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HomeMy WebLinkAboutWPO201600002 Plan - Stormwater 2016-01-14 ENGEN FIRS PROFESSIONAL ENGINEERING SERVICES SURVEYORS WWA PROJECT No. 214045.06 PLANNERS ASSOCIATES STORMWATER POLLUTION PREVENTION PLAN (SWPPP) FOR CONSTRUCTION ACTIVITIES AT: FARMINGTON COUNTRY CLUB EAST NINE VSMP AMENDMENT HOLE #4 STREAM BANK RESTORATION EROSION AND SEDIMENT CONTROL PLAN CHARLOTTESVILLE, VA 22901 Prepared by: WW ASSOCIATES, INC. 3040 Avemore Square Place Charlottesville, Virginia 22911 Prepared for: FARMINGTON COUNTRY CLUB 1625 COUNTRY CLUB CIRCLE CHARLOTTESVILLE, VA 22901 SWPPP PREPARATION DATE: JANUARY 14, 2016 W A ENGINEERS PROFESSIONAL ENGINEERING SERVICES SURVEYORS WWA PROJECT No. 214045.06 PLANNERS �..- ASSOCIATES STORMWATER POLLUTION PREVENTION PLAN (SWPPP) FOR CONSTRUCTION ACTIVITIES AT: FARMINGTON COUNTRY CLUB EAST NINE VSMP AMENDMENT HOLE #4 STREAM BANK RESTORATION EROSION AND SEDIMENT CONTROL PLAN CHARLOTTESVILLE, VA 22901 Prepared by: WW ASSOCIATES, INC. 3040 Avemore Square Place Charlottesville, Virginia 22911 Prepared for: FARMINGTON COUNTRY CLUB 1625 COUNTRY CLUB CIRCLE CHARLOTTESVILLE, VA 22901 SWPPP PREPARATION DATE: JANUARY 14, 2016 TABLE OF CONTENTS ti.. Section 1 Registration Statement 2 Notice of General Permit Coverage 3 Nature of Activity 4 Erosion and Sediment Control Plan 5 Stormwater Management Plan 6 Pollution Prevention Plan 7 Discharges to Impaired Waters, Surface Waters Within an Applicable TMDL Wasteload Allocation, and Exceptional Waters 8 Qualified Personnel 9 Signed Certification 10 Delegation of Authority ',tee 11 General Permit Copy 12 Inspection Logs and Reports 13 Notice of Termination Form and Transfer of Ownership Agreement Form 14 USGS Map of Site WWA Project No.214045.06 i Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 Section 1. Registration Statement Noe WWA Project No.214045.06 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 Registration Statement General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10) (Please Type or Print All Information) Construction Activity Operator: (General permit coverage will be issued to this operator. The Certification in Item #12 must be `°a00 ' signed by the appropriate person associated with this operator.) Name:Farmington Country Club Contact:Scott Kinnan Mailing Address: 1625 Country Club Circle City:Charlottesville State:VA Zip:22901 Phone:(434)245-5370 Email address(if available):skinnan@fccva.com Indicate if DEQ may transmit general permit correspondence electronically: Yes❑✓ No ❑ 2. Existing General Permit Registration Number(for renewals only): Not Applicable 3. Name and Location of the Construction Activity: Name: Farmington Country Club East Nine VSMP Amendment, Hole#4 Stream Bank Restoration Erosion&Sediment Control Plan Address(if available): 1625 Country Club Circle City:Charlottesville State:VA Zip:22901 County(if not located within a City):Albemarle County Latitude(decimal degrees):38.0590° Longitude(decimal degrees):78.5483° Name and Location of all Off-site Support Activities to be covered under the general permit: Name:Not Applicable Address(if available): City: State: Zip: County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): ' Status of the Construction Activity(check only one): Federal❑ State n Public❑ Private n 'Nk,.e` Nature of the Construction Activity(e.g., commercial, industrial, residential,agricultural, oil and gas,etc.): Stream Bank Restoration 6. Name of the Receiving Water(s)and Hydrologic Unit Code(HUC): Name:Unnamed Tributary of Ivy Creek Name: HUC:JR07 HUC: 7. If the discharge is through a Municipal Separate Storm Sewer System (MS4),the name of the MS4 operator: Not Applicable 8. Estimated Project Start and Completion Date: Start Date(mm/dd/yyyy):03/01/2016 Completion Date(mm/dd/yyyy):05/01/2017 9. Total Land Area of Development(to the nearest one-hundredth acre):271.29 Ac. Estimated Area to be Disturbed(to the nearest one-hundredth acre):45.37 10. Is the area to be disturbed part of a larger common plan of development or sale? Yes n 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:Scott Kinnan Title:Golf Course Superintendent Signature: Date: (Please sign in INK. This Certification must be signed by the appropriate person associated with the operator identified in Item#1.) 07/2014 Page 1 of 1 Section 2. Notice of General Permit Coverage. Now- Niitase sow WWA Project No.214045.06 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 Section 3 Nature of Activity A. Approved Plans The activities associated with the Farmington Country Club East Nine VSMP Amendment, Hole #4 Stream Bank Restoration Erosion & Sediment Control Plan are contained in the Erosion and Sediment Control Plan amendment to WPO-2015-00030. A copy of the approved plans is to be maintained on the project site and made available to Federal, State and Local officials. B. Nature of Activities The construction activities are shown on the plans referenced in Section A above. The activities include the following: • Demolition of existing improvements on the property; • Clearing, grubbing and grading; • Earthwork operations cuts and fills; • Construction of new golf cart paths, tee boxes, greens, &bunkers; • Erosion and sediment controls, and; • Stream buffer plantings. Construction is intended to start in the winter of 2016 and continue for a one to three month period. C. Construction Schedule 1. Mandatory pre-construction meeting with Albemarle County Erosion and Sediment Control Officer (1 day). 2. Installation of Erosion and Sediment Controls (7 days). WWA Project No.214045.06 3-1 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 kfi 3. Demolition of existing improvements as required for installation of new improvements (7 days). 4. Clearing, grubbing and rough grading (14 days). 5. Fine grading, landscaping, and seeding (30 days). 6. Remove erosion and sediment control measures (7 days). 7. Punch list(7 days). 8. Final Site Dress Up(7 days). 9. Mandatory Final County Site Inspection(1 day). 