HomeMy WebLinkAboutWPO201400073 Permit 2018-06-07 Notice of Termination
General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10)
(Please Type or Print All Information)
1. Construction Activity Operator:
Name: Ulliman Schutte Construction
Contact: John Arnold
Mailing Address: 306 6th St SW
City: Roanoke State:VA Zip:24016 Phone: 434-987-6423
Email address(if available):Jamold@ullimanschutte.com
2. Name and Location of the Construction Activity: (As listed on the Registration Statement.)
Name:South Rivanna Water Treatment Plant
Address(if available): 2385 Woodburn Road
City: Charlottesville State: VA 22901
Zip:
County(if not located within a City): Albemarle
Latitude(decimal degrees): 38.1027 N Longitude(decimal degrees): —78.4672 W
3. General Permit Registration Number: VAR10G967
4. Reason for Terminating Coverage Under the General Permit: (The operator shall submit a Notice of Termination after one or
more of the following conditions have been met.)
x❑ A. Necessary permanent 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. When applicable. long-term
responsibility and maintenance requirements for permanent control measures shall be recorded in the local land records prior
to the submission of a notice of termination;
O 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;
O C.Coverage under an alternative VPDES or state permit has been obtained;or
O D. For residential construction only,temporary soil stabilization has been completed and the residence has been transferred to
the homeowner.
The notice of termination should be submitted no later than 30 days after one of the above conditions being met. Authorization to
discharge terminates at midnight on the date that the notice of termination is submitted for the conditions set forth in subsections B
through D above, unless otherwise notified by the VSMP authority or the Department. Termination of authorizations to discharge
for the conditions set forth in subsection A above shall be effective upon notification from the Department that the provisions of
subsection A have been met or 60 days after submittal of the notice of terminations, whichever occurs first.
5. Permanent Control Measures Installed: (When applicable, a list of the on-site and off-site permanent control measures (both
structural and nonstructural)that were installed to comply with the stormwater management technical criteria.Attach a separate list
if additional space is needed.)
Permanent Control Measure#1
Type of Permanent Control Measure: Bioretention Cell
Date Functional: 12/15/18
Address(if available): 2385 Woodburn Rd
City: Charlottesville State: VAZip: 22901
County(if not located within a Cit Y)� Albemarle County
Latitude(decimal degrees): 38.1027 N Longitude(decimal degrees):78.4672 W
Receiving Water: Rivanna River
Total Acres Treated: 0.66 Impervious Acres Treated: 0.37
01/2014 Page 1 of 2
Permanent Control Measure#2
Type of Permanent Control Measure:
Date Functional:
Address(if available):
City: State: Zip:
County(if not located within a City):
Latitude(decimal degrees): Longitude(decimal degrees):
Receiving Water:
Total Acres Treated: Impervious Acres Treated:
Permanent Control Measure#3
Type of Permanent Control Measure:
Date Functional:
Address(if available):
City: State: Zip:
County(if not located within a City):
Latitude(decimal degrees): Longitude(decimal degrees):
Receiving Water:
Total Acres Treated: Impervious Acres Treated:
6. Participation in a Regional Stormwater Management Plan: (When applicable, information related to the participation in a
regional stormwater management plan.Attach a separate list if additional space is needed.)
Regional Stormwater Management Facility
Type of Regional Stormwater Management Facility:
Address(if available):
City: State: Zip:
County(if not located within a City):
Latitude(decimal degrees): Longitude(decimal degrees):
Total Site Acres Treated: Impervious Site Acres Treated:
7. Perpetual Nutrient Credits: (When applicable, information related to perpetual nutrient credits that were acquired in accordance
with§62.1-44.15:35 of the Code of Virginia.Attach a separate list if additional space is needed.)
Nonpoint Nutrient Credit Generating Entity
Name:
Perpetual Nutrient Credits Acquired(lbs/acre/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."
Printed Name: John Arnold Title:Project Engineer
Signature: Date:611/18
(Please sign in INK. This Certification must be signed by the appropriate person associated with the operator identified in
Item#1.)
01/2014 Page 2 of 2
Instructions for Completing the Notice of Termination
General VDPES Permit for Discharges of Stormwater from Construction Activities (VAR10)
GENERAL
b.The date that the permanent control measure became functional
A Notice of Termination must be submitted when an operator no longer as a post-development stormwater management control;
wishes to be covered under the General VPDES Permit for Discharges
of Stormwater from Construction Activities(VAR10). c. The street address (if available), City or County (if not located
within a City)of the permanent control measure;
All Notice of Terminations should be submitted to:
d.The latitude and longitude in decimal degrees of the approximate
Department of Environmental Quality center of the permanent control measure;
Office of Stormwater Management,1011'Floor
P.O.Box 1105 e.The receiving water of the permanent control measure;and
Richmond,VA 23218
f. The number of total and impervious acres treated by the
LINE-BY-LINE INSTRUCTIONS permanent control measure(to the nearest one-tenth of an acre).
Item 1: Construction Activity Operator Information. Attach a separate list if additional space is needed.
