HomeMy WebLinkAboutWPO201300005 Plan - Other (not approved) 2013-01-23 '`r✓ rr+
Screening Form Number
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COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road,Room 227
Charlottesville,Virginia 22902-4596
Phone(434)296-5832 Fax(434)972-4126
LAND DISTURBANCE
EROSION AND SEDIMENT CONTROL SCREENING FORM
This form is intended to aid the Department in classifying a land disturbance. The form responses will be used to
determine whether a disturbance is subject to the County's Water Protection Ordinance. Failure to respond or to fully
complete the screening form within 72 hours may require the Department to stop all land disturbing activity. The Stop
Work Order will remain effective until the classification of the disturbance and/or obtainment of all required permits
associated with the disturbance.
S-fepl.ev` C. k tcltokscry, (Nola i fie Maple Rttlie 6roop l,l-C\ `1087
Owner/Agent Name(Print) Home Phone Office I Other Phone
P. o. box 2qa
Address
VA 2 a 9 v5
City "j;./ State Zip Code
1. Are there any streams on the property? Yes No
2. If so,will land disturbing activity be within 100'
of the stream? Yes
3. Will the project require grading,excavating,clearing,
filling,or other land disturbing activity of any kind? No
Purpose of land disturbing activity:t k of 3 1,6.�, GAS.t -Tax Mae y y- 2 r K e�I 4 n 1
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Directions to Property and Location of Activity: n
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Area to be disturbed: L/ ac ' •r sq. ft-
Owner/Agent Signature s 5 , IF/ — Date ( 9 M4I
(FOR OFFICE USE ONLY)
Tax Map/Parcel: -—— ——
Checked By Date
Requires an Erosion and Sediment Control Plan
Requires an Agreement in Lieu of an Erosion and Sediment Control Plan
Exempt Activity
October 9.2006
Forest Stewardship Management Plan
for
"Kings Grant"
Albemarle County, Virginia
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Prepared by
Leif Riddervo&d
Virginia Forestry c Wife Group
8180 Plank load,Afton, Virginia 22920
March 94, 2013
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T King's Grant Parcels WPO Buffer
Best Management Practices
-- , Streams Selective Impacts
VWPO Buffer- King's Grant
4.Management Practice
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Kudzu Removal
Native Meador,: d� �''
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Park Cut 1,100 550 0 1,100 Feet
Thinning MI IMO +
a Timber Harvest-Mixed Use
Tree Screen
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