HomeMy WebLinkAboutWPO201300010 Application 2013-02-05 ,;( \Q-
•
Application for Review of
Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & ":,
Stream Buffer Mitigation Plan A
❑ 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 p'SWM Plan Resubmittal
❑E&S Plan Resubmittal WPO Application# zore.oae 10
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county comments,the application will be deemed withdrawn.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: SF iwae,t Tt2Ai FRF ST.4TdJ Apornn..t ,4niD V.•a_Me.JAT10NS
Tax map and parcel: 61 M- 1 z.- le) Zoning:_C 1- wt-
Amount of Land Disturbance: Acres
Location of property(landmarks,intersections,or other): 3055 13V. .,ti, . 'taRtu F %Atmger, si;`�av�s
Contact Person(Who should we call/write concerning this project?): _/
Address 4D / /tGI.t4 v e_ l . �2i City Citatv1 is y,I(e. State 4 Zip Z 29U
Daytime Phone#31)0 72--4s--3 / Fax#( 3�772 —40 7! E-mail b&i[Q14..0. COIL, i.-Ut✓t�•dt�
Owner of Record et v<I A-0 _ �� I Vo v✓t a C!�/ ✓G /' J kJ?. r ef
Address 34) SCYk I4t aV by . City�.GtA✓ 0 ff eav, / State� J,4 Zip 2-z-, /
Daytime Phone I ) 3 "/-] /7 Fax#( ) E-mail G�a.kl el�/s �/ d�L.)h-e/a.. OL:/. 0 to-
Contractor I
Address City State Zip
Daytime Phone( ) Fax#( ) E-mail
Plan Preparer D Ttc. ? °
Address '-t''!9 mcLotAkiS. C irs—tE, City Wig. taet—tit ao!mks State VA Zip 2,.3145
Daytime Phone(75 ) •ZS3-041S Fax#(757) 2S3-Z .I et E-mail -DoumTts%b'sE,INC.c,..(Z)M ,
Owner/Applicant Must Read and Sign
By signing this application as owner,I hereby certify that an 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
com nee wi t the approv d plan
Signature of Owner, ontra J•urchaser / Date
!�-Ke- 4Lr is K a //P 43 ` —r72 —`( ( - 3 z 51-`-7
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#
FeeAmount$ Date Paid By who?, Receipt# Ck# By:
—
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 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 $
Revised November 14,20 11 Page 2 of 3
Niuoi
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 $
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
r�? Albemarle Corty Community Development Department
401 McIntire Road Charlottesville,VA 22902-4596
tr '2 Planning Application Voice:(434)296-5832 Fax:(434)972-4126
(PARCEL/ OWNER INFORMATION
TMPI 061M0-00-12-001G0 Owner(s): COUNTY OF ALBEMARLE C/O FINANCE ADMINISTRATION
Application # WP0201300010 RM 149
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL Z SEMINOLE TRAIL FIRE DEPT
Magisterial Dist. Rio Land Use Primary Public
Current AFD Not in A/F District Current Zoning Primary Cl Commercial
APPLICATION INFORMATION
Street Address 3055 BERKMAR DR CHARLOTTESVILLE, 22901 Entered By
Jennifer Durrer
Application Type Water Protection Ordinances 02/05/2013
Project SEMINOLE TRAIL FIRE STATION
Received Date 02/04/13 Received Date Final Submittal Date 02/04/13 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
NO FEES COUNTY PROJECT
Legal Ad
SUB APPLICATION(s)
ypa I-Sub Applicati I . Comment
Erosion end Sediment Control Plan 02/04/13
(APPLICANT/ CONTACT INFORMATION
ContactType-i Name Address L CityState l Zip Phone. PhoneCell
owner/Applicant COU 1TY OF ALBEMARLE C/O FINANCE A'. 401 MCINTIRE ROAk CHARt:O TESVIL_t 22902-45
Primary Contact DONALD BOOTH wv 4 u1 X449 MCLAWS CIRCLEu u �WILLIAMSBURG, 23185 7572530673
Plan Preparer GERALD CONNOLLY 449 MCLAWS CIRCLE WILLIAMSBURG, 23185 7572530673
Signature of Contractor or Authorized Agent Date
Application for Review of X444
A
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 front the date of
county comments,the application will be deemed withdrawn.
Project Name: 5 STA-Ttc -I
Tax map and parcel: 61 M -I2•- 1G Zoning: C-I•-
Amount of Land Disturbance: 1 Acres
Location of property(landmarks,intersections,or other): -2)0SS p1=MAt _. 1:)R-t�(E
Contact Person(Who should we call/write concerning this project?): 1Jowtsa uD 1 TH ) DT-C:7 I Ott-•
Address 14'19 City kat1..t._t,4Me'3vt--cr, State V,4 Zip 2185
Daytime Phone(757) 2..53-c3e73 Fax#(757) 2.-c3-231. E-mail pgoo7{4 42_D'sr,i �M
Owner of Record it A n— . _ • .r • ntA /' •TECT MANAGE.)
Address yq Mei j co Pc,orv.27-53 City 04,. 121.-0 TEWI LF State VA Zip Z . 2
Daytime Phone(n) 4371-11.54n1- Fax#( ) E-mail P-wA3PLAn$A�-I�to ,al_r.oP-.‘
Contractor
Address City State Zip
Daytime Phone( ) Fax#( ) E-mail
Plan Preparer np,.t•NOU—y
Address i jL/ rvid_A a.-,Ctucr4c City wr„ ,a.t Z..) State vA Zip 7' 185
Daytime Phone(7s7) Z_S -o67.3 Fax#(757) Z ..-Z3N E-mail Sco the nol-.a_7 csyNri
Owner/Applicant Must Read and Sign
By signing this application as owner,I hereby certify that all requirements of the approved Erosion Control Plan,Stormwater
Management/BMP Plan,and/or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and
development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure
corn. •ance with the appro •d plan.
Signature of Owner,Contra / Purchaser Date
Print Name l/ U Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who?, Receipt# Ck# By:
Revised November 14,2011 Page 1 of 3
EROSION CONTROL PLAN: (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)
18. SUBTOTAL EROSION CONTROL PLAN $
Revised November 14,2011 Page 2 of 3
STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES)
19. Storinwater 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 $
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 14,201 1 Page 3 of 3