10. Project Closeout(1 day). The above schedule is general and timeframes are based on general knowledge of the duration of time associated with the various construction activities for a project of this magnitude. The schedule presented may be altered as required. Items 1, 6 and 9 are mandatory meetings with the County Inspector. WWA Project No.214045.06 3-2 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 a Section 4 Erosion and Sediment Control Plan A. Approved Plan The Farmington Country Club East Nine VSMP Amendment, Hole #4 Stream Bank Restoration Erosion and Sediment Control Plan amendment to WPO-2015-00030 contains the Erosion and Sediment Control Plans. An 11" x 17" copy of the plans is contained in this Section of the SWPPP. A copy of the approved Erosion and Sediment Control Plan will be issued by the Albemarle County Erosion and Sediment Control officer at the pre-construction meeting to be held on-site. B. Erosion and Sediment Control Plan The erosion and sediment control plan is depicted on the Erosion and Sediment Control Plan Sheet 5 of 7. A narrative of the Erosion and Sediment Controls is contained on Sheet 6 of 7. Erosion and Sediment Control details and support calculations are contained on the Erosion and Sediment Control Plan Sheet 7 of 7. The intent of the plan is to permit clearing and grading to facilitate the installation of the new golf cart paths and stabilize creek banks. Erosion and sediment control measures include construction entrances, silt fences, soil stabilization blankets and matting, soil stockpiles, and dust control. Care shall be taken to preclude transport of sediment off-site. Strict adherence to the limits of construction/disturbance is required. C. Special Considerations and Requirements 1. The proposed land disturbance for this project discharges to Ivy Creek (VAHU6 JR07). Ivy Creek has been identified as being impaired or for which a TMDL waste load allocation has been established for sediment or sediment related parameter or nutrients. Therefore, the following SWPPP requirements (Part 11.A.5) must be implemented for the land disturbing activity as follows: WWA Project No.214045.06 4-1 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 a. 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; b. 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; c. Inspections shall be conducted at a frequency of (i) at least once every four (4) business days or (ii) at least once every five (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 d. Representative inspections used by utility line installation, pipeline construction, or other similar linear construction activities shall inspect all outfalls. D. Inspection 1. Inspections shall be performed by qualified personnel as listed in Section 8 of the SWPPP. 2. Inspection schedule shall be in accord with that listed in the General Permit Part 11 F2 (pages 10 and 11 of 21) of Section 11 of this SWPPP document. 3. Inspection requirements are listed in the General Permit Part II F3 (pages 11, 12 and 13 of 21) of Section 11 of this SWPPP document. 4. Inspection report shall contain the items listed in the General Permit Part II F4 (page 13 of 21) of Section 11 of this SWPPP document. WWA Project No.214045.06 4-2 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 iik4 5. The inspection report and any actions taken must be retained by the operator as part of the SWPPP for at least three years from the date that general permit coverage expires or is terminated. The inspection report shall identify any incidents of noncompliance. Where an inspection report dos not identify any incidents of noncompliance, the report shall contain a certification that the construction activity is in compliance with the SWPPP and this general permit. The report shall be signed in accordance with the General Permit Part III K(page 17 of 21) of Section 11 of this SWPPP document. 6. Inspection Log/Report is presented in Section 12 of this SWPPP document. E. Rainfall Event 1. The location of the on-site rain gauge that will be used to determine the occurrence of a measurable storm event for the purposes of ESC and Pollution Prevention inspections will be provided by the Contractor and identified on the record set of plans or in other appropriate SWPPP documents for this land disturbance (construction) activity. 2. The rain gauge shall be observed daily at 1:00 PM to determine the occurrence of a measurable storm event (i.e., 0.25 inches of rainfall or greater in a 24 hour period). A log book shall be maintained to record observation information which shall include (i) the date, (ii) the time, (iii) whether or not rainfall is occurring at the time of the observation, (iv) the amount of accumulated rainfall in the gauge, if any, and (v) whether or not an inspection is required based on the amount of accumulated rainfall in the gauge. 3. If there is no rainfall occurring at the time of the observation, the observation information shall be noted in the log book and the rain gauge emptied and replaced. An inspection is required if there is 0.25 inches or more accumulation noted in the rain gauge. Namor WWA Project No.214045.06 4-3 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 4. If there is rainfall occurring at the time of the observation, the observation information is to be noted in the log book. The rain gauge is not to be emptied but left to accumulate additional rainfall until the conclusion of the rainfall event. At the conclusion of the rainfall event, an observation of the rain gauge shall be made and the observation information shall be noted in the log book and the rain gauge emptied and replaced. An inspection is required if there is 0.25 inches or more accumulation noted in the rain gauge. tir.. WWA Project No.214045.06 4-4 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 N c4-1 - $-1p .1 ° ° o P-, o U 0 ::..,.., U 0 .rIt N as ct '� o G U •� �• .o 0O 0 ,io 0 0 0 0 -0 - ' 6 et ota 0CIJ cd - C � a' `a i o a . 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There are no concentrations of stormwaters associated with this project. wise WWA Project No.214045.06 5-1 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 iti INSERT 11 X 17 STORMWATER MANAGEMENT PLAN Nair WWA Project No.214045.06 5-2 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 k Normo' Section 6 Pollution Prevention Plan A. An 11" x 17" plan of the site showing pollution activities and practices is contained in this Section of the SWPPP. B. Sources of Pollutants and Locations, Controls and Prevention Practices 1. Sources and Locations a. Staging Area will support vehicular parking and provide temporary storage of building materials. b. Construction activities, including paving, cut & fill operations, landscaping and seeding. c. See Table No. 1 on page 6-12. 