HomeMy WebLinkAboutWPO201300037 Application 2013-05-30 6, Albemarle CoLq Community Development Department
401` entire Road Charlottesville,VA 22902-4596
es u Planning Application Voice:(434)296-5832 Fax:(434)972-4126
PARCEL/ OWNER INFORMATION
TMPI 03200-00-00-049F0 Owner(s):
DICKERSON RIDGE LLC
Application # WP020Z 300037
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL F
Magisterial Dist. Rio Land Use Primary Residential --Single-family (incl. modular homes)
Current AFD Not in A/F District Current Zoning Primary Planned Residential Development
APPLICATION INFORMATION
Street Address 3621 DICKERSON RD EARLYSVILLE, 22936 Entered By
Todd Shifflett
Application Type Water Protection Ordinances 05/30/2013
Project (Willow Glen Phase 2
Received Date 05/29/13 Received Date Final Submittal Date Total Fees 600
Closing File Date Submittal Date Final Total Paid 600
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub Applicati I Comment
Erosion and Sediment Control Plan
Stoirmwater Managennent/BMP Plan
'APPLICANT/ CONTACT INFORMATION
ContactType I Name Address CityState Zip Phone PhoneCellj
owner/Applicant OICKERson RIDGE Lt.0 ! 690 BERI(MAR CIR `:.CHARLOTTESVILL; 22901
Primary Contact ALAN FRANKLIN 427 CRANBERRY LANE CROZET,VA 22932 4345315544
Plan Preparer ALAN FRANKLIN PE, LLC 427 CRANBERRY LANE CROZET,VA 22932 4345315544
Signature of Contractor or Authorized Agent Date
Application for Review of
Erosion & Sediment Control Plan & Stormwater Management/BMP Plan &
Stream Buffer Mitigation Plan
fgi 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county comments,the application will be deemed withdrawn.nn
Project Name:f l+ E 2 aof Vuil&ew G(et% -Zovie A 6 4 SC_ Plays
Tax map and parcel:32"N 1 rt Lict& W-1 I Hq 1- Zoning: f
Amount of Land Disturbance: 1(0.9 Acres --
Location of property(landmarks,intersections,orother):56MI k Dt10(,U tticA rl Vt toi SiNl al •
•
Contact Person(Who should we call/write concerning this project?): 'Pd I1t -1((/1
Address (4)"1 Glrah I€vyL4v►e City ovol r State VA- Zip `2S?32
Daytime Phone (-1 531 cp e.t[y' Fax#( / ) E-mail a(a v►®alas f rain�It n? .CD YV4
Owner of Record D CL e cS 81/t K�1 L •(J•ld, �O GecN�e J(Z• a3-90
Address ro°►O 13Q(Z-14 C1 cl e c, City�t av loges�/i State U Zip
Daytime Phone�5T) �41-' Aa T Fax#(�3�jg1D—t )(o E-mail(leant 0� tY1Slq WIC^-Vet • CO W1
Contractor J
Address City State Zip
Daytime Phone( ) Faxes�#( ) E-mail
A
Plan Preparer Pd & FY ah 11-it y1() Pli
Address 14a1 C-a hQYll IIvt.Q_ City Cxotei StateVa Zip 22Cj32
Daytime Phone(4 931— S�j t-{'�{' J F a x#( ) E-mail Aa h®al Q.Revell o lL t(/VI G '"n4
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 the approved plan.
h ' . 13
Signature of Owner,Contract Purchaser Date
GOO(?4E W• fl t J(L , 8--tu-t�.at Lush tri�( 242- ?i S 2�
Print Name vimA tA. r lc/Y of M c� c- -1 r7, u Daytime phone number of Signatory
fit U-C_
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
Revised November 14,2011 Page 1 of 3
EROSION CONTROL PLAN: (SNMIT 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 $ 1 0
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 $ 3 7 V
TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 410r600
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