HomeMy WebLinkAboutWPO201300005 Application 2013-01-23 Xplication for Review of *awl
Erosion & Sediment Control Plan & Stormwater ManagementlBMP Plan & ` ®0,,i
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county comments,the application will be deemed withdrawn.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: Vtvt5 c G -a_2 t — l)e2.was + I)r i v-t_v}Ct c.,
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<2t7,
J
Tax map and parcel: I ft`/`( I arec\5 a I k , a t L. Zoning: 2-A
Amount of Land Disturbance: `1 5-3 Acres
Location of property(landmarks,intersections,or other): V i vt 5 s 6 rct.az- la eQ u t s(61,—.. vyt wuC,P SOU c
St G7t; bJoodatctucls eoa,d )
Contact Person(Who should we call/write concerning this project?): VU TA- fit . ,(oe L + PL S
Address 144'0 f"o City CL (6 es e. State VA Zip .22RO1
Daytime Phone(y3q)) 97/- /5Q( Fax#( ,L ) r 1 I E-mail 61act(.ivc�cw� v.c�r(rtq (� ,.>,taiI .CC 4k
Owner of Record Eli 2tttic�I,. Atieu. —Frus'�ce i. tke, Eli24Vic 4(leh &eoocc.VLk ( rust/
Address /5/5 is oNdot& coax City C LaAIo41esu, l(e State 0fl Zip X240(
Daytime Phone( ) ! Fax#( ) E-mail
Contractor 1' ,a,t4. Q1 er, L—�ccrt_Ua"L s I.LC
Address 0 . 1 r/)C t/b City L v State u A Zip 0.2 a q r/S
Daytime Phone(Y3 Y) yk1— Qg3ly Fax#( ) E-mail
Plan Preparer Scn w&_ as C,A,d-rzc` Pets ca—. 4_ b o u-t
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
co,• : 'ance with the al i r ved plan.
ri If _,e�- JA.O U6Atz 3 ( 2p ( 3
Signat r- •f►.wner, o tract Purchaser Date
LIZA .: (-I s, 4LLN 'Jos — FFO 5U)Q
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
I450.aa subK.ittec,0 t-Z2 gg743
Revised November 14,2011 Page 1 of 3
Sce. ar.S%'r■a..Q 410 p(:-ea'I vu. ..441131101W
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)
Ca
18. SUBTOTAL EROSION CONTROL PLAN $ 3�
Revised November 14,2011 Page 2 of 3
NNW 'NW
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 $ /So
TOTAL APPLICATION FEE: (Add lines 18 and 25) $ z/,--c)
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
Albemarle County .. Community Development Department
401 McIntire Road Charlottesville,VA 22902-4596
tr " Planning Application Voice:(434)296-5832 Fax:(434)972-4126
PARCEL/ OWNER INFORMATION
IMP 04400-00-00-021I0 Owner(s):
WOODLANDS ROAD LLC
Application # WP0201300005
PROPERTY INFORMATION
Legal Description KING'S GRANT 1
Magisterial Dist. Jack Jouett Land Use Primary Agricultural
Current AFD Not in A/F District Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address Entered By
Jennifer Durrer
Application Type Water Protection Ordinances 01/23/2013
Project KINGS GRANT
Received Date 01/22/13 Received Date Final Submittal Date 01/22/13 Total Fees 450
Closing File Date Submittal Date Final Total Paid 450
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Y F. b, Sub Applicati Comment I
'APPLICANT/ CONTACT INFORMATION
ContactT)rpe Name Address C1tXState 1 Zip Phone . PhoneCell4
r
Owner)Applicant I WOODLANDS ROAD LLC' P 0 BOX 5207 CHARLOTTESVILL 122905!
Primary Contact KURT GLOCKNER 1980 FOX RUN LANE CHARLOTTESVILL 22901 4349711591
General Contractor HANDLEY EXCAVATING LLC P.O. BOX 40 IVY,VA. 22945 4349819836
Signature of Contractor or Authorized Agent Date
application for Review of r.. r
Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & A ®+
NA V,
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: K6ta,C `� G AIAT -- DA►tk. �P-I1% -f
2,tI.,213,7.1K 1 2i I--
Tag map and parcel: -Tw 4A-. cv 1-E., h Zoning: R. Af
i Amount of Land Disturbance:_ _ 53Acres ',,,may (€' .(
f
Location of property(landmarks,intersections,or other): 4.46 6 yZ,ArAT 5.)13�►`� %,1`i vc Fsc%-k t
:*1--t-E a Z --Sr. 'Rr�. (7j (Wc4)0,-A.AD5 AD)
Contact Person(Who should we calUwrite concerning this project?): r M . C I.x _c=4C1-V _ l Ft.
Address 1 Yk So Sr,0 X ' i;■4 k—ht'.F CityC AIF'•,l.Q"C(6"c. State \j' , Zip ``(C t
Daytime Phone( )o , t 5C i Fax#( ) E-mail t 14vc . tka.e.t tt.kee AC,e t..3p,,At t,voM
Owner of Record -'i,...t Z.A .."Ii-,‘ AcL. .t.-A - t ) T4l. 'Et..kZAMET -A-g 1zV1f T31i-T C3Z
Address ISIS LC tNA,pp'014 RO AS7 City C f2ix" l v t -i✓State VA. Zip C 2 ''Cy
Daytime,,Phone( ) Fax#( ) E-mail
Contractor .fit A.1-1 D Ll;.-- 1z,X c_"‘)ak-c-i t-ii LA_. C.
Address \>, G, y3,0 y,. 4.0 City ti )`(' State 'J A,- Zip Z1,7_(:t S
Daytime Phon(?A ) eV:R.\ % 3 r Fax#( ) E-mail
Plan Preparer ,5^M E, A.S /A e'PL-i c-,e, '`' A723Cs'\r) .
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
compliance wit theeaap rov�ed�pl�an.
Si re of Owner, A C.G t4I- Date
■-fie-r ,---,\- G... c_.,4A p,�., cl`T 1 - i 1 cj I
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#
Fee Amount$4a),\%1Date Paid I-0.I3 By who(1" �� , 41 Receipt# J"1 I3 c.:-.-2,1,) By\L"/74.-------7
(4co
Revised November 14,2011 Page 1 of 3
. +gyp+ �,,�„•
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 THEREAF IER 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)
270
18. SUBTOTAL EROSION CONTROL PLAN $ 3 0-0
Revised November 14,2011 Page 2 of 3
Ittere
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 SWMBMP PLAN $ '5v
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