HomeMy WebLinkAboutWPO201300068 Application 2013-10-28 Application for Review of
Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & 4N,fi s.
Stream Buffer Mitigation Plan
❑ Erosion & Sediment Control Plan ❑ Stormwater ManagementBMP 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 ErSWM Plan Resubmittal
I i&S Plan Resubmittal WPO Application# 2013- 00d(o$
WPO Application# :d 13-Odo b$
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county comments,the application will be deemed withdrawn.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: ROu no$+Pc 4 .
Tax map and parcel: C'1 X)'o-C9O^OS9oO Zoning: Off}
Amount of Land Disturbance: 2.O I Acres rr n
Location of property(landmarks,intersections,or other):1� N. Of-Ate. t PIA. Of toe dm(11044% Reel• '}" Tfee V ACcm ad.
Contact Person(Who should we call/write concerning this project?): d�+SfiN S�M1►M� .�'. � �m�� tr IRq yR«fty,rA 4,
Address 26-1 is MCAA" S4,SJ I M Cityek fretivi jiff State '.1 A Zip 2z.4o2.
Daytime Phone( ) Fax#( ) E-mail
Owner of Record Srotaw► r�lAmakAa/ e4 o .
'
Address 26'65' Tale. Utel levy R .• City C1444-if(CP fefeS J,'$I e. State VA Zip ZtiOI
Daytime Phone( ) Fax#( ) E-mail
Contractor Jo Se.Q6. -Ror e_c
Address Sri Neale. S*. City C Wlali'+4Etdc 1lC. State ./I4 Zip RZ
Daytime Phone( ) Fax#( ) E-mail
Plan Preparer SANAA. CIS COVVVetelk.
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.
S MAU,le Ovt RPC--
Signatureof Owner,Contract Purchaser Date
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO# '7 Q
•Fee Amount$
11,
V V� Date Paid 12`13.1?By who?(..*(16.\p \"l O i �}i)( ceipt#��� 1 Ck# leg By: nib
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 '.30O .r 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 $ .3t5C)
Revised November 14,2011 Page 2 of 3
wr
STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES)
19. Stormwater Management/BMP Plan... ..'.301 der 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 $ ?U Cr.)
TOTAL APPLICATION FEE: (Add lines 18 and 25) $ (POO
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
finer; Albemarle Couy Y .w Community Development Department
401 IvlCintire Road Charlottesville,VA 22902-4596
to " Planning Application Voice: (434)296-5832 Fax:(434)972-4126
PARCEL/ OWNER INFORMATION
TMPI 04300-00-00-03800 Owner(s): WALKER, SIMON & BERTHA W PAIGE & ROSE W BROWN,
Application # WP0201300068 CARRIE W WOOD & ROBERTA W KING
PROPERTY INFORMATION
Legal Description ACREAGE
Magisterial Dist. Jack Jouett 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 2865 FREE UNION RD CHARLOTTESVILLE, 22901 Entered By
Todd Shifflett
Application Type Water Protection Ordinances 10/28/2013
Project Houndstooth
Received Date 10/28/13 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 Sub Applicati l Comment
Erosion and Sediment Control Plan
Storirnwater Management/BMP Plan
'APPLICANT/ CONTACT INFORMATION
ContactType I Name Address CityState r Zip f Phone Phonecell
owner/Applicant WALKER SIMON 8t BER'HA W PAIGE& 12865 FREE UNION RD CHARLOi.reSVILL 22901;?
Primary Contact JUSTIN SHIMP 201 E MAIN ST,SUITE M CHARLOTTESVILL 22902
General Contractor A JOSEPH HOMES 827 NALLE ST. CHARLOTTESVILL 22903 4344090927
Signature of Contractor or Authorized Agent Date
Nurse `ai
Application for Review of
Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & ?
Stream Buffer Mitigation Plan
Erosion& Sediment Control Plan lAormwater 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: Houndstooth
Tax map and parcel: 04300-00-00-03800 Zoning: RA
Amount of Land Disturbance: 2.01 Acres
Location of property(landmarks,intersections,or other): 800 ft north of the intersection of Woodlands Road and Free Union Rd
Contact Person(Who should we call/write concerning this project?): Justin Shimp
Address 201 E Main St, Suite M City Charlottesville State VA zip 22902
Daytime Phone( ) Fax#( ) E-mail
Simon Walker et al
Owner of Record
Address 2865 Free Union Rd City Charlottesville State VA Zip 22901
Daytime Phone( ) Fax#( ) E-mail
Contractor A Joseph Homes
Address 827 Nalle St City Charlottesville State VA zip 22903
Daytime Phone(`134.)409.0927 Fax#( ) E-mail
Plan Preparer Same as contact
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 t i e subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure
compliance .A10,''Aguakkiboved plan.
10/25/2013
Signat f er,Contract Purchaser Date
Alexander 7. Amigoni III 434.409.0927
Print Name Daytime phone number of Signatory
FOR OFFICE ttU,�S I Y USE OON WPO#
(O Fee Amount$ OC Date Paid I O'W( y who? (7.\'f, i + 5Receipt#(.1 .1.5 I v Ck# 1442 By: M
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 $300
Revised November 14,2011 Page 2 of 3
STORMWATER MANAGEMENTBMP 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 $3OO
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