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HomeMy WebLinkAboutWPO201300032 Application 2014-09-09 S~ Ark` Virginia Stormwater Management Program (VSMP) ?, e Application for Albemarle County .,, ; t. Project Name: CaSC. 'O - /310C.1.0S4-7 (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No' Is this a revision or resubmission for review? Yes Yessg No ❑ County File Number: O .7-01 %'c0/2_00 be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. -ftNA. Signature of the Property Owner for each parcel: (Required with every submission or revision,NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits 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 with the approved plans and permits. 78-Si,7t5-5741 C., r,ic --- -(---,4,/ --- /t,,>zek, I ' — Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Or_ Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: •Print Name {G�Ctr �S �• (—� i n - - z- - �f _ ..- r ■ ./.4✓ . Address t o 45- E.,..i V-e—rAgrG?c,/ D r'i Ve, City 04 Gtri d- y/\ I State t/A( Zip Z,z_Cr 11 Daytime Phone ! 7C -$1 le 1 E-mail C2'(14�(A 1 ?IA P 4-ke`ems S . yj et' 7/1/14,Revised:7/10/14 Page 1 oft %Now Now B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 2 3. / 0 , Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $44500 $2,250 $300 50 and less than 06,106 ) $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 C. Registration Statement on the official DEQ form. . Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. /E. Stormwater Management Plan satisfying the requirements of code section 17-403. v(FF. Pollution Prevention Plan satisfying the requirements of code section 17-404. 1: G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ,1z( I. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ,y(„: I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. 41 J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for micorrespondence( 'usually the plan preparer,consultant 441/4,e;7'or agent) Print Name Hiehe>e/ / y $/ pG,c o itei 7 °�t 9 Address /72- S . 13i S DI' . ,L , City t/''f 4104't viI State V* Zip 2. -C // Daytime Phone(993`# 97' 124 E-mail 41 y{/te r5 eduAliato4e io j- ce..,i47 *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By whu? Receipt ti Ck# By: 7/1/14,Revised:7/10/14 Page 2 of 2 c‘111111 NW" Virginia Stormwater Management Program (VSMP) - ® ym Application for Albemarle County 'ice" Project Name: c_. c:GCE-41( - eiC 4-7 (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ Nole Is this a revision or resubmission for review? Yes-g No ❑ County File Number:A/ O Zo 1 'Cr..)32.--(to be provided by the Counts for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. l(NA. Signature of the Property Owner for each parcel: (Required with every submission or revision, NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits 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 with the approved plans and permits. _7S"s67,76-5474, 40,494c--=A04.14- _ c� Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: //��� / /� Print Name CAA CA-1-eS 111, 14 w/ , �(7 (_R S[iiJ(CC C�/,74.6 [ JC_. Address t.et`r P.....i v-er-Vfrezia D r I V+G City CSC Otrt d 4eSN 1 \.I e- State VA Zip Z ZCt 1/ Daytime Phone 034 l 7y -8)f 1 E-mail C-01, 4 (,( 1 'A g i-1--e.L , 0 et 7/1/14,Revised: 7/10/14 Page 1 of 2 . • B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 3 . / 0 G Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 l0 and less than 50 $4500 $2,250 $300 50 and less than 06,100Th $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 ( . Registration Statement on the official DEQ form. . Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. E. Stormwater Management Plan satisfying the requirements of code section 17-403. V F. Pollution Prevention Plan satisfying the requirements of code section 17-404. .t G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ,k H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. 