2023-0056 Plan Submission Checklist 2023-04-03.pdf

GM 22-2012

CHAPTER 6.000

ADMINISTRATIVE PROCEDURES

6.100 PURPOSE / OBJECTIVE

The purpose of this chapter is to convey minimum acceptable criteria to allow for a systematic approach to Stormwater Management and/or Erosion & Sediment Control Plan review and to ensure that complete plans are submitted to the Department of Environmental Quality (DEQ or

Department) at the time of initial plan submission.

6.200 SUBMISSION OF COMPLETE PLANS

A. Complete plans and computations ready for construction should be submitted to DEQ.

Advance or preliminary copies of incomplete plans or incomplete computations will not be accepted by the Department.

B. Normal State work hours are 8:15 am to 5:00 pm. Plans received on or after 5:00 pm will be marked as received the next business day (Monday through Friday, excluding State holidays).

6.300 SUBMISSION OF DIGITAL DATA

If produced electronically, an electronic copy in PDF format of the required submission materials

(e.g., plans, computations, reports, studies, etc.) is preferred.

6.400 GENERAL STANDARDS

A. Cover sheet. The design professional should use the digital Cover Sheet provided by the

Department for all plan submissions. The Cover Sheet in DWG format can be found at the following location:

https://www.deq.virginia.gov/home/showpublisheddocument/15588/

B. Revision block. A revision block should be provided on the Cover Sheet of the plans.

The Cover Sheet revision block should contain a summary of all revisions made to the plans. All other plan sheets should contain a revision block detailing the revisions applicable to each plan sheet.

https://www.deq.virginia.gov/home/showpublisheddocument/15588/

APPROVAL BLOCK

DEQ PLAN #

Dept. of Environmental Quality

Date

C. Approval block. An approval block per the following should be provided on the Cover

Sheet of the plans.

D. Seal and signature. Unless otherwise exempt under Va. Code § 54.1-401, the seal, signature, and date of the design professional should be provided on each sheet of the plans. The seal, signature, and date of the design professional should also be provided on the cover page of all other required submission materials (e.g., computations, reports, studies, etc.).

6.500 PLAN SUBMISSION CHECKLIST

The following Plan Submission Checklist should be completed in its entirety and included on the

Cover Sheet of all plans submitted to the Department. DEQ will consider your submission incomplete if you do not provide an answer (or indicate “NA” or “not applicable”) for all fields on the checklist.

PLAN SUBMISSION CHECKLIST

A. APPLICATION TYPE

☐ Initial Submission

◼ Resubmission DEQ Plan #: 2023-0056

☐ Modification with Acreage Increase DEQ Plan #:

☐ Modification without Acreage Increase DEQ Plan #:

B. DESIGN PROFESSIONAL

Design Firm: Wiley Wilson

Contact Name: Steven Schad

Mailing Address: 127 Nationwide Drive

City: Lynchburg State: VA Zip: 24502

Telephone No.: 540-392-4106

Email Address: sschad@wileywilson.com

C. PROJECT DEVELOPER

Project Developer: TBD

Contact Name:

Mailing Address:

City: State: Zip:

Telephone No.:

Email Address:

D. PROPERTY OWNER [repeat as necessary for all property owners]

Property Owner: U.S. Department of Homeland Security

Contact Name: Gregory Eisenhauer, Engineering Branch

Mailing Address: 19844 Blue Ridge Mountain Rd.

City: Bluemont State: VA Zip: 20135

Telephone No.: 540-542-2159

Email Address: Gregory.Eisenhauer@fema.dhs.gov

E. PROJECT INFORMATION

Project Name (as it appears on the plans): FM Maintenance 300-400 Demolition

Address (911 address if available): 19844 Blue Ridge Mountain Rd.

City: Bluemont State: VA Zip: 20135-2006

County (if not located within a City): Loudon/Clarke

Tax Map No. (or GPIN): 33 A 15

[repeat as necessary for all Tax Map Nos. or GPINs]

Latitude (6 digits, decimal degrees format): 39.0646

Longitude (6 digits, decimal degrees format): -77.8903

Total Land Area of Development (1/100th of an acre): 509

Estimated Area to be Disturbed (1/100th of an acre): 4.43

Project Status: ☐ Federal ☐ State ☐ Public ☐ Private

Part of a Larger Common Plan of Development? ☐ Yes ☐ No

Offsite Improvements Proposed? ☐ Yes ☐ No

F. OFFSITE SUPPORT ACTIVITY INFORMATION

Offsite Support Activity Name:

Address (911 address if available):

City: State: Zip:

County (if not located within a City):

Tax Map No. (or GPIN):

[repeat as necessary for all Tax Map Nos. or GPINs]

Latitude (6 digits, decimal degrees format):

Longitude (6 digits, decimal degrees format):

Estimated Offsite Area to be Disturbed (1/100th of an acre):

G. PLAN INFORMATION [provide the plan sheet number where information is located]

General Plan Information Plan Sheet No.

