HomeMy WebLinkAboutWPO201700004 Preconstruction Form 2019-05-06pF AL
Request for Pre -construction Meeting and Grading Permit
from Albemarle County a�
Approved Plan Number: WPO- 2.0 a — 0 06 6
-Approved Plan Name: & MMoinl rhlfAl M "Aft-MiNIS
(Plans must be approved prior to a pre -construction meeting.)
Bond approved date: 5 1 1 lull
(Bonds must be approved and posted prior to a pre -construction meeting or permit.)
Responsible Land Disturber:
Print Name:
State Certification Number:
Z/_n /2
Address 1107-a fAV A"SW4 (?,6"
City SSW M9 VA 2"5C)0�i State Zip Z'jOy'15
Daytime Phone 60'1-5 'J-- (06 32 E-mail M�lxkk Li wkltoei� • (0l^^
Primary Contractor:
Print Name ML rJ4
Address 5PoMi- A-5 A-190\1`L-
City
Daytime Phone L_)
E-mail
State Zip
Permit Issuance and First Year Maintenance Fees: (Request must include payment)
Total acres proposed to be disturbed is contained on the approved plan and application:
VSMP:
04
Acres to be disturbed
Fee Due at Grading Permit
Less than 1
$63.80
I and less than-5-$594.00
$748.00
5 and less than 10
10 and less than 50
$990.00
50 and less than 100
$1,342.00
100 and more
$2,112.00
For plans exempt from VSMP, VESCP fees were paid with the application.
7/1/14. Revised: 8/29/14 Paee ll of
Person(s) to attend the Pre -construction Meeting:
Names (type or print) Firm Contact Number or email
�DWkft (!kA %t4&TbN 5;.viW Divftapt4w- duaw(esvvrNrAVfl.eQWr.T-co
The second part of the application fee is required to be paid with this request. This fee amount is;
FOR OFFICE USE ONLY Permit Issued Date
By who?
7/1/14. Revised: 8/29/14 PaLc 2 of
Information for Permit applicants;
9-Month Permanent Stabilization Deadline:
Code Sec.17-808 Duty to stabilize denuded areas with permanent vegetation within nine months after
commencing land disturbing activity
A. When permanent vegetation required. The owner shall install on all denuded areas on the site within nine (9)
months after the date the land disturbing activity commenced, except for areas that the administrator
determines are necessary parts of the construction that are subject to an active building permit and areas where
erosion is prevented by a non -erosive surface, including, but not limited to, the following surfaces: (i)
roadways and sidewalks covered by gravel, asphalt pavement, or concrete; (ii) trails or paths covered by
gravel, stone dust, or mulch; (iii) buildings and other permanent structures; and such other surfaces that the
administrator determines would adequately provide a permanent barrier to erosion.
(see code 17-808 for information about possible extensions)
Notice to Comply and Permit Revoked for Overdue Fees
Late fees will incur interest, and enforcement actions per code section 17-210.
(1) Owners with late payments of fees required by 17-207C6 will be issued a Notice to Comply (NTC). The notice
gives 7 days to make payments.
(2) At the end of the NTC time period, the permit will be revoked, and a Stop Work Order will be issued for
working without a current permit.
Disturbed Area Reductions
Acreage for the purpose of fee computations will be the entire permitted acreage. This is the disturbed acreage on
approved plans. If fees are to be reduced, an application for plan amendment must be made, and areas reduced by
changes in limits of disturbance and appropriate plan changes. Such amendments must be approved prior to the fee
due date. Amendments to remove disturbed areas can only be approved when such areas are completely stabilized and
all erosion control measures (including traps and basins) removed.
Refunds
The County does not have a refund program. Fees will not be refunded based on completion within the year. Fees will
not be pro -rated at payment, other than the first year VSMP fee as indicated in code section 17-209B.
Re -inspection Fees
Re -Inspection Fees will be charged for inspections following a Notice to Comply or a Stop Work Order. Fees are $250
per inspection, or as given in code sections 17-207 and 17-208.
