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HomeMy WebLinkAboutWPO201300072 Application 2013-11-26 r Virginia Stormwater Management Program (VSMP) ar= Application for Albemarle County Project Name: BRIARWOOD COMMERCIAL LOTS-ROAD WPO PLAN (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No IM Is this a revision or resubmission for review? Yes ® No 0 County File Number: W PO-2013-72 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4 01]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. ® A. Signature of the Property Owner for each parcel: (Required with every submission or revision,NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits 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 plans and permits. 032G0`0E7-O0-000AO WOODBRIAR ASSOCIATES f+ ��d-'1� 8/8/2014 Tax Map&Parcel Print Name of Property Owner Signature of Owner Dale 032G0-00.00-000AO WOODBRIAR ASSOCIATES -�1�'' .� — 8/8/2014 Tax Map&Parcel Print Name of Property Owner S�ignatu re of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name WOODBRIAR ASSOCIATES Address P.O.BOX 5548 City CHARLOTTESVILLE State VA Zip 22905 Daytime Phone(434) 975-3334 E-mail ulcwww @embaromail.com 7/1/14,Revised:7/10/14 Page 1 oft p13. All Fees[Code section 17-208] or new or modified plans;Total acres proposed to be disturbed Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than I $290 $145 $20 I and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 ❑ C. Registration Statement on the official DEQ form. ® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17402. l E. Stormwater Management Plan satisfying the requirements of code section 17-403. O F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ 1. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT STREET,SUITE K City CHARLOTTESVILLE _State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott @)collins-ennaineering.com *When applications and plans are 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. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount S Date Paid By who? _ Receipt u J Ck# By:. — • 711(14,Revised:7110114 Page 2 of 2 OFA�. Virginia Stormwater Management Program (VSMP) Application for Albemarle County ' Project Name: BRIARWOOD COMMERCIAL LOTS- ROAD WPO PLAN (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No Is this a revision or resubmission for review? Yes DKi No ❑ County File Number: WPO-2013-72 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended Signatures must be provided for any submission. I A. Signature of the Property Owner for each parcel: (Required with every submission or revision, NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits 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 plans and permits. / 32G-A WOODBRIAR ASSOCIATES LP -"AV y ice' " Tax Map&Parcel Print Name of Property Owner Signature of Owner Date 32G-B WOODBRIAR ASSOCIATES 4.n///i 7", 1/.6-, l GP /7 - 9 9.71` Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name WOODBRIAR ASSOCIATES-WENDALL WOOD Address P.O. BOX 5548 City CHARLOTTESVILLE State VA Zip 22905 Daytime Phone(434)975-3334 E-mail ulcwww@embargmail.com 7/1/14,Revised:7/10/14 Page 1 of 2 saw., Nome ® B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 9.93 AC Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 C. Registration Statement on the official DEQ form. Xl D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. NO H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. NNII I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. N/® J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name COLLINS ENGINEERING-SCOTT COLLINS Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott @coIIins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who" Receipt# Ck# By 7/1/14,Revised:7/10/14 Page 2 of 2 DEPAR?'ENT OF ENVIRONMENTAL QUALITY CONSTRUCTION ACTIVITY OPERATOR PERMIT FEE FORM (Please Type or Print All Information) Instructions: Applicants for a Construction Activity Individual Permit are required to pay permit application fees. Fees are also required for registration for coverage under a Construction Activity General Permit. Fees must be paid when applications for state permit issuance, reissuance, modification or transfer are submitted. Applications will be considered incomplete if the proper fee is not paid and will not be processed until the fee is received. The fee schedule for state permits is included with this form. Fees for state permit issuance, reissuance, maintenance, modification and transfer are included. Once you have determined the fee for the type of application you are submitting, complete this form. The original copy of the form and your check or money order payable to "Treasurer of Virginia" should be mailed to: Department of Environmental Quality Receipts Control P.O. Box 1104 Richmond,VA 23218 A copy of this form and a copy of your check or money order should accompany the permit application (or registration statement). You should retain a copy for your records. Construction Activity Operator: Name: WOODBRIAR ASSOCIATES Contact: WENDALL WOOD Mailing Address: P.O. BOX 