HomeMy WebLinkAboutWPO201300025 Application 2013-04-04 Albemarle Coui, ,/ Community Development Department
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Planning Application
Voice:(434)296-5832 Fax:(434)972-4126
PARCEL/ OWNER INFORMATION
TMP 05600-00-00-10000 Owner(s):
Application # WP0201300025 CRAIG, S DALEY 7R
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL D HILLWOOD FARM
Magisterial Dist. White Hall Land Use Primary Open
Current AFD Not in A/F District Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address Entered By
Todd Shifflett
Application Type Water Protection Ordinances 04/04/2013
Project S. Daley Craig,Jr. - Lot A&B
Received Date 04/03/13 Received Date Final Submittal Date Total Fees 300
Closing File Date Submittal Date Final Total Paid 300
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Sub A••lic atl
Erosion aind Sediment Control Plan
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]APPLICANT/ CONTACT INFORMATION
ContactType ] Name ] Address ]4 CityState ( Zip Phone PhoneCell
Owner/Applicant :.CRAIG::S DALEY:7R. 715 HALF MILE BRANCH RD CROZET'.VA 22932
Primary Contact BRIAN-RAY--ROGER W. RAY&ASSOC., 1717-1B ALLIED STREET CHARLOTTESVILL 22903 4342933195
General Contractor CONTOUR CONSTRUCTION 1713 ALLIED STREET CHARLOTTESVILL 22903 4342940001
Plan Preparer 'ROGER W.RAY&ASSOC.,INC. 1717-1B ALLIED STREET aCHARLOTTESVILL 22903 4342933195
Signature of Contractor or Authorized Agent Date
Ap ration for Review of
Erosion & Sediment Controllan & Stormwater ManagemenMP Plan &
Stream Buffer Mitigation Plan
Q 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county comments,the application will be deemed withdrawn.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: Lor A d-8, - S 1.4'/ G/A 13n. .
Tax map and parcel: 540 -/00 + /0 0 LS I Zoning: IL A
Amount of Land Disturbance: /• 3 Acres
Location of property(landmarks,intersections,or other): D M O. 3- /21 c.T iS
Contact Person(Who should we call/write concerning this project?): 3/1/0 44-4 11.44- /24,cog-A W. RA`i /-, SS0C. /Alt--
Address /7/7-/L3 AC.LI ST City CAW- 77tSvrLCE- State VA Zip 2216 3
Daytime Phone(¢34) 2 9 3' 3/95 Fax#(13f) 273. 1202 E-mail nWA. e T
Owner of Record S. "DA(4 V CAA i6 3 Z
Address 7/5 AO /3/4- u4 /1-27 City Ci o i:tir State VA Zip229 3 Z
Daytime Phone#3#) T / — 2/S 7 Fax#( ) E-mail
Contractor CoA-trOvl` co AJS TA-te C TM Al
Address /7/3 ALLIFcD ST City C/-4Arlt•LaTIESVIc.CE.- State VA Zip 22c03
Daytime Phone(¢354) 2 0-1 '000 / Fax#( ) E-mail
Plan Preparer 3/Li�.t 1/4,1/41. T2-ki d ASS,'c•� )AtC•
Address /7/7 -/Q City C/tA1t4.07TZS ULL.E State VA Zip 22 10 3
Daytime Phone( Z 9 3.3g5 Fax#(034-) 21.3'412-0 2 E-mail lt•WA-//uC ,EtNaiN l-/Ac,C•,cc,i f
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 • .ubject property. I hereby grant the County of Albemarle the right to ent r upon the roperty as required to ensure
compliance w' the :pproved plan.
Signat O •• act P Date
//
Thy C,3 - :/-
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#
Fee Amount$ pci; Date Paid, t By who? ( yr'11 kiti Receipt#gall)L I Ck# 2 14c By: rO
L(fie' Revised November 14,2011 Page 1 of 3
EROSION CONTROL PLAN: (SUIT 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
(RE INSPECTION 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 REQUIREMFNTS)
8. Each reinspection $150
(RE INSPECTION 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 $ 3 C b
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 $ 0
TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 30
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