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Home My WebLink AboutWPO201300051 Application 2013-07-10 0:, Albemarle CoG,,.�Y 401 lACintire Road Charlottesville, e, VA 2 -4596 -� Planning Application Voice : (434) 296 -5832 Fax : (434) 972 -4126 PARCEL / OWNER INFORMATION TMP 04700- 00- 00 -037A0 Owner(s): Application # WP0201300051 SEVERSON, KIMBERLY L PROPERTY INFORMATION Legal Description ACREAGE HAY GROUND Magisterial Dist. Rivanna Land Use Primary Residential -- Single family (incl. modular homes) Current AFD Not in A/F District Current Zoning Primary Rural Areas APPLICATION INFORMATION I Street Address 3078 BURNT MILL RD CHARLOTTESVILLE, 22911 Entered By Todd Shifflett Application Type Water Protection Ordinances 107/10/2013 I Project 'Hay Ground ' Received Date 07/10/13 Received Date Final' Submittal Date Total Fees 200 Closing File Date Submittal Date Final Total Paid 200 Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sub Applicati Comment I Erosion and Sediment Control Plan (APPLICANT / CONTACT INFORMATION ContactType I Name Address 1 CityState Zip 1 Phone 3 PhoneCell 1 Owner /Applicant SEVERSON, KIMBERLY L = 3078 BURNT MILL ROAD :CHARLOTTESVILL 22911 ........................................... a........,.,.........,........... ...._..............,.._........ i.,_,. a............................................. .F_....................:......: . ..............,...............i Primary Contact KIMBERLY SEVERSON 3078 BURNT MILL ROAD CHARLOTTESVILL 22911 4349533571 Signature of Contractor or Authorized Agent Date -- kki 01(1 Apgrication for Review of -_n ,. Erosion & Sediment Control Plan & Stormwater Management /BMP Plan & � Stream Buffer Mitigation Plan )rosion & 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 ❑ 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a response to comments is not received within 6 months from the date of county comments, the application will be deemed withdrawn.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: H A`f Gti2o'-"k Tax map and parcel: c. U "YSQ - - 03 7 A C.) Zoning: RA Amount of Land Disturbance: y4 Ac,R_C. Acres Location of property (landmarks, intersections, or other): g %.;2,-2T v" ‘1.4... .24S --* 7e? r Contact Person (Who should we call /write concerning this project ?): - `'''Yi ' -11 . --L i SI GAS C 4 Address 3 o ISQe:`'T M 'L R.chD City C_ JtL( -E State VA Zip Z2ct Daytime Phone ( 'r3 'f 1J 3. 7 / Fax # ( ) E -mail Owner of Record f et-✓"C- Address City State Zip Daytime Phone ( ) Fax # ( ) E -mail Contractor 50A--f Actii...Q ic fl--" Address City State Zip Daytime Phone ( ) Fax # ( ) E -mail Plan Preparer (tit - 1/4 L L -- S " t--4 A. 7e., Address City State Zip Daytime Phone ( ) Fax # ( ) E -mail Owner /Applicant Must Read and Sign By signing� t ,is application as owner, I hereby certify that all requirements of the approved Erosion Control Plan, Stormwater ManageuientBMP P Ian, and /or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and deve opinent on The subject property. lereby grant the County of Albemarle the right to enter upon the property as required to ensure com fiance with he appr ved pl n. Sig ature of Owner, ntrac urchaser Date Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO # Fee Amount 4r }, J Date Paid ° r) - 13 By who Receipt # q HI CIO P By: ,..... .. %) /I — Revised November 14, 2011 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 EACI -I 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 $1 1 per -view (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 er 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 00 ' (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 $150 /per request (TO BE PAID AT TIME OF APPLICATION) 18. SUBTOTAL EROSION CONTROL PLAN $ Revised November 14, 2011 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 $150 (TO BE PAID AT TIME OF APPLICATION) 25. SUBTOTAL SWM/BMP PLAN $ TOTAL APPLICATION FEE: (Add lines 18 and 25) $ THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND /OR ANNUAL RENEWAL FEES WHICH MAY BE CHARGED TO THIS PROJECT. Revised November 14, 2011 Page 3 of 3