HomeMy WebLinkAboutWPO201600054 Application 2020-09-08 I� E i� �� ��-� � � Community Development Departrr
401 McIntire Road Charlottesville,VA 22902-4!
. ,4i Voice:(434)296-5832 Fax:(434)972-4
4 ie"
y Planning Application
PARCEL / OWNER INFORMATION
TM'1P 03260-00-00-00100 Owner(s): WOODBRIAR ASSOCIATES
Application # WP0201600054
1PROPERTY INFORMATION
Legal Description BRIARWOOD 1
Magisterial Dist. Rio L7 Land Use Primer Forest
Current AFD Not in A/F District ,F S current zoning Primer, Planned Residential Development
[APPLICATION INFORMATION
Entered
Street Addis
Application Type ' Water Protection Ordinances
0 8f29fZtJudy Martin3i6
Project Briarwood Phase 6 - Early Grading Plan -VSMP
---------------
Received Date 08/26/16 Received Date Final Submittal Date 08/30/16 Total Fees 13
Closing File Date Submittal Date Final Total Paid
13
Revision Number
Comments
Legal Ad r____
SUB APPLICATION(s)
Type Sub Application Convnent
Erosion and Sediment Control Plan 08/30/16
Stormwater Management/BMP Plan 08/30/16
(APPLICANT/ CONTACT INFORMATION
ContactType ( Narne Address I CityState Zip Phone PhoneCf
Owner/Applicant WOODBRIAR ASSOCIATES P O BOX 5548 CHARLOTTESVILL 22905
Primary Contact COLLINS ENGINEERING 200 GARRET ST., STE. K CHARLOTTESVILL a22902 4342933719
insmio
Signati -e of Contractor or Authorized Agent Date
Virginia Stormwater Management Program (VSMP) ` it
�"`� _v,
Application for Albemarle County
Project Name: BRIARWOOD PHASE 6 - EARLY GRADING PERMIT PLAN
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No110
Is this a revision or resubmission for review? Yes 0 No l
County File Number: OW) r�6-5 (to be provided by the County for new applications)
The following are required elements of new applications[from code section 17-401 J. For revisions or
amendments,please indicate which items are being amended. Signatures must be provided for any
submission.
EI 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.
32G-1 BRIARWOOD ASSOCIATES
Tax Map&Parcel Print Name of Property Owner ignature o 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 BRIARWOOD ASSOCIATES
Address PO BOX 5548
City CHARLOTTESVILLE State VA Zip 22905
Daytime Phone(434) 975-3334 E-mail ulwwwaembaraxnail.com
7/1/14,Revised 7/10/14, 1/7/14 Page 1 of 2
IN B. All Fees [Code section 17-208]
For new or modified plans, Total acres proposed to be disturbed 3.9 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
1 and less than 5 $2,700 ( $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;$150
J C. Registration Statement on the official DEQ form
® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
l E. Stormwater Management Plan satisfying the requirements of code section 17-403.
F Pollution Prevention Plan satisfying the requirements of code section 17-404.
G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name COLLINS ENGINEERING
Address 200 GARRETT STREET, SUITE K
City CHARLOTTESVILLE State VA Zip 22902
Daytime Phone(434) 293-3719 E-mail scott@collins-engineering.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY
f-. WPO# /1, �]l� /�Q/
Fee Amount$ 36 i`� Date Paid 4 /lD 1 'By who` iAT___Receipt# I(/,5`1, Ck# (I� 11 d By
7/1/14,Revised 7/10/14, 1/7/14 Page 2 of 2
Registration Statement
General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10)
(Please Type or Print All Information)
1. Construction Activity Operator: (General permit coverage will be issued to this operator. The Certification in Item #12 must be
signed by the appropriate person associated with this operator.)
