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HomeMy WebLinkAboutWPO201800034 Application WPO VSMP 2018-05-09 Community Development Department Albemarle County 431 tle'ntire Road Charlottesville VA22932-4596 ' 1434: 29'6-6832 Fa) t 434:972-4129 'Now Planning Application PARCEL / OWNER INFORMATION TMP 05700-00-00-060A0 Owner(s): CLAYTON,JEFFREY W Application# WP0201800034 PROPERTY INFORMATION Legal Description 'ACREAGE PARCEL Et&Y Magisterial Dist. White Hall EJ Land Use Primary Residential -- Single-family (incl. modular homes v Current AFD Not in A/F District El Current Zoning Primary Rural Areas [FJ !APPLICATION INFORMATION Street Address 14331 SEVEN HILLS LN CHARLOTTESVILLE, 22901 Entered By Judy Mardnrral Application Type Water Protection Ordinances 151.0.201.8 Project Clayton Farm Stockpile Area - VSMP -- Received Date 05/09/18 Received Date Final - Submittal Date Total Fees' 13501 Closing File Date Submittal Date Final I Total Paid 1350:I Revision Number Comments Legal Ad _ I SUB APPLICATION(s) Type Sub ApplicatioL Comment 1 Stormwater Management/BMP Plan 05/09/18 Erosion and Sediment Control Plan 05/09/18 APPLICANT /CONTACT INFORMATION ContactType Name F----- Address 1 CityState r----fi-p I Phone CLANTON,JEFFREY1N PO BOX 2130 WY VA .22945 :.?...tat:t SHEILA. SCOTT-CONTOUR CONSTRUCTION ''.1.713 ALLIED STREET CHARLOTTESVILL _22901 4342440001 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) Application for Albemarle County AWE, Project Name: CLAYTON FARM STOCKPILE AREA (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No WI Is this a revision or resubmission for review? Yes El No County File Number: lii*3 (10\% 3 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. A. Signature of the Property Owner for each parcel: (Required with every submission or revision, NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits will be complied with,and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plans and permits. 05700-00-00-060A0 JEFFREY CLAYTON Tax Map&Parcel Print Name of Property Owner igneure of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence- Print Name JEFFREY CLAYTON Address PO BOX 280 City IVY State VA Zip 22945 Daytime Phone( ) E-mail 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 apipmmemmorrow B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 3 33 AC Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 I and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than 100 $6,100 $3,050 $450 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150(per request) Mitigation Plan;$150 ® C. Registration Statement on the official DEQ form. El D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. l; l G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SHEILA SCOTT-CONTOUR CONSTRUCTION Address 1713 ALLIED STREET City CHARLOTTESVILLE State VA Zip 22901 Daytime Phone(434) 244-0001 E-mail Sheila@contourconstruction.net *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONL\ WPO# M l - "' Fee Amount$10 aL Date Paid l(� ll By who' b r 04,On Receipt#t1Ltt____Ck#2 B /�/k 7/1/14,Revised. 7/10/14, 1/7/14 Page 2 of 2 County of Albemarle 113722 Department of Community Development �J� Q� PH. (434)296-5832 Date )V/OU/dU RECEIVED ROM: AMOUNT�� � / $ 13 D. 307 33 /\ ,iD 324 510 eck For: cash do 2N-Jil, . ed and :y ., . % ///A , Albemarle County Community Development Department 401 M""ntireRoad Charlottesville,VA22902-4596 e (434)296-5832 Fax (434)972-4126 0 -m 4 Planning Application so PARCEL/ OWNER INFORMATION TMP 05700-00-00_060A0 Owner(s): CLAYTON,JEFFREY W Application# W O2 I9 0 17 , A S � c / / 00— use I c #--- PROPERTY INFORMATION Legal Description !ACREAGE PARCEL RR Y 4, Magisterial Dist.1White Hall �^ CI Use Primary Residential--Single-family(incl. modular homes 7 Current AFD Not in A/F District __.1e.:I Current Zoning Primary Rural Areas APPLICATION INFORMATION — - — — _El Street Address 4331 SEVEN HILLS LN CHARLOTTESVILLE, 22901 Entered By Application Type Water Protection Ordinances � ?;nnifer Pritch Project Clayton Farm-VESCP Received Date 03/06/19 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments w, .P Legal Ad K SUB APPLICATION(s) Type $uta Applicatio Comment Erosidtiiri and Sedirmvent t ntirril Pii4i : 03/06/19 APPLICANT /CONTACT INFORMATION ContactType Name Address CityState Zip Phone i own CUA$TOt+t IEFFEY-W `P 0 BOX 6 Pricsa y Cant t _SCOTT COLLINS '200 GARRETT ST,STE k 'CHARLOTTESVILL p 22902 4342933719 Signature of Contractor or Authorized Agent Date --'"---\\J\C' ' - ' C' -\\\"\j'\' `2...