HomeMy WebLinkAboutWPO201400024 Application 2014-07-16 of AL
Virginia Stormwater Management Program (VSMP) a7 .A
Application for Albemarle County s*tetp.
Project Name: Q L,t4-0 J Purnd5
(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 X No ❑
County File Number: W PC) ` ,011-f-24 (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.
mi
C�7 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 appro ed plans and permits.
a
G v 405- P To T1 ,,� 1 - 6 .14—
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 V 40 C-e-- a_
Address 1 73 Q Q tium ns- e D-
City CY-IOVI Ile State v,/4 Zip ZZt.OI
Daytime Phone( ) E-mail V 1 Ce-PVCLE Mar— \
7/1/14,Revised: 7/10/14 Page 1 of 2
❑ B. All Fees [Code section 17-208] "I 5
For 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 1 $290 $145 $20
1 and less than 5 $2,700 $1,350 $200
5 and less than 10 $3,400 C 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.
V.D. Pt Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. y
P1 E. Stormwater Management Plan satisfying the requirements of code section 17-403. <1 t ee-44 y SvlOw"' G(
4. Pollution Prevention Plan satisfying the requirements of code section 17-404.
Q G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
44.❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
Nlk❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
N(Jk-❑ 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 JUS\-- c S\ 11
n
Address 01 1\ •
City C c1Q•�•* /U ��� State A Zip ZZgc Z
Daytime Phone(134) 4153 (o(l(o E-mail O'T-1✓l & 5h=(v ') -P48;./lerrit cGi/1„-\
*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# `` Q
Fee Amount$1700.0 a Date Paid 7123111 By who? (rqc,}.S I4C 14/9T Receipt# 7GSOSo Ck# Q c 9 By:
1,U!
7/1/14,Revised:7/10/14 Page 2 of 2
,...,Application for Review of ,, MI;Py
Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & 4, et"
Stream Buffer Mitigation Plan
❑ Erosion & Sediment Control Plan ❑ Stormwater Management/BMP Plan ❑ Stream Buffer Mitigation Plan
❑ E&S Plan Amendment ❑ SWM Plan Amendment
(Previous Plan# ) (Previous Plan # )
❑ E&S Plan with Variance ❑ Request for Exception
#of Variances p SWM Plan Resubmittal
N E&S Plan Resubmittal WPO Application# WQ O ZOI L-1-zy
WPO Application# W QC.2ki1-Z4
Submit 2 copies each of applicable plans/narrative/computations
*When a WPO plan is reviewed,but not approved,and a response to comments is not received within 6 months from the date of
county comments,the application will be deemed withdrawn.
Project Name: ()Le- C7 ?Xi,IA165
Tax map and parcel: =To-00-OO-1x,5000 Zoning: N IA')
Amount of Land Disturbance: ,c,5- Acres
Location of property(landmarks,intersections,or other): 1 rvkr&c*c' O-C--- '&2,.rcr).0 , 2-C\ & aye 24
Contact Person(Who should we call/write concerning this project?): 0-063 f\ Jle\'‘peN,'f n
Address ;�C)` E riNe v\S Su'Ar. M City C6 ViA\� State \iA Zip 22.0107_
Daytime Phone(LI N) q5-3-61 1 6 Fax#( ) E-mail j(A5fj n 6)Sh;Alp e i
Owner of Record ?x re1 ,�-5 Reid/45 Reid/45 i L.L. ,
Address Q6- (Zj vcrioe nci P C. City Char\ (l`e___ State f/v Zip Z2Q II
Daytime Phone( ) Fax#( ) E-mail
Contractor T$(c)
Address City State Zip
Daytime Phone( ) Fax#( ) E-mail
Plan Preparer SGry1Q 05 Coc*ry -- Y S- \
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
Manage ent/BMP Plan,and/or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and
diNvelop e t on the subjec•s ro t erty. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure
copli ith the ap i ro d 1,n.
