HomeMy WebLinkAboutWPO201300028 Application 2013-04-16 Application for Review of igips.'.
Erosion & Sediment Control Plan & Stormwater ManagementlBMP Plan & (>1,1!
Stream Buffer Mitigation Plan Y
,Erosion& Sediment Control Plan a itormwater Management/LIMP Plan ❑ Stream Buffer Mitigation Plan
❑ E&S Plan Amendment 0 SWM Plan Amendment
(Previous Plan#2013'o.OZ0) (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county comments,the application will be tdteemed withdrawn. _
Project Name: CA T t,. ri I t/1--- O. D
p .
ax map and parcel: 4� I I C/2 g .l ,Ding: RA
Amount of Land Disturbance: F--,'p Acres i'"
Location of property(landmarks,intersections,or other): :c1.4 1 NTX iCT e • 2 31 4- tl g 1C SAG �C)
Contact Person(Who should we call/write concerning this project?): M tc 4A.L. M _ ' '- T 4(isl lo Ni -1vC1( CI+'�
Address 111 G-FA 1,Tc,f Pr-.
R City Ckl 1.p�e 1 8.1-6 State �' _.. Zip 1- -
Daytime Phonell 1 71•6311 _ Fax r i q C- /�✓ __ E-mail ftMVe j' te{ Omi'l( P -m1/4),(0/_9
Owner of Record __ 'UTL _ 1/ L-.
Address &062{Z i✓Y 9t6 t2D - City jt� 1,4'I CYO State 4tr'`f___-- Zip 7.2-9 4-7
Daytime Phone(__ ) Fax#C ) E-mail __ _
Contractor 1\17r Qe^"1" T
Address City State Zip ___
Daytime Phone( ) . - Fax#( ) .__ --E-mail __-
'�Mts A5. 6ci
Plan Preparer--___ �' 6.),,,-rfAci- f Er_-S0 _ -
Address City State Zip_
Daytime Phone( ) .__- - _ --Fax#( ) _ E-mail__
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
compilwith the approved plan.
�f`'"�- ' -,2013
Signs f Owner,Contract Purchaser Date
<
ai'i r—fielr -- ' " 2t1 • 1./'67
Print Name Daytime phone number of Signatory
FOR OFFICE USE O Y WPO ft.__._____._T
Fee Amount$ I Date Pain) 1101313y JHy who? f al Receipt#61 1 I 1 Ck# By:
1 iW Revised November 14,2011 Page t 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 ANT)EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)
2 Permit and First Year Inspection Fees $150
(10 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 Sll[1tI1'I"I Al I IIEREAI-11.R I IN I II.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 S I °
Revised November 14,2011 Page 2 of 3
STORMWATER MANAGEMENT/BM P PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES)
19. Stormwater Management/BMP Nan... $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 SWMTBMP PLAN $
TOTAL APPLICATION FEE: (Add lines 18 and 25),........ .. .................$ (S-C7
THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND/OR ANNUAL RENEWAL
FEES WHICH MAY BE CHARGED TO THIS PROJECT.
