HomeMy WebLinkAboutWPO201700015 Permit 2017-03-30 pF Al
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COUNTY OF ALBEMARLE
Community Development
401 McIntire Road
Charlottesville,Vriginia 22902-4596
(434)296-5832
EROSION CONTROL PERMIT
Date of Application: 02/13/2017
Permit Effective Date: 03/30/2017 Number: WPO-2017-00015
LANDOWNER: David or Melissa Slutzky Phone: 4349895888
1705 Lambs Road
Charlottesville,VA22901
CONTRACTOR: River Works,Inc. Phone: (919)582-3574
6105 Chapel Hill Rd.
Raleigh,NC27607
REPONSIBLE LAND Bill Wright Phone: (336)279-1002
DISTURBER: 4117 Pleasant Garden Rd.
Greensboro,NC27406
Certification/License#: 39197 Type: Responsible Land Disturber
Plans Prepared By: Ecosystem Services
Plans Dated: 03/14/2017 Last Revised: 03/14/2017
Plans Entitled: Ivy Creek Nutrient Bank Stream Restoration Phase 1 Location:
Dist. 2.3
Acreage:
Tax Map: 04400-00-00-034C0 Hydrological JR07
Unit:
Issued By:Kenny Thacker Title:Erosion Control Officer
3-So -/7
Signature Date
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: River Works, Inc.
Contact:Wade Smith
Mailing Address:6105 Chapel Hill Road
City:Raleigh State: NC Zip:27607 Phone:919-815-0370
Email address(if available):
Indicate if DEQ may transmit general permit correspondence electronically: Yes Ei No❑
2. Existing General Permit Registration Number(for renewals only):
3. Name and Location of the Construction Activity:
Name: Ivy Creek Nutrient Bank Stream Restoration - Phase I
Address(if available): 1705 Lambs Road
City:Charlottesville State:VA Zip:22902
County(if not located within a City):Albemarle
Latitude(decimal degrees): 38.081353 Longitude(decimal degrees): 78.511756
Name and Location of all Off-site Support Activities to be covered under the general permit:
Name: Ivy Creek Nutrient Bank Stream Restoration - Phase I
Address(if available): 1705 Lambs Road
City:Charlottesville State:VA Zip:22902
County(if not located within a City):Albemarle
Latitude(decimal degrees): 38.081353 Longitude(decimal degrees): 78.511756
4. Status of the Construction Activity(check only one): Federal❑ State El Public❑ Private
5. Nature of the Construction Activity(e.g., commercial, industrial, residential,agricultural,oil and gas,etc.):
Stream Restoration and Planting
6. Name of the Receiving Water(s)and Hydrologic Unit Code(HUC):
Name: Ivy Creek-South Fork Rivann River Reservoir Name:
HUC:02080204 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):4/3/17 Completion Date(mm/dd/yyyy):6/1/17
9. Total Land Area of Development(to the nearest one-hundredth acre):2.44
Estimated Area to be Disturbed(to the nearest one-hundredth acre):2.44
10. Is the area to be disturbed part of a larger common plan of development or sale? Yes El No Q
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:Wade Smith Title:Site Superintendent
Signature: (21.09pre- _ Date:3/30/17
(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
Instructions for Completing the Registration Statement 400
General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10) ..
GENERAL The entities that are considered operators will commonly consist of the
owner or developer of a project(the party with control of project plans
A.Coverage Under this General Permit. and specifications)or the general contractor(the party with day to day
operational control of the activities at the project site which are
Any operator applying for coverage under this general permit who is necessary to ensure compliance with the general permit).
required to submit a Registration Statement (see Section B below)
must submit a complete Registration Statement to the Department. Provide the legal name(do not use a colloquial name),contact,mailing
The Registration Statement serves as a Notice of Intent for coverage address, telephone number, and email address (if available) of the
under the General VPDES Permit for Discharges of Stormwater from construction activity operator;general permit coverage will be issued to
Construction Activities(VAR10). this operator. Indicate if the Department may transmit general permit
correspondence electronically.
B.Single-family Detached Residential Structures.
Item 2:Existing General Permit Registration Number.
Operators with an existing stormwater discharge or proposing a new
stormwater discharge associated with the construction of a single- For reapplications only, provide the existing general permit registration
family detached residential structure are not required to submit a number for the construction activity. This item does not need to be
Registration Statement or the Department of Environmental Quality completed for new construction activities applying for general permit
(DEQ)portion of the general permit fee. 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
stormwater pollution prevention plan or comply with other permit off-site support activities to be covered under this general permit.
conditions). Hydrologic Unit Code or HUC is a watershed unit established in the
most recent version of Virginia's 61°order national watershed boundary
dataset.