' 62, 1 -
Signature of Owner,Contra P rchaser Date
V \0 G` . 1 h- f34-- s " I ciii—
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#
Fee Amount$ LQ�U Date Paid(.9'Z.A By who?tarfaM Imo,t eceipt# " 15S 1 7 Ck# (tI By:Kr&
LLQ, Revised November 14,2011 Page 1 of 3
EROSION CONTROL PLAI'''` (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 $
Revised November 14,2011 Page 2 of 3
New Nipie
STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES)
19. Stormwater Management/BMP Plan... .$300/11 r 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 $ 30°
TOTAL APPLICATION FEE: (Add lines 18 and 25) $ G 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
Albemarle county
Community Development Department
401 McIntire Road Charlottesville,VA 22902-4596
t/ Planning Application Voice:(434)296-5832 Fax:(434)972-4126
PARCEL/ OWNER INFORMATION
TMPI 06000-00-00-06500 Owner(s):
Application # WP0201400024 BARRACKS HEIGHTS LLC
PROPERTY INFORMATION
Legal Description ACREAGE OUT OF BOUNDS
Magisterial Dist. Jack Jouett Land Use Primary Residential --Single-family (incl. modular homes)
Current AFD Not in A/F District Current Zoning Primary Neighborhood Model District
APPLICATION INFORMATION
Street Address 225 OUT OF BOUNDS RD CHARLOTTESVILLE, 22901 Entered By
Application Type Water Protection Ordinances Judy Martin
103/21/2014
Project IOut of Bounds
Received Date 03/20/14 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 1 Name 1 Address I CityState Zip 1 Phone I PhoneCell,
Owner/Applicant BARRACKS HEIGHTS LLC «195 RIVERSEN}DR ,CHARt.OTTESVILL 122911:
3
Primary Contact JUSTIN SHIMP 201 E. MAIN ST., STE. M CHARLOTTESVILL 22902 4342078086
•
Signature of Contractor or Authorized Agent Date
Application for Review of ��`*"^'�
PP Ne M
Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & ;;`
,r
/ Stream Buffer Mitigation Plan
[/ Erosion & Sediment Control Plan Q 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: OL1}C't 2-. 1u 1,'1tl
Tax map and parcel: CC) "(2 QS Zoning: N Mk
Amount of Land Disturbance: I•55 Acres
Location of property(landmarks,intersections,or other): 1,14-GrSet 1j . d( ( p{Uy1 0 Garr-ttck& ed.
Contact Person(Who should we call/write concerning this project?): V llSi'I rn Shlr,p
Address 9.0t E ■A►n suik, M City ' riv jtit State VA Zip 2'IfgOZ
Daytime Phone(TN) 1,07- •06(. Fax#( ) E-mail
•
f
Owner of Record `3oer o.LIks 1-LQ,i(:lh L.L.C. \`__
Address \ct j verbe' ( (. City Chart c$Vl I le State V A Zip 22(4 I i
Daytime Phone( ) Fax#( ) E-mail
Contractor
Address City State Zip
Daytime Phone( ) Fax#( ) E-mail
Plan Preparer SO IY as con-vod-- te50r1
Address City State Zip
Daytime Phone( ) Fax#( ) E-mail
Owner/Applicant Must Read and Sign
By signing this application as owner,I hereby certify that all requirements of the approved Erosion Control Plan,Stormwater
ManagementBMP Plan,and/or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and
de lop en on the su ' ct property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure
corn ha e ith the a proved plan.
Signa re wner, ntract Purchaser Date
Vv-ro C r1A,
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY �/WPO# I I '1
Fee Amount$ �0AO Date Paid 3)r�) 1By who? �G f(.it S WeIS�}SReceipt# q 4(67S Ck# to 2 By: ID
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
Nov Noe
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 $ 3 00.0 O
TOTAL APPLICATION FEE: (Add lines 18 and 25) $ G®Q..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