The DEQ 199-147 form, recognized as the Notice of Termination under the General Permit for Discharges of Stormwater from Construction Activities, encompasses a vital procedure for operators seeking to terminate their permit obligations. The need for submission arises under certain conditions where construction projects reach a point of completion, mandating the cessation of stormwater discharge permits. This comprehensive form requires operators to provide detailed information about the construction activity, including the operator's identity, the project's location, the specific stormwater general permit number, and the reasons qualifying the project for termination. Notably, the form touches on varied aspects such as the completion of necessary post-construction control measures, the transferring of operational control to another entity, acquisition of an alternative permit, or, in the case of residential construction, the completion of temporary stabilization and transfer of the residence to the homeowner. Furthermore, it mandates the inclusion of details regarding permanent control measures installed, participation in regional stormwater management plans, nutrient offsets acquired, and a certification section that emphasizes the legal responsibilities and potential consequences of submitting inaccurate information. The structured completion and submission process aims to ensure proper compliance with environmental standards and regulations, safeguarding water quality post-construction.
| Question | Answer |
|---|---|
| Form Name | Form Deq 199 147 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | CGPNoticeOfTerm ination var 10 general permit form |
General Permit for Discharges of Stormwater from Construction Activities (VAR10)
Notice of Termination
(Please Type or Print All Information)
1.Construction Activity Operator: Name:
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2.Location of Construction Activity (As listed on registration statement): Name:
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3.Stormwater General Permit Number:
4.The Reason for Terminating Coverage Under the General Permit (The construction activity operator may only submit a Notice of Termination after one or more of the conditions below have been met):
A. Necessary
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;
C. Coverage under an alternative VPDES or State permit has been obtained; or
D. For residential construction only, temporary stabilization has been completed and the residence has been transferred to the homeowner.
The Notice of Termination must be submitted within 30 days of one of the above conditions being met. Authorization to discharge terminates at midnight on the date that the Notice of Termination is submitted for conditions B through D above. Authorization to discharge terminates upon notification from the Department or 60 days after the submittal of the Notice of Termination (whichever occurs first) for condition A above.
5.Permanent Control Measures Installed: Attach a list of permanent control measures (both structural and
were installed at the construction site. For each control measure, include the following information: (a) Type of control measure installed and the date that it became functional as a permanent control measure; (b) Geographic location (county or city and Hydrologic Unit Code) (latitude and longitude may additionally be included if available); (c) Waterbody the control measure discharges into; and, (d) Number of acres that will be treated (to the nearest
If no permanent control measures were installed please check this box
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6.Participation in a Regional Stormwater Management Plan: Where applicable, attach the following information related to
participation in a regional stormwater management plan: (a) Type of regional facility to which the site discharges; (b) Geographic location of any regional facility to which the site discharges (county or city and Hydrologic Unit Code); (c) Geographic location of the site (county or city and Hydrologic Unit Code) (latitude and longitude may additionally be included if available); and (d) Number of acres treated by a regional facility.
7.Nutrient Offsets: Where applicable, attach the following information related to nutrient offsets that were acquired in accordance
with
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."
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(Please sign in INK. The person signing this form must be associated with the operator identified in Item #1 above.)
Mail to: Department of Environmental Quality, Office of Stormwater Management, 10th Floor, P.O. Box 1105, Richmond, VA 23218
(DEQ
INSTRUCTIONS for FORM DEQ
General Permit Notice of Termination - Construction Activity Stormwater Discharges
General
A Notice of Termination must be submitted when an operator no longer wishes to be covered under the General Permit for Stormwater Discharges from Construction Activities.
Mail to: Department of Environmental Quality Office of Stormwater Management, 10th Floor P.O. Box 1105
Richmond, VA 23218
Section 1 Activity Operator Information
Give the legal name of the person, firm, public organization, or any other entity that was issued the general permit for the site described in this Notice of Termination. Do not use a colloquial name. Enter the complete address and phone number of the operator.
Section 2 Activity Location Information
Enter the activity's official name and complete street address, including city (or town), county (if not located within a City), state and ZIP code. If the site lacks a street address, enter the city (or town), county (if not located within a City) and the latitude and longitude in degrees, minutes, seconds (DMS).
Section 3 Permit Information
Enter the existing Stormwater General Permit Number assigned to the activity or site identified in Section 1 that the operator wishes to be terminated.
Section 4 Reason for Termination
Check the appropriate statement indicating the reason for submitting this Notice of Termination. The Notice of Termination may only be submitted after one or more of the following conditions have been met:
A. Necessary
B.Another operator has assumed control over all areas of the site that have not been finally stabilized;
C.Coverage under an alternative VPDES or State permit has been obtained; or
D.For residential construction only, temporary stabilization has been completed and the residence has been transferred to the homeowner.
The Notice of Termination must be submitted within 30 days of one of the above conditions being met.
Section 5 Permanent Control Measures Installed
Attach a list of the permanent control measures (both structural and
(a)Type of control measure installed;
(b)Geographic location (county or city and Hydrologic Unit Code);
(c)Waterbody the control measure discharges into; and,
(d)Number of acres that will be treated (to the nearest
If no permanent control measures were installed, please check the box at the end of this section.
Section 6 Participation in a Regional Stormwater Management Plan
Where applicable, attach the following information related to participation in a regional stormwater management plan: (a) Type of regional facility to which the site discharges; (b) Geographic location of any regional facility to which the site discharges (county or city and Hydrologic Unit Code); (c) Geographic location of the site (county or city and Hydrologic Unit Code) (latitude and longitude may additionally be included if available); and, (d) Number of acres treated by a regional facility.
Section 7 Nutrient Offsets
Where applicable, attach the following information related to nutrient offsets that were acquired in accordance with
location (county or city and Hydrologic Unit Code) of the broker’s offset generating facility; (c) Number of nutrient
offsets acquired (lbs. per acre per year); and (d) Nutrient reductions achieved on site (lbs. per acre per year).
Section 8 Certification
State statutes provide for severe penalties for submitting false information on this Notice of Termination. State regulations require this Notice of Termination to be signed as follows:
For a corporation: by a responsible corporate officer. For the purpose of this section, a responsible corporate officer means: (1) A president, secretary, treasurer, or
For a partnership or sole proprietorship: by a general partner or the proprietor.
For a municipality, state, federal, or other public agency: by either a principal executive officer or a ranking elected official.
The Department of Environmental Quality reserves the right to request additional information not directly addressed by the
registration statement if, in its discretion, a facility or operation poses a potential impact on water quality.
(DEQ