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WPO201400016 Application 2014-04-29
Application for Review of ,PV 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# ' Ô I 0 001 Co WPO Application # ").011-4 00 01 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response to comments is not received within 6 months from the date of 1 county comments,the application will be deemed withdrawn. Project Name: �'ST.'H�1N__ e_At•-1't�'�'.13tjp4 ATE 2. C> )*tvt 0J)ei Tax map and parcel:1//1 1 $ ! 55 61)4,S541/4)741 Zoning: ?Rte Amount of Land Disturbance: c:N.t0(p Acres Location of property(landmarks,intersections,or other): O S 32Tr. 7 s� 9 1-)AP.- 1-ZYC c / {o t,J ci Contact Person(Who should we calliarite concerning this project?):„6,12 `_"i__ y,0"� ,,1540,1_61 t0+�MSlyt,44_, (� ^ "� ' Vrk I " qo'7 Address q�-! !'��"�4 � ._. G%.-__....._.._..__......,.__City GHA2L..fl"!'t�5v1f..�C.SC;tt� Z>> Daytime Phone( ... a1 , g Fax tr( E-mail CQuv.G,kal-ARS1el °� ltwtw+oraS-Ga+1 Owner of Record V.).f6TNnIIJS"1 EZ Cl. d'f IRE 11LOC JC.1C7G►1. i .._. _ Address _ d 9A )1 o �5 r{ou1,,snesi o..1124ciptv epow.tA 7 5vJ State VA Zip -p"'a qd ` Daytime Phone(!.Z'7�S� ZG1C-a Fax#(4,4 314 3_.._E-mail 30►'t`,1.t8 c-"toll„csyr{ Contractor `j Address City ....... .. _.� _._ State _.. Zip Daytime Phone( ) Fax#( ) _-_---_... E-mail Plan Preparcf rts.A"44 0t)' --_ x(71,L+C1ASt_�? ..__._�+� Address clic\ `- SA CilyG'i{a'Q(„O'r esvi LLr.State V A Zip e�a�a''Q Daytime Phone Fax# E-until CQAIG►_KoTl°►"eSic%6:1110-4.IUQNS•CIA 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 1 have the authority to authorize the land disturbing activities and develo ment on the subjectproperty. t hereby grant the County of Albemarle the right to enter upon the property as required to ensure con lance withh e appr Wed p. q i q Signature of?Owner,Contract Purcha s r Date ,t &Prey M C.Z. (-N.; , )ri'2- • 5 ( CI Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO it I.ce Amount S Date Paid By who? kec ittl Cl: [iy. Revised November I-t,NI I Page I (11'3 Now, EROSION CONTROL PLAN: (SUBMIT 2 COPIES) Land disturbing activity pertaining to single family dwelling unit: . Plan Review $150 per review (TO BE PAID AT TIME OF APPLICATION.AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 2 Perniit 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 ITO BE PAID ANNUAL!Y,STARTING WITH SECOND YEAR,UNTII,COMPLETION OF APPROVED PLAN REQUIREMENTS) 4. Each reinspection $150 (REINSPECTION FEES ARE INVOICED.1-0 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,STAR.IING van!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 VP'r 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 PRECONSTRLCTION CONFERENCE FOR EROSION CONTROI.PERMIT) 11. Annual Permit Renewal and Inspection Fees, Disturbed Area Less Than One Acre $200 TO BE.PAID ANNI .I.Y,STARTING WITH SECOND YEAR,UNTIL COMPI.F.TIoN OF APPROVED PI AN R EQI SIR EMENTS 12. Plan Review, Disturbed Area One Acre or Larger $300 per review TO BE PAID Al'TIME OF APPLIC/VIION ,MSD EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 13. Permit and First Year Inspection Fees, Disturbed Area One Acre or Larger S 100/per disturbed acre (TO BE PAID PRIOR TO SCI IEDULING PRECONS-IRITTIION 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 reinspdction $250 (REINSPECT1011 FEES ARE INVOICE[)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 5-0 Revised November 14,20 1 1 Page 2 0 l 3 • rose STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/ BIM Plan. gab er plan review )T0 BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER ER I NFIL APPROVAL) 20. Major Amendment of Plan $180/per plan review (TO BE PAID AT TIME OF APPLICATION AND EAU!SI;BMITIAI. 