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Home My WebLink AboutWPO201300004 Application 2013-01-16 „, D 7 -(4 0Y I Application for Review of - ; Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & % r 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a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn.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: I C t Lk °Vli R� C am^ Q l 0 -aa - ° _ 01 tl�io Tax map and parcel: Zoning: Amount of Land Disturbance: Acres Location of property(landmarks,intersections,or other): Contact Person(Who should we call/write concerning this project?): k--e +1/ l L��4Ck�7Cl Address ( 4 �o� d S R� City C t,u 1-F State VA Zip 23-`16( Daytime Phone(1431) ^ 411 5 Fax#( ) E-mail � Owner of Record .z`-d L5r C -c-^” Address City State Zip Daytime Phone( ) Fax#( ) E-mail Contractor Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer 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 compli p e with the ap rove plan. Signature of Owner, r Date g � G1c? U.�tc.Gv, C t..Aut? A o SA�1�� '�' - 2 for x131 Print Name n Daytime phone number of Signatory FOR OFFICE USE ONLY %WO#�v r t Fee Amount$ IIV` Ilate Paid 8.i i, y who?\V Witt- Receipt# W Z1 3(-1;# I O a/ guy: (Nara O ,.r' 5 `/( O j , r ! OP IS ( Revised November 14,2011 Page 1 of 3 vire 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 SCFIEDULING 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 $ 3C �- 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 $ 30,,��1 TOTAL APPLICATION FEE: (Add lines 18 and 25) $ £ 00 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 Ap4.rication for Review of , ir Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & ° et 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 • 'equest for Exception #of Variances ■ SWM Plan Resubmittal AE&S Plan Resubmittal WPO Application# VVP0)0130090g WPO Application#W art?9,006000 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: 1 V CRerv, UNII,T ieD PlaR ots-c CAlA�(A4 Tax map and parcel: LI t l4 "14 1,4 14- Zoning: R A ,,, 1 Amount of Land Disturbance: ! /• Acres � r1. Location of property(landmarks,intersections,or other): I t Y rL'r1ON 4 tZ LI \05 6610, ( !rt Mek 0W %4J Contact Person(Who should /wee�call/write concerning this project?): F. , 0000,412:0� LYNN E 51-e-P06" Address 641A L 1A OLA N 15 c City t o-4-Aa.Lair'6,U(U.(.(,"State VA Zip d a ci I Daytime Phone(`1H) 11 4 Fax#( ) E-mail U•■/G( Iz.tl,M(L,'")(,� 0V4- ,(,�}t,�+/( Owner of Record IU Y C,REEV_ ( 60 14 THc I (.I'('libc-U-F f Address WILI 0000 LAND,,i �h. City614hzCO�`TE IV t LL State V'"1 Zip glq 6 Daytime Phone(4 ) 113-�l4 l 5 Fax#(1:43i qq5° 769S E-mail ,�y �� Contractor �v1 (Q.ecic6WA X:( ((Ab P S(11v1,e_�'�ISIOAJ of 1AtQj Moi 1 (1Z�. it3 7? Address bq 0 LAN T 5 'j'D. Ci (✓ �I C State Zip r 3/6761 �Q ty N.��cS LZ 17� Daytime Phone'1)l )q 7 3 ~q 7-f3 Fax#( ) E-mail Plan Preparer TeRkPf F iV y j Ne g�W6 `1 LAND 39CLAieloNS ( ` 6 r Address a,lT 1 5�L (z-T 5 DM P W I�-r City / i is D( State (j 4 Zip cl 11'74 Daytime Phone 5'iO) 33'7- Li S1(( Fax#(14)331--5 -i t E-mail '1 C.Ve f'(2 444-(2).bA i Ar Owner/Applicant Must Read and Sign 1 J 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. c n� it . S >LraS ee (1k)10/ L�/26// i tore of Owner,C.I+act Purchaser Date nil r_ . 6�e�� 43q-q' q1 —g7gj Print lame • Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# �^ n1 Fee Amount$ Date Paid-20'lc) By who? 1,Y/i a t Receipt#q I 654 Ck# 'V 2 By: my...L. (11,,tilitaok CI I'm Revised November 14,2011 Page 1 of 3 EROSION CONTROL PLAN: (SUBMIT 2 COPIES) wisie 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 $_30-0 Revised November 14,2011 Page 2 of 3 virer STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/BMP Plan... 43-00 7per 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 $ ` by TOTAL APPLICATION FEE: (Add lines 18 and 25) $ ,660' 00 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 Cety '`" Community Development Department 401 McIntire Road Charlottesville,VA 22902-4596 u• — tl Planning Application Voice:(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMP 04400-00-00-01400 Owner(s): IVY CREEK METHODIST CHURCH Application # WP0201300004 PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. Jack Jouett Land Use Primary Semi-public Current AFD Not in A/F District Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address 674 WOODLANDS RD CHARLOTTESVILLE, 22901 Entered By Jennifer Durrer Application Type Water Protection Ordinances 01/16/2013 Project IVY CREEK UNITED METHODIST CHURCH Received Date 01/15/13 Received Date Final Submittal Date 01/16/13 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 ErosionrJd Sediment Costroi Plain 01/16/13 'APPLICANT/ CONTACT INFORMATION ContactTppe 1 Name j Address CityState Zip Phone PhoneCell owner/Appftcant 1W CREEK MtwThODIST CHURCCH 674 WOODLANDS T OAD CHARL.OTTESVtLL;22901 4349734793 ' Primary Contact KEITH WOODARD 674 WOODLANDS DRIVE CHARLOTTESVILL 22911 4349734793 Signature of Contractor or Authorized Agent Date .flication for Review of __ y_ ' Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & Nef Stream Buffer Mitigation Plan El Erosion & Sediment Control Plan El 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: Ivy Creek United Methodist Church Tax map and parcel: 44-14 & 44-12H Zoning: R-A Amount of Land Disturbance: 1.20 Acres Location of property(landmarks,intersections,or other): Intersection of Woodlands Rd. and Green Meadows Lane Contact Person(Who should we call/write concerning this project?): Keith Woodard Lynne Steppe Address 1,Lift4 (1)0o01 lair y)o) ;\- City Charlottesville State VA Zip 22911 Daytime Phone e°134 '73 - -1/leo Fax#( ) E-mail j V&A C..r e k urrtL'. 0 Ob i i 1. l (it 1 w Owner of Record Ivy Creek United Methodist Church ) Address 674 Woodlands Rd. City Charlottesville State VA Zip 22901 Daytime Phone(434) 973-4793 Fax#(424) 973-7648 E-mail Contractor TBA Address City State Zip Daytime Phone( ) Fax 4( ) E-mail Plan Preparer Terra Engineering and Land Solutions, PC Address 2374 Stuarts Draft Highway City Stuarts Draft State VA Zip 24477 Daytime Phone(540 337-4591 Fax#(540 337-5291 E-mail sdriver@terraengineering.net 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 ManagementBMP 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 cqmpliance with the approved plan. ir( i r `I i—u hj c (- l i 2) Si Lure of Owner,Conirict Purchaser Date /J e— Ak. 64-ep � q3�- W4-3 y '-ci 3 Print me Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# Fee Amount$ (Car Date Paid ) -1<. .k3By who?'IN C Q � L1t 1 LLceipt# I l.E5( Ck# I L)2 I By: I l Jt�.� i,e( "" ( "' Chuircit Revised November 14,2011 Page 1 of 3 EROSION CONTROL PLAN: etweBMIT 2 COPIES) `wise 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 $ 300 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 $300 TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 600 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