Address(if available): 1626 Richmond Road City: State: Virginia Zip: 22901 County(if not located within a City): Albemarle County Latitude(decimal degrees): 3 8° 01 ' 4 5" N Longitude(decimal degrees): 7 8° 2 6 ' 2 5" W 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❑ Private El 5. Nature of the Construction Activity(e.g.,commercial, industrial,residential,agricultural,oil and gas,etc.): commercial restaurant 6. Name of the Receiving Water(s)and Hydrologic Unit Code(HUC): Name: Rivanna-Carroll Creek Name: HUC: JR17 HUC: 7. If the discharge is through a Municipal Separate Storm Sewer System(MS4),the name of the MS4 operator: Albemarle County 8. Estimated Project Start and Completion Date: Start Date(mm/dd/yyyy): 0 9/3 0/2 014 Completion Date(mm/dd/yyyy): 01/30/2014 9. Total Land Area of Development(to the nearest one-hundredth acre): 2 . 79 acres Estimated Area to be Disturbed(to the nearest one-hundredth acre): 2 . 79 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: J. Gregory Dodd, P.E. VA#13253 Title:vice Pres. Horton & Dodd, P.C. Signature: Date: (Please sign in INK. This Certification must be signed by the appropriate person associated with the operator identified in Item#1.) 01/2014 Page 1 of 1 COMMONWEALTH of VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY Street address:629 East Main Street, Richmond, Virginia 23219 Molly Joseph Ward Mailing address: P.O. Box 1105,Richmond,Virginia 23218 David K.Paylor Secretary of Natural Resources Fax: 804-698-4019-TDD(804)698-4021 Director www.deq.virginia.gov (804)698-4020 I-800-592-5482 6/30/2014 Horton and Dodd PC 300 George Washington Hwy N Chesapeake,VA 23323 RE: Construction General Permit Coverage#VARIOF774,Chick fil A-Commercial-restaurant- 1626 Richmond Road Albemarle Dear J.Gregory Dodd: DEQ has received your registration statement for the proposed land-disturbing project under the General Permit for Discharges of Stormwater from Construction Activities(VAR10). The project's date of coverage is either the date of this letter or fifteen business days after the postmark date of the project's complete registration packet submittal to DEQ. By submission of the registration statement,you acknowledge that the proposed project is eligible for coverage under the General Permit and you have agreed to the conditions in the General Permit including any applicable conditions regarding Total Maximum Daily Loads and impaired waters. Please be aware that§62.1-44.15:35 of the Code of Virginia and the General Permit contain additional requirements if nonpoint nutrient offsets are chosen to meet the post-development nonpoint nutrient runoff compliance requirements. Section §62.1-44.15:35 I requires that the permit issuing authority require that nonpoint nutrient offsets or other off-site options achieve the necessary nutrient reductions PRIOR TO THE COMMENCEMENT OF THE PERMITTEE'S LAND DISTURBING ACTIVITY. A copy of the General Permit is available on the DEQ web page at http://www.deq.virginia.gov/Portals/0/DEQ/Water/Publications/CGPvarlo.pdf. Print the VAR10 permit and read it carefully as you are responsible for meeting all the permit conditions. The General Permit will expire on June 30,2014. Your project specific permit registration number is VAR1OF774. A copy of this permit coverage letter,registration statement,copy of the VAR 10 permit,and the project's Stormwater Pollution Prevention Plan(SWPPP)must be at the construction site from the date of commencement of the construction activity to final stabilization. In addition,DEQ staff conduct periodic site inspections for compliance with the permit. Additional information is available on the DEQ webpage at: http://www.deq.virginia.gov/programs/water/stormwatermanagement/vsmppermits/constructiongeneralpermit.aspx. For questions,contact the Permit Processor at(804)698-4039. Sincerely, •efe:e416e." / RECEIVED HOftTON 1'ti DODO, P.C. Frederick K.Cunningham,Director D 1' Office of Water Permits I 2. - 3.. drw 4. FILE " +fir •�O- COMMONWEALTH of VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY Street address: 629 East Main Street,Richmond,Virginia 23219 Molly Joseph Ward Mailing address: P.O.Box 1105,Richmond,Virginia 23218 David K.Paylor Secretary of Natural Resources www.deq.virginia.gov Director (804)698-4020 1-800-592-5482 October 3, 2014 Horton and Dodd PC 300 George Washington Hwy N Chesapeake,VA 23323 RE: Coverage under the 2014 VPDES Construction General Permit(VAR10) General Permit No. VAR10F774 Chick fil A Private-Commercial-Restaurant Dear Permittee: DEQ has reviewed your Registration Statement received on June 30, 2014 and determined that the proposed land-disturbing activity is covered under the General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10). The effective date of your coverage under this general permit is the date of this letter. A copy of the general permit can be obtained