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WPO201400043 Application 2014-05-09
Albemarle County Community Development Department 401 McIntire Road Charlottesville,VA 22902-4596 Planning Application :(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMP 08000-00-00-060A0 Owner(s): KESWICK CLUB LLC Application # WP0201400043 PROPERTY INFORMATION Legal Description ACREAGE MAINTENANCE FACILITY Magisterial Dist. Rivanna Land Use Primary Commercial Current AFD Not in A/F District Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address 964 CLUB DR KESWICK, 22947 Entered By Judy Martin Application Type Water Protection Ordinances 105/09/2014 Project Keswick Golf Maint. Facility- Minor Received Date 05/09/14 Received Date Final Submittal Date 05/09/14 Total Fees 300 Closing File Date Submittal Date Final Total Paid 300 Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sub Applicati I Comment Stormwater Management/BMP Plan rAPPLICANT/ CONTACT INFORMATION ContactType Name Address 1 CityState Zip Phone PhoneCell DwnerlAppllcant KESWICK CLUB i LC 7©I C UB DRI tE r 'KESWICK VA ;22947 Primary Contact ROUDABUSH,GALE&ASSOC. 914 MONTICELLO ROAD CHARLOTTESVILL 22902 4349770205 Plan Preparer ROUDABUSH,GALE&ASSOC. 914 MONTICELLO ROAD CHARLOTTESVILL 22902 4349770205 Signature of Contractor or Authorized Agent Date Application for Review of Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & ,GF� 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 0 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a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn.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: ��`=>tn�1C� (��r) t )/t� d�_�/ +,)C.-t".,TA-6-I L i i 1 t Tax map and parcel: C CQ (�U' ()0 0(Q()AX) Zoning: QA- Amount of Land Disturbance: CJ �t Acres IT'( .t X t-\ L_ •-s4 z>Mt 1 N'l , Oc 1_4 l..1.A ..:�A. Location of property(landmarks,intersections,or other): }� IA U 0-C (–t–t1 t D — Acit) -1)0-1}r Contact Person(Who should we call/write concerning this project?): lZ,V. t)fir, At G Address M.Wt J C pr>. City r\t ( "jr State VA Zip 2-90 Z- Daytime Phone( 1;4 6111- v2-0,5 Fax#1431) 5 12-6 E-mail (- 2 02„ t(Ui7(Sc.\;`au 3 -k. c-Okik Owner of Record )6..:e.4:As tG �- --L-U'C� l.-LL..- e} Address 101 j-1-•-L .. City `fit)t tr r State VA Zip 2.2-1 t Daytime Phone( ) Fax#( ) E-mail Contractor Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer t3D! 13 LC,l Address 9 t © t City c C t State VA Zip 2- 2"/ Z., Daytime Phone (434) et 17°02 G?] Fax#{`'�: ` Z el to—S 2-Z-O E-mail 01 e. ry{ i t v(2.DA,..5 . 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 complian •; t) raven. . iLe ignature of Owner, on . =' ..- Date tr■ •■ 3c4 — 993- g306 Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# n Oil Fee Amount$ Date PaidNf.) By who? Receipt# LA; Ck# "{ ^Z. 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 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 (RETNSPECTION 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 $ Revised November l4,2011 Page 2 of 3 STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management!BMP Plan... $300/per plan review r (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMI I IAL 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 $ , —Y) ` C o TOTAL APPLICATION FEE: (Add lines 18 and 25) $ QC'• C60 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 lel County of Albemarle "" Conservation Plan Checklist—To be placed on Landscape Plans (Handbook,pp 11I-284-111-297 for complete specifications) 1. Tl rfollowine items shall be shown on the plan: Trees to be saved; emits of clearing(outside dripline of trees to be saved); 2 Location and type of protective fencing; ar Grade changes requiring tree wells or walls; IIKProposed trenching or tunneling beyond the limits of clearing. 2. Markings: Di All trees to be saved shall be marked with print or ribbon at a height clearly visible to equipment operators. 'r No grading shall begin until the tree marking has been inspected and approved by a County Inspector. 3. Pre-Construction Conference: Tree preservation and protection measures shall be reviewed with the contractor on site. 4. Equipment Operation and Storage: ar Heavy equipment,vehicular traffic and storage of construction materials including soil shall not be permitted within the driplines of trees to be saved. 5. Soil rosion and Stormwater Detention Devices: Such devices shall not adversely affect trees to be saved. 6. Fires: U° Fires are not permitted within 100 feet of the dripline of trees to be saved. 7. Toxic Materials: Er Toxic materials shall not be stored within 100 feet of the dripline of trees to be saved. 8. Projective Fencing: Trees to be retained within 40 feet of a proposed building or grading activity shall be protected by fencing. Fencing shall be in place and shall be inspected and approved by a County Inspector prior to grading or construction. 9. Tree Wells: When the ground level must be raised within the dripline of a tree to be saved,a tree well shall be provided and a construction detail submitted for approval. 10. Tree Walls: When the ground level must be lowered within the dripline a tree to be saved,a tree wall shall be provided;and a construction detail submitted for approval. 11. Tre9ehing and Tunneling: When trenching is required within the limits of clearing,it shall be done as far away from the trunks of trees as possible.Tunneling under a large tree shall be considered as an alternative when it is anticipated that necessary trenching will destroy feeder roots. 12. Cleanup: 4Y Protective fencing shall be the last items removed during the final cleanup. 13. Damaged Trees: Lir Damaged trees shall be treated immediately by pruning,fertilization or other methods recommended by a tree specialist. NOTE: IT IS THE DEVELOPER'S RESPONSIBILITY TO CONFER WITH THE CONTRACTOR ON TREE CONSERVATION REQUIREMENTS. OWNER SIG—i � (DATE) CONTRACT PURCHASER SIGNATURE (DATE) 5/1/06 Page 1 of 1