HomeMy WebLinkAboutWPO201300061 Application 2013-09-04 Albemarle CoteI t'v Community Development Department
! 401 McIntire Road Charlottesville,VA 22902 4596
Planning Application Voice:(434)296-5832 Fax:(434)972 4126
PARCEL/ OWNER INFORMATION
TMP 02100-00-00-012C1 Owner(s): NEW HOPE COMMUNITY CHURCH; MICHAEL HENDERSON
Application # WP0201300061 TRUSTEE
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL D
Magisterial Dist. White Hall Land Use Primary Forest
Current AFD Not in A/F District Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address Entered By
Jennifer Durrer
Application Type Water Protection Ordinances 09/04/2013
Project NEW HOPE COMMUNITY CHURCH
Received Date 09/04/13 Received Date Final Submittal Date 09/04/13 Total Fees 180
Closing File Date Submittal Date Final Total Paid 180
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type I Sub Applicati Comment
'APPLICANT/ CONTACT INFORMATION
ContactType L Name I Address CityState I Zip I Phone I PhoneCell
Owner/Applicant INEW HOPE COMMUNITY CHURCH; MICH 13445 SEMINOLE TRL SUITE 3 t CHARLOTTESVILL 122911
Primary Contact MIKE HENDERSON 3445 SEMINOLE TRAIL CHARLOTTESVILL 22911 4349627285
Signature of Contractor or Authorized Agent Date
Application for Review of . ";"► ,
Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & l
Stream Buffer Mitigation Plan
N. 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county comments,the application Afi will be deemed withdrawn. / l
Project Name: P V' tO (7`)' eo ant I 1/ C a e` It
Tax map and parcel: 2 I — 12-01 Zoning: PP-
mount of Land Disturbance: - S Acres
Location of property(landmarks,intersections,or other):
Contact Person(Who should we call/write concerning this project?): A t '�4. \-.11,„ t{,{C'AO+\
Address .2(4`-t S• ---Cc.-A-1 no1- 1 c-L\ - /n.. 20 G City C.),"\ct r io j1'c ..' .c State V l Zip J-.25.1 i 1 i
Daytime Phs e t-1 t4) ct Co 2,-1 a,g S F #( ) / E-mail (11 i k.,Q._ 0,g It i<" (r- 5 (n c.. ,1 ,C-ti v�
V Owner of Record hi r , II1e ii j / / p1" // l y _ j)(..)
Y'"— Aaares FINW*'. _'t.� Q.S \ State Zip
Daytime Phone( ) x# ) �. ail
/
Contractor
Address City State Zip
Daytime Phone( ) Fax#( ) E-mail
Plan Preparer
it/. „`� �a' __`--
a —
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
ManagementBMP 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
compli n the appr ved pl n.
&V /4-4_,41,-,,_ ci ) t'i) /
Signature of Owner,Contract Purchaser Date
( v c- \ \ W, -1'4 e 01 F, r_50 es% y 3y °Co :Z 1 do3 5
Print Name j Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#: a
,O l' 'N If /�
�j,l 9 OC AI � . Y 1:--= �f I
Fee Amount$ ISO V (1�Date Paid� �V_` '�who? i �Ij Receipt# t �(� (f Ck# � � By:UM trey
Nizet 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 $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 $ f( >0 -6)0
Revised November 14,2011 Page 2 of 3
loot
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) / co
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