HomeMy WebLinkAboutWPO200700082 Application 2010-06-08 Application for Review of
Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & ?kr "
Stream Buffer Mitigation Plan
❑ Erosion& Sediment Control Plan ❑ Stormwater Management/BMP Plan 0 Stream Buffer Mitigation Plan
E&S Plan Amendment % — oast. ❑ SWM Plan Amendment
(Previous Plan# (Previous Plan# )
❑ E&S Plan with Variance ❑ Request for Exception
#of Variances ❑ SWM Plan Resubmittal
❑ E&S Plan Resubmittal WPO Application#
WPO Application#
Submit 2 copies each of applicable plans/narrative/computations
*When a WPO plan is 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county comments,the application will be deemed withdrawn.__
Project Name: A s k .raP. t.)esk P V1�s L A P L-r
Tax map and parcel: 7Q w VDT Zoning: 'P_D
Amount of Land Disturbance: nrf f.`j Acres Location of property(landmarks,intersections,or other): As tb� 1 I/ 1✓�'$4b n
41.G
Contact Person(Who should we call/write conce ril' )Vng this project?): (*eargV l' 4-
Address 1 I.S i'Vt .1.em, City(110-rk0 1.454 11, State V A Zip 2 .` i 1
Daytime Phone(N)Q ii 1.-sib tb' Fax#(11 /$IS"45S t& E-mail Ada �V k Lrla)ti; i:64ul..,e�,.,�
Owner of Record l kbr5'�. ri 'V U.C. C y.
Address `` City State Zip
e**-Med -s O-.Cjb v G
Daytime Phone( ) Fax ) E-mail
Contractor C. 5\,A c,,,Ar. #OTS Lc
Address City State Zip
Daytime Phone( ) � � Fax#( ) E-mail
Plan Preparer D Dt4%4isf £r‘.2.0
, J l.Iy3 I Pk;1 L t s—/w�� /44
Address 1City State Zip
c e:).--4'‘Ati 0.- 6-46 V e..,
Daytime Phone( ) Fay=( ) E-mail
Owner/Applicant Must Read and Sign
By signing this application as owner,I hereby certify that all requirements of the approved Erosion Control Plan,Stormwater
Management/BMP Plan,and/or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and
development on the subject property. I hereb gra t the County of Albemarle the right to enter upon the property as required to ensure
compliangill
eproved plan. /c3 /zO ic'
Signature of Owner,Contract Purchase D to
Gher I s Li 140r} (431 i�`'l4'S101
Print Name Daytime one number of Signatory
FOR OFFICE USE`, ONLY WV
WPO#
Fee Amount$ lbV Date Paid By whop € 1/.0—r 1 c5 t,-".. Receipt# 79342 Ck# T3/2 By 7
NJ r Revised March 4,2010 Page 1 of 3
EROSION CONTROL PLAN: (SUBMIT 2 COPIES)
Land disturbing activity pertaining to single family dwelling unit:
1. Plan Review $150 per review
(TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)
2 Permit and First Year Inspection Fees S 150
(TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION
CONTROL PERMIT)
3. Annual Permit Renewal and Inspection Fees S 150
(TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED
PLAN REQUIREMENTS)
4. Each reinspection $150
(REINSPECTION FEES ARE INVOICED TO THE LANDOWNER)
Land disturbing activity pertaining to non-exempt agricultural land:
5. Plan Review $150 per review
(TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)
6. Permit and First Year Inspection Fees $150
(TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROS►QN
CONTROL PERMIT)
7. Annual Permit Renewal and Inspection Fees S 150
(TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED
PLAN REQUIREMENTS)
8. Each reinspection S 150
(REINSPECTION FEES ARE INVOICED TO THE LANDOWNER)
All other land disturbing activity:
9. Plan Review,Disturbed Area Less Than One Acre $150 per review
(TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)
10. Permit and First Year Inspection Fees,Disturbed Area Less Than One Acre S200
(TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION
CONTROL PERMIT)
11. Annual Permit Renewal and Inspection Fees,Disturbed Area Less Than One Acre $200
(TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED
PLAN REQUIREMENTS)
12. Plan Review,Disturbed Area One Acre or Larger $300 per review
(TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)
13. Permit and First Year Inspection Fees,Disturbed Area One Acre or Larger $100/per disturbed acre
(TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION
CONTROL PERMIT)
14. Annual Permit Renewal and Inspection Fees,Disturbed Area One Acre or Larger $100/per disturbed acre
(TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED
PLAN REQUIREMENTS)
15. Each reinspection $250
(REINSPECTION FEES ARE INVOICED TO THE LANDOWNER)
16. • endment to Approved Plan $180/per plan review
TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)
17. Variances $760/per request
(TO BE PAID AT TIME OF APPLICATION)
18. SUBTOTAL EROSION CONTROL PLAN $
Revised March 4,2010 Page 2 of 3
STORMWATER MANAGEMENT/BMP PLAN& MITIGATION PLAN: (SUBMIT 2 COPIES)
19. Stormwater Management/BMP Plan... $300/per plan review
(TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)
20. Major Amendment of Plan $180/per plan review
(TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)
21. Request for exception $240
(TO BE PAID AT TIME OF APPLICATION)
22. Request for development in a stream buffer or for reduction or modification of stream
buffer and mitigation plan(if not part of another document)—Single family dwelling unit
or accessory structure $85
(TO BE PAID AT TIME OF APPLICATION)
23.Each inspection or reinspection $60
(INSPECTION/REINSPECTION FEES ARE INVOICED TO THE LANDOWNER)
24. Mitigation Plan $860
(TO BE PAID AT TIME OF APPLICATION)
25.SUBTOTAL SWM/BMP PLAN 5
TOTAL APPLICATION FEE: (Add lines 18 and 25) S I O anC)
THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND/OR ANNUAL RENEWAL
FEES WHICH MAY BE CHARGED TO THIS PROJECT.
Revised March 4,2010 Page 3 of 3