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Home My WebLink AboutWPO201300024 Application 2013-04-02 h,,,,1 Albemarle Coui / . Community Development Department '�"! 401 MLre Road Charlottesville,VA 22902-4596 t: sa Planning Application Voice:(434)296-5832 Fax:(434)972-4126 'PARCEL/ OWNER INFORMATION TMP 07100-00-00-00500 Owner(s): Application # WP0201300024 TILMAN, ALICE MAY W LIFE ESTATE PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. Samuel Miller 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 150 BURCHS CREEK RD CROZET, 22932 Entered By Todd Shifflett Application Type Water Protection Ordinances 04/02/2013 Project Burches Creek Fill Area Received Date 04/02/13 Received Date Final Submittal Date Total Fees 150 Closing File Date Submittal Date Final Total Paid 150 Revision Number Comments Legal Ad SUB APPLICATION(s) — , .' -�'Z r ype r " Sub Apphcatl a �. Comment Erosion and Sediment Control Plain wwwwJUww JJJw.+u 'r4+Jw wwwwdrJaWwwwrawwww uwwruwrrJ wuw.i+wwawJ wWwwdraaJa wiwrrJJaw wwawwWw urrawruww w uwrwuwwJww uJwwaw.Jw wwi rJrwwaww aaw aJJa wwJJJJaJ wuuu..:.'+i APPLICANT/ CONTACT INFORMATION ContactType , Name Address CItyState Zip Phone PhoneCell Owner/'Appiicant TILMAN,ALICE:MAY W LIFE ESTATE 591 GOUGH RD 'RUSTBURG VA 24588 _.. _.. ww Primary Contact DICK STEWART - HANDLEY CONSTRUCT P.O. BOX 40 a IVY,VA 22945 4349819836 General Contractor HANDLEY EXCAVATION P.O. BOX 40 IVY,VA 22945 4349819836 Plan Preparer �ROUDABUSH AND GALE .914 MONTICELLO ROAD aCHARLOTTESVILL 22902 4349770205 Signature of Contractor or Authorized Agent Date Ap wcation for Review of Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & ® Stream Buffer Mitigation Plan J 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a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn.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: g c)c'cLc S C rte k / (1 A rems A Tax map and parcel: 7/- 5 Zoning: 2 A Amount of Land Disturbance: ,/S Acres Location of property(landmarks,intersections,or other): S J. X89 - /,,SD 6 C)lr(l S ( 'ec k 1QJ. Contact Person(Who should we call/write concerning this project?): ►J 1 *1,367r-1- - 1-14A4dieci Cyst. Address 0. 0. 8 v City r V State VA Zip ,)2q Daytime Phone(y341.) 9 / - SC. Fax#( ) E-mail Owner of Record C u (et.. .Q v. /V{1 (i a t— �''c 1'54a4G Address .2 y3 84 Cu e r5 reev. N.1 Is City A LA,'e. State 1/4 Zip .20 /6 C Daytime Phone(70 3) S'/a - E 4 7.5- Fax#( ) E-mail 0--4'i(%net v■ p C 5 e cum Contractor YtQ4. e �=x e ct tia Tt (/VA Address //�� I , 0 . ei0 City J ✓� State VA Zip 2,7/ Daytime Phone(`/3y) gf/ - 9(F-3G Fax#( ) E-mail Plan Preparer K 01)014 10 U S L 4 ti d £Q (e Address (/y crpi c ('o City C(t4I-(o Iirs U,'IIC State VA Zip o?,�6 Daytime Phone(/.sue"/) 9 77-0 2 0S- . Fax#( ) 0,794 - 6-22 0 E-mail WI $1 c 0 Udda rI o 51. eau Owner/Applicant Must Read and Sign By signing this application as owner,I hereby certify that all requirements of the approved Erosion Control Plan,Stormwater Management/BMP Plan,and/or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with th approved plan. Signature of Owner,Contract Purchaser Date 77j ..k v 4 ie E M Tt'LMAAt Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# Fee Amount$ I� Date Paid21 '2 ( By who?NLU C...t U b ipt# 1 Ck# t 22-- By I 1 Ufck„/ Revised November 14,2011 Page 1 of 3 'some Nowe 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 $ /SO Revised November 14,2011 Page 2 of 3 Now, ,ftgoe 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) $ / 5-6 — 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