'IIERF AFTER UNLIT;1PPROVAL) 21. Request for exception $240 (TO BE PAID AT LIMP OF APPLICA)1ION) 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 IT0 BE P;5ID AT TIME OF APPLICATION) 23. Each inspection or reinspection $60 INSPECTION/REINSPECTION FITS ARE)INVOICED TO TIIF LANDOWNER) 24. Mitigation Plan $150 (TO BE PAID AT TIME OF APPLICATION) 25. SUBTOTAL SWM/BMP PLAN S d TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 4 S".", THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND/OR ANNUAL RENEWAL FEES WHICH MAY BE CHARGED TO THIS PROJECT. Revised November 14,2011 Pane 3 a 3 ;;. - Albemarle C un ty "' Community Development Department 1 401 McIntire Road Charlottesville,VA 22902-4596 Planning Application Voice:(434)296-5832 Fax:(434)972 4126 'PARCEL/ OWNER INFORMATION TMP 07800-00-00-055A6 Owner(s): Application # WP0201400016 WESTMINSTER- CANTERBURY OF THE BLUE RIDGE PROPERTY INFORMATION Legal Description ACREAGE WESTMINISTER CANTERBURY Magisterial Dist. Rivanna Land Use Primary Residential --Single-family attached Current AFD Not in A/F District current Zoning Primary Planned Residential Development APPLICATION INFORMATION Street Address 236 PANTOPS MOUNTAIN RD CHARLOTTESVILLE, 22911 Entered By Judy Martin Application Type Water Protection Ordinances 102/25/2014 Project Westminster Canterbury Catered Living Received Date 02/25/14 Received Date Final Submittal Date Total Fees 450 Closing File Date Submittal Date Final Total Paid 450 Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sub Applicati I Comment No Sub-Application Type Selected Stormwater!Management/BMP Pan (APPLICANT/ CONTACT INFORMATION ContactType Name Address I CityState Zip Phone PhoneCell owner/Applicaak ;WESTMINSTER^ CANTERBURY OF THE B":348 PANTOPS:MOUNTAIN RO :CHARLG)TTESVtf L:22911 Primary Contact CRAIG KOTARSKI(TIMMONS GROUP) 919 2ND ST.W.E. CHARLOTTESVILL 22902 4343271688 Plan Preparer TIMMONS GROUP 919 2ND ST.SE CHARLOTTESVILL 22902 4343271688 Signature of Contractor or Authorized Agent Date • Application for Review of ff;t Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & Stream Buffer Mitigation Plan g//Erosion&Sediment Control Plan Atormwater ManagementBMP Plan 0 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 planslnarrafive/cotnpatutions *When a WPO plan Is reviewed,but not approved,and a response to comments is not received within 6 months from the date of eosthty comments,the application will be deemed withdrawn, Project Name: 4Uli lhlf 1 1e civvremeC . _e r t A Gyre Tax map and parcel: 'T M 7 S t<6i1 6/cc(A)k47 Zoning: 1-g_6 Amount of Land Disturbance: Or 040 Acres rr�� Location of property(landmarks,intersections,or other): U5. FTE, 2CO t P i JTaf S orter NvA iN (PO Contact Person(Who should we call/write concerning this project?): C1?-1111/ 4TAR Set 6)I 4 CiAiS &POW)) Address 1 2NO 5r tr City_CtioLC7rr51/!t(,E State VA Zip 2-2162- Daytime Phone 3Z7 /4403 Fax t#( E-snail It-AIla11OTARSKf Owner of Record .:W 5 T M l NKT '{s'�- : r r L✓g lei'D 66 Address ? O FAn1TOP5 MA/Nr79/A' RD. City CHl4ARreSt/ILLC State WI Zip d 1 Daytime Phone(413/ ?72 24.Z 2 Fax#(i/�4./ 97Z 3173 E-mail illy je(meCr i.+ k,,. �r.C'�(t< Contractor // Address ry City_ State Zip Daytime Phone( ) Fax#( ), E-mail Plan Preparer i7M/ff#/V S (947UP Address(j 9 2A)D 5 ' city_CwARtO T25V/L L to #+ Zip eZeleZ Daytime Phone(1/54) ?j Z?__ ? ' Fax#( ) E-mail C.' .. Lriat 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 ManngementiBMP 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 comp}nfiice with the a proved lap' Signature of Oner,Contract Purchaser Date 6-A r2-1 (-; '751 /,477 , _- -- .5} Print Name Daytime phone number of Signatory FOR OFFICE USE O Y WPO# 4 `� I �. t-f _ fig 3'7 7 b 12 Fee Amount$ Date Paid '-- By who? �l�m�t:),r;� Receipt N Ck# .i By: Revised November 14,2011 Pagc t of 3 • New- 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 '- 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 $ t‘6 Revised November 14,2011 Page 2 of 3 STORMWATER MANAGEMENT/BMP PLAN& MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/BMP Plan. 00/•-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 $ 3©b TOTAL APPLICATION FEE: (Add lines 18 and 25) $ L{SO 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