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WPO201300006 Application 2013-01-23
{f 'I� Albemarle Coy ity Community Development Department 4 01 McIntire Road Charlottesville, VA 22902 -4596 Planning Application Voice : (434) 296 -5832 Fax : (434) 972 -4126 N1RCEL / OWNER INFORMATION TMP 04400 - - - 0211(0 Owner(s): ALLEN, ELIZABETH TRUSTEE OF THE ELIZABETH ALLEN Application # WP0201300006 REVOCABLE TRUST EROPERTY INFORMATION Legal Description KING'S GRANT 3 Magisterial Dist. Jack Jouett Land Use Primary Unassigned Current AFD Not in A/F District Current Zoning Primary Rural Areas KPPLICATION INFORMATION Street Address Entered By Jennifer Durrer Application Type Water Protection Ordinances 101/23/2013 Project KINGS GRANT Received Date 01/23/13 Received Date Final Submittal Date 01/23/13 Total Fees 180 Closing File Date Submittal Date Final Total Paid 180 Revision Number Comments Legal Ad I., 1 4 } ci SUB APPLICATION(s) Type Sub Applicati Comment Stream Buffer Mitigation Plan i 01/23/13 € APPLICANT / CONTACT INFORMATION ContactType Name Address I CityState Zip Phone PhoneCellI Owner /ApP1#carit IALLEN, ELIZAsem TRUSTEE OF THE ELI ;1515 LONDON RD i CHARLOTTESVILL' " 22901 Primary Contact STEVE NICHOLSON ONE MORTON DRIVE, SUITE 4 CHARLOTTESVILL 22903 4342443300 K lvt 5 &vQv , 00 ( Plicik.A w pOQ,©j 3- OOcCs &ax Signature of Contractor or Authorized Agent Date ( o 1 a - dQ t 57 V4 tcLe the ; til, eitcatael ViP0 oo7 — 00OG AR*: (A) Po 2_007_ o t✓OO?). Gleyt,vt, 1/41,,,siiNet . Q ., lav4Sdtvci` 61chv, (old y ®v cet,'� ;no ktAs cs 1Vmek ii vt-E - k k001 -0o ?- O' VOA t 'F 1,5,140v(4 �2. , - d flee` ilAct{. a ' 4,. reV Application for Review of Erosion & Sediment Control Plan & Stormwater Management /BMP Plan & Stream Buffer Mitigation Plan ❑ Erosion & Sediment Control Plan ❑ Stormwater Management /BMP Plan ❑ Stream Buffer Mitigation Plan ❑ E &S Plan Amendment ❑ SWM Plan Amendment (Previous Plan # ) (Previous Plan # ) ❑ E &S Plan with Variance ❑ Request for Exception # of Variances 0 SWM Plan Resubmittal ❑ E &S Plan Resubmittal WPO Application # 2012 -00057 WPO Application # Submit 2 copies each of applicable plans /narrative /computations Project Name: Kings Grant Tax map and parcel: TMP 44 -21 K,L,M,N,P 'Zoning: RA Amount of Land Disturbance: 0 Acres Location of property (landmarks, intersections, or other): 1ST LEFT AFTFR 497 WOODLANDS ROAD Contact Person (Who should we call /write concerning this project ?): Steve Nicholson Address One Morton Drive Suite 407 City Charlottesville State VA Zip 22903 Daytime Phone ( 434 244 -3300 Fax # ( ) E -mail steve.nicholson@mapleridgegroup.com Owner of Record Allen, Elizabeth Trustee of the Elizabeth Allen Revocable Trust Address 1515 London Road City Charlottesville State VA Zip 22901 Daytime Phone ( 434 ) Fax # ( ) E -mail Contractor Address City State Zip Daytime Phone ( ) Fax # ( ) E -mail Plan Prcparer Alan Franklin, PE Address 111 3rd Street SE City Charlottesville State VA Zip 22902 Daytime Phone ( 434 ) 2955 -8177 Fax # ( ) E -mail afranklin@waterstreetstudio.net Waterstreetstudio.net 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 hereby grant the County of Albemarle the right to enter upon the property as required to ensure co o s% ance with the ap ov d plan. � �., 01/18/2013 Signat Oof 0 ner, C nt ct Purchaser Date Elizabet S. Allen 405 - 880 -5700 Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO # � A O 01--A 01--A D f� vl , Fee Amount $ 19)) Date Paid 1 ' �' 03y who? k dc, Receipt # Si �� Ck# . r 2, By: I ' J Revised September 15, 2008 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 $150 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 3. Annual Permit Renewal and Inspection Fees $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 EROSION CONTROL PERMIT) 7. Annual Permit Renewal and Inspection Fees $150 (TO BE PAID ANNUALLY, STARTING WITH SECOND YEAR, UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 8. Each reinspection $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 $200 (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. Amendment 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 $ O Revised September 15, 2008 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) $ O 25. SUBTOTAL SWM/BMP PLAN TOTAL APPLICATION FEE: (Add lines 18 and 25) S 180 THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND /OR ANNUAL RENEWAL FEES WHICH MAY BE CHARGED TO THIS PROJECT. Revised September 15, 2008 Page 3 of 3