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HomeMy WebLinkAboutWPO201600071 Permit Minor Amendment 2018-01-31 Registration Statement General VPDES Permit for Discharges of Stormwater from Construction Activities(VAR10) (Please Type or Print All Information) 1. Construction Activity Operator: (Genera!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: NEW BFI VEDERE, INC Contact: Mailing Address: 610 WEST RIO ROAD City: CHARLOTTESVILLE State: VA Zip: 22901 Phone: Email address(if available): Indicate if DEQ may transmit general permit correspondence electronically: Yes® No❑ 2. Existing General Permit Registration Number(for renewals only): 3. Name and Location of the Construction Activity: Name: BELVEDERE PHASE IIB Address(if available): BELVEDERE BOULEVARD City: CHARLOTTESVILLE State: VA Zip: 22901 County(if not located within a City): ALBEMARLE Latitude(decimal degrees): 38.075285 Longitude(decimal degrees): -78.455795 Name and Location of all Off-site Support Activities to be covered under the general permit: Name: Address(if available): City: State: Zip: County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): 4. Status of the Construction Activity(check only one): Federal❑ State❑ Public 0 Private 5. Nature of the Construction Activity(e.g.,commercial,industrial,residential,agricultural,oil and gas,etc.): RESIDENTIAL 6. Name of the Receiving Water(s)and Hydrologic Unit Code(HUC): Name: RIVANNA RIVER-MEADOW CREEK Name: SOUTH FORK RIVANNA RIVER HUC: 020802040401(JR14) HUC: 020802040203(JR08) 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): Completion Date(mm/dd/yyyy): 9. Total Land Area of Development(to the nearest one-hundredth acre): R105 AC Estimated Area to be Disturbed(to the nearest one-hundredth acre): 1R 91 AC 10. Is the area to be disturbed part of a larger common plan of development or sale? Yes® No❑ 11. A stormwater pollution prevention plan (SWPPP) must be prepared in accordance with the requirements of the General VPDES Permit for Discharges of Stormwater from Construction Activities prior to submitting this Registration Statement. By signing this Registration Statement the operator is certifying that the SWPPP has been prepared. 12. Certification: "I certify under penalty of law that I have read and understand this Registration Statement and that this document and all attachments were prepared in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant penalties for submitting false information including the possibility pf fine and imprisonment for knowing violations." ' 1 Printed Name: Title: GL 1 J U(til/ ) L4-- Signature: Date: 1 717 Kj"3 J (Please sign in INK. This Certification must be signed by the appropriate person associatedith the operator identified in Item#1.) 07/2014 Page 1 of 1 f � X14' o - t 1 0 i k '41,,x.. COMMONWEALTH of VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY Sheet address:629 East Main Street,Richmond,Virginia 23219 Molly Joseph Ward Mailing address: P.O.Box 1105,Richmond,Virginia 23218 David K.Paylor Secretary of Natural Resources www.deq.virginia.gov Director (804)698-4000 1-800-592-5482 December 15, 2017 AG Dillard Inc 295 Memory Ln Troy,VA 22974 scott©collins-engineering.com RE: Coverage under the VPDES Construction General Permit(VAR10) General Permit No.VAR10K606 Belvedere Phase IIB Residential-Land Development Albemarle Dear Permittee: DEQ has reviewed your Registration Statement received on November 17, 2016 and determined that the proposed land-disturbing activity is covered under the General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10). The effective date of your coverage under this general permit is July 1, 2014 or the date of this letter, whichever is later. A copy of the general permit can be obtained from DEQ's webpage at the following location: http://www.dec.virginia.gov/Portals/0/DEQ/Water/Publications/CGP2014.pdf. The general permit contains the applicable Stormwater Pollution Prevention Plan (SWPPP) requirements and other conditions of coverage. Please print the general permit and read it carefully as you will be responsible for compliance with all permit conditions. DEQ staff has determined that the proposed land-disturbing activity will discharge to a surface water identified as impaired or for which a TMDL wasteload allocation