CONSTRUCTION GENERAL PERMIT (VAR10) REGISTRATION STATEMENT 2019 INSTRUCTIONS
PLEASE DO NOT PRINT OR SUBMIT
Rev 11/2020 PAGE 4 | 6
This Registration Statement is for coverage under the General VPDES Permit for Discharges of Stormwater from Construction Activities. This form
covers the following permit actions: new permit issuance, existing permit modification with an increase in acreage, existing permit modifications
that result in a plan modification but do not result in an increase in disturbed acreage, and reissuance of an active permit coverage.
Application type. Select NEW PERMIT ISSUANCE to obtain a new permit coverage. Modifications are for modifying an existing, active permit
coverage. Select MODIFICATION WITH ACREAGE INCREASE when the previously approved acreage(s) increases (permit modifications are not
performed for decreases in acreage unless they result in plan changes – see Modification WITHOUT Acreage Increase). Select MODIFICATION
WITHOUT ACREAGE INCREASE when there is a change to the site design resulting in a change to the approved plans with no increase in acreage(s).
Select EXISTING PERMIT REISSUANCE to extend an expiring permit coverage for the next permit cycle and include the existing permit number.
Section I. Operator/Permittee Information.
A. Construction Activity Operator (Permittee). The person or entity that is applying for permit coverage and will have operational control over
construction activities to ensure compliance with the general permit. For companies, use the complete, active, legal entity name as registered with
a state corporation commission. Entities that are considered operators commonly consist of the property owner, developer of a project (the party
with control of project plans and specifications), or general contractor (the party with day-to-day operational control of the activities at the project
site that are necessary to ensure compliance with the general permit). If an individual person is listed as the operator, that person (or a legal
representative of) must sign the certification in Section V. An operator may be one of the following:
"Operator" means the owner or operator of any facility or activity subject to the Act and this chapter. In the context of stormwater associated with a
large or small construction activity, operator means any person associated with a construction project that meets either of the following two
criteria: (i) the person has direct operational control over construction plans and specifications, including the ability to make modifications to those
plans and specifications or (ii) the person has day-to-day operational control of those activities at a project that are necessary to ensure compliance
with a stormwater pollution prevention plan for the site or other state permit or VSMP authority permit conditions (i.e., they are authorized to direct
workers at a site to carry out activities required by the stormwater pollution prevention plan or comply with other permit conditions). In the context
of stormwater discharges from Municipal Separate Storm Sewer Systems (MS4s), operator means the operator of the regulated MS4 system.
"Owner" means the Commonwealth or any of its political subdivisions including, but not limited to, sanitation district commissions and authorities,
and any public or private institution, corporation, association, firm or company organized or existing under the laws of this or any other state or
country, or any officer or agency of the United States, or any person or group of persons acting individually or as a group that owns, operates,
charters, rents, or otherwise exercises control over or is responsible for any actual or potential discharge of sewage, industrial wastes, or other
wastes or pollutants to state waters, or any facility or operation that has the capability to alter the physical, chemical, or biological properties of
state waters in contravention of § 62.1-44.5 of the Code of Virginia, the Act and this chapter.
"Person" means any individual, corporation, partnership, association, state, municipality, commission, or political subdivision of a state,
governmental body, including a federal, state, or local entity as applicable, any interstate body or any other legal entity.
B. May we transmit correspondence electronically? If you choose YES to this question and provide an email address in Section I. A., all
correspondence, forms, invoices and notifications will be transmitted by email to the operator. This will also give the operator the ability to pay by
credit card and to receive permit coverage approval letters immediately upon permit approval.
Section II. Construction Activity Information.
A. A site map indicating the location of the existing or proposed land-disturbing activities, the limits of land disturbance, construction entrances
and all water bodies receiving stormwater discharges from the site must be included with the submittal of this form. Aerial imagery maps or
topographic maps showing the required items are acceptable. Plan sheet sized site maps are not required. Please consult your VSMP authority if
you have additional questions regarding site map requirements.
B. Construction Activity Name and location. Provide a descriptive project name (it is helpful to use the same naming convention as listed on the
Stormwater Management plans), 911 street address (if available), city/county of the construction activity, and the 6-digit latitude and longitude in
decimal degrees format for the centroid, main construction entrance or start and end points for linear projects (i.e. 37.1234N/-77.1234W).
C. Acreage totals for all land-disturbing activities, on- and off-site, to be included under this permit. Acreages are to be reported to the nearest
one-hundredth acre (two decimal places; i.e. 1.15 acres). Provide the total acreage of the primary development site as approved on the
Stormwater Management Plans and the primary on-site estimated acreage to be disturbed by the construction activity as approved under the
Erosion and Sediment Control Plans. The off-site estimated area to be disturbed is the sum of the disturbed acreages for all off-site support
activities to be covered under this general permit. Do not include the off-site acreage totals in the primary, on-site total and estimated disturbed
acreage totals. Permit fees are calculated based on your disturbed acreage total for all on- and off-site areas being disturbed under this permit
coverage (the sum of all on-site and off-site disturbed acreages).
D. Property owner status. The status of the construction activity property owner. Any property not owned by a government entity or agency (i.e.
federal, state or local governments) is PRIVATE.