1,4 I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. AO] J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for te^c/orrIrespondencee�(usually the plan preparer,consultant�or,agent) Print Name Hf'rC�/ael /tl ye zs, /. �i( C� 420f0/e'/3 �� i ,-torilj�j 72- S • f� s _/ Address �,// �� , , //� City Clgi Gt -�.5vIi State V 1 Zip ZZCnI Daytime Phone(L{3`f 97' 'I24 E-mail /kyl/1)1 e(s ,, *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14 Page 2 of 2 c ALg, Virginia Stormwater Management Program (VSMP) V-1V:p Application for Albemarle County t, Project Name: heal Ero*+ n cold Seinnnf C244o I aid stoCA1W cr MME i- p 141 (The name should be the same as it appears on plans) r £2 SCGt€J&' _ l'fQC tS 1- 7 Is this an amendment to an approved plan? Yes ❑ No ( Is this a revision or resubmission for review? YesY No ❑ County File Number: A I O 7.-491 3 32 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. 14A. Signature of the Property Owner for each parcel: (Required with every submission or revision, NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits 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 with the approved plans and permits. �2 Za lit -2S GVNG,r1c5 %ATI 440, (AO y/4244--Licl Tax Map&Parcel Print Name of Property Owner Signature of Owner Date -7Sc-44 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Address City State Zip Daytime Phone( ) E-mail 7/1/14,Revised:7/10/14 Page l of 2 ❑ B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 and less than 50 $4,500 $2,250 $300 50 and lestan/) $6,100 $3,050 $450 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Address City State Zip Daytime Phone( ) E-mail *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14 Page 2 of 2 Application for Review of Erosion & Sediment Control Plan & Stormwater Management/BMP Plan *Toseir iNvs 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 iWM Plan Resubmittal lillE&S Plan Resubmittal WPO Application#_ WPO Application# Zc�i'3-Crx3.2 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: (24$6401(Cg — B/Cs e S, 4- 7 Tax map and parcel:62.2.clew s rib-VA 7e&Fit Zoning: NMI Amount of Land Disturbance: Jr'2. G Acres Location of property(landmarks,intersections,or other): e Zv Al cir- p ,v'4' zez, s' of 3 04..r'1 0fis. "'t AIL Lr/Ter7 f# Contact Person(Who should we call/write concerning this project?): MI'/ €- t�t yeses i a/kfigi, ✓'j c-l9/ f/t1 Address 172 7 P41 ►(/ i lA. City L'S' gi)VI�C State VA V Zip Daytime Phone t34 4 7y -DI74 Fax#031 4 7 y 'I G b i E-mail OW / /S e' 64-41(/1(e/,'f/f�■61/+7 Owner of Record / ./ fa P VCnc I / � j VA ^7 Address 1 10 S. j' Pl Ji� Of.. City CjAW(e 1-t' Ji! 1 State VA Zip Daytime Phone {) 7-tic• J1 O ct Fax#( ) E-mail/(11/4`U SI(SfA(1ri /i' ( .&f Contractor K Lyt L c L Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer 4 M64-( .5_04 '__1 V 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 compliagce wi th roved plan. I 3 - 10 - �4 Signature of Owner,Contract Purchaser Date �IACAI I;c k 4 341 - 97c1 eel Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# ( Fee Amount am`0) Date Paid(/Q--t 1-14 By who. W VtUr Receipt#`� Ck#,(0),g Ot _ By: acs Revised November 14,2011 Page of 3 • EROSION CONTROL PLAN: (SUBMIT 2 COPIES) Land disturbing activity pertaining to single family dwelling unit: I. 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) m 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 $ 3 v/� 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) $ 3O0 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 ot-3 Application for Review of ..� ,a�;'cF PP ��is 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 'WM Plan Resubmittal IiirE&S Plan Resubmittal WPO Application#_ WPO Application# 2 915-C 3Z 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: G t$ea�l et — B/c7G�S /T Tax map and parcel:162'2,7 1'5 1 j /�i j7eC-N/ Zoning: / tM Amount of Land Disturbance: 552. 