has been established and approved prior to the term of the general permit for (i) sediment or a sediment-related parameter or(ii) nutrients. Therefore, the following general permit(Part I.B.4)and SWPPP requirements (Part II.A.5) must be implemented for the land-disturbing activity: • Permanent or temporary soil stabilization shall be applied to denuded areas within seven (7) days after final grade is reached on any portion of the site; • Nutrients (e.g., fertilizers) shall be applied in accordance with manufacturer's recommendations or an approved nutrient management plan and shall not be applied during rainfall events; • Inspections shall be conducted at a frequency of (i) at least once every four (4) business days or (ii) at least once every(5) business days and no later than 48 hours following a measurable storm event. In the event that a measurable storm event occurs when there are more than 48 hours between business days, the inspection shall be conducted on the next business day; and • Representative inspections used by utility line installation, pipeline construction, or other similar linear construction activities shall inspect all outfalls. The general permit will expire on June 30. 2019. The conditions of the general permit require that you submit a new registration statement at least 90 days prior to that date if you wish to continue coverage under the general Delegation of Authority I, Steve Krohn (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 Belvedere Phase IIC construction site. The designee is authorized to sign any reports or other documents required by the permit. Construction Activities Inspector (name of person or position) Contact: Jim Taaaart or Nicole Jamison Roudabush,Gale&Associates (company) 914 Monticello Road (address) Charlottesville, Va.22902 (city,state,zip) (434) 977-0205 (phone) By signing this authorization, I confirm that I meet the requirements to make such a designation as set forth in Virginia's General VPDES Permit for Discharges of Stormwater from Construction Activities (CGP), and that the designee above meets the definition of a "duly authorized representative" as set forth in in the CGP. I certify under penalty of law that I have read and understand this document 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. Name: C- � ��Company: � ��L Title: 1 Ze_S j Signature: f‘."A1 rlir� Date: ( Is112-0kg Section 10 - Delegation of Authority Delegation of Authority V - I, 'i-��JP�'. [�f (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 Sew rc,t�n C&' 1\ . construction site. The designee is authorized to sign any reports,stormwater pollution prevention plans and all other documents required by the permit. N -r;vl4iI6 (name of person or position) n„ �S3G�, (company) C� � o.c-c ,-a„! (address) 7 cj ..nM r i Lam.., ' (city,state,zip) :o Ar 2-7-01` (phone) L 9Q 2\6,6- 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 above meets the definition of a "duly authorized representative". Operator Name: S'�-2:���^ D(Nir Company: \VG.113 a__\ -AAA _._ Title: ,� ■ cti� / Signature: Date: 1 )3 1 120) instructions for Completing the Registration Statement General VPDES Permit for Discharges of Stormwater from Construction Activities(VAR1O) GENERAL The entitles 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 reapplication 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 stomiwater 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 6th order national watershed boundary dataset. 07/2014 Page 1 of 2 assigned or delegated to the manager in accordance with Item 7:MS4 Information. corporate procedures. If stormwater is discharged through a municipal separate storm sewer b. Fora partnershipor sole proprietorship: byageneral partner or 9 9 P P P P P� 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: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 gather complete and accurate information for permit application requirements: and where authority to sign documents has been 07/2014 Page 2 of 2 Change of Ownership Agreement Form RE: Change of Ownership-VPDES Permit No. Name of permitted facility: 4 r_ to Ck\ DS Mo--N\r --County TO: Virginia Department of Environmental Quality Regional Office Address We,the undersigned,hereby request a transfer of ownership for the referenced