2. Prevention Practices `'"'r- a. Good Housekeeping. Good housekeeping practices include activities that are intended to maintain a clean site and keep equipment in good working order to prevent stormwater quality problems from occurring. Daily cleanup and inspections are the most effective means of achieving good housekeeping. For the most part, good housekeeping is a day-to- day activity that does not require a large expenditure of time or expense, and should be implemented on an ongoing basis. Examples of good housekeeping practices are: (i) Tools and materials should be returned to designated storage areas after use. (ii) Waste materials should be collected and properly disposed after the completion of each job, shift, or day as appropriate. WWA Project No.214045.06 6-1 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 (iii) Indoor work areas should be neat, uncluttered, and well-ventilated to discourage outdoor work and to allow leaks and spills to be quickly detected and controlled. (iv) Outdoor work areas should be swept regularly (not hosed) and kept neat and clean. (v) Occasionally outdoor work areas may need cleaning beyond sweeping. In such cases, all wash waters should be contained, collected, and properly disposed. (vi) Outdoor waste or trash receptacles should be covered and emptied regularly and the adjacent areas inspected for misplaced or wind- blown litter. b. Proper Materials Handling and Storage. Materials handling and storage practices relate to controlling the potential for leaks, spills and losses on materials delivered, used, and stored at a facility. Spills and leaks of materials can accumulate in soils or on surfaces and be carried away in stormwater runoff or authority non-stormwater discharges. (i) Materials Use • Only obtain the amount of materials needed to finish a particular job; • Limit waste generation by keeping good records and reviewing activities; • Recycle materials whenever possible; and • Read and follow manufacturer directions for use of materials and review the associated Material Safety Data Sheet(MSDS). WWA Project No.214045.06 6-2 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 (ii) Materials Storage • Store materials indoors or in a covered area where exposure to stormwater is minimized; • Store lead-acid batteries indoors and within secondary containment; • Use hazardous materials storage lockers with spill containment or flammable materials lockers when appropriate; • Locate storage areas away from vehicle and equipment paths to reduce the potential for accident-related leaks or spills; • Do not store drums or other containers close to storm drain inlets; • Provide informational signing, labels, restricted access, locks, inventory control, overhead coverage, and secondary containment for all hazardous material storage areas or container units; and • Conduct regular inspections for leaks and control dates. c. Proper Waste Handling. Waste handling practices relate to properly controlling, collecting, storing, and disposing of wastes that are generated at a facility. All facility personnel should be aware that disposing any waste (including wash waters) into a storm drain inlet or stormwater conveyance (e.g., streets) is considered illegal dumping. Likewise, disposing of waste (including wash waters) onto a paved or unpaved surface such that it may be carried to a storm drain inlet or stormwater conveyance (e.g., streets) is also considered illegal dumping. WWA Project No.214045.06 6-3 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 J (i) Sweep or vacuum (dry methods) work areas to collect metal, wood, and other particulates and debris frequently; (ii) Limit waste generation by keeping good records and reviewing activities; (iii) Recycle materials whenever possible; (iv) Separate and segregate different types of wastes; (v) Store waste materials indoors or in a covered area where exposure to stormwater is minimized; (vi) Arrange for regular waste disposal; (vii) Use hazardous materials storage lockers with spill containment or flammable materials lockers when appropriate; N.. (viii) Locate the waste storage area away from vehicle and equipment paths to reduce the potential for accident-related releases; (ix) Provide informational signage, labels, restricted access, inventory controls, overhead coverage, and secondary containment for all hazardous waste storage areas or container units; and (x) Conduct regular inspections for leaks and control dates. d. Spill Prevention. Spill clean-up can be labor-intensive and costly involving expenses to contain the spill, collecting the spilled substance, proper disposal of spill materials, and report filing to regulatory agencies, not to mention possible monetary fines. Spills and leaks are some of the most significant sources of water pollution and are, in most cases, avoidable. WWA Project No.214045.06 6-4 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 Spill prevention, control, and cleanup applies to all materials and wastes — not only hazardous substances. The toxic water quality effects from spills of hazardous substances (e.g., acids, oils, greases, fuels, solvents, pesticides) are commonly understood. However, non-hazardous materials — for example, sand, litter, corn oil, sweeteners, soaps, and food products, among others—can also greatly impact water quality. (i) Placing bollards, berms and containment features around structures or areas where fluids are stored, so releases can be prevented, easily detected, and controlled; (ii) Using drip pans for maintenance operations involving fluids and under leaking vehicles and equipment waiting repair; (iii) Placing spill kits in areas where fluids are stored or in areas where activities may result in a spill; `,se (iv) Providing training for proper use of materials and equipment used during operations and maintenance activities; (v) Providing training for proper use of spill response equipment and supplies; and (vi) Conducting outdoor maintenance activities on gravel or paved surfaces to allow for easy detection, control, and cleanup of spills. C. Non-Stormwater Discharges 1. All support activities are located on-site. There are no off-site support activities. 