1. Vicinity map G-001

2. North arrow G-001

3. Plan legend C-001

4. Plan scale G-001

5. Plan sheet index G-001

Pre-development Site Information Plan Sheet No.

6. Narrative of pre-development site conditions CIV-1

7. Existing property boundaries (inc. lease boundaries) N/A

8. Existing topography (existing contours) G-002

9. Existing streams, ponds, ditches, wetlands & other water bodies G-002

10. Existing karst features N/A

11. Existing 100-year FEMA floodplain N/A

12. Resource Protection Areas N/A

13. Existing Improvements (inc. buildings, roads, parking & utilities) APPENDICES

CIV-1.9.2-1.9.4

14. Existing vegetative areas (inc. forest cover, open space & turf) APPENDICES

CIV-1.9.2-1.9.4

15. Existing land cover / use tabulation Sec. H:

Checklist, APPENDICES

CIV-1.9.1, CIV-

1.9.8

16. Existing easements (inc. Deed Book/Page ref. or Instrument #) N/A

17. Pre-development drainage areas (inc. acreage, divides and flow paths)

APPENDICES

CIV-1.9.2-1.9.4

Post-development Site Information Plan Sheet No.

18. Narrative of post-development site conditions CIV-1

19. Proposed property boundaries (inc. lease boundaries) N/A

20. Proposed limits of land disturbance (limits of clearing & grading) CD101, CD102, CD103, CD104, CD105

21. Proposed grading (proposed contours inc. stormwater practices) CS102

22. Proposed 100-year FEMA floodplain N/A

23. Proposed improvements (inc. buildings, roads, parking & utilities)

APPENDICES

CIV-1.9.5-1.9.7

24. Proposed vegetative areas (inc. forest cover, open space & turf) APPENDICES

CIV-1.9.5-1.9.7

25. Proposed land cover /use tabulation Sec. H:

Checklist, APPENDICES

CIV-1.9.1, CIV-

1.9.8

26. Proposed easements N/A

27. Post-development drainage areas (inc. acreage, divides and flow paths)

APPENDICES

CIV-1.9.5-1.9.7

Erosion & Sediment Control Information Plan Sheet No.

28. Narrative of proposed erosion & sediment controls C-002

29. Minimum standards (9VAC25-840-40) C-002

30. Critical erosion areas (see VESCH, Chapter 6) C-002

31. Proposed erosion & sediment controls (see VESCH, Chapter 3) C-002

32. Erosion & sediment control detail drawings C-502

33. Hydrologic & hydraulic computations (inc. runoff characteristics) CIV-1, APPENDICES

CIV-1.9.10

34. Inspection, operation & maintenance requirements N/A

Post-development Water Quantity & Water Quality

Control Information Plan Sheet No.

35. Narrative of proposed stormwater management facilities / practices

N/A

36. Proposed stormwater management facilities / practices N/A

37. Hydrologic & hydraulic computations (inc. runoff characteristics) CIV-1, APPENDICES

CIV-1.9.10

38. Long-term inspection, operation & maintenance requirements N/A

Soils & Geotechnical Information Plan Sheet No.

39. Soils map (inc. NRCS soil types) G-002

40. Soils tabulation Sec. I, checklist

41. Geotechnical investigation / report (inc. acid forming soils, karst, impoundments & site preparation)

N/A

Other Supporting Information Plan Sheet No.

42. Boundary survey (see 18VAC10-20-370) N/A

43. Physical improvement survey (see 18VAC10-20-380) N/A

44. Topographic survey (see 18VAC10-20-382) G-002

H. LAND COVER TABULATION [acreages reported to 1/100th of an acre]

Existing Land Cover / Use Acres

1. Impervious Cover 2.25

Impervious Cover (percentage of total land area of development) 58%

2. Managed Turf 1.64

3. Open Space 0

4. Forest Cover 0

5. Prime Farmland (per NRCS Farmland Classification) 0

Proposed Land Cover / Use (per “Site” tab of VRRM spreadsheet) Acres

1. Impervious Cover 0.60

Impervious Cover (percentage of total land area of development) 16%

2. Managed Turf 3.29

3. Open Space 0

4. Forest Cover 0

I. SOILS TABULATION [acreages reported to 1/100th of an acre]

Map Unit

Symbol

Map Unit

Name

HSG

K factor

Erodibility

Acres in

LOD

% of

LOD

29C

Myersville-

Catoctin

Very Stony

Silt Loams

B 0.49 High 0.15 3.46

28B

Myersville-

Catoctin Silt

Loams

B 0.49 High 0.72 16.15

43B

Myersville-

Catoctin

Complex

B 0.43 High 2.19 49.45

43C

Myersville-

Catoctin

Complex

B 0.43 High 1.37 30.94

“HSG” means Hydrologic Soil Group. See Appendix 6C of 1992 Virginia Erosion &

Sediment Control Handbook for groupings.