5548 City: CHARLOTTESVILLE State: VA Zip: 22905 Phone: Email address (if available): Name and Location of the Construction Activity: Name: BRIARWOOD-BRIARWOOD DRIVE City: CHARLOTTESVILLE State: VA Zip: 22911 County: ALBEMARLE COUNTY Type of State Permit: n Construction Activity Individual Permit © Construction Activity General Permit (from Fee Schedule) Type of Action: ❑ New Issuance (1 Reissuance ❑ Maintenance ❑ Modification Transfer Amount of Fee Submitted (from Fee Schedule): $750 Existing General Permit Registration Number(if applicable): VAR10-12-101227 FOR DEQ USE ONLY -- Date: DC #: 01/2014 Page 1 of 1 DEPARTMENT OF ENVIRONMENTAL QUALITY CONSTRUCTION ACTIVITY OPERATOR PERMIT FEE FORM (Please Type or Print All Information) Instructions: Applicants for a Construction Activity Individual Permit are required to pay permit application fees. Fees are also required for registration for coverage under a Construction Activity General Permit. Fees must be paid when applications for state permit issuance, reissuance, modification or transfer are submitted. Applications will be considered incomplete if the proper fee is not paid and will not be processed until the fee is received. The fee schedule for state permits is included with this form. Fees for state permit issuance, reissuance, maintenance, modification and transfer are included. Once you have determined the fee for the type of application you are submitting, complete this form. The original copy of the form and your check or money order payable to "Treasurer of Virginia" should be mailed to: Department of Environmental Quality Receipts Control P.O. Box 1104 Richmond,VA 23218 A copy of this form and a copy of your check or money order should accompany the permit application (or registration statement). You should retain a copy for your records. Construction Activity Operator: Name: WOODBRIAR ASSOCIATES Contact: WENDALL WOOD Mailing Address: P.O. BOX 5548 City: CHARLOTTESVILLE State: VA Zip: 22905 Phone: Email address (if available): Name and Location of the Construction Activity: Name: BRIARWOOD-BRIARWOOD DRIVE City: CHARLOTTESVILLE State: VA Zip: 22911 County: ALBEMARLE COUNTY Type of State Permit: n Construction Activity Individual Permit n Construction Activity General Permit (from Fee Schedule) Type of Action: ❑ New Issuance © Reissuance ❑ Maintenance n Modification Transfer Amount of Fee Submitted (from Fee Schedule): $750 Existing General Permit Registration Number(if applicable): VAR10-12-101227 FOR DEQ USE ONLY -- Date: DC #: 01/2014 Page 1 of 1 Application for Review of Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & 4100:` 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 ❑ SWM Plan Resubmittal ❑ E&S Plan Resubmittal WPO Application# 2013-00072 WPO Application# 2013-00072 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: BRIARWOOD COMMERCIAL LOTS-ROAD WPO PLAN Tax map and parcel: 32G-A&32G-B Zoning: CI&EC Amount of Land Disturbance: 9.93 Acres Location of property(landmarks,intersections,or other): BRIARWOOD DRIVE Contact Person(Who should we call/write concerning this project?): SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT STREET,SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 Fax#( ) E-mail scott@collins-engineering.com Owner of Record WOODBRIAR ASSOCIATES Address PO BOX 5548 City CHARLOTTESVILLE State VA Zip 22905 Daytime Phone( ) Fax#( ) E-mail Contractor Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer COLLINS ENGINEERING 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 plaE\ C] Siinature of Otv�leContract Purchaser Date Zi)`--e "y// Gi'GCV,c � � 739 PrinfNName 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 revie (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 MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/BMP Plan... $300/per plan revie J (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 $300 TOTAL APPLICATION FEE: (Add lines 18 and 25) $600 THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND/OR ANNUAL RENEWAL FEES WHICH MAY BE CHARGED TO THIS PROJECT. Revised November 14,2011 Page 3 of 3 Appation for Review of •�.• `*"may Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & Stream Buffer Mitigation Plan ❑ Erosion & Sediment Control Plan ❑ Stormwater Management/BMP Plan ❑ Stream Buffer Mitigation Plan ❑ E&S Plan Amendment ❑ SWM Plan Amendment (Previous Plan# ) (Previous Plan# ) ❑ E&S Plan with Variance ❑ Request for Exception #of Variances r-gt SWM Plan Resubmittal �$(E&S Plan Resubmittal WPO Application# : "t3 - 7 l WPO Application# a.01-5 I rL- 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: eL,v-w'ee(' vlrvleY((44 Lt+' "' -OG".E1 k,,u?C Plc. Tax map and parcel: 32Ei A (&*tc1 320613 Zoning: Cl (,t-+tzt EC Amount of Land Disturbance: i f 3 Acres Location of property(landmarks,intersections,or other): -Sy tlir tti 4 brcVC, 7 � Contact Person(Who should we call/write concerning this project?): Ct Il i n$ Cc((i�S Ely)r y(t'-Y6,.