permit. Anticipated date of transfer: CURRENT OWNER SHOWN ON PERMIT: I(We)hereby agree to the transfer of ownership modification to the referenced VPDES Permit. Attach verification that all current owner outstanding Annual Fee payments are up to date(YES/NO). If NO see statement under NEW OWNER below. Current Owner name as listed on the VPDES Permit Cover Page: ( L ( J e L a--1 c+ t•.ks_ 41 L-I.L, Signed: /��' "' �-''( � Date: '13 t JZD t( Printed Name: S' .'J -A C— Title: 1 r Address: tC) sk1 I IL -2c ) [You may add the following consent for electronic transmittal of the termination if you don't already have it] The Department of Environmental Quality(DEQ)may deliver permits and certifications(this includes permit issuances,reissuances,modifications,revocation and reissuances,terminations and denials)to recipients, including applicants or permittees,by electronically certified mail where the recipients notify DEQ of their consent to receive mail electronically(§ 10.1-1183). Check only one of the following to consent to or decline receipt of electronic mail from DEQ as follows: Applicant or permittee agrees to receive by electronic mail the permit that may be issued for the proposed p llutant management activity,and to certify receipt of such electronic mail when requested by the DEQ. If yes,provide email: Skro Lex 6.ovkft ❑ Applicant or permittee declines to receive by electronic mail the permit that may be issued for the proposed pollutant management activity. (Rev.3/27/14) NEW OWNER TO ASSUME PERMIT: I(We)hereby agree to the change of ownership modification to the referenced VPDES Permit,and agree to accept all conditions and responsibilities of the permit. NEW OWNER agrees to pay all outstanding Annual Fee payments currently due by old owner ES O Transferred permit to be issued to: Signed: / L'!'� Date: t13(120 18 t f Printed Name: 1i� C V o�t.. Title: .� ■ , -�I Address: G('p Telephone:(L3 ) (o t [You may add the following consent for electronic transmittal of the termination if you don't already have it.] The Department of Environmental Quality(DEQ)may deliver permits and certifications(this includes permit issuances,reissuances,modifications,revocation and reissuances,terminations and denials)to recipients, including applicants or permittees,by electronically certified mail where the recipients notify DEQ of their consent to receive mail electronically(§ 10.1-1183). Check only one of the following to consent to or decline receipt of electronic mail from DEQ as follows: Applicant or permittee agrees to receive by electronic mail the permit that may be issued for the proposed ollutant management activity,and to certify receipt of such electronic mail when requested by the DEQ. If yes,provide email: S\c o L Vk o,jz s C /\.? , C -Ikk ❑ Applicant or permittee declines to receive by electronic mail the permit that may be issued for the proposed pollutant management activity. This form must be signed by properly authorized individuals as specified in the VPDES Permit Regulation and will not be processed until all fees are up to date. (Rev.3/27/14) ti.oF AL gA r'I�lr;-iNT56�17 \ s,....784 :i"517,1k..14‘ .46 COUNTY OF ALBEMARLE Community Development 401 McIntire Road Charlottesville,Vriginia 22902-4596 (434)296-5832 EROSION CONTROL PERMIT Date of Application: 11/07/2016 Permit Effective Date: 12/15/2017 Number: WPO-2016-00071 LANDOWNER: BELVEDERE STATION LAND TRUST;ROBERT M Phone: 4349812034 HAUSER&ROBERT J KRONER,TRS 2421 IVY ROAD CHARLOTTESVILLE VA22903 CONTRACTOR: AG DILLARD INC Phone: (434)977-3750 295 MEMORY LANE TROY VA22974 REPONSIBLE LAND TOM PAQUETTE Phone: (434)977-3750 DISTURBER: 295 MEMORY LANE TROY VA22974 Certification/License#: RLD02008 Type: Responsible Land Disturber Plans Prepared By: COLLINS ENGINEERING Plans Dated: 10/25/2016 Last Revised: 04/04/2017 Plans Entitled: BELVEDERE PHASE IIB-VSMP Location: Dist. 7.66 Acreage: Tax Map: 06100-00-00-16000 Hydrological JR08/JR14 Unit: Additional Information: Annual Maintenance Fees [Sections 17-207 & 208 of the Albemarle County Code] — Annual maintenance fees will be assessed in March of every year this permit is active.Fees cannot be prorated after the first year of permit issuance. Issued By:Kenny Thacker Title: Erosion Control Officer &........_ / / —/7 ignature Date