K factor indicates the susceptibility of soil to the forces of erosion. See Appendix 6C of 1992

Virginia Erosion & Sediment Control Handbook for reported values.

Erodibility (Low, Moderate or High). See Appendix 6A of 1992 Virginia Erosion &

Sediment Control Handbook for groupings based on K factor.

“LOD” means Limits of Land Disturbance (limits of clearing & grading).

J. EROSION & SEDIMENT CONTROL

ESC Plan Variance Request? ☐ Yes ☐ No

If “yes”, please provide justification for the variance request:

K. STORMWATER MANAGEMENT

Applicable Design Criteria: ☐ Part II B ☐ Part II C (Grandfathering)

☐ Part II C (Time Limits on Applicability)

☐ “Safe Harbor” (Va. Code § 62.1-44.15:28.A.10)

Offsite Compliance Option(s)? ☐ Yes ☐ No

If “yes”, please describe the offsite compliance option(s) (see 9VAC25-870-69):

Discharge to a karst feature(s)? ☐ Yes ☐ No

If “yes”, please describe the karst feature(s):

If “yes”, please describe any known natural heritage resources in the karst feature(s):

SWM Plan Exception Request? ☐ Yes ☐ No

If “yes”, please provide justification for the exception request:

L. STORMWATER MANAGEMENT FACILITIES / PRACTICES [latitude and longitude reported to 6 digits, decimal degrees format; acreages reported to 1/100th of an acre]

Facility

No.

Facility

Type

Lat.

Long.

Rec.

Water

Tot.

Acres

Treated

Imp.

Acres

Treated

Plan

Sheet

No.

M. OWNER / DEVELOPER CERTIFICATION

I hereby certify that coverage under the General VPDES Permit for Discharges of Stormwater from Construction Activities will be obtained, if required, prior to commencing land-disturbing activities.

I hereby certify that all wetlands permits required by law will be obtained, if required, prior to commencing land disturbing activities.

I hereby certify that permission to construct any offsite improvements, if proposed, will be obtained prior to commencing land disturbing activities.

I hereby certify that all offsite nonpoint source nutrient credits will be obtained, if proposed, prior to commencing land disturbing activities.

I hereby certify that construction record drawings (as-built drawings) for all permanent stormwater management facilities/practices will be prepared and submitted to DEQ prior to project closeout. The construction record drawings will be appropriately sealed and by a professional registered in the Commonwealth of Virginia, certifying that the stormwater management facilities/practices have been constructed in accordance with the approved plan(s).

I hereby certify that a long-term maintenance agreement(s) for all permanent stormwater management facilities/practices and other techniques specified to manage the quality and quantity of runoff will be submitted to DEQ, if required, prior to project closeout. The long-term maintenance agreement(s) will be recorded in the local land records prior to termination of coverage under the General VPDES Permit for Discharges of Stormwater from Construction

Activities.

Owner / Developer Name:

Owner / Developer Title:

Signature:

Date:

N. DESIGN PROFESSIONAL CERTIFICATION

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate 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.

I hereby certify that the plans and hydrologic & hydraulic computations herein are in compliance with the Stormwater Management Act and attendant regulations, the Erosion and

Sediment Control Law and attendant regulations, and applicable DEQ guidance.

Design Professional Name: Steve Schad

License No.: 47901

Signature:

Date: 04/03/2023

O. DUAL COMBINED ADMINISTRATOR (DCA) CERTIFICATION [include this section/certification if requesting a streamlined plan review in accordance with DEQ

Guidance Memo No. 22-2011, otherwise delete]

I hereby certify that I have reviewed the plans and hydrologic & hydraulic computations herein for compliance with the Stormwater Management Act and attendant regulations, the Erosion and

Sediment Control Law and attendant regulations, and applicable DEQ guidance, and recommend the plans and computations for DEQ approval.

DCA Name: N/A

DCA Certification No.:

Signature:

Date:

END OF CHAPTER