-,1—/\ ..Q..... -- ' ‘i-\-V) IP „.. nou - \t/k 0..}......),?..)2 NNW n484 Virginia Erosion and Sediment Control Program (VESCP) % Application for Albemarle County (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: CLAYTON FARM (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No Is this a revision or resubmission for review? Yes ® No 0 County File Number: WP02018-34 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. ® A. Signature of the Owner for each parcel: (Required with every submission or revision, NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits will be complied with,and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plans and permits. 57-60A JEFFREY CLAYTON Tax Map&Parcel Print Name of Owner Signature of Owner Date Tax Map&Parcel Print Name of Owner Signature of Owner Date Tax Map&Parcel Print Name of Owner Signature of Owner Date Tax Map&Parcel Print Name of Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name JEFFREY CLAYTON Address PO BOX 280 City IVY State VA Zip 22945 Daytime Phone( ) E-mail 7/1/14,Revised: 7/10/14, 1/7/15, 10/17/18 Page 1 of2 ® B. All Fees [Code section t- 07] �..✓ Total acres proposed to be disturbed 4.59 AC Acres to be disturbed Total Fee Less than 1 $150 per review More than 1 $300 per review For amendments to an approved plan;$200 per review Variances; $150(per request) Exceptions; $240 Mitigation Plan;$150 Construction Record Drawing;$300 C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SCOTT COLLINS- COLLINS ENGINEERING Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott©collins-engineering.com *When applications and plans are reviewed, but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# �II VG—(1 Fee Amount$ — Date Paid 31112\1°1 By who?.`I1111S IV>llQyi Receipt#„iD ;LeC.-q By UP 7/1/14,Revised: 7/10/14, 1/7/15, 10/17/18 Page 2 of 2 Now' County of Albemarle 117 019 Department of Community Development PH: (434)296-5832 Date3_1Th\--a---_ RECEIVED F M: $ �•�� AMOUNT check 307 308 324 cash For ' A N l 20 ( _ credit card I B ee Received Received Date MAR t C 107q Received By KOMMUNI, V �PMENT ti ti O N o O CO LS co co co O N co a G :r ✓ ots • m = W ea Z 2 • U_ J C J Z ▪ fn c U � CO c O U Z 1(7.5. _ O G N W F- `, Q 0 .,2 Z G 0 J • j\jj()---- t 3) -'?4i,e__- \�`i `� { COUNTY \ (� R(� OF ALBEMARLE :,`4 em',: ` <JA J`� y Department of Community Development ou � 401 McIntire Road sigiCharlottesville,Virginia 22902 Application eness Check Project Title:,e—r n , /M —\/LC,`I7-? W File Number: Z0(ci—t n / el<._ Date: -(, _j 9. I C) CV ti `Cv (j Reviewer: Your application has been checked for completeness per section 17- the Co items must be received and correct for the application to be deemed complete. ode. All o This application is complete and plan review has begun o This application is not complete. Please provide the missing items checked below. Received Y N Correct 0. 0 Completed application Y N N/A ❑ ❑ Signatures of the Property Owners for each parcel affected ❑ ❑ ❑ 0, ❑ Correct Fees Paid ❑ o ❑ ❑ ❑ Registration Statement on the official DEQ form, with correct LDA ❑ ❑ ❑ ❑ ❑ ' Erosion and-Sediment Control Plan satisfying the requirements o ❑ o of code section 17-402. ❑ ❑ Stormwater Management Plan satin fyig the requirements of code 0 0 0 section 17-403. ❑ ❑ Pollution Prevention Plan satin ❑ ❑ 0 Eying the requirements of code section 17-404. The EPA template should be used. ❑ ❑ Stormwater Pollution Prevention Plan satisfying the requirements ❑ o ❑ of code section 17-405. The EPA template should be used. ❑ p Mitigation Plan satisfying requirements n the of code section ❑ ❑ ❑ 17-406 for any proposed disturbance of stream buffers. ❑ i0 Requested Variations or Exceptions as provided in code sections ❑ 0 ❑ 17-407 and 408,if applicable. (SSF,MMT,etc) ❑ /0 Construction Record Drawings(as-builts)for any existing facilities O ❑ ❑ in the proposal satisfying the requirements of code section 17-422. p ❑ Comments: ■