Revised November 14,2011 Pale 3 of 3
Albemarle County Community Development Department
401 McIntire Road Charlottesville,VA 22902-4596
Planning Application Voice (434)296-5832 Fax:(434)972-4126
L OWNER INFORMATION
TMP Owner(s):
Application# WP0201300028 ROUTE 231 LLC
PROPERTY INFORMATION
Legal DescriptiOn ACREAGE 2
Magisterial Dist. Rivanna Land Use Primary Agricultural
Current AFD Not in A/F District Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address 6130 GORDONSVILLE RD KESWICK, 22947 Entered By
Todd ShiMett
Application Type Water Protection Ordinances
104/16/2013
Project jCastle Hill Cider
Received Date 04/09/13 Received Date Final I I Submittal Date Total Fees 600
Closing File Date Submittal Date Final Total Paidl 6001
Revision Number
Comments
Legal Ad
ISUE APPLICATION(s)
Type 1 Sub Applicati Comment
Emotion and Sediment Control Plan
Stormwater Managernent/BMP Plan
'APPLICANT/CONTACT INFORMATION
ContactType Name Address CityState 1 Zip I Phone t Phonecell
owner/applicant I HUMISTON!RAYMOND E Ur,TRUSTEE& P0 BOX 10 KESWICK VA 122947
Primary contact MICHAEL MYERS, P.E, DOMINION ENGIN 172 S. PANTOPS DR. CHARCOfTESVId 22911 4349798121 -
Signature of Contractor or Authorized Agent Date
a .a: Albemarle Cou, y r Community Development Department
401 McIntire Road Charlottesville,VA 22902-4596
" Planning Application Voice:(434)296-5832 Fax:(434)972-4126
!PARCEL/OWNER INFORMATION
TMPJ 04900-00-00-01800 Owner(s): HUMISTON, RAYMOND E III, TRUSTEE &CASTLE HILL
Application # WP0201300028 MANAGEMENT LLC
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL A CASTLE HILL
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
Street Address 6130 GORDONSVILLE RD KESWICK, 22947 Entered By
Application Type Water Protection Ordinances Todd Shifflett
104/16/2013
Project (Castle Hill Cider
Received Date 04/09/13 Received Date Final ( J Submittal Date Total Fees 450
Closing File Date Submittal Date Final Total Paid 450
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type I Sub Applicati ( Comment
Erosion and Sediment Control Plan
Stolrmwateir Managomenit/ MP Plan '
1APPLICANT/ CONTACT INFORMATION
ContactType j Name I Address CityState 1 Zip 1 Phone 1 PhoneCell
Dwner/Appll ant HUMISTON RAYMOND E;IU TRUSTEE& P O BOX 10 KESWICK VA ;22947
Primary Contact MICHAEL MYERS, P.E, DOMINION ENGIN 172 S. PANTOPS DR. CHARLOTTESVILL 22911 4349798121
Signature of Contractor or Authorized Agent Date
Application for Review of
Erosion & Sediment Control Plan & Stormwater Management/BMP Plan &
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: CAS` 1.- }A I U-- 'C D
Tax map and parcel: 4 ( "- I C/ Zoning; RA
Amount of Land Disturbance: C2•q S Acres
Location of property(landmarks,intersections,or other): W' I NTX >ZTC • 134 7Z) 14-11 SACS (.t)
Contact Person(Who should we call/write concerning this project?): M tC14A6 L- 1 � F t �i-� j4.4 t4 j _f ` CI t4/ ,'''•(((t
Address [12. '�.._- FAkt-(c7 i pf— c� City f u (_QrITECY1L.I State t Zip 72gt/
Daytime Phone °t) 111"t �Zt. ._ Fax Tj..4_71.' 64.31 ._. E-mail Mtry tite 5_ed,01 1( -e .(0.0
Owner of Record uTt 2'31/
Address //(617 el) City //<
.5'vV!(-4: State V Zip 22947
Daytime Phone( ) Fax#(_ ) E-mail
Contractor /\10-1- q
Address City State Zip
Daytime Phone( ) _. _ Fax#( )_ E-mail
Plan Preparer_._ p1$ (Q).7 " Ferso,i
Address City ..__ State Zip._
Daytime Phone( ) Fax#( ) E-mail
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
complia e with the approvan.
V;-2.• 11
Signa of Owner,Contract Purchaser Date
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONV WPO# _
Fee Amount$ 45 Date Paid4 '1, 3y who?O !I , t4)I l 6 de eceipt# -ttJgVP)Ck#alt.96 By:! ^C/
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 EACH SUBMITTAI.THEREAFTER UNTIL.APPROVAL.)
2 Permit and First Year Inspection Fees $150
(IO BE PAIL)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
(REINSPECT ION FEES ARE INVOICED TO THE LANDOWNER)
Land disturbing activity pertaining to non-exempt agricultural land:
i"J^
5. Plan Review $150 per review
(TO BE PAID AT TIME OF APPLICATION AND EACI I SU BM!'FI,Al THIRI-Al 11-R 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 $ (.50
Revised November 14,2011 Page 2 of 3
STORMWATER MANAGEMENT/BMP PLAN &MITIGATION PLAN: (SUBMIT 2 COPIES)
19. Stormwater Management/BMP Plan ( 5300/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