2. There are no commingled discharges associated with this project other than those authorized in C(3). WWA Project No.214045.06 6-5 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 3. The following non-stormwater discharge from construction activities are Niue authorized by the General Permit when discharged in compliance with the General Permit(see Section 11 of this SWPPP). a. Discharges from firefighting activities; b. Fire hydrant flushings; c. Waters used to wash vehicles or equipment where soaps, solvents, or detergents have not been used and the wash water has been filtered, settled, or similarly treated prior to discharge; d. Water used to control dust that has been filtered, settled, or similarly treated prior to discharge; e. Potable water sources, including uncontaminated waterline flushings; f. Routine external building wash down where soaps, solvents or .•° detergents have not been used and the wash water has been filtered, settled, or similarly treated prior to discharge; g. Pavement wash waters where spills or leaks of toxic or hazardous materials have not occurred (or where all spilled or leaked material has been removed prior to washing); where soaps, solvents, or detergents have not been used; and where the wash water has been filtered, settled, or similarly treated prior to discharge; h. Uncontaminated air conditioning or compressor condensate; i. Uncontaminated ground water or spring water; j. Foundation or footing drains where flows are not contaminated with process materials such as solvents; Now WWA Project No.214045.06 6-6 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 k. Uncontaminated excavation dewatering, including dewatering of Now- trenches and excavations that have been filtered, settled, or similarly treated prior to discharge; and 1. Landscape irrigation. 4. Prohibition of Non-Stormwater Discharges. Except as provided in items 1, 2 and 3 above, all discharges covered by this general permit shall be composed entirely of stormwater associated with construction activities. All other discharges including the following are prohibited: a. Wastewater from washout of concrete; b. Wastewater from the washout and cleanout of stucco, paint, form release oils, curing compounds, and other construction materials; c. Fuels, oils, or other pollutants used in vehicle and equipment operation �..9 and maintenance; d. Oils, toxic substances, or hazardous substances from spills or other releases; and e. Soaps, solvents, or detergents used in equipment and vehicle washing. D. Persons Responsible for Pollution Prevention Practices The qualified personnel listed in Section 8 of this SWPPP will be the person(s) responsible for Pollution Prevention Practices. E. Responses and Reporting Practices 1. Unauthorized Stormwater Discharges. Pursuant to § 62.1-44.5 of the Code of Virginia, except in compliance with a state permit issued by the department, it shall be unlawful to cause a stormwater discharge from a construction activity. WWA Project No.214045.06 6-7 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 2. Reports of Unauthorized Discharges. Any operator who discharges or causes or allows a discharge of sewage, industrial waste, other wastes or any noxious or deleterious substance or a hazardous substance or oil in an amount equal to or in excess of a reportable quantity established under either 40 CFR Part 110, 40 CFR Part 117, 40 CFR Part 302, or § 62.1-44.34:19 of the Code of Virginia that occurs during a 24-hour period into or upon surface waters or who discharges or causes or allows a discharge that may reasonably be expected to enter surface waters, shall notify the Department of Environmental Quality of the discharge immediately upon discovery of the discharge, but in no case later than within 24 hours after said discovery. A written report of the unauthorized discharge shall be submitted to the department and the VSMP authority within five (5) days of discovery of the discharge. The written report shall contain: a. A description of the nature and location of the discharge; '` b. The cause of the discharge; c. The date on which the discharge occurred; d. The length of time that the discharge continued; e. The volume of the discharge; f. If the discharge is continuing, how long it is expected to continue; g. If the discharge is continuing, what the expected total volume of the discharge will be; and h. Any steps planned or taken to reduce, eliminate and prevent a recurrence of the present discharge or any future discharges not authorized by this general permit. WWA Project No.214045.06 6-8 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 Discharges reportable to the department of the VSMP authority under the immediate reporting requirements of other regulations are exempted from this requirement. 3. Reports of Unusual or Extraordinary Discharges. If any unusual or extraordinary discharge including a "bypass" or "upset," as defined herein, should occur from a facility and the discharge enters or could be expected to enter surface waters, the operator shall promptly notify, in no case later than within 24 hours, the department and the VSMP authority by telephone after the discovery of the discharge. This notification shall provide all available details of the incident, including any adverse effects on aquatic life and the known number of fish killed. The operator shall reduce the report to writing and shall submit it to the department and the VSMP authority within five (5) days of discovery of the discharge in accordance with Part III I 2. Unusual and extraordinary discharges include but are not limited to any discharge resulting from: New a. Unusual spillage of materials resulting directly or indirectly from processing operations; b. Breakdown of processing or accessory equipment; c. Failure or taking out of service of some or all of the facilities; and d. Flooding or other acts of nature. 