from DEQ's webpage at the following location: http://www.deq.virginia.gov/Portals/0/DEQ/Water/Publications/CGP2014.pdf. The general permit contains the applicable Stormwater Pollution Prevention Plan (SWPPP) requirements and other conditions of coverage. Please print the general permit and read it carefully as you will be responsible for compliance with all permit conditions. The general permit requires that you update your SWPPP to incorporate the changes that the Department made for this permit reissuance. Please update the SWPPP as soon as possible but no later than sixty(60) days from the date of this letter. DEQ staff has determined that the proposed land-disturbing activity will discharge to a surface water identified as impaired or for which a TMDL wasteload allocation has been established and approved prior to the term of the general permit for (i) sediment or a sediment-related parameter or (ii) nutrients. Therefore, the following general permit(Part I.B.4)and SWPPP requirements(Part II.A.5) must be implemented for the land-disturbing activity: • Permanent or temporary soil stabilization shall be applied to denuded areas within seven (7) days after final grade is reached on any portion of the site; • Nutrients (e.g., fertilizers) shall be applied in accordance with manufacturer's recommendations or an approved nutrient management plan and shall not be applied during rainfall events; • Inspections shall be conducted at a frequency of (i) at least once every four (4) business days or (ii) at least once every (5) business days and no later than 48 hours following a measurable storm event. In the event that a measurable storm event occurs when there are more than 48 hours between business days, the inspection shall be conducted on the next business day; and • Representative inspections used by utility line installation, pipeline construction, or other similar linear construction activities shall inspect all outfalls. Page 2 of 2 General Permit No. VAR10F774 Chick fil A The general permit will expire on June 30, 2019. The conditions of the general permit require that you submit a new registration statement at least 90 days prior to that date if you wish to continue coverage under the general permit, unless permission for a later date has been granted by the Board. Permission cannot be granted to submit the registration statement after the expiration date of the general permit. If you have any questions about this permit, please contact the DEQ Office of Stormwater Management at ConstructionG P Adeq.virq inia.qov. Sincerely, a:044e" • / Frederick K. Cunningham, Director Office of Water Permits '`�' .- HORTON & DODD, P.C. 300 George Washington Highway N. 757/487-4535 . .. ' $Urveyors • Engineers • Planners Chesapeake,Virginia 23323 FAX-487-9788 John G. Horton, L.S. J. Gregory Dodd, M.E., P.E. December 05, 2014 Mr. Max Greene/Mr. Glenn Brooks Department of Community Development 401 McIntire Road, North Wing Charlottesville,Virginia 22902-4596 Ph: (434) 296-5832 Re: VSMP Permit Plan WP0201400072 The Chick-fil-A Restaurant(Store#03187) 1626 Richmond Road,Charlottesville,VA 22911 Mr. Brooks/Mr. Greene: We are pleased to re-submit the above referenced Water Protection Ordinance Application/VSMP Permit Plan. In response to your review letter dated 10.29.2014,we offer the following: Stormwater Pollution Prevention Plan: VSMP:SWPPP 1. Albemarle County Template used for latest SWPPP as directed. 2. Proper signatures will be added upon determination. Owner will sign and submit Section 9 (Signed Certification) under separate cover. 3. Pollution Prevention Plan included in the SWPPP. VSMP:SWM 1. Pipe system incorporated as directed. 2. Tc values lowered as instructed. 3. CN values revised accordingly. 4. DA maps are now part of the WPO plan set. 5. Acknowledged—plans revised accordingly. 6. Trash Racks added as directed. 7. System control details illustrated to scale as required. 8. Pipe system is designed for open channel flow/non-pressurized gravity system. 9. Parking lot grades revised. 10. Outlet Protection at D1 revised. VSMP:PPP 1. PPP included in SWPPP. E&S 1. E&S plan revised. Phase 1 and Phase 2 E&S plans incorporated into the construction documents as suggested. F:\Projec.tCorresi)ondenc,e\22 100\_ENGINF RfNG\SUB \2O14I205 LIR WP03.dcc.x NNW r.ry 2. Acknowledged. Two temporary sediment traps incorporated. Associated calculations are included in the Drainage Calculation Packet. Plan illustrations of Traps are to scale. 3. Inlet Protection Detail revised accordingly. 4. Albemarle County CE detail added. 