The URL can be used to link to this page

Home My WebLink AboutWPO201600044 Permit Stormwater Management Plan 2016-06-10 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: Christopher at Stonefield,LLC Contact: Mike Sandkuhler Mailing Address: 10461 White Granite Drive,Suite 103 City: Oakton State: VA Zip: 22124 Phone: (703) 352-5950 Email address(if available): msandkuhler@christophercompanies.com Indicate if DEQ may transmit general permit correspondence electronically: Yes❑x No❑ 2. Existing General Permit Registration Number(for renewals only): VAR10-11-101375 3. Name and Location of the Construction Activity: Name: Albemarle Place -Block D2 Address(if available): N/A City: Charlottesville State: Virginia Zip: County(if not located within a City): Albemarle Latitude(decimal degrees): 38°04'3.11"N Longitude(decimal degrees): 78°29'32.31"W Name and Location of all Off-site Support Activities to be covered under the general permit: Name: N/A Address(if available): N/A City: N/A State: Zip: County(if not located within a City): N/A Latitude(decimal degrees): N/A Longitude(decimal degrees): N/A 4. Status of the Construction Activity(check only one): Federal ❑ State❑ Public❑ Private x❑ 5. Nature of the Construction Activity(e.g.,commercial, industrial, residential,agricultural,oil and gas,etc.): Residential-Townhomes 6. Name of the Receiving Water(s)and Hydrologic Unit Code(HUC): Name: Meadow Creek a tributary of Rivanna River Name: HUC: 020802040203 HUC: 7. If the discharge is through a Municipal Separate Storm Sewer System(MS4),the name of the MS4 operator: 8. Estimated Project Start and Completion Date: Start Date(mm/dd/yyyy): May 1,2011 Completion Date(mm/dd/yyyy): May 1,2017 9. Total Land Area of Development(to the nearest one-hundredth acre): 5.65 ac Estimated Area to be Disturbed(to the nearest one-hundredth acre): 5.65 ac 10. Is the area to be disturbed part of a larger common plan of development or sale? Yes x❑ 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 imprisonme,t for knowing violations." Printed Name: ►� •s Sandkuhler Title: Pro' ct anager Signature: b Date: (Please sign in INK. _ ertification must be signed by the appropriate person associ ted h the operator identified in Item#1.) 01/2014 Page 1 of 1 Instructions for Completing the Registration Statement General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10) GENERAL stormwater pollution prevention plan or comply with other permit conditions). A.Coverage Under this General Permit. The entities that are considered operators will commonly consist of the Any operator applying for coverage under this general permit who is owner or developer of a project(the party with control of project plans required to submit a Registration Statement (see Section B below) and specifications)or the general contractor(the party with day to day must submit a complete Registration Statement to the Department. operational control of the activities at the project site which are The Registration Statement serves as a Notice of Intent for coverage necessary to ensure compliance with the general permit). under the General VPDES Permit for Discharges of Stormwater from Construction Activities(VAR10). Provide the legal name(do not use a colloquial name),contact,mailing address, telephone number, and email address (if available) of the B.Single-family Residences. construction activity operator;general permit coverage will be issued to this operator. Indicate if the Department may transmit general permit Operators with an existing stormwater discharge or proposing a new correspondence electronically. stormwater discharge associated with the construction of a single- family residence separately built, disturbing less than one acre and Item 2:Existing General Permit Registration Number. part of a larger common plan of development or sale is not required to submit a Registration Statement, provided that the stormwater For reapplications only,provide the existing general permit registration management plan for the larger common plan of development provides number for the construction activity. This item does not need to be permanent control measures (i.e., stormwater management facilities) completed for new construction activities applying for general permit encompassing the single family residence. coverage. Operators of these types of discharges are authorized to discharge Item 3: Name and Location of the Construction Activity under this general permit immediately upon the general permit's Information. effective date of July 1,2014. Provide the official name,street address(if available),city or county(if C.To Apply for Permit Coverage. not located within a City)of the construction activity. Also, provide the latitude and longitude in decimal degrees of the approximate center of 1. New Construction Activities. Any operator proposing a new the construction activity(e.g., N 37.5000,W 77.5000). stormwater discharge from construction activities shall submit a complete Registration Statement to the Department prior to the Name and Location of Off-site Support Activity Information. commencement of land disturbance, unless exempted by Section B above. Any operator proposing a new stormwater discharge from This general permit also authorizes stormwater discharges from construction activities in response to a public emergency where the support activities (e.g., concrete or asphalt batch plants, equipment related work requires immediate authorization to avoid imminent staging yards, material storage areas, excavated material disposal endangerment to human health or the environment is immediately areas, borrow areas) located on-site or off-site provided that (i) the authorized to discharge under this general permit and must submit a support activity is directly related to a construction activity that is complete Registration Statement to the Department no later than 30 required to have general permit coverage;(ii)the support activity is not days after commencing land disturbance; documentation to a commercial operation, nor does it serve multiple unrelated substantiate the occurrence of the public emergency must construction activities by different operators; (iii) the support activity accompany the Registration Statement. does not operate beyond the completion of the construction activity it supports; (iv) the support activity is identified in the registration 2. Existing Construction Activities. Any operator that was statement at the time of general permit coverage; (v) appropriate authorized to discharge under the general permit issued in 2009, control measures are