4. Reports of Noncompliance. The operator shall report any noncompliance which may adversely affect surface waters or may endanger public health. a. An oral report to the department and the VSMP authority shall be provided within 24 hours from the time the operator becomes aware of the circumstances. The following shall be included as information that shall be reported within 24 hours under this subdivision: WWA Project No.214045.06 6-9 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 (i) Any unanticipated bypass; and (ii) Any upset that causes a discharge to surface waters. b. A written report shall be submitted within five (5) days and shall contain: (i) A description of the noncompliance and its cause; (ii) The period of noncompliance, including exact dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to continue; and (iii) Steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance. The department may waive the written report on a case-by-case basis for reports of noncompliance under General Permit Part III I (see section 11 of this SWPPP) if the oral report has been received within 24 hours and no adverse impact on surface waters has been reported. c. The operator shall report all instances of noncompliance not reported under General Permit Part III I 1 or 2 (see Section 11 of this SWPPP) in writing as part of the SWPPP. The reports shall contain the information listed in General Permit Part III I 2 (see Section 11 of this SWPPP). NOTE: The reports required in General Permit Part III G, H and I (see Section 11 of this SWPPP) shall be made to the department and the VSMP authority. Reports may be made by telephone, email, or by fax. For reports outside normal working hours, leaving a recorded message shall fulfill the immediate reporting requirement. For emergencies, the Virginia Department of Emergency Management maintains a 24-hour telephone service at 1-800-468-8892. The contact at the Albemarle New WWA Project No.214045.06 6-10 Farmington CC Hole#4 SWPPP Charlottesville, Virginia January 14,2016 County Program Authority is Mr. Glenn Brooks, P.E., (434) 296-5832 ext. 3273. d. Where the operator becomes aware of a failure to submit any relevant facts, or submittal of incorrect information in any report, including a registration statement, to the department or the VSMP authority, the operator shall promptly submit such facts or correct information. 5. Notice of Planned Changes a. The operator shall give notice to the department and the VSMP authority as soon as possible of any planned physical alterations or additions to the permitted facility or activity. Notice is required only when: (i) The operator plans an alteration or addition to any building, structure, facility, or installation that may meet one of the criteria for determining whether a facility is a new source in 9VAC25-870- 420; (ii) The operator plans an alteration or addition that would significantly change the nature or increase the quantity of pollutants discharged. This notification applies to pollutants that are not subject to effluent limitations in this general permit; or b. The operator shall give advance notice to the department and VSMP authority of any planned changes in the permitted facility or activities, which may result in noncompliance with state permit requirements. WWA Project No.214045.06 6-11 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 ai Nita, Table No. 1 -Potential Construction Site Pollutants Material/Chemical Physical Stormwater Pollutants Location Description Pesticides(insecticides, Various colored to Chlorinated Herbicides used for fungicides, herbicides, colorless liquid, hydrocarbons, noxious weed rodenticides) powder, pellets,or organophosphates, control grains carbamates, arsenic Fertilizer Liquid or solid Nitrogen, phosphorous Newly seeded areas grains Plaster/Drywall/Drywall White granules or Calcium sulphate, Building Mud powder calcium carbonate, construction sulfuric acid Cleaning solvents Colorless,blue, or Perchloroethylene, No equipment yellow-green liquid methylene chloride, cleaning allowed in trichloroethylene, project limits petroleum distillates Asphalt Black solid Oil, petroleum Streets and roofing distillates Concrete White solid/grey Limestone, sand, pH, Curb and gutter, liquid chromium building construction Paints Various colored Metal oxides, stoddard Building liquid solvent,talc, calcium construction ``ow" carbonate, arsenic Curing compounds Creamy white liquid Naphtha Curb and gutter Wood preservatives Clear amber or dark Stoddard solvent, Timber pads and brown liquid petroleum distillates, building arsenic, copper, construction chromium Hydraulic oil/fluids Brown oily Mineral oil Leaks or broken petroleum hoses from hydrocarbon equipment Gasoline Colorless, pale Benzene, ethyl benzene, Secondary brown or ink toluene, xylene,MTBE containment/staging petroleum area hydrocarbon Diesel Fuel Clear,blue-green to Petroleum distillate,oil Secondary yellow liquid &grease, naphthalene, containment/staging xylenes area Kerosene Pale yellow liquid Coal oil,petroleum Secondary petroleum distillates containment/staging hydrocarbon area Antifreeze/coolant Clear green/yellow Ethylene glycol, Leaks or broken liquid propylene glycol,heavy hoses from metals(copper, lead, equipment zinc) Sanitary toilets Various colored Bacteria, parasites,and Staging area ``" liquid viruses WWA Project No.214045.06 6-12 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 14116.0` Nan/ logl° M:\214043 Farmington CC\214043.06 Farmington CC Hole#4\404506C-PPP.dwg z / // / / 0\ \ ---- ---- I I I \ \ \ \ \ \ \ \ \ / I / l l / / / I I I \I \ \ \ \ \ \ \ \ \ \ \ \ \\ \\ y / / I I I °/ \\ � _ / I I I I\ \ \ \ \ \ \ \ \ \ \ � ' --° cn m / / / I I I /\°\ \___ — — / I I I (\ \ \, \\ \\ \\ \\\ \\ \\\ \ \ ° ° \ N� ' / / / ( I \ I\ \\ \\ ° / \\ — i \\ 1111 \\,1`) \ \ \\ \\ \ \ ,\01 V\ t /__ ___ ) , \ \ \ \\ \ \\ 1111\ \\ �\ ° \ \\ \ \ \ v \ ��v \ v Hvy 1 �.� v ° vvvv v v Z \\\ \ \ \ \ \ \ \-�� I � \\ • °'<° \ \ m \\\\\ \ \ \ \ \ \ \ y\ I ak#I11,0 \ \ \ \\ 410oy v vv v J I� _ _ / v \ \ v v vv zz m 11 / 1116\\ \\\:‘,02\ \ \ \ s„, � gQ' \\\sao\ \ \\ . \ II I \ \ \ \ °\� \ \ / tA.L1 1111\ \ ° g I1 1 : _ \\ VAA to � \_ v v v v \ \ y I \ $ 1 \ �`, \\\ \ � III \� \ \ \ :1' \\ �. °/ J� I v v _- vA A�°\\ \\ / / \ I \ � � \ \\ \ \ \``' N \\ \� / ///' \\�i\ \\ / J/ \\ \ \ \ ` \ \ \ �\ I� �\\\ \N\ /° / / \\\ \ \ �\ - - - \ \ \ \ \ \N \ \° \ \�111\\ \ // 0 \ sao_\_\\ _ - �/ \\ \\ \ \ \ \ \\\ \ ° - / \// 1 // �_ \ \ \ \\ � \ \ \ \\\ ,p \ �1\ - �, \\ \\ \ \ s\\\g°s` s;o\\ / ' /// 11 \\ \� \I II / / /// / -__ 1 o\ N �'' N \ \ N \ 'o\ \"I\\\\\\7 i \\ \ 1 1 / / / / 1 / — — _ — _ _I \ \ N \ \ \\ \� \ \\ I 7) / � I I i / — — ° \ \ \ \ \ \\ \ \\q' •_\ \/ \ x \ \ I / II I I I I // ( \ °/ \ \ \ \ \ \ \ / \ \ � � \ \ \ II I I I I I I _ ° ,\� \ \ \ \ \ \ \ \ \\ \ o � \ 'i. \ \ II I I I ( I I / — \ \\ � \ \ \ \\ 1 I I I I / // , — ` 1■11111 \\ \ \ \�\\ \ \ II �. \ \I \\\ I IIII Ii / \ 11111 `\\\\\\\\\\\\ vv ` v v v v vv \ v � � I IIIA III I I I I I A. . 