HomeMy WebLinkAboutWPO201300034 Application 2013-05-09 ItiOlication for Review of j
Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & s;'
Stream Buffer Mitigation Plan
[4osion& Sediment Control Plan ❑Stormwater Management/BMP Plan VStream Buffer Mitigation Plan
❑ E&S Plan Amendment ❑ SWM Plan Amendment
(Previous Plan# ) (Previous Plan# )
❑ E&S Plan with Variance ❑ Request for Exception
#of Variances 0 SWM Plan Resubmittal
❑ E&S Plan Resubmittal WPO Application#
WPO Application#
Submit 2 copies each_of applicable plans/narrative/comyutations
*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county comments,the application will be deemed withdrawn.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: Bel la rm I(1e
Tax map and parcel: 05800-00-o -03080 Zoning: 2(,i I A re45
Amount of Land Disturbance: Acres
Location of property(landmarks.intersections.or other): Z2C)O 50 i IQ('d 12j83P
Dr
Contact Person(Who should we call/write concerning this project?): jug+1 n 1/4-di-WOO
Address 201 E AAA. 5f. Sui.fe M City Oi r 1044t"SV►I(t,. State VA Zip 27-CtO Z
Daytime Phone(434) 207-6054 Fax 4( ) E-mail Jwsti n Q s Alp-e/1g Inter;/.Corn
Owner of Record ar iSiO pryer- Loon , c to S4-eve_ V2 ogr,er
Address 7 5 U nt on A vQ City Qu+herfo rst State N S Zip 01.7.
Daytime Phone( ) Fax k( ) E-mail _
Contractor lo ft-r (mac
Address City State Zip
Daytime Phone( ) Fax r( ) E-mail
Plan Preparer S arse a5 Corrtctc4 person\
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
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
compliance with the approved plan.
OW her 54/4 nCt 0r\ ri le
Signature of Owne},Contract Purchaser Date
Print Name Daytime phone number of Signatory
FOR OFFICE ff USE ONLY ++ WPO#
Fee Amount$ 1 � Date Paid W'17'1 By tt'ha`�_ I/+ (.11 1 rex cipt#Cl N2 2 Ck ' By:R
Revised November 14.2011 Page 1 of 3
"View ,vesiro
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 TLME 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 Pennit 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 TLME 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.STARTLNG 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 TLME 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 S300 per review
(TO BE PAID AT TLME 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 $2.50
(REINSPECTION FEES ARE INVOICED TO THE LANDOWNER)
16. Amendment to Approved Plan S180/per plan review
(TO BE PAID AT TLME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)
17. Variances $150/per request
(TO BE PAID AT TLME OF APPLICATION)
18. SUBTOTAL EROSION CONTROL PLAN S I 5U.CO
Revised November 14.2011 Page 2 of 3
Albemarle COUP / Community Development Department
401 rkellf re Road Charlottesville,VA 22902-4596
Planning Application Voice:(434)296-5832 Fax:(434)972-4126
(PARCEL/ OWNER INFORMATION
TMPI 05900-00-00-03080 I Owner(s):
Application # WP020I300034 LONG, CHRISTOPHER H C/O STEVE ROSNER
PROPERTY INFORMATION
Legal Description ACREAGE BELLARMINE
Magisterial Dist. Samuel Miller 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 2200 BALLARD RIDGE DR CHARLOTTESVILLE, 22901 Entered By
Todd Shiffett
Application Type Water Protection Ordinances 05/09/2013
Project IBellarmine
Received Date 05/07/13 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)
Type I Sub Applicati I Comment
Erosion and Sediment Control Plan
Streann Buffer MiiUgation Plan
'APPLICANT/ CONTACT INFORMATION
ContactType Name I Address CityState L Zip Phone PhoneCeil
owner/Applicant LONG, CHRISTOPHER H C/O STEVE ROS: 75 UNIGN AVE RUTHERFORD N7 107070
Primary Contact JUSTIN SHIMP 201E MAIN ST,SUITE M CHARLOTTESVILL 22902 4342078086
General Contractor TO BE DETERMINED
Signature of Contractor or Authorized Agent Date
kpphcation tor Keview of- Wl'O - Application Erosion k_Sedlme... http://www.albemarle.org/upload/images/torms_center/departments/...
Ap anon for Review of 0
Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & '; j
Stream Buffer Mitigation Plan
L2 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 0 SWM Plan Resubmittal
❑E&S Plan Resubmittal WPO Application#
WPO Application#
Submit 2 copies each of applicable plats/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: BeIIar line
map and parcel: 055 goo-00-.00-030gc Zoning: gut-al A(err
typ
Amount of Land Disturbance: 3 Acres
Location of property(landmarks,intersections,or other): 2200 boll (LAe e 0 r
Contact Person(Who should we call/write concerning this project?): t tt).3-:i 1n Sh (fP
Address 201 E Mnih SF St.414cM city Chartoi-+esii11t_ State VA Zip 2Z�OZ
Daytime Phone(4' 4) 201$0$(p Fax ( ) E-mail J USti hi l S h;NrW—e.YlE l nett? •CO v
Owner of Record C rt4o hem
Address 15 Un.i oe, Ave.. City [Z State i i J Zip 07070
Daytime Phone( ) Fax#( ) E-mail
Contractor -To loo 1_ cic krn-i t- c 0\Q_J-1-1. 1 140 411.
t 1$. [. //�
Address -'T E 0 City N t`(' '` r State YA Zip 2-'518
Daytime �`�
ytr Phone( ) Fax#( ) E-mail
Plan Preparer Some as con-}ad- pe,rs o rk
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 laud disturbing activities and
developmen on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure
oomph i appro d plan. 4 ^ I ^ ' 15
Si e of Owner, c urc er Date L•
d'Irt.S L-u,► 5 93ef 506 /0 iii
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#
Fee Amount$3 O0 Date Paid 5-713 By who?•S ni MP Ec c.c..Receipt#C70 95r Ck# 11(V42 By: V_J✓
Revised November 14,2011 Page 1 of 3
of 3 4/8/2013 2:11 PM
Application for Review of-WPO_- Application_Erosion_&_Sedime... http://www.albemarle.org/upload/images/forms_center/departments/...
EROSION CONTROL PLAN: (SUltelIT 2 COPIES)
Land disturbing activity pertaining to single family dwelling unit:
1. Plan Review $150 er review
(TO BE PAID AT TLbIE 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 TLMIE 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 TUNE 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 THE OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL)
17. Variances $150/per request
(TO BE PAID AT TLME OF APPLICATION)
18. SUBTOTAL EROSION CONTROL PLAN S
Revised November 14.2011 Page 2 of 3
2 of 3 4/8/2013 2:11 PM
Application for Review of-WPO_- Application_Erosion_&_Sedime... http://www.albemarle.org/upload/images/forms_center/departments/...
STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES)
19. Stormwater Management/BMP Plan. $300/per plan review
(TO BE PAID AT TLME 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 TLME 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 TLME OF APPLICATION)
2.5. SUBTOTAL SWMJBMP PLAN S
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
3 of 3 4/8/2013 2:11 PM