07/2014 Page 1 of 2
•
assigned or delegated to the manager in accordance with
dem 7:M34 Information. corporate procedures.
If stormwater is discharged through a municipal separate storm sewer b. For a partnership or sole proprietorship: by a general partner or
system(MS4),provide the name of the MS4 operator.The name of the the proprietor,respectively.
MS4 operator is generally the Town, City, County, Institute or Federal
facility where the construction activity is located. c. For a municipality,state, federal, or other public agency: by either
a principal executive officer or ranking elected official. For purposes
Item 8: Construction Activity Start and Completion Date of this part,a principal executive officer of a public agency includes:
Information.
(i)The chief executive officer of the agency,or
Provide the estimated start date (month/day/year) of the construction
activity. Provide the estimated completion date (month/day/year) of (ii)A senior executive officer having responsibility for the overall
the construction activity. operations of a principal geographic unit of the agency.
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:Storrnwater 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-tem, compliance
with environmental laws and regulations;the manager can ensure
that the necessary systems are established or actions taken to
gather complete and accurate information for permit application
requirements; and where authority to sign documents has been
07/2014
Page 2 of 2
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Br4TLS of
Western Virginia Regulatory Section
NAO 2017-00253
David Slutzky
1705 Lambs Road
Charlottesville, Virginia 22901
Dear Mr. Slutzky
DEPARTMENT OF THE ARMY
US ARMY CORPS OF ENGINEERS
NORFOLK DISTRICT
FORT NORFOLK
803 FRONT STREET
NORFOLK VA 23510-1011
February 22, 2017
This is in regard to your Department of the Army permit application number NAO-2017-0253 to
do stream restoration in unnamed tributaries to Ivy Creek. Work will be completed as per plans on
file at this office. Work will occur on your property, Albemarle County, Virginia.
Your proposed work as outlined above satisfies the criteria contained in the Corps Nationwide
Permit(s) (27) attached. The Corps Nationwide Permits were published in the February 21, 2012
Federal Register notice (77 FR 10184) and the regulations governing their use can be found in 33
CFR 330 published in Volume 56, Number 226 of the Federal Register dated November 22, 1991.
Provided the project specific conditions (above) and the Nationwide Permit General Conditions
(enclosed) are met, an individual Department of the Army Permit will not be required. In addition, the
Virginia Department of Environmental Quality has provided an unconditional §401 Water Quality
Certification for Nationwide Permit Number(s) 27. A permit may be required from the Virginia Marine
Resources Commission and/or your local wetlands board, and this verification is not valid until you
obtain their approval, if necessary. This authorization does not relieve your responsibility to comply
with local requirements pursuant to the Chesapeake Bay Preservation Act (CBPA), nor does it
supersede local government authority and responsibilities pursuant to the Act. You should contact
your local government before you begin work to find out how the CBPA applies to your project.
Enclosed is a "compliance certification" form, which must be signed and returned within 30 days
of completion of the project, including any required mitigation. Your signature on this form certifies
that you have completed the work in accordance with the nationwide permit terms and conditions.
SPECIAL CONDITIONS
1. Take pre and post construction photos of the stream enhancement work.
2. Monitor the stream enhancement work for 2 years to ensure work and stream is stable.
This can be done through visual observations and photos submitted to this office once
per year unless there are issues.
This verification is valid until the NWP is modified, reissued, or revoked. All of the existing NWPs
are scheduled to be modified, reissued, or revoked prior to March 18, 2017. It is incumbent upon you
to remain informed of changes to the NWPs. We will issue a public notice when the NWPs are
reissued. Furthermore, if you commence or are under contract to commence this activity before the
date that the relevant nationwide permit is modified or revoked, you will have twelve (12) months from
the date of the modification or revocation of the NWP to complete the activity under the present terms
and conditions of this nationwide permit unless discretionary authority has been exercised on a case-
by-case basis to modify, suspend, or revoke the authorization in accordance with 33 CFR 330.4(e)
and 33 CFR 330.5 (c) or (d). Project specific conditions listed in this letter continue to remain in effect
after the NWP verification expires, unless the district engineer removes those conditions. Activities
completed under the authorization of an NWP which was in effect at the time the activity was
completed continue to be authorized by that NWP.
If you have any questions, please contact me at (434) 973-0568 or
Vincent.d.pero@usace.army.mil
Sincerely,
PEROMINCENT.D.127077 DDNially sgedc=USlo=USbGoverrnme t,ou=DoDoou$PKI,
8255 ou=USA, cn=PERO.VI NCENT.D.1270778255
Date: 2017.02.22 13:52:29 -05'00'
Vincent D. Pero
Western Virginia Regulatory Section