HomeMy WebLinkAboutWPO201300036 Application 2013-05-20 Albemarle Coc, ,.`y Community Development Department
40111ntire Road Charlottesville,VA 22902-4596
bE t# Planning Application Voice: (434)296-5832 Fax:(434)972-4126
PARCEL/ OWNER INFORMATION
TMP 10900-00-00-006E0 I Owner(s):
Application # WP0201300036 FIRST BAPTIST CHURCH COVESVILLE
PROPERTY INFORMATION
Legal Description ACREAGE
Magisterial Dist. Samuel Miller Land Use Primary Semi-public
Current AFD Not in A/F District Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address 5883 HENDERSON LN COVESVILLE, 22931 Entered By
Todd Shifflett
Application Type Water Protection Ordinances 05/20/2013
Project 'First Baptist Church Covesville
Received Date 05/20/13 Received Date Final Submittal Date Total Fees 600
Closing File Date Submittal Date Final Total Paid 600
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type I Sub Applicati I Comment
Erosion and Sediment Control Plan
Stormwater Management/BMP PIan
(APPLICANT/ CONTACT INFORMATION
ContactType Name Address i CityState Zip Phone 1 PhoneCell
ownerfAppllcant FIRST BAPTIST CHURCH;COVESVILLE 133 M STLAttl[3 GRAIL RUCICI~R5VILLt:V ;22968 31
Primary Contact RON KEENEY/ KELLY GILMORE -KEENE 1413 SACHEM PL. CHARLOTTESVILL 22901 4349782000
Plan Preparer KEENEY&CO ARCHITECTS, PLC 1413 SACHEM PL CHARLOTTESVILL 22901 4349782000
Signature of Contractor or Authorized Agent Date
6'IetiS .-corms w{)votolb - 5 \
Application n for Review of `.., 1A` 01
Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & ;
pr
him,^,,
Stream Buffer Mitigation Plan
Pg, 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county comments,the application will be deemed withdrawn.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: f 1 1-t llip1;0 c.4 1'"(-, 0,c v c- i t 16°
Tax map and parcel: ! P I C/ /ri,L-' Zoning:
Amount of Land Disturbance: / vo6' Acres
t
Location of property(landmarks,intersections,or other): 5 S(S.3 del Ale(sC/3 {Lc ri iii-S V, I[L� V k
/I ] [ 8-11y G.l rv74+e)
Contact Person(Who should we call/write concerning this project?):f`� ,C'r�et. `-- L-6.,_.A- 1'c-hi T e .., . r1-L- k C../1 tCe�:)l,-c i
Address III 13 5Cc( Iii f i E7L. City 1'\4t"/i /lesi,):11C. State N'ff4 Zip 4Alfol
Daytime Phone wg, Ci'78 'c ('C-(> Fax#( /g76' 7'fj1' E-mail fir:,fl £,,/eF ea il, t-e.,11.&L Lt tr, .(,1,14
Owner of Record Fi C`S+ 64 1--,s-i L..-IN ut-�.,A c V��Cej Li i ��E,
y �_�// J�
Address•53 5 3 /-16`'(ia(�i,6(,.,r') ,Lei 17 a- City State /ig Zip r i I
Daytime Phone(y3' _' '5 -54't`:)- Fax#( ) E-mail
Contractor
Address City State Zip
Daytime Phone( ) Fax#( )) E-mail )
Plan Preparer 6�'4 C: ter' C,.y > a,--ih:-/--ra a,,, Pi.� (21 a ke o";e I i RQ/// C //he,-e)
Address / C.-1 6=,11 City * 1 ? (1- f: State \,,:i-i. Zip rlijef
Daytime Phone ""-'y y!,7 - tti) Fax#('/ 06 - 7`7'3 ' E-mail 1,_L'a ;(.2.„, 0="ed 6 4 r t. i-/& 1 ,-e,, �'&F 4
Owner/Applicant Must Read and Sign��'� it EL+1 -1 ��� ���� t��'� �:°�1
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
co lance with the a roved an.
Si re Owner, ntract Purchaser Date
11.1 (1 Je j 5 m :-/-1-.) 1/3`./ 1J 2/--91
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#
Fee Amount 40160 Date Paid St..t3By who? ]l' Receipt 4q i� {} Ck# %41 By //I
(19116V1 Ile 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 03.00peir 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 $ 19.06
Revised November 14,2011 Page 2 of 3
STORMWATER MANAGEMENTBMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES)
19. Stormwater Management/BMP Plan. $300/pejlan 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) ///y
25. SUBTOTAL SWM/BMP PLAN $ 3T/u
TOTAL APPLICATION FEE: (Add lines 18 and 25) $ (a7, Q
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