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WPO201300058 Application 2013-08-20
Application for Review of s ,,r Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & Stream Buffer Mitigation Plan Erosion & Sediment Control Plan XStormwater Management/BMP Plan ❑ Stream Buffer Mitigation Plan j E&S Plan Amendment ❑ SWM Plan Amendment (Previous Plan# ) (Previous Plan# ) ❑ E&S Plan with Variance ❑ Request for Exception #of Variances WM Plan Resubmittal yt.. 4pzS � J Plan Resubmittal ! WPO Application# - i 3.- `, 0 0 Application# 7. 13'#tw58 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a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. //��� l Project Name: N Tam./ C T 44 c) 1 hf: Tr Tax map and parcel: // 3241 (.■ Zoning: 179 —MC- Amount of Land Disturbance: Acres Location of property(landmarks,intersections,or other): ■Contact Person(Who should we call/write concerning this project?): id V - ` ��s'G• t 't i4/ _i. . If Address 132 • ek 1/f ' City C j4Wlo�S1/i1Ie State (14 Zip �p r� t!"r'' ` ,Q Daytime Phone H 9, '7 -0 / 1 Fax## 3H 9-7,l,4(c I E-mail iv ye(5 t.d"t)/jgl,, ux7 . (cM Owner of Record 120(7t-OR(tie., err/L/417 Arks WM t rte Y`'t c' "il�'t;_s- Address 7. & %. ( )14-1 City deter146 V1lit 1 State V A Zip 7∎410G? Daytime Phone{� iii Fax#( ) E-mail l:4+l4r61 14 S 1 err;1 .(o1 Contractor N(j{- -_<'„,p�j ock e Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer St�1 t9 C - G{1 P KG. 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 compli cc ith the approved plan Signature of Owner,Contract Punch= Date 0/046 t,! /411/4— u34- /7I-8/J/ Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# 931'yd 6Z Fee Amount S jp0 r0 Q Date Paid Z(,�i% t`_�By who?�Fr��j� , p � Q By:� i ��� �Receipt#! Ck# 3 _ Revised November 14,2011 Page 1 of 3 Now- 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 S l l 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 SWMBMP PLAN $ TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 600, GC) 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 wr Application for Review of ; Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & 'mow: Stream Buffer Mitigation Plan Erosion& Sediment Control Plan kf.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# 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. /�� c) y� Project Name: Ho LLypiEAD `( N cewrec i c/ 1% k iT Tax map and parcel: / 32-- 4I L- Zoning: 1c? "MC-- Amount of Land Disturbance: Acres Location of property(landmarks,intersections,or other): (Who concerning project?): tiRei1 ty€c1Pg.-/ O 'M 1 5.61 Contact Person W`ho should we call/write connn��cemin this G �J/�tl�� � �Q�1' l� Address I 72 -Pa bi' City! IA40(I SI/t tt State VA Ztp Z.9_i i u p 2 (* ttt/777�"""'rrt Daytime(P]honey� , 0 !/'��"� Fax#(i �- ��`,�''l�,jG�' ' ,t mail n '+�a_l ed.U(qfi b �t: Owner of Record V0 t O r t(' c -_U_tA17 (4rt e.s 1dL1Y1_tk t -- rt!I _. _Y't� S Address 719• EA 4 1 City �`(D S✓I'G� _( ,State_V A Zip et, Daytime Phone(4N I-71 - '8m Fax#( ) E-mail_I�4 1 L1rri ti Sr 0,511/M i 1 .4211) Contractor t 4)— \. G to Address City State Zip Daytime Phone( ) ___ Fax#( )_ E-mail Plan Preparer Sa,M.e 06 Cc,2-1-/ 1- V-tiSc( 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 ith the approved plan. Z -c' -i3 Signature of Owner,Contract Purch ser Date 6140-1ei V l-1r 4- u 314-6,7 f-87(17 Print Name Daytime phone number of Signatory FOR OFFICE USE OOr ,Y WPO# Fee Amount SLOW Date Paid' 28'C3y who? t l n t _ e( eceipt# (� Ck# '46_y By: t it t 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 ITO 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) ll 18. SUBTOTAL EROSION CONTROL PLAN S V Revised November 14,2011 Page 2 of 3 STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/BMP Plan...