7/1/14. Revised: 8129/14 Paee3of3
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Erosion & Sediment Control-Stormwater Management
Preconstruction/ F'l�l Conferencen -64-) Checklist
Name of Plan: C .- ,-tc.oJL &.4 /?h ,t,L-fill, 4
Plan No.: 6...490 2c)/7-c)Oct
Date: 4-30- /'7
1)Copies of approved plan given to: Owner or Authorized Agent
/Contractor -_
2) Have all the conditions been met? AJO - Ski/1 Ntocy C'4fl/o(,vN/ sOc U544,
r-kc :I 4 p/,vSia 0 a,v.P Gricd,., ?ems`) SS14.cri
3) Responsible Land Disturber:
Cert./Lic.No.: Type:
Address/Phone/ Mobile Phone:
4) Name of Prime Contractor:
Address/Phone/ Mobile Phone:
Name of Subcontractor:
5) Persons in Attendance:
Name Firm
(6) Date Permit Issued:
(7)Talk about"First Steps" (Perimeter E&S controls and Tree Protection first), Erosion and Sediment Control
Narrative and Sequence of Construction
(8) Enforcement and Fees: Warnings, NTC and SWO in that order with re-inspection fees of$250 for NTC's
and SWO's. (Mud in the roadway will have a NTC issued without a warning)
(9) Review Frequency of Inspections: Every 4 business days or every 5 business days and within 48 hours of
a major rain event. Major rain event is 25" or more. Less frequent in areas of non-impaired waterways (5 days
or every 7days and within 48hours of a major storm event).
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Revised 11/29/2011
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(10) Review Albemarle County ordinance covering 3:1 slopes and the placement of top soil for required
stabilization. Recommend Buckwheat for stockpile stabilization and Millet for temporary stabilization. Review
the need for vegetative ground cover for slopes 2:1.
(11) Review the 9-month County ordinance. Refer to Ordinance below.
Article II, section 17-207
B. Each permit shall also be subject to the following:
1. The permitted land disturbing activity shall be deemed to have commenced on the
date the permit was issued, provided that the program authority may establish another date of commencement
based on documentation submitted by the owner that clearly demonstrates that the land disturbing activity
commenced on that date.
2. Permanent vegetation shall be installed on all denuded areas within nine (9)
months after the date the land disturbing activity commenced, except for areas that the program authority
finds are necessary parts of the construction that are subject to an active building permit and areas where
erosion is prevented by a non-erosive surface. For the purposes of this section, a "non-erosive surface"
includes, but is not limited to, roadways and sidewalks covered by gravel, asphalt pavement, or concrete; trails
or paths covered by gravel, stone dust, or mulch; buildings and other permanent structures; and such other
surfaces that the program authority determines would adequately provide a permanent barrier to erosion.
3. The time limit for installing permanent vegetation as required by paragraph (B)(2) may
be extended by either the program authority or the board of supervisors, or both, as follows:
a. The program authority may extend the time limit for installing permanent
vegetation up to an additional six (6) months, provided the owner submits a written request to the program
authority no less than one (1) month prior to the deadline for installing the permanent vegetation. The program
authority may grant the extension if it finds that: (i) the additional time is necessary due to factors beyond the
control of the owner; (ii) the owner had made good faith efforts to comply with the time limit; and (iii) the owner
has effectively controlled erosion and sedimentation on the property during the land disturbing activity. In
granting an extension, the program authority may impose reasonable conditions.
b. The board of supervisors may extend the time limit for installing permanent
vegetation for duration it determines to be appropriate, provided the owner submits a written request to the
clerk of the board of supervisors no less than two (2) months prior to the deadline for installing the permanent
vegetation. The program authority shall provide its opinion to the board as to the condition of the property with
respect to compliance with this chapter and an estimate of the minimum time needed to complete grading and
install permanent vegetation for the land disturbance covered by this permit. The board may grant the
extension if it finds that: (i) the additional time is necessary due to factors beyond the control of the owner; (ii)
the owner had made good faith efforts to comply with the time limit; and (iii) the owner has plans to effectively
control or has effectively controlled erosion and sedimentation on the property during the land disturbing
activity. In granting an extension, the board shall set a time limit and may impose other reasonable conditions.
(12) Review VSMP-SWPPP requirements. Record Keeping, Pollution Prevention requirements, 7-day
temporary stabilization requirement, Concrete/Material Washout requirement, recording of pollutants and their
location on site, and the documentation of progress.
(13) Review required onsite postings — Registration Statement, DEQ Coverage Letter, and information on
where SWPPP is located and who to contact to view.
Notes:7f cJ- fir, Of VS►vi p 1 �►'Sc�
IQ') C'P c�2 G�`.r1 i'4 Merl GI- t- (Gd,
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Revised 11/29/2011
C:\Users\gelsie\Desktop\Preconstruction Conf Checklist 9-21-17 doc