6 Acres Location of property(landmarks,intersections,or other): a Op 07 "..•24) ,`� C,>� i.°70/474 AJ� ��r S of $ie*/ i cm' I L #?/s? C/fLr Contact Person(Who should we we call/write concerning this project?): Hire- Myers yers e Po'/14'7 owl &/I 'i4_e/I� Address � /2 7 • Pot 6/ s fA . City ,(4A"t!")'[/j VI g•C State VA. V Zip • u �j P C Daytime Phone ti Vi} 4 2y -bI 24 Fax# lrLZ l 47 -14 / E-mail mot us �' �441(4(c))'f/j7 4 Owner of Record CP c dii P�t/ 1 p< <t f A Address 1 70 S. P h 4J o f. City C14 tt vi tic State VA Zip 7/2....44 2 IJ Daytime Phone P3 t) 14) -�/('�i f Fax#( ) E-mail 4 Ad OS j[ 1 -trif V/ ii •&f Contractor t\P I •t' dK C 44' Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer Cie# ke # lr 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 complia a wi th roved plan. Signature of Owner,Contract Purchaser Date CtACA c A, vo L 341 - 97q - $i4Sl Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY /G Z WPO# t7 1 -3a l Fee Amount S ;4t� Date Paid 5-13'i ity who?C.-L j W l�r"r Receipt# J.,$Ck#6 '1 By: Revised November 14,2011 Page 1 of 3 low 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) .aE_ 12. Plan Review,Disturbed Area One Acre or Larger $30-0- 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 $ 300 Revised November 14,2011 Page 2 of 3 Nome 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) $ 300 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 Application for Review of = r► Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & Ver 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 EcSWM Plan Resubmittal E&S Plan Resubmittal WPO Application# 2 3—C-GCj32_ WPO Application# 7-6)(3"C 2c32- 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: t%'�GtSGa,40l Cc - B/c9 iIe-S 4- 7 Tax map and parcel:62'24-,?V' /fib /A .1-1bE%" 4( Zoning: MMO Amount of Land Disturbance: 52• G Acres Location of property(landmarks,intersections,or other): E or /L7-•'21 Al/V Cf 4- At 44/4 7)2, S OF /3 2G" Ot 4 Al eA-t 2(1 L 916-7 Contact Person(Who should we call/write concerning this project?): M.1 2 ` y--e(5 i ®/r//YJ//7/(�1/ (-'4j// n Address /72 7 • /'� 1tp O . City C`4h.- !,g-i V 1 it( State V 4 Zip Z I Daytime Phone 1.69 47y -(//2-1 Fax#;134 C7', 'l4 €I E-mail IN/Ott(S (` A-4f (cJ)i7 ld!✓) Owner of Record et/S[((,(/t t;( Pe vc( t e4 T / r VA /� Address 17U S. I�Crl hp p PT- City ►W(G�'�/� 'i( k State S Zip e 7�-/If Daytime Phone 3'() Z ) I , Fax#( ) E-mail igkl t(�Sk ?S q 1r(//,i cit k 1f(7Y1 .•CV� Contractor �4I I Address City State Zip Daytime Phone( ) LL Fax#( ) E-mail Plan Preparer !.jG 4'? Q S C.'i fzr p co^ 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 complie wi th a roved plan. 3 - 10 - Signature of Owner,Contract Purchaser Date Ckc,fre, A. (i G34I - 97q - `�i `�' � Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# Fee Amount SP'Q•0Q Date Paid 3\1' By who?Ci}k 5 {\• • Receipt# Cb 4 Ck# 77 By: D 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 4....$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 isturbed 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 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 $ 3o TOTAL APPLICATION FEE: (Add lines 18 and 25) $ (c: •00 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 Application for Review of PP Erosion & Sediment Control Plan & Stormwater Mana ementBMP Plan & Stream Buffer Mitigation Plan pf 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# 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: CASC/ 14 Tax map and parcel:61,24-116411,454,11/10G-1-4/" Zoning: Amount of Land Disturbance: 2•tv Acres — Location of property(landmarks,intersections,or other): E C • '2(3 !r or -R./4pm DA? S Or DVS• M1 f ,-/O4L .4f- -!ST () f-( Contact Person(Who should we call/write concerning this project?): l f(C KEL. Rpm, pa./0yft/lt It / Ak Address 17 i 5•p41 S toe. City� /pQj7eSLuE- State t#t Zip Z2.0 Daytime Phone 34) 97/- al Fax##34 97 -(4.