5. See#2 (above). Enclosed, please find the following: • One copy of the County's VSMP application, • Two sets of the WPO plans(*Drainage Area Maps are included in this plan set) • Two sets of the Drainage Calculation Packets • Two sets of the Stormwater Pollution Prevention Plan (Note: The SWPPP includes a copy of the DEQ coverage letters as required). Please don't hesitate to call me at(757)487-4535 if you should need anything else at this point. Respectfully yours, NORTON & DODD, P.C. ( 2° James M. Dunn, PE F:\ProjectCorrespondenc:e\22100 _ENGINEERING\SuB3\20.141.20 5___LTR _WPO3.docx Request for Pre-construction Meeting and Grading Permit from Albemarle County \.„.•"*--Fory Approved Plan Number: WPO- ( , ) Approved Plan Name: p1 := -- .. (Plans must be approved prior to a pre-construction meeting.) • Bond approved date: , (Bonds must he approved and posted prior to a pre-construction meeting or permit.) Responsible Land Disturber: Print Name: L.\ ti C: I c 1, State Certification Number: Address f7 „)( I /A° (C City iC State VI ) Zip Daytime Phone( 1) 5 t- E-mail 1.7.)•-' Primary Contractor: 1 Print Name 1.)h• Address `,;( I), ( f././ I (--) ft.e I ) • 4 City ( f /(t / State State^1. ) 'C I Zip :"} 7 7 Daytime Phone tl‘') E-mail t r t,6 Li L, Permit Issuance and First Year Maintenance Fees: (Request must include payment) Total acres proposed to be disturbed is contained on the approved plan and application: VSMP: Acres to be disturbed Fee Due at Grading Permit Less than I $63.80 1 and less than 5 • $594.00 5 and 1 esi-thin 10 $748.00 10 and less than 50 $990.00 50 and less than 100 $1,342.00 100 and more $2,112.00 For plans exempt from VSMP,VESCP fees were paid with the application. 7/1/14.Revised: 8/29/14 Page 1 o13 Person(s)to attend the Pre-construction Meeting: Names(type or print) Firm Contact Number or email A ir 4-01 The second part of the application fee is required to be paid with this request. This fee amount is; FOR OFFICE t'SE ONLY Permit Issued Date By who', 711114,Revised: 8/29114 Page 2 of 3 Information for Permit applicants; 9-Month Permanent Stabilization Deadline: Code Sec. 17-808 Duty to stabilize denuded areas with permanent vegetation within nine months after commencing land disturbing activity A. When permanent vegetation required.The owner shall install on all denuded areas on the site within nine(9) months after the date the land disturbing activity commenced,except for areas that the administrator determines are necessary parts of the construction that are subject to an active building permit and areas where erosion is prevented by a non-erosive surface,including,but not limited to,the following surfaces: (i) roadways and sidewalks covered by gravel,asphalt pavement,or concrete;(ii)trails or paths covered by gravel,stone dust, or mulch; (iii)buildings and other permanent structures;and such other surfaces that the administrator determines would adequately provide a permanent barrier to erosion. (see code 17-808 for information about possible extensions) Notice to Comply and Permit Revoked for Overdue Fees Late fees will incur interest,and enforcement actions per code section 17-210. (I) Owners with late payments of fees required by 17-207C6 will be issued a Notice to Comply(NTC). The notice gives 7 days to make payments. (2) At the end of the NTC time period,the permit will be revoked,and a Stop Work Order will be issued for working without a current permit. Disturbed Area Reductions Acreage for the purpose of fee computations will be the entire permitted acreage. This is the disturbed acreage on approved plans. If fees are to be reduced,an application for plan amendment must be made,and areas reduced by changes in limits of disturbance and appropriate plan changes. Such amendments must he approved prior to the fee due date. Amendments to remove disturbed areas can only be approved when such areas are completely stabilized and all erosion control measures(including traps and basins) removed. Refunds The County does not have a refund program. Fees will not be refunded based on completion within the year. Fees will not be pro-rated at payment,other than the first year VSMP fee as indicated in code section 17-209B. Re-inspection Fees Re-Inspection Fees will be charged for inspections following a Notice to Comply or a Stop Work Order. Fees are$250 per inspection,or as given in code sections 17-207 and 17-208. 7/1/14,Revised: 8/29/14 Page 3 of3 , . ; (.0 ":3; o tc"t ; \e; X,•- 1 D .. - * : 5 F-- i ;;,,,,.. k., \k)t`f■ 4 w cc r,n . t fi ...! ..t.. % 4 z< Z a f R 0 7.3 t Eo g 0 - . — < Cl) IA. f rs > CC cii ' it sa g Ci cc et z /i j:-. > fgt 1- „ ,,S 80 < 1 -.1 < ... ii; 0 z cr 5:2 la A. >■ ...0 Li. (I) ..7\ .., < It .1 1 • 0 0 4.r Y w a . Cn ili 4 < C.) 0 al W ■= 3. 0 * a) - i . u. 2 co co ec 0 0O 0 0 i ! a. 0, (r)i c, LI ts. cno0 ±' g E :, , 0 < --, i- ,,.. . 6.: CO o W D -6* w Z c•;); ”. ''' 'A O ... 0 — z I C) .. .,.... = I' 0 (..Da) ' 4 Mir ; -; . 2 4 Ct 2 1 t I EL i VI W I o o t 5; a Li CI ;tli4 4 r. Z c) Z o 0 0 . 5c, 8 i i 0 1 H r 2.(Fcm pc,?. osul m pi v Ro2 ,IN zz 7; 8 ir.... .;8 . a t . 05 it (.,/c)....,...- t t 1 ig Fi co ciE. 60 co 00 0 IAJ'5 . 1? g g , ..u.,?Z Jo Fe; 00 P z -cn c; 7! 4 , :IT