0 11 \ \ �\� \ 1 \ 11 `11 \ N + �\ IIII II I I \ I I I I / , \ N \ \ N \ \i I \ \ \ \ \ � \ I l III II \I I I I I II I I I II I I +'°4 \ \ \ \ II III / / / I 1 \ II 4 II III \ \ III II 1 1 1 I I I I -- - - \- 1, \\ \ \ N\ \ \ \\\ \ 111 I 1 1/ I/ I/ / 1 I 4. 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Discharges to impaired waters, surface waters within an applicable TMDL wasteload allocation, and exceptional waters. A. The site discharges to Ivy Creek(VAHU6: JR07). B. The DEQ staff has determined that the proposed land disturbing actively discharges into an impaired surface water or for which a TMDL waste load allocation has been established. Therefore, the following must be implemented for the land disturbing activity. 1. 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; 2. 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; 3. Inspections shall be conducted at a frequency of(i) at least once every four(4) business days or (ii) at least once every five (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 4. Representative inspections used by utility line installation, pipeline construction, or other similar linear construction activities shall inspect all outfalls. Nftw WWA Project No.214045.06 7-1 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 k __ Section 8 Qualified Personnel. The following personnel are responsible for inspections: (Provide the name, telephone number, and qualifications of the qualified personnel conducting inspections.) Scott Kinnan (434) 245-5370 01941; 6/29/2018 Name Telephone No. RLD No. and Expiration Date Name Telephone No. RLD No. and Expiration Date Name Telephone No. RLD No. and Expiration Date Nimw WWA Project No.214045.06 8-1 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 ;,rn, Section 9 Signed Certification (Provide certification according to 9VAC25-870- 370. For purposes of plan review and approvals, this certification should be the owner of the property, the same signature as appears on the bonds and applications. Another operator can be designed on the delegation of authority form to follow.) Certification "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate 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." Owner/Operator Name: Matt Wilkinson Company: Farmington Country Club ```" Title: President Signature: Date: WWA Project No.214045.06 9-1 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 Section 10 Delegation of Authority. (Provide the persons or positions with authority to sign inspection reports or to modify the stormwater pollution prevention plan. A formal, signed delegation of authority is needed.) Delegation of Authority I, (name), hereby designate the person or specifically described position below to be a duly authorized representative for the purpose of overseeing compliance with environmental requirements, including the Construction General Permit, at the construction site. The designee is authorized to sign any reports, stormwater pollution prevention plans and all other documents required by the permit. (name of the person or position) (company) (address) (city, state, zip) (phone) By signing this authorization, I confirm that I meet the requirements to make such a designation as set forth in the Construction General Permit (CGP), and that the designee i..• above meets the definition of a"duly authorized representative". Operator Name: Company: Title: Signature: Date: WWA Project No.214045.06 10-1 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 kal Section 11 General Permit Copy WWA Project No.214045.06 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 stow- kii Section 12 Inspection Logs and Reports WWA Project No.214045.06 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 E . V V ] $ � w cct \ § u c off / / / -: 7:1 \ /1'-)" / 20 2 § §•,-.7( (1) 4-1 / \ q tA \ (I) § 1-0 \ ° © § 0 V 0 • k \ 2 c 64 u / ./ „is ' / -0 g Cad 2 / « f / # • 4 § 2 o 7 _ m � 2 � ] § ,••••• `\ +4 o -o iil R o " % cd 0 ) • � 2 / & 2 .-0a) `� .� -C3 v « ] § 8 § -10 \ ' _ % \ 2 § k CONSTRUCTION INSPECTION REPORT Inspection reports shall be maintained under this tab for review by the Albemarle County and ` iinia Department of Environmental Quality Erosion and Sediment Control Inspectors. Project Name: Permit Number: Project Address County/City: Project Operator: Operator Telephone: Operator Address: County/City: ZIP: Qualified Personnel / RLD Name: Inspection Date: Time: Yes No Yes No Copy of permit ❑ ❑ SWPPP prepared and available on site ❑ ❑ Copy of permit coverage letter ❑ ❑ SWPPP signed/certified by operator ❑ ❑ Approved ESC plans incorporated as part of ❑ ❑ Approved stormwater management plan ❑ ❑ SWPPP PRECIPITATION AMOUNT: INCHES* WEATHER INFORMATION: SWPPP CONTENT Yes No Comments/Notes 1. Updated SWPPP Log for -Sequence&timing of land- disturbance activities Nikswo -Operator responsibilities for pollution ❑ ❑ control - Dates of major grading and stabilization activities 2. Updated Site Plan and SWPPP Log for location and description of potential pollution sources ❑ ❑ (fuel, chemical storage, portable toilets, etc.) EROSION AND SEDIMENT CONTROLS Yes No Comments/Notes 1. Stabilization practices-Stabilization measures initiated after construction has ❑ ❑ temporarily or permanently ceased 2. Structural practices Sediment traps and basins installed and ❑ ❑ stabilized Silt fence installed properly ❑ ❑ Diversion dikes and conveyance channels ❑ ❑ installed and stabilized Inlet and outlet protection installed and ❑ ❑ functioning properly Other practices installed and functioning properly—list other existing practices in the ❑ ❑ comments Any existing practices modified or additional *4r.. practices added—note in comments and ❑ ❑ document in SWPPP Log. *An estimate of the precipitation amount from either the run-off producing storm event or, if inspecting on a 7-day schedule,the amount of rainfall since the previous inspection. 