HomeMy WebLinkAboutWPO201300055 Application 2013-08-12 Application for Review of .
Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & ,'l
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 ❑SWM Plan Resubmittal
Err E&S Plan Resubmittal WPO Application#
WPO Application# 201%—00055-
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county comments,the application will.be deemed withdrawn.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: Afij V4/ Pp►t.-
Tax map and parcel: Zoning:
Amount of Land Disturbance: 6'03 Acres �
Location of property(landmarks,intersections,or other): 1000 I�,4 a.nL+Ce4 t Ve— "2Z et e.1
Contact Person(Who should we call/write concerning this project?): 14 a,4 Q Do `
Address 1 3 3,3 u ta1n1..15 AAA-top. 2�City 1 (�su,If SVAAO State V* Zip 123
Daytime Phone m_gei,cob 2.13G Fax#( ) E-mail rnala Lobo d.t OrieS @a I
Owner of Record /V q4 v� O . `-.LG y V
Address /0✓ 0 '✓ robmk "d City CM.,. State vA Zip Lv"8�
Daytime Phone( ) `. ` Fax#( ) E-mail
A� W
Contractor M Al MCI e�-�
Address 3 t u cnie`� S&-}t on R� City (bou rst tU l.Q State V A Zip C C..--5
Daytime Phone Fax 2463 re Fax#( ) E-mail I Mekleit_L000d14,D0 r 105 P ea itkilLk I .
4.40
Plan Preparer `k).M. Wnticia.te d- A So Lta.-fit.s
Address Pb Bo x 2-1 5 3 City ,L,t41n do to State -1—A Zip 3-14-101.1 o
Daytime Phone(:179 Inc bq�� Fax#( ) E-mail 11S.)M J*, 162( 10 W MWhi_kQ L 4t .
(honer/Applicant Must Read and Sign CO d
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
compliance with the p v Z pl.n.
1 Dial/15
Signature of Owner, ontract Purchaser Date
MI 4 yll Woad y34 ct%oo 2c'3 co
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPC)# _ �J 13 Fee Amount$ 32 Date Paid l6 2/0Bywho? Mkup.. %-A-16U.1 Receipt hr 0,5702 Ck# a 1/ By:
Revised November 14,201 I Page I 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 $150/per request
(TO BE PAID AT TIME OF APPLICATION)
18. SUBTOTAL EROSION CONTROL PLAN $
Revised November 14,2011 Page 2 of
.r re
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(4,2011 Page 3 of 3
ii a
Albemarle Ct U n ty Community Development Department
401 McIntire Road Charlottesville,VA 22902-4596
un Planning Application Voice:(434)296-5832 Fax:(434)972-4126
'PARCEL/ OWNER INFORMATION
TMPI 05900-00-00-03760 Owner(s):
Application # WP0201300055 NATIVE POND LLC
PROPERTY INFORMATION
Legal Description IVY CREEK 1
Magisterial Dist. Jack Jouett Land Use Primary Residential --Single-family(incl. modular homes)
Current AFD Not in A/F District Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address 1050 BROOMLEY RD CHARLOTTESVILLE, 22901 Entered By
Application Type Water Protection Ordinances No Staff Selected
08/12/2013
Project 'Native Pond LLC
Received Date 08/08/13 Received Date Final Submittal Date Total Fees 840
Closing File Date Submittal Date Final Total Paid 840
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub Applicati 3 Comment
Erosion and Sediment Control Plan
'APPLICANT/ CONTACT INFORMATION
ContactType ( Name f Address j CityState I Zip f Phone 1 PhoneCell
OwnerJApplicartt FERGUSON, KAY LEIGH TRUSTEE OF TH. 1050 BROOMLEY RD CHARLOTTESVILL :22901-78
Primary Contact MAYA WOOD 3133 BURNLEY STATION ROA BARBOURSVILLE, 22923 4349602836
General Contractor MAYA WOOD AND COMPANY 3133 BURNLEY STATION ROA BARBOURSVILLE, 22923 4349602836
Plan Preparer WM.WHITAKER&ASSOC. LANDSCAPE P.O. BOX 2153 CHATTANOOGA, 37409 4348250744
Signature of Contractor or Authorized Agent Date
Apation for Review of ,....00 flit.
Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & ':Vr
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 ❑ 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: C.
Tax map and parcel: 51 ' VIL 311 g Zoning:
,
Amount of Land Disturbance: ‘1,1, Acres
Location of property(landmarks,intersections,or other):1CM 41& b', PAYA*5\:)111e)\h, Oat)
)
Contact Person(Who should we call/write concerning this pro'ect?): I 1 �a�l WO131,''
+,' ,h J�(�p�
Address I33 -bus, J � City `p(� State v Zip (
Daytime Phone ( - I. IaW Fax#AN-q 13 '(J E-mail : .4__ S14 it. tCt
Owner of Record lb1 MIS i
Address m � ` City r\) j`yi 1[" State \111/1, , Zip_gq(X3
Daytime Phone( ) Fax#( ) E-mail
Contractor Q ,,,, Df
Address 3� w ��m , City 1�\)\tt° State \i ■ Zip �f !. 3
Daytime Phone q(.GL)` Fax# ' QM -C 1 E-mail W A2Aut{CA Q1 t ,on
Plan Preparer LOINV VJW\k-t Lrct 1. 1 �. IASJrk? ti9 IN6,
Address City State' Zip a_q_km_
Daytime Phone 1.1,14 M6 s o 44 Fax#( ) E-mail y4. ' k V _il _V I it_ ' dorq
I.
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
ManagementBMP 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
complian wit oved plan.
,
1.60 1} 8 " 7-/3
Si e of Owner, ntract Purchaser Date
Koc4 Le .11,\ Fe IA use A y3Y-2f3 -86f,L
Print Na he "t Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#
� Y � Q
Fee Amount$ Date Paid9By who? V 11 Receipt#60 H'1 /Ck# lQ I g BY
Revised November 14,2011 Page 1 of 3
'woo'
EROSION CONTROL PLAN: (SUBMIT 2 COPIES)
Land disturbing activity pertaining to single family dwelling unit:
I. 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)
APlan Review,Disturbed Area One Acre or Larger $300 per review
(TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)D ,y
DJ i
Permit and First Year Inspection Fees,Disturbed Area One Acre or Larger S'^r $100/per disturbed acre b.
(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 $ U
Revised November T4,2011 Page 2 of 3
*NW 'fteige
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.
RevisedNovember 14,2011 Page 3 of 3