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 (TNSPECTION/REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) 24. Mitigation Plan $150 (TO RE PAID AT TIME OF APPLICATION) 25. SUBTOTAL SWM/BMP PLAN $ TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 660, OC) 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 i Albemarle Cou y Community Development Department 401 01I M!fire Road Charlottesville,VA 22902-4596 t' ��- �d Planning Application Voice:(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMPI 03200-00-00-041L0 I Owner(s): POST OFFICE LAND TRUST; CHARLES WM HURT & Application # WP0201300058 SHIRLEY L FISHER, TRUSTEES PROPERTY INFORMATION Legal Description ACREAGE C4 Magisterial Dist. Rio Land Use Primary Open Current AFD Not in A/F District Current Zoning Primary Planned Development Mixed Commercial APPLICATION INFORMATION Street Address Entered By Todd Shifflett Application Type Water Protection Ordinances 08/20/2013 Project IHOLLYMEAD TOWN CENTER(AREA C) BLOCK IV- FINAL Received Date 08/15/13 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 I Sub Applicati I Comment I Erosion and Sediment Control Plan Stailnvvateir ManagernientBMP Phan (APPLICANT/ CONTACT INFORMATION ContactT'pe I Name CityState 1 Zip Phone PhoneCell owner%Applicant POST OFFICE LAND TRUST CItARLES w PO BOX 8147 HAR,Li]TT SVILL; 22908' Primary Contact MICHAEL MYERS, P.E., DOMINION ENGI 172 S. PANTOPS DR. CHARLOTTESVILL 22911 4349798121 Signature of Contractor or Authorized Agent Date • ®rro ✓` Application for Review of .�` ;, Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & �; . Stream Buffer Mitigation Plan Erosion &Sediment Control Plan . .Stormwater Management/BMP Plan El Stream Buffer Mitigation Plan E&S Plan Amendment ❑ SWM Plan Amendment (Previous Plan# ) (Previous Plan# ) ❑ E&S Plan with Variance El 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. l ��`' Project Name: HO LLy�&ci� IGAAi ( C i `-r` I c) I Z 7. Tax map and parcel: 3e2-- 41 (_, Zoning: ")A(- Amount of Land Disturbance: Acres Location of property(landmarks,intersections,or other): Contact Person(Who should we call/write concerning this project?): V V �G fJ /4 0C / /t Address 172 . p,,,, s Di- City 614440 Sv Jlt State VA- Zip i� Daytime Phones 9-7 , 0 I -1 Fax# 3 \ Gj -7 ` e ' E-mail 01 04).((5 'rdf)(�/� f Y) �✓�,, , ` Owner of Record Vo'i t v (,�t9 �/ A Wit W'''S A / i : 1 J (d V` c 1 i �rS��°�S Address 7,©. D`t-1-1 City C 0d .S✓ /t f., State VA Zip Z 06 (Daytime Phone °/ 1l1 I Fax#( ) E-mail \,(614 n114 S rO 41 11 1 '(WY) Contractor NO- G L� �✓ Address City State Zip Daytime Phone(/ ) Fax#( ) E-mail Plan Preparer SoJ,ake a9 C,ej,-IC t 17---e/Sc'fl 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 com P line ih he approved oved p1 n. Iwo '` `r3 Signature of Owner,Contract Purch.ser Date C--ui kJ 144- u3q-el 7 !-y/617 Print Name Daytime phone number of Signatory FOR OFFICE jUSE ,jONLY II WPO 4 Fee Amount S c``II7 Date Paid /b i,3 By who?lj i�t i Ili(,1+,O,ry 1b. Receipt#02;3.32 Ck# 7.�`'t" By: 1 s' lJ l 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 $ O 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 $ TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 66%0, 2C) 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