&/ E-mail $ fl f ftSet /YO Q j,( rk7 Owner of Record gepos 144 Hoop/tics. LLG Address 17o PAr('R 9$ City 04-4,41.01TeS4/4■E State VIA _uI_-Zip K/? `22 Daytime Phone eel) Fax#( ) E-mail liC !Sot e� 1 . Contractor UCTC tter 7�Zitro COM Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer 5A6KG , ot1414er p€ e_. or 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 co the a>, raved plan. 4//22/16 Signature of Owner,Contract Purchaser Da �a{I� t-o•►e.rrld VC=05l°1 Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY e WPO# j I(� /7(2 Q Fee Amount S 1 Date Paid 12-10)3By who?ek L�l/. ILeeipt#`17t'�(8 Ck# y� 1 t By:_ Revised November 14,2011 Page 1 of 3 **owe Nape 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 00 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 14,2011 Page 2 of 3 STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/BMP Plan . . !o .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 $ 450 TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 750 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 Albemarle Coui.ery Community Development Department 401 IA%lire Road Charlottesville,VA 22902-4596 /' Planning Application Voice:(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMPI 06200-00-00-02500 I Owner(s): Application # WP0201300032 CASCADIA DEVELOPMENT LLC PROPERTY INFORMATION Legal Description FRANKLIN PARCEL X&Y Magisterial Dist. Rivanna Land Use Primary Residential --Single-family (incl. modular homes) Current AFD Not in A/F District Current Zoning Primary Neighborhood Model District APPLICATION INFORMATION Street Address 1495 STONY POINT RD CHARLOTTESVILLE, 22911 Entered By Todd Shifflett Application Type Water Protection Ordinances 04/23/2013 Project ICascadia Received Date 04/22/13 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 1 Comment Erosion and Sediment Control Plan Stormwater Management/BMP Plan i s:. jAPPLICANT/ CONTACT INFORMATION ContactType i Name I Address I CityState Zip I Phone PhoneCell Owner/Applicant. ;CASCADIA;DEVELOPMENT;LLC. 1- `:' ': 170 SDiifH PANTOPS{3R !"' :1 CHARLOTTESVILL; 22911 Primary Contact MICHAEL MYERS, P.E., DOMINION ENGI 172 S. PANTOPS DR. CHARLOTTESVILL 22911 4349798121 Signature of Contractor or Authorized Agent Date r • t v rk Aptilcation for Review of 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# 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: C-01-SC/1-0/4 q �/ Tax map and parcel:i2'2.-c, '//59/e T L 'N/ Zoning: N of Land Disturbance: 51. 5- Acres Location of property(landmarks,intersections,or other): E Of /11-0• 2�/ !Y Cr rtZortr,1744 , ,e. S Ot o,e.oAbUS Alefrlo SAL 3041, 771 IVRtf-f Contact Person(Who should we call/write concerning this project?): *WEL. IY 4 2j� `��/y(U/Y �.�Ij, � Address (7 2 5•PI f-17treS t. City a ! e-svIG(.E" State VA Zip 1 Daytime Phone(► ) 9 71-e)1Z( Fax#(04 9 79 /C, E-mail OnierSOCtOulnwiii ero,tom Owner of Record Re.D0S 141 NoUsfisto LLG Address 170 PArITcipS. �� _City S MQ(;I?(TTS ttEE State VA Zip I I _ Daytime Phone ) /�`.)F9' Fax#( ) E-mail Ki�(,'act?f7 $p( -e(// — (AQor , Contractor ��ICT� �{C'r' SeLacrec, Com Address V City State Zip Daytime Phone( ) Farx#(#( )) lam-,,, / E-mail Plan Preparer ,� AS Cam' t4-e/ pz I'z_3o 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 comp'. nc • the approved plan. 4//22//` Signature of Owner,Contract Purchaser Date Print Name Daytime phone number of Signatory FOR OFFICE USE ON V WPO# Fee Amount S Date Paid 4,2243.y who? LIT ao 11�( Receipt#- I(1VK/ Ck# W-67 By: ittel ��v1,IU1 1 P Iti! Revised November 14,2011 Page 1 of 3 Nur *ape 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 $ 300 Revised November 14,2011 Page 2 of 3 Nese STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/BMP Plan... 11 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 $ 3©o TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 600 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