HomeMy WebLinkAboutWPO201700044 Permit 2017-10-30 Registration Statement
General VPDES Permit for Discharges of Stormwater from Construction Activities(VAR10)
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1. Construction Activity Operator: (General permit coverage will be issued to this operator. The Certifcation In Item#12 must be
signed by the appropriate person associated with this operator.)
Name:March Mountain Properties, LLC
Contact:David Brockman, Development Manager
Mailing Address:1005 Heathercroft Circle, Suite 100
City:Crozet State:VA zip:22932 Phone:702-985-9088
Email address(If available):
Indicate if DEQ may transmit general permit correspondence electronically: Yes a No ci
2. Existing General Permit Registration Number(for renewals only):VAR100043
3. Name and Location of the Construction Activity:
Name:Old Trail Village Subdivision
Address(if available):
City;Crozet state:Virginia zip:22932
County(if not located within a City):Albemarle
Latitude(decimal degrees):38.0583 Longitude(decimal degrees):78.7106
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): Federalâť‘States Public s Private j
5. Nature of the Construction Activity(e.g.,commercial,Industrial,residential,agricultural,oll and gas,etc.):
Residential
8. Name of the Receiving Water(s)and Hydrologic Unit Code(HUC):
Name:Lickinghole Creek Name:
NUC:JR02 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):05/31/2014 Completion Date(mm/dd/yyyy):05/31/2019
9. Total Land Area of Development(to the nearest one-hundredth acre):237.35
Estimated Area to be Disturbed(to the nearest one-hundredth acre):' 0'/J,73
10. Is the area to be disturbed part of a larger common plan of development or sale? Year.:Nos
11. A stormwater pollution prevention plan(SWPPP)must be prepared In accordance with the requirements of the General
WOES 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: `1 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 em aware that there are significant penalties for submitting false information including the possibility of
fine and imprisonme for knowing violations."
Printed Name:Ja s L.Jessu• '5 r Title:Manager
Signature: Date: In I19116
(Please gn NK. i cation m ned the appropriate person associated with the operator Identified in
item#1.)
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