3. Management and Maintenance practices Yes No Control measures maintained with appropriate ❑ ❑ sediment accumulation removal Litter, construction debris, and chemicals prevented from becoming a pollutant source ❑ ❑ Construction entrance maintained ❑ ❑ Description of construction wastes, storage practices, and containment measures included ❑ ❑ in SWPPP Log INSPECTIONS Yes No Comments/Notes 1. Sediment visible at any discharge ❑ ❑ locations 2. Any locations of pollutant discharges ❑ ❑ 3. Any locations of control measures ❑ ❑ needing maintenance 4. Any locations of inadequate or failed ❑ ❑ control measures 5. Any locations where control measures are ❑ ❑ needed 6. Any corrective action required— Please include details in comments and see corrective action sheet on the next page. ❑ ❑ NONSTORMWATER DISCHARGE MANAGEMENT Yes No Comments/Notes 1. Any current non-stormwater discharges ❑ ❑ a. Fire fighting controls ❑ ❑ b. Fire hydrant flushing ❑ ❑ c. Vehicle washing (no detergent) ❑ ❑ d.Water used for dust control ❑ ❑ e. Potable water source ❑ ❑ f. Water for hydrostatic testing of pipelines ❑ ❑ g. Building washing (no detergent) ❑ ❑ h. Pavement washwaters(no hazardous ❑ ❑ materials or detergent used on pavement) i. Air conditioner or compressor ❑ ❑ condensation is uncontaminated j. Uncontaminated ground water or ❑ ❑ springs k. Foundation or footing drains ❑ ❑ I. Uncontaminated excavation dewatering ❑ ❑ m. Landscape irrigation 111 ❑ CORRECTIVE ACTION SHEET Inspection Date: Time: Initials of Date of Qualified Item Description and Location of Condition and Corrective Personnel/RLD # Recommended Corrective Actions* Action** Confirming Corrective Action Taken *Note whether or not off-site damage resulting from the condition observed was evident during the inspection. **Modifications should be made within seven (7) calendar days of approval to meet statutory requirements. Qualified Personnel/RLD: Signature Date Nom,,, Section 13 Notice of Termination Form and Transfer of Ownership Agreement Form Now- N,,,, WWA Project No.214045.06 Farmington CC Hole#4 SWPPP Charlottesville,Virginia January 14,2016 General Permit for Discharges of Stormwater from Construction Activities (VAR10) Notice of Termination (Please Type or Print All information) 1. Construction Activity Operator: Name: Mailing Address: City: State: Zip: Phone: Email address(if available): 2. Location of Construction Activity(As listed on registration statement): Name: Address: City: State: Zip: County: If street address unavailable: Latitude Longitude 3. Stormwater General Permit Number: 4. The Reason for Terminating Coverage Under the General Permit (The construction activity operator may only submit a Notice of Termination after one or more of the conditions below have been met): ❑ A. Necessary post-construction 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; 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; 0 C. Coverage under an alternative VPDES or State permit has been obtained;or 0 D. For residential construction only,temporary stabilization has been completed and the residence has been transferred to the homeowner. The Notice of Termination must be submitted within 30 days of one of the above conditions being met. Authorization to discharge terminates at midnight on the date that the Notice of Termination is submitted for conditions B through D above. Authorization to discharge terminates upon notification from the Department or 60 days after the submittal of the Notice of Termination(whichever occurs first)for condition A above. Nwo. Permanent Control Measures Installed: Attach a list of permanent control measures (both structural and non-structural) that were installed at the construction site. For each control measure, include the following information: (a) Type of control measure installed and the date that it became functional as a permanent control measure; (b) Geographic location (county or city and Hydrologic Unit Code) (latitude and longitude may additionally be included if available); (c) Waterbody the control measure discharges into; and, (d)Number of acres that will be treated (to the nearest one-tenth of an acre). If no permanent control measures were installed please check this box E. 6. Participation in a Regional Stormwater Management Plan: Where applicable, attach the following information related to participation in a regional stormwater management plan: (a)Type of regional facility to which the site discharges; (b) Geographic location of any regional facility to which the site discharges (county or city and Hydrologic Unit Code); (c) Geographic location of the site(county or city and Hydrologic Unit Code)(latitude and longitude may additionally be included if available); and (d)Number of acres treated by a regional facility. 7. Nutrient Offsets:Where applicable, attach the following information related to nutrient offsets that were acquired in accordance with §62.1-44.15:35 of the Code of Virginia: (a) Name of the broker from which offsets were acquired; (b) Geographic location (county or city and Hydrologic Unit Code)of the broker's offset generating facility; (c) Number of nutrient offsets acquired (lbs. per acre per year);and(d)Nutrient reductions achieved on site(lbs. per acre per year). 8. 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 knowing violations." Print Name: Title: Signature: Date: (Please sign in INK.The person signing this form must be associated with the operator identified in Item#1 above.) **are Mail to: Department of Environmental Quality,Office of Stormwater Management, 10th Floor, P.O. Box 1105, Richmond,VA 23218 (DEQ 199-147) (08/13) INSTRUCTIONS for FORM DEQ 199-147 General Permit Notice of Termination - Construction Activity Stormwater Discharges General (c) Waterbody the control measure discharges into; and, A Notice of Termination must be submitted when an (d) Number of acres that will be treated (to the nearest operator no longer wishes to be covered under the General one-tenth of an acre). Permit for Stormwater Discharges from Construction If no permanent control measures were installed, please Activities. check the box at the end of this section. Mail to: Department of Environmental Quality Office of Stormwater Management, 10th Floor Section 6 Participation in a Regional Stormwater P.O. Box 1105 Management Plan Richmond,VA 23218 Where applicable, attach