identified in a SWPPP and implemented to and who intends to continue coverage under this general permit, address the discharges from the support activity areas; and (vi) all shall submit a complete Registration Statement to the Department applicable state, federal, and local approvals are obtained for the on or before June 1,2014,unless exempted by Section B above. support activity. D.Where to Submit Registration Statements. Provide the official name,street address(if available),City and County (if not located within a City) of all off-site support activities to be All Registration Statements should be submitted to: covered under this general permit. Also, provide the latitude and longitude in decimal degrees of the approximate center of the off-site Department of Environmental Quality support activities (e.g., N 37.5000, W 77.5000). Also, if an off-site Office of Stormwater Management,10th Floor support activity is going to be covered under this general permit the P.O.Box 1105 total land area of the off-site support activity and the estimated area to Richmond,VA 23218 be disturbed by the off-site support activity need to be included in Item #9. LINE-BY-LINE INSTRUCTIONS Item 4:Status of the Construction Activity. Item 1:Construction Activity Operator Information. Indicate the appropriate status (Federal, State, Public, or Private) of "Operator" means the owner or operator of any facility or activity the construction activity. subject to the Stormwater Management Act and regulations. In the context of stormwater associated with a large or small construction Item 5:Nature of the Construction Activity. activity, operator means any person associated with a construction project that meets either of the following two criteria:(i)the person has Provide a brief description of the construction activity, such as direct operational control over construction plans and specifications, commercial, residential, agricultural,oil and gas,etc. This list is not all including the ability to make modifications to those plans and inclusive. specifications or(ii) the person has day-to-day operational control of those activities at a project that are necessary to ensure compliance Item 6:Receiving Waters(s)and HUC Information. with a stormwater pollution prevention plan for the site or other state permit or VSMP authority permit conditions(i.e.,they are authorized to Provide the name of the receiving water(s)and corresponding HUC for direct workers at a site to carry out activities required by the all stormwater discharges including any stormwater discharges from off-site support activities to be covered under this general permit. 01/2014 Page 1 of 2 Hydrologic Unit Code or HUC is a watershed unit established in the gather complete and accurate information for permit application most recent version of Virginia's 6th order national watershed boundary requirements; and where authority to sign documents has been dataset. assigned or delegated to the manager in accordance with corporate procedures. Item 7:MS4 Information. b. For a partnership or sole proprietorship: by a general partner or If stormwater is discharged through a municipal separate storm sewer the proprietor,respectively. system(MS4),provide the name of the MS4 operator.The name of the MS4 operator is generally the Town, City, County, Institute or Federal c. For a municipality,state,federal,or other public agency: by either facility where the construction activity is located. a principal executive officer or ranking elected official. For purposes of this part,a principal executive officer of a public agency includes: Item 8: Construction Activity Start and Completion Date Information. (i)The chief executive officer of the agency,or Provide the estimated start date (month/day/year) of the construction (ii)A senior executive officer having responsibility for the overall activity. Provide the estimated completion date (month/day/year) of operations of a principal geographic unit of the agency. the construction activity. Item 9:Construction Activity Area Information. Provide the total area (to the nearest one-hundredth acre) of the development (i.e.., the total acreage of the larger common plan of development or sale). Include the total acreage of any off-site support activity to be covered under this general permit. Provide the estimated area (to the nearest one-hundredth acre)to be disturbed by the construction activity. Include the estimated area of land disturbance that will occur at any off-site support activity to be covered under this general permit. Item 10:Common Plan of Development or Sale Information. Indicate if the area to be disturbed by the construction activity is part of a larger common plan of development or sale. Larger common plan of development or sale is defined as a contiguous area where separate and distinct construction may be taking place at different times on different schedules. Plan is broadly defined as any announcement or documentation, including a sign, public notice or hearing, sales pitch, advertisement, drawing, permit application, zoning request, etc., or physical demarcation such as boundary signs, lot stakes, or surveyor markings indicating that construction activities may occur. Item 11:Stormwater Pollution Prevention Plan(SWPPP). 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(VAR10)prior to submitting this Registration Statement. By signing this Registration Statement the operator is certifying that the SWPPP has been prepared. Item 12:Certification. A properly authorized individual associated with the operator identified in Item 1 of the Registration Statement is responsible for certifying and signing the Registration Statement. Please sign the Registration Statement in INK. State statutes provide for severe penalties for submitting false information on the Registration Statement. State regulations require that the Registration Statement be signed as follows: a. For a corporation: by a responsible corporate officer. For the purpose of this part,a responsible corporate officer means: (i) A president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function,or any other person who performs similar policy-making or decision-making functions for the corporation,or (ii) the manager of one or more manufacturing, production, or operating facilities, provided the manager is authorized to make management decisions that govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure long-term compliance with environmental laws and regulations;the manager can ensure that the necessary systems are established or actions taken to 01/2014 Page 2 of 2