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WPO201400002 Application 2014-01-15
Albemarle Coc. y �,,�r Community Development Department 401 Mcfntire Road Charlottesville,VA 22902-4596 ----- 14 Planning Application Voice:(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMP 04500-00-00-095A0 Owner(s): COUNTY OF ALBEMARLE SCHOOL BOARD ATTN: Application # WP0201400002 SUPERINTENDENT OF SCHOOLS PROPERTY INFORMATION Legal Description ACREAGE PARCEL A AGNOR-HURT ELEMENTARY Magisterial Dist. Rio Land Use Primary Public Current AFD Not in A/F District Current Zoning Primary R6 Residential APPLICATION INFORMATION Street Address CHARLOTTESVILLE, 22901 Entered By Todd Shifflett Application Type Water Protection Ordinances 01/15/2014 Project Agnor Hurt Elementary School Renovations And Additions Received Date 01/13/14 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments NO FEES/COUNTY PROJECT Legal Ad SUB APPLICATION(s) Type ] Sub Applicati I Comment, Erosion and Sediment Control Plan Storrnwater Management/BMP Plan I jAPPLICANT/ CONTACT INFORMATION ContactType ! Name j Address I CityState I Zip Phone PhoneCell Owner/Appii ant ! COUN i y OF ALBEMARLE SCHOOL BOAR ;401 MCINTIRE ROAD CHARLOTTESVI L;229Q1 Primary Contact CRAIG KOTARSKI/TIMMONS GROUP .919 2ND ST SE CHARLOTTESVILL 22902 4343271688 Signature of Contractor or Authorized Agent Date Application for Review of ,r. Erosion & Sediment Control Plan & Stormwater NLanagementVBMP Plan & i I' / Stream Buffer Mitigation Plan [(Erosion&Sediment Control Plan Stormwater Management/BMP Plan ❑ Stream Buffer Mitigation Plan 0 E&S Plan Amendment ❑SWIM Plan Amendment (Previous Plan# ) (Previous Plan# ) O E&S Plan with Variance 0 Request for Exception #of Variances ©SWM Plan Resubrnittal ❑ E&S Plan Resubmittal WPO Application#.T WPO Application# _ Submit 2 ctrp#es each of applicablepla eta/narrrstive/com_sptatians V *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a response to comments is not received within-6 months from the date of county commentsz the application will be deemed withdrawn. Project Name: A( V t /f(!` .ar.MCNTIMY sciikei-'p 9EldoV/9T?d/U5 )#VC 4iW'news Tax map and parcel:d 1f�4t7-00-00-.0 �0 ,Zoning R 4s i Amount of Land Disturbance: 20 Acres 1 ,f ,yam- ,t Location of property(landmarks,intersections,or other):_ ReSnbR fin r E 1v/fRY ('/t"0©1,- Contact Person(Who should we call/write concerning this project?):_ (-KR . 9kSx1 717.1.4.00415�24k(P __, Address 7,4 2v t S City _Cfge Zan__L4FState pit 7.i z,25)02 Daytime Phone A!)3Z __.!ez?68_--Fax 4 t----). ..w. __..._ E-mail CIQ#9i 'drlilleSig ntl/Ase CtP7''i Owner of Record A T QQ( C __ One n4 igoiti,giv se)9 mi> ' Addre ___40,(i Pic-Im-r t s.C., 0A-P_.._,. _.� city CW i.o n l/ILL(State VA. .y Zip ZZ 'O 2. Daytime Phone(_!' 915- 9P Fax 4( 5'7.5- /341 _._E-mail RSeNMLTrQ jG l Z Ir eolAgt— 0026 Contractor Address City State Zip,_........_ _... Daytime Phone( )__ .._- Fax 4 L L., . _ ....�__E-mail __.._-__,._ Plan Prepare. C_..g �__ .... I in. '01tP Address q(5 2w9 3_6- City C0RL07TrS err L'LCState VP Zip 22'9 4Z Daytime Phone(SIN 327 Fax Fax 4( j E-mail crRIG_OrogsKi P rimminls.e.o>'+i 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 Managemont/SMP 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 cosine compliance w'th the a■ roved plan._ / St4 Jilt Ia.n'►w4.'..A 44_ /' d( / 0 l! i re of at • ,--Contract Purchaser Date !! .asa(Ain Schur Lt- (034) c (75 —113 Y-0 Print Name Daytime phone number of Signatory I- I FOR OPTICE,USE.ONLY WPO i C i } l'x furovril$ Dare Peed By who' Peceter k CIO. By' Revised November 14,2Q11 Page I 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 30 er 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 $ Nf}' Revised November 14,2011 Page 2 of 3 STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/BMP Plan... ;300/.er 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 $ I" TOTAL APPLICATION FEE: (Add lines 18 and 25) $ D 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