Name: UNITED LAND CORPORTATION
Contact: WENDALL WOOD
Mailing Address: PO BOX 5548
City: CHARLOTTESVILLE State: VA Zip: 22905 Phone: 434.975.3334
Email address(if available): ulcwwwAembargmail.com
Indicate if DEQ may transmit general permit correspondence electronically: Yes X❑ No n
2. Existing General Permit Registration Number(for renewals only):
3. Name and Location of the Construction Activity:
Name: BRIARWOOD PHASE 6
Address(if available): SUNSET DRIVE
City: CHARLOTTESVILLE State: VA Zip: 22911
County(if not located within a City): ALBEMARLE COUNTY
Latitude (decimal degrees): 38.163554 Longitude (decimal degrees): -78.421560
Name and Location of all Off-site Support Activities to be covered under the general permit:
Name:
Address(if available):
City: State: Zip:
County(if not located within a City):
Latitude(decimal degrees): Longitude (decimal degrees):
4. Status of the Construction Activity(check only one): Federal ❑ State❑ Public❑ Private n
5. Nature of the Construction Activity(e.g., commercial, industrial, residential,agricultural, oil and gas, etc.):
RESIDENTIAL
6. Name of the Receiving Water(s) and Hydrologic Unit Code(HUC):
Name: NORTH FORK RIVANNA RIVER Name.
HUC: JR11 (020802040303) HUC:
7. If the discharge is through a Municipal Separate Storm Sewer System (MS4),the name of the MS4 operator:
8. Estimated Project Start and Completion Date:
Start Date(mm/dd/yyyy): 10/01/2016 Completion Date(mm/dd/yyyy): 10/01/2018
9. Total Land Area of Development(to the nearest one-hundredth acre): 16.92 AC
Estimated Area to be Disturbed(to the nearest one-hundredth acre): 3.9 AC
10. Is the area to be disturbed part of a larger common plan of development or sale? Yes n No n
11. A stormwater pollution prevention plan (SWPPP) must be prepared in accordance with the requirements of the General
VPDES Permit for Discharges of Stormwater from Construction Activities prior to submitting this Registration Statement.
By signing this Registration Statement the operator is certifying that the SWPPP has been prepared.
12. Certification: "I certify under penalty of law that I have read and understand this Registration Statement 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." /
Printed Name: _� �'! � i7/ Title: /r' C✓G/�u "--
Signature: ,. Leit"i.w/r/l'lt - (1.1 Date: g - 0.9 S 2�
(Please sign in INK. This Certification must be signed by the appropriate person associated with the operator identified in
Item#1.)
01/2014 Page 1 of 1
Virginia Stormwater Management Program (VSMP)
Application for Albemarle County
Project Name: Briarwood Phase 6
(The name should be the some 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 {a
County File Number: WP02016-00054
be provided by the Countyfor new applications)
The following are required elements of new applications [from code section 17-401 J. 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, 1 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.
32G-1
Briarwood Associates
10
9/8120
Tax Map & Parcel
Print Name of Owner
. gna re of
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
Address
City State Zip
Daytime Phone (_) E-mail
Revised 07/24/18 Page I of 2
❑ B. All Fees [Code section 17-2081
For new or modified plans; Total acres proposed to be disturbed 579
Acres to be
disturbed
Total Fee
Fee Due with this
Application
Fee with Transfer or
modification of permit
Lessthan l
$290
S145
$20
1 and less than 5
$2.700
S1,350
$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
too
$6,100
S3,050
S450
100 and more
S9,600
S4,800
S700
For (minor) amendments to an approved plan; $200 per review
Variances; $150
Mitigation Plan; $150
❑ C. Registration Statement on the official DEQ form.
❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
❑ E. Stormwater Management Plan satisfying the requirements of code section 17403.
❑ F. Pollution Prevention Plan satisfying the requirements of code section 17404.
❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17405.
❑ H. Mitigation Plan satisfying the requirements of code section 17406 for any proposed disturbance of
stream buffers.
❑ 1. Requested Variations or Exceptions as provided in code sections 17407 and 408.
❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17422.
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
Address 200 Garrett Street
City Charlottesville state VA Zip 22902
Daytime Phone(434 ) 293-3719 E-mail scoff@collins-engineedng.com
"'hen 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 w'PO H
Fee Amount S Date Paid By who' Receipt 4 CkM By
Revised 07/24/18 Page 2 of 2