HomeMy WebLinkAboutWPO201300049 Application 2013-07-03 ri .` Albemarle CQi-Y Community Development Department
401 1 ntire Road Charlottesville,VA 22902-4596
t' l Planning Application Voice:(434)296-5832 Fax:(434)972-4126
[PARCEL/ OWNER INFORMATION
TMPI 02100-00-00-012C1 Owner(s): NEW HOPE COMMUNITY CHURCH; MICHAEL HENDERSON
Application # WP0201300049 TRUSTEE
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL D
Magisterial Dist. White Hall Land Use Primary Forest
Current AFD Not in A/F District Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address Entered By
Todd Shifflett
Application Type Water Protection Ordinances 107/03/2013
Project 'New Hope Church
Received Date 07/02/13 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 I Comment
Erosion and Sediment Control Plan
Stormwater Management/BMP Plan . . .
'APPLICANT/ CONTACT INFORMATION
ContactType Name Address I CityState I Zip Phone PhoneCell
Owner/ApplIont _;NEW Hope COMMUNITY o iURCH; MICR 13445 SEMINOLE TR1. SUITE 3 =CHARLOTTESVILL.122911
Primary Contact ED BLACKWELL 566 EAST MARKET STREET HARRISONBURG, 22801 5404329555
Plan Preparer BLACKWELL ENGINEERING, PLC 566 EAST MARKET STREET HARRISONBURG, 22801 5404329555
Signature of Contractor or Authorized Agent Date
F
Application for Review of ... ;
Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan &
Stream Buffer Mitigation Plan
IR Erosion& Sediment Control Plan Wotormwater ManagemenlBMP Plan ❑ Stream Buffer Mitigation Plan
D E&S Plan Amendment 0 SWM Plan Amendment
(Previous Plan# ) (Previous Plan# )
❑ E&S Plan with Variance ❑ Request for Exception
#of Variances ❑SWM Plan Resubmittal
p 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county comments,the application will be deemed withdrawn.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: t.1 ba AL,p E C A0 9.-C l•4
Tax map and parcel: 21 — k 2 C 1 Zoning: u, /1„
Amount of Land Disturbance: 3 . Acres
Location of property(landmarks.intersections.or other): 4 W e -CX D).) 0'F -t>kG f2& 4 eoAD
ik-tJ o 'p%e tLF RSaN LA►)F-
Contact Person(Who should we call, rite concerning this project?): E ZosiUt!WEtA.,
Address SG.(, Elt4T ff1 pr
EV rac—E-T City 4 t4L1LASots itN(ZGk State\I N- Zip 2ZSO k
Daytime Phone(MP +3Z'Ts-5s- Fax k + f 7(.o4 E-mail Eike Iota ItWekk voeysl�t e,c‘vl�C�y�
Owner of Record NEu. I OPic cobs.�ntJ0vTa/ Otku9-C1K J
3 4�S SEM idc t E 4l t_ , SvrtE /1 L/SITE'S✓ts�.E State '/
Address p T �t�ea a q City C-if�1e e V Zip 229 l
Daytime Phone.l3•- I.LO Z�'72.85 k(43, 73'�(BOO E-mail M'1 4-Z Egg �+ Q tyv 4t 1 •C��
Contractor t40-r %/FT S El.6GcEt `J
Address City State Zip
Daytime Phone( ) Fax k( ) E-mail
Plan Preparer �uGtt tFF9..sac;‘ Pt..C- p
Address S(,(. EMaT YWhQ��FT Sz'Q�T City (4#1(t?(2tSe�.iso""7 State �A Zip 2Z$0(
Daytime Phone(� 43 Z' l SSS Fax k a0 4-34^7644 E-mail C. 0`ptvLA.,zekk°t•y..(t14.Q2{'itAq,CQw)
Owner/Applicant Must Read and Sign J J
By signing this application as owner,I hereby certify that all requirements of the approved Erosion Control Plan,Stormwater
Management/BAIP Plan,and/or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and
development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure
cor liaacf< 1th the ap oved p an.
7 ) X\ 43
Signature of Owner,Contract Purchaser Date
M fENDERso►- , Taus-CAE 434 - ¶(. 2 - i 2.13
Print Name Daytime phone number of Signatory
FOR OFFICE�•SE C9LY • 4r att��� RPO#�}� /�p 1 �� �(1���� /I IR(��Q( 10:5
Fee Amount$ b p° Date Pai.tlk....Y By Rho?l 1 Y V o l iL M1 `Vtljtuript# "I( ail q s Cke log 04- By:TG
(1 ,2_,\5 Revised November 14.2011 Page 1 of 3
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EROSION CONTROL PLAN: (SMMIT 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 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 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.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 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 PER.Mrf)
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)
lan Review,Disturbed Area One Acre or Larger
al
$300 per review
0 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 S S tO
Revised November 14.2011 Page 2 of 3
STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES)
19. .tonnwater Management/BMP Plan... $300/perplaiugsie W_
(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 TLVE 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)
25.SUBTOTAL SWM/BMP PLAN $ 00
TOTAL APPLICATION FEE: (Add lines 18 and 25) S 4 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