HomeMy WebLinkAboutWPO201400030 Application 2014-04-15 Virginia Stormwater Management Program(VSMP) i +
i
Application for Albemarle County r r'
Project Name: BRIARWOOD UNDERGROUND DETENTION
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes 0 No
Is this a revision or resubmission for review? Yes ® No 0
County File Number: WPO-2013-18 (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.
E 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�DD-O0-000AO WOODBRIAR ASSOCIATES r�T� 8/8/2014
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
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 554j3
City CHARLOTTESVILLE State VA Zip 22905
Daytime Phone(434) 975-3334 E-mail ulcwww@ombaramall.com
7/1/14,Revised:7/10114 Page 1 of 2
,
'err'' Nose
i ❑B, All Fees [Code section 17-208]
For new or modified plans;Total acres proposed to be disturbed
Acres to be r Total Fee Fcc Due with this Fee with Transfer or
disturbed Application modification of permit
Less than I $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.
o 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.
ID H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408..
❑ 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(494) 293-3719 E-mail scott@collins-enaineering.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
Matures will not be considered valid.
FOR OFFICE USE ONLY WPO 0
Fee Amount S .. . Date Paid__-,__By who?
711!14,Revised:7110114 Page 2 of 2
w
OF ALnr
Virginia Stormwater Management Program (VSMP) $ C
Application for Albemarle County
�rRCIN�P
Project Name: BRIARWOOD UNDERGROUND DETENTION
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No El
Is this a revision or resubmission for review? Yes fill No ❑
County File Number: WPO-2014-30 (to be provided by the County for new applications)
The following are required elements of new applications[from code section 17-4011 For revisions or
amendments,please indicate which items are being amended. Signatures must be provided for any
submission.
IX] 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 14 . .-e4�.6 '1
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
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-WENDELL 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
IXI B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed 13.11 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;$150
(XI C. Registration Statement on the official DEQ form.
NMg D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
l E. Stormwater Management Plan satisfying the requirements of code section 17-403.
1 F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
N/t4 H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
NAN I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
NAN J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name COLLINS ENGINEERING -SCOTT COLLINS
Address 200 GARRETT STREET, SUITE K
City CHARLOTTESVILLE State VA Zip 22902
Daytime Phone(434) 293-3719 E-mail scott @collins-engineering.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By
7/1/14,Revised:7/10/14 Page 2 of 2
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# wpo2013-18)
❑ 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 Underground Detention
Tax map and parcel: 032G-parcel A Zoning: C-1
Amount of Land Disturbance: Acres
Location of property(landmarks,intersections,or other): intersection of Briarwood Drive and Rt. 29
Contact Person(Who should we cal Vwrite concerning this project?): Collins Engj,neeting
Address 200 Garrett Street, Suite K City Cville state VA Zip 22902
Daytime Phone(431293-3719 Fax#( ) E-mail scottftcollins-engineering.com
Owner of Record Wood briar Associates
Address PO Box 5548 City cville state Va Zip 22905
Daytime Phone( ) Fax#( ) __-----__. ._..-E-mail^ —
Contractor
Address Ci
tY 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 plapi
Signature of Owner,Contract Purchaser Date
1IJ'c -a< . ZUA 7 1 3 9
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPOtr �• �
�`!mil
1690/00,_ Qt l'�
Fee Amount Date Paid" "1 ! By who? . 1./ .(t)I 9i Receipt#g091q Ck#�l l U N5.1 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 SUBMI TAI 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
(REWSPECTION 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].INTIL 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 $
Revised November 14,2011 Page 2 of 3
•
STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES)
19. Stormwater Management/BMP Plan. 300ipe1 p an revle
(TO BE PAID AT TIME OF APPLICATION AND EACH SUBMIT'T'AL 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 TIMF 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) $ 300
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
Albemarle unty Community Development Department
401 McIntire Road Charlottesville,VA 22902-4596
Voice:(434)296-5832 Fax:(434)972-4126
Planning Application
PARCEL/ OWNER INFORMATION
TMPI 032G0-00-00-000A0 Owner(s):
WOODBRIAR ASSOCIATES
Application # WP0201400030
PROPERTY INFORMATION
Legal Description TRACT A
Magisterial Dist. Rio Land Use Primary Forest
Current AFD Not in A/F District Current Zoning Primary C1 Commercial
APPLICATION INFORMATION
Entered By
Street Address
Judy Martin
Application Type Water Protection Ordinances 104/15/2014 1
Project Briarwood Underground Detention
Received Date 04/11/14 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 Sub Applicati I Comment
Stormwater_Management/BMP Pllan
(APPLICANT/ CONTACT INFORMATION
ContactType Name Address Ci State Zi• Phone PhoneCell
Owner/Applicant W000BRtAR ASSOCIATES P 0 X 5548 CHARLOTTES1itt t 22905
Primary Contact COLLINS ENGINEERING/SCOTT COLLINS 200 GARRETT ST.,STE. K CHARLOTTESVILL 22902 4342933719
Signature of Contractor or Authorized Agent Date
r..r
Application for Review of
Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & 4No;
Stream Buffer Mitigation Plan
❑ Erosion &Sediment Control Plan ❑ Stormwater Management/BMP Plan ❑ Stream Buffer Mitigation Plan
❑ E&S Plan Amendment E SWM Plan Amendment
(Previous Plan# ) (Previous Plan# wpo2013-18)
❑ 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 Underground Detention
Tax map and parcel: 032G-parcel A Zoning: C-1
Amount of Land Disturbance: 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 scoff( 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 pla
Signature of Owner,Contract Purchaser Date
bec defiZ4b. t 7 7Sy ?33jf
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO# Q l
Fee Amount$LiW Date Paid 4 1\ ABy who?111,Y ,�, (,U R?eipt# ` ! Ck# L_'�J �' By:
1 Revised November 14,2011 Page 1 of 3
EROSION CONTROL PLAN: (SUBMIT 2 COPIES)
Land disturbing activity pertaining to single family dwelling unit:
I. Plan Review $150 per review
(TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAr7 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 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 THEREAT 1ER UNTIL APPROVAL)
17. Variances $150/per request
(TO BE PAID AT TIME OF APPLICATION)
18. SUBTOTAL EROSION CONTROL PLAN $
Revised November 14,2011 Page 2 of 3
STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES)
19. Stormwater Management/BMP Plan $20Q6p pan revle ,
(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) $ 300
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