Provide the legal name(do not use a colloquial name),contact,mailing Item 6: Participation in a Regional Stormwater Management Plan
address, telephone number, and email address (if available) of the (when applicable).
construction activity operator that was issued general permit coverage.
For each Regional Stormwater Management Facility provide the
Item 2: Name and Location of the Construction Activity following information:
Information.
a.The type of regional facility to which the site contributes;
Provide the official name,street address(if available),city or county(if
not located within a City)of the construction activity. Also,provide the b. The street address (if available), City or County (if not located
latitude and longitude in decimal degrees of the approximate center of within a City)of the regional facility;
the construction activity (e.g., N 37.5000, W 77.5000). NOTE: This
information can be obtained from the previously submitted Registration c.The latitude and longitude in decimal degrees of the approximate
Statement. center of the regional facility;and
Item 3:General Permit Registration Number. d. The number of total and impervious site acres treated by the
regional facility(to the nearest one-tenth of an acre).
Provide the existing general permit registration number for the
construction activity identified in Item 2. Attach a separate list if additional space is needed.
Item 4:Reason for Termination. Item 7:Perpetual Nutrient Credits(when applicable).
Indicate the appropriate reason for submitting this Notice of Provide the following information related to perpetual nutrient credits
Termination. The Notice of Termination may only be submitted after that were acquired in accordance with§62.1-44.15:35 of the Code of
one or more of the following conditions have been met: Virginia:
a. Necessary permanent control measures included in the SWPPP a. The name of the nonpoint nutrient credit generating entity from
for the site are in place and functioning effectively and final which perpetual nutrient credits were acquired;and
stabilization has been achieved on all portions of the site for which
the operator is responsible.When applicable,long-term responsibility b. The number of perpetual nutrient credits acquired (lbs. per acre
and maintenance requirements for permanent control measures shall per year).
be recorded in the local land records prior to the submission of a
notice of termination; Attach a separate list if additional space is needed.
b. Another operator has assumed control over all areas of the site Item 8:Certification.
that have not been finally stabilized and obtained coverage for the
ongoing discharge; A properly authorized individual associated with the operator identified
in Item 1 of the Registration Statement is responsible for certifying and
c. Coverage under an alternative VPDES or state permit has been signing the Registration Statement. Please sign the Registration
obtained;or Statement in INK.
d. For residential construction only, temporary soil stabilization has State statutes provide for severe penalties for submitting false
been completed and the residence has been transferred to the information on the Registration Statement. State regulations require
homeowner. that the Registration Statement be signed as follows:
The Notice of Termination should be submitted no later than 30 days a. For a corporation: by a responsible corporate officer. For the
after one of the above conditions being met. purpose of this part,a responsible corporate officer means:
Item 5:Permanent Control Measures(when applicable). (i) A president, secretary, treasurer, or vice-president of the
corporation in charge of a principal business function,or any other
For each on-site and off-site permanent control measure (both person who performs similar policy-making or decision-making
structural and non-structural) that was installed to comply with the functions for the corporation,or
stormwater management technical criteria provide the following
information: g manufacturing, production, or
(ii) the manager of one or more
operating facilities, provided the manager is authorized to make
a.The type of permanent control measure; management decisions that govern the operation of the regulated
01/2014 Page 1 of 2
•
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
assigned or delegated to the manager in accordance with
corporate procedures.
b. For a partnership or sole proprietorship: by a general partner or
the proprietor,respectively.
c.For a municipality,state,federal,or other public agency:by either
a principal executive officer or ranking elected official. For purposes
of this part,a principal executive officer of a public agency includes:
(i)The chief executive officer of the agency,or
(ii) A senior executive officer having responsibility for the overall
operations of a principal geographic unit of the agency.
01/2014
Page 2 of 2
�OF A7,
�j1iGII`nl''
COUNTY OF ALBEMARLE
Community Development
401 McIntire Road
Charlottesville, Vriginia 22902 -4596
(434) 296 -5832
EROSION CONTROL PERMIT
Date of Application:
08/12/2014
Permit Effective Date:
07/17/2015
Number:
WPO- 2014 - 00073
LANDOWNER:
RIVANNA WATER & SEWER AUTHORITY
Phone:
4349772970
695 MOORES CREEK LANE
CHARLOTTESVILLE VA22902 -9016
CONTRACTOR:
ULLIMAN SCHUTTE CONSTRUCTION, LLC
Phone:
(703) 360 -6788
2383A WOODBURN RD
CHARLOTTESVILLE, VA22901
REPONSIBLE LAND
FRANK PESCE
Phone:
(703) 300 -6788
DISTURBER:
2383A WOODBLTRN RD
CHARLOTTESVILLE, VA22901
Certification/License #:
40467
Type:
Plans Prepared By: Hazen And Sawyer
Plans Dated: 11/25/2014 Last Revised: 11/25/2014
Plans Entitled: South Rivanna Water Treatment Plant - GAC Upgrades Location:
WPO Erosion Control / Stormwater Management Plan
Tax Map: 04500- 00- 00 -068BO
Issued By: Kenny Thacker
Signature
Dist. 1.75
Acreage:
Hydrological JR08, JR15
Unit:
Title: Erosion Control Officer
7-17-15-
Date