(� Address U0 C/A rr.e tt St Su.;ft k_ City Ct 6iY(+%'{ 'Q�3✓i Ili, State i/tt `✓f Zip .2 t:2- Daytime Phone(4 '1 94$q llIl Fax#( ) E-mail `3(6'[� CC 1t-s-Qy�c;i r16t riV•�� i Owner of Record wt?t4t�Oftl�Y Assc Ciake5 Address PG 15c 5l-- City Cht r bit-"3/;t iC State \(L Zip :42,1c.,1,5 Daytime Phone( ) Fax#( ) E-mail Contractor Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer &ALAS yi4)Cevtr j Address ,J 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 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. Signature of Owner,Contract Purchaser Date Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# )) Fee Amount$( "A/ Date Paid �/�2//9 By who? bYk. Lev COI ?Receipt#Q 5-C17(jI Ck#2/9) S' By: 1 Revised November 14,2011 Page 1 of 3 EROSION CONTROL PLAN: (SUBIT 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 perms re (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 $ :i L Revised November 14,2011 Page 2 of 3 Nome 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 $ .3c TOTAL APPLICATION FEE: (Add lines 18 and 25) $ tpero 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 Novo ',Awe Application for Review of 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# wpo2013-72 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: Briarwood Commerical Lots - Road WPO plan Tax map and parcel: 032G-parcel A.& 032G-parcel B Zoning: C-1 Amount of Land Disturbance: q, Z 5 Acres Location of property(landmarks,intersections,or other): intersection of Briarwood Drive and Rt. 29 Contact Person(Who should we call/write concerning this project?): Collins Engineering Address 200 Garrett Street, Suite K City Cville State VA Zip 22902 Daytime Phone(434293-3719 Fax#( ) E-mail scot( collins-engineering.com Owner of Record Woodbriar Associates Address PO Box 5548 City cville State Va Zip 22905 Daytime Phone( ) Fax#( ) E-mail Contractor Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer Collins Engineering 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 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 Ilan. ,.irr..eied6 !Aea. ./A,), t_ / ' Signature of Owner,Contract Purchaser Date W•'ir47/iG l 0 x!/4`0402.4* i x,- rX" v?Yi '° Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# 044 Fee Amount$) •O O Date Paid OK)J y By who? U ; CfJ Lek) Receipt#95 20 O Ck# 2.) By: p g CA fpOC4 /J✓I 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 THEREAFI ER 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 THEREAFI ER 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 v�r 'fir 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 $ 300 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 a U Albemarle 1. ou,,,r y Community Development Department 401 titAtire Road Charlottesville,VA 22902-4596 • Planning Application :(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMP 032G0-00-00-000A0 Owner(s): WOODBRIAR ASSOCIATES Application # WP0201300072 PROPERTY INFORMATION Legal Description TRACT A Magisterial Dist. Rio Land Use Primary Forest Current AFD Not in A/F District Current Zoning Primary Cl Commercial APPLICATION INFORMATION Street Address Entered By Todd Shifflett Application Type Water Protection Ordinances 11/26/2013 Project Briarwood Commercial Lots Received Date 11/22/13 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 J Sub Applicati I Comment Erosion and Sediment Control Plan StormwaterMana" ement .BMP:Plan:.: s.:...:.: 'APPLICANT/ CONTACT INFORMATION ContactType I Name Address I CityState I Zip . Phone PhoneCell Owner/Applicant ::I WOODBRIAR.ASSOCIATES; .. P O BOX:5 :. ,...._ .. „:,. . � 54$;, ... .. CHikRwi.C7!TTESXIILt,- 22905:. Primary Contact SCOTT COLLINS - COLLINS ENGINEERIN 200 GARRETT STREET, SUITE CHARLOTTESVILL 22902 4342933719 Signature of Contractor or Authorized Agent Date Application for Review of Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & I,' 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 ❑ 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: BRIARWOOD COMMERCIAL LOTS Tax map and parcel: 032G0-00-00-000A0&032G0-00-00-000B0 Zoning: Cl,ENTRANCE CORRIDOR Amount of Land Disturbance: 10.75 Acres Location of property(landmarks,intersections,or other): BRIARWOOD DRIVE Contact Person(Who should we calUwrite concerning this project?): SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT STREET,SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 Fax#( ) E-mail scott@collins-engineering.com Owner of Record WOODBRIAR ASSOCIATES Address P.O.BOX 5548 City CHARLOTTESVILLE State VA Zip 22905 Daytime Phone( ) Fax#( ) E-mail Contractor Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer COLLINS ENGINEERING 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 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. ail9ef.h it Ole A!15o`.,e7c f /7— — / Signature of Owner,Contract Purchaser Date Ali"-e / /7 Al/ Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO#{ '(� } / �q�R y� j/, „n/�� Fee Amount$ Date Paid (`22-12:113y who? , 1�� to 1101\61(af Receipt# ^�2 Ck# 2. V`-'" By: ' r ' Q1 4 Revised November 14,2011 Page 1 of 3 w✓ .,.r 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 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 $300 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