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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to comments is not received within 6 months from the date of county comments,the application Afi will be deemed withdrawn.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