the following information related to participation in a regional stormwater management plan: (a) Type of regional facility to which the site discharges; (b) Section 1 Activity Operator Information Geographic location of any regional facility to which the site Give the legal name of the person, firm, public organization, discharges (county or city and Hydrologic Unit Code); (c) or any other entity that was issued the general permit for Geographic location of the site (county or city and the site described in this Notice of Termination. Do not use Hydrologic Unit Code) (latitude and longitude may a colloquial name. Enter the complete address and phone additionally be included if available); and, (d) Number of number of the operator. acres treated by a regional facility. Section 2 Activity Location Information Section 7 Nutrient Offsets Enter the activity's official name and complete street Where applicable, attach the following information related to address, including city (or town), county (if not located nutrient offsets that were acquired in accordance with within a City), state and ZIP code. If the site lacks a street §62.1-44.15:35 of the Code of Virginia: (a) Name of the address, enter the city (or town), county (if not located broker from which offsets were acquired; (b) Geographic within a City) and the latitude and longitude in degrees, location (countyor cityand Hydrologic Unit of the minutes, seconds(DMS). Code) broker's offset generating facility; (c) Number of nutrient Section 3 Permit Information offsets acquired (lbs. per acre per year); and (d) Nutrient Enter the existing Stormwater General Permit Number reductions achieved on site(lbs. per acre per year). assigned to the activity or site identified in Section 1 that the operator wishes to be terminated. Section 8 Certification State statutes provide for severe penalties for submitting Section 4 Reason for Termination false information on this Notice of Termination. State ,,,,. Check the appropriate statement indicating the reason for regulations require this Notice of Termination to be signed submitting this Notice of Termination. The Notice of as follows: Termination may only be submitted after one or more of the For a corporation: by a responsible corporate following conditions have been met: officer. For the purpose of this section, a responsible A. Necessary post-construction control measures corporate officer means: (1) A president, secretary, included in the SWPPP for the site are in place and treasurer, or vice-president of the corporation in charge of a functioning and final stabilization has been achieved principal business function, or any other person who on all portions of the site for which the operator is performs similar policy-or decision-making functions for the responsible; corporation, or (2) the manager of one or more B. Another operator has assumed control over all areas manufacturing, production, or operating facilities provided of the site that have not been finally stabilized; the manager is authorized to make management decisions C. Coverage under an alternative VPDES or State which govern the operation of the regulated facility including permit has been obtained;or having the explicit or implicit duty of making major capital D. For residential construction only, temporary investment recommendations, and initiating and directing stabilization has been completed and the residence other comprehensive measures to assure long term has been transferred to the homeowner. environmental compliance with environmental laws and The Notice of Termination must be submitted within 30 regulations; the manager can ensure that the necessary days of one of the above conditions being met. systems are established or actions taken to gather complete and accurate information for permit application Section 5 Permanent Control Measures Installed requirements; and where authority to sign documents has Attach a list of the permanent control measures (both been assigned or delegated to the manager in accordance structural and non-structural) that were installed at the with corporate procedures. construction site. For each control measure, include the For a partnership or sole proprietorship: by a following information: general partner or the proprietor. (a) Type of control measure installed; For a municipality, state, federal, or other public (b) Geographic location (county or city and Hydrologic agency: by either a principal executive officer or a ranking Unit Code); elected official. The Department of Environmental Quality reserves the right to request additional information not directly addressed by the registration statement if,in its discretion,a facility or operation poses a potential impact on water quality. NNW- (DEQ 199-147) (08/13) Transfer of Ownership Agreement Form General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10) (Please Type or Print All Information) istructions: This agreement form must be signed in INK by properly authorized individuals as specified in the General /PDES Permit for Stormwater Discharges from Construction Activities (VAR10), Part III K (Signatory Requirements). Please retain a copy of this agreement form for your records. Mail the original agreement form to: Department of Environmental Quality Office of Stormwater Management, 10th Floor P.O. Box 1105 Richmond,VA 23218 General Permit Registration Number: Date of Transfer(mm/dd/yyyy): Construction Activity Name: CURRENT CONSTRUCTION ACTIVITY OPERATOR: Name: Contact: Mailing Address: City: State: Zip: Phone: Email Address (if available): (We) hereby agree to the transfer of ownership modification to the referenced General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10)." Printed Name: Title: Signature: Date: NEW CONSTRUCTION ACTIVITY OPERATOR: Name: Contact: Mailing Address: City: State: Zip: Phone: Email Address (if available): Indicate if DEQ may transmit general permit correspondence electronically: Yes ❑ No ❑ I (We) hereby agree to the change of ownership modification to the referenced General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10), and agree to accept all responsibility, coverage, and liability of the general permit." Printed Name: Title: signature: Date: 01/2014 Page 1 of 1 a ... 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