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HomeMy WebLinkAboutWPO201600072 Application 2021-01-06Virginia Stormwater Management Program (VSMP) �> Application for Albemarle County Project Name: W001 0J M I L L.1 /i11}j a ptt k- (The name should be the some as it appears on plans) Is this an amendment to an approved plan? Yes d No ❑ Is this a revision or resubmission for review? Yes ❑ No ❑ County File Number: A(A/)0O ZO1 600Q-7 �L (to be provided b3' the Coun ryfor new applications) The fallowing are required elements of new applications [from code section 17-4011. For revisions or amendments, please indicate which items are being amended. Signatures must be provided for any submission. ,.t!(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. 77—'1,06 LggAf pwitw / Z ZrJ Tax Map & Parcel Print Name of Property Owner Signature ofOwner Dale Tax Map &Parcel Print Name of Property Owner Signature of Owner Date e Tax Map & Parcel Print Name of Property Owner Signature of Owner Date Tax Map &Parcel Print Name of Property Owner Signature of Owner Late Contact information for the Owner(s) to receive correspondence: Print Name ,E't'Yl1✓ Address t949' 7 . (fL(,JN(r Ai✓�') C City State State V4 zip_Z-1�q-IT' Daytime Phone 9 03) 79'6—" Zy 3 D E-mail kA O:IY@ F pilc �G.. B1'j,.. 7/l/14, Revised: 7/10/14 Page I of 2 ❑ B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed be d Total Fee Fee Due with this Fee with Transfer or 1 $290 A lication modification of ermit $145 $20 ss than 5 $2,700 $1,350 $200 *disturbed s than 10 $3,400 $1,700 $250 ess than 50 $4,500 $2250 $300 ss than $6,100 $3,050 $450 more $9,600 $4,800 1 $700 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 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. XH. 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 ofall 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/Vj{Y�IyJ/pr 7F1 tt/j�{/J✓(a (%C/4}J Address _M/ P11470WIS C IMGC 5f6 '- � ciry_CN" La-TTc?+/f(,4E1 State-y4 Zip Daytime Phone C 3q) MI-0 1- k E-mail T}+? 1( LE7�@M ��Jrf)jpiJ(Nj d *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 "'Po Fee Amount $ Daze Paid By whop Receipt # 7/1/14, Revised: 7/10/14 Paee 2 of Albemarle County Engineering Mitigation Plan checklist for plan reviewers Updated 2 Dec 2014 A mitigation plan is a document required by County Code Chanter 17 the Water Protection Ordinance which illustrates stream buffer disturbance and the measures proposed to alleviate or compensate for it. Reference key; [Square Brackets] are County Code references, iCurved Brackets) are policy references, and (regular Parenthesis) are explanatory. Links to reference documents are provided where possible. I Title information: (applicable to any type of plan) X Project title. Titles should be appropriate. It should be a mitigation plan, not a stormwater plan, or erosion control plan, etc. X Professional seal, with original signature and date for professionally prepared plans x Content: Mitigation Plan (per the Water Protection Ordinance 11;-406]) Existing conditions plan view information: (applicable to any type of plan) —.2—( existing topography (as shown on other final plans in process if applicable) X WPO buffer limits; 100' from stream or wetland bank, 200' from reservoirs, or floodplain limit if greater [ 17-600] floodplain limits, including 100yr flood limits for any channel with a drainage area of 50+ acres [18-32.6.2d, 18-30.31 all existing easements (access, drainage, sight, sanitary easements, etc.) with deed book references, locations and dimensions [18-32.6.21 all critical slopes (typically shaded) j,;18-52.5 2] Proposed plan view information: (applicable to final site plans, road and drainage plans) X proposed topography (as shown on other final plans in process if applicable) V all proposed permanent easements, dimensioned and labeled. On a mitigation plans these would typically be; X conservation easements nC any permanent easements proposed on other final plans (such as sewer easements which cannot have plantings) Disturbances: outlined and/or shaded areas of buffer disturbance, with acreages labeled, matching the disturbances shown on the erosion control plan and other final plans if applicable. disturbances are minimized as much as possible I i 7-406A21 Mitigation: outlined and/or shaded areas of mitigation, with acreage labeled for plantings, mitigation area is equal to double (2x) the disturbed area N for channel restoration, 1' of restored channel for every 100sf of disturbed buffer. Aln stations at every 50' min. with existing and proposed cross -sections provided for restoration planting plan for mitigation areas per Riparian Buffers Guidance Manual by CBLAD detail provided for typical spacing (i.e. 20'x20' detail with placement). Albemarle County Engineering Mitigation Plan Checklist Page 2 of 2 native plants used with species, size, planting condition condition specified See the county's native plant database (httn://www.albemarle.or /nativeplants/ ) maintenance narrative and schedule on plan, including a completion date. Q areas restored or replanted for mitigation must be protected in easements or by maintenance agreements if they are not in a buffer. (This is a rarity, as all planting should be buffer restoration or reclamation. Noted exceptions are TJSWCD easement areas.) all concentrated discharges treated or extended to adequate channels to preserve buffers.