HomeMy WebLinkAboutWPO202100039 Preconstruction Form 2021-08-04it
Request for Pre -construction Meeting and Grading Permitfrom Albemarle County — VSMP
Approved Plan Number: WPO- .2r2 /— 4oO3 `)' DEQ Permit # (if applicable): VAR10-
Approved Plan Name:
(Plans must be approved prior to a pre -construction meeting.)
Bond approved date:
(Bonds must be approved and pasted prior to a pre -construction meeting or permit.)
Responsible Land Disturber:
Print Name: T 2 . (, " t /
State RLD Number: a A A 9, 3
Address: P. / 1, J! D X 3 el —
City: /t i LL/i LLF State: VA zip: AdL.2 �
Daytime Phone: '" 7 a1�L E-mail: 5_2 el a 51? CAS V O /Yj
Primary Contractor:
PrintName:�L(3c,„c_iLe eet Aty SLKaO4<- ,4tl Georta Sf1,F!-'LL=7r'
V
Address: _.27-f-i HVD/L .,[:r 24n ,Q
City: G//c /12,e tt sdiGG State: t14 Zip:,Z.7 570
Daytime Phone: 4 73 =53. i D E-mail: Q.�� { FJ�i/ G t13 c/n� r L e o/•
Permit Issuance Fees (Request must include payment) [Code §17-708]:
Total acres proposed to be disturbed as shown on the approved plan and application:lSSS 7-,rn / Acres
Acres to be Disturbed
Total Fee Due for Grading Permit
Total Fee = (Application Fee + 4"/o Technology Surcharge)
Less than 1
$74.88
$72 + $2.88
Single -Family Dwelling only -
$74.88
less than 5
($72 + $2.88)
1 and less than 5 acres
$700.96
$674 + $26.96
5 and less than 10 acres
$881.92
$848 + $33.92
10 and less than 50 acres
$1,167.92
S 1 123 + $44.92
50 and less than 100 acres
$1,581.84
$1,521 +$60.84)
100 acres and more
$2,490.80
$2 395 + $95.80
Annual maintenance fees are assessed in arrears on April I each year or portion of a year that this permit is active
[Code §17-208].
7/1/14, Revised: 8/29/14, 10/18/18, 7/l/2021, 7/26/2021 Page 1 of3
Person(s) attending the Pre -construction Meeting:
Names (type or print) Firm Contact Number or email
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, 10/18/18, 7/l/2021, 7/26/2021 Pace 2 of 3
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
detemunes 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 § 17-210.
(1) Owners with late payments of fees required by § 17-207 or § 17-208 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.
Re -inspection Fees
Re -inspection Fees will be charged for inspections following a Notice to Comply or a Stop Work Order. Re -inspection
fees are $283 for the first re -inspection and $383 for each subsequent re -inspection plus a 4% Technology Surcharge
fee per re -inspection [Code § 17-207 and § 17-208].
Maintenance Fees
Annual Maintenance Fees will be assessed in arrears on April 1 each year or portion of a year this permit is active
[Code § 17-207 and § 17-208].
7/1/14, Revised: 8/29/14, 10/18/18, 7/l/2021, 7/26/2021 Page 3 of 3