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Home My WebLink AboutWPO201400007 Application 2015-02-20 Virginia Stormwater Management Program (VSMP) ,,i • Application for Albemarle County ft Project Name: Scottsville GAC Updates (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes❑ No l7 Is this a revision or resubmission for review? Yes ri No❑ County File Number: WP0201400007 (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. o A. Signature of the Prouertv 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. 136-27A Albemarle County Service Authority OF Tax Map&Parcel Print Name of Property Owner Si : 1l f• I ate fro trig 136-278 Albemarle County Service Authority ' C a„ r 1 Tax Map&Parcel Print Name of Property Owner e • Owner to 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 Doug March C/O Rivanna Water and Sewer Authority Address 695 Moores Creek Lane City Charlottesville State VA Zip 22902 Daytime Phone(434) 977-2970 E-mail dmarch @rivanna.org 7/1/14,Revised:7/10/14, 1/7/14 Pagel oft NNW •✓ O B. All Fees[Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 0.75 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 $4,500 $2,250 $300 50 and less than 100 $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(per request) Mitigation Plan;$150 El C. Registration Statement on the official DEQ form. o D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. o E. Stormwater Management Plan satisfying the requirements of code section 17-403. d F. Pollution Prevention Plan satisfying the requirements of code section 17-404. o G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. CJ 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 Bret Edwards C/O Hazen and Sawyer Address 4011 WeslChase Blvd.,Suite 500 City Raleigh State NC zip 27607 Daytime Phone(919) 833-7152 E-mail bedwards @hazenandsawyer.com *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# p / �} Fee Amount l l yS.� Date Paid Z.)2'S)1 C By who?)j \V G yPO°1 4 4'\r Receipt# $9.(01 Ck#9q /C By: D� t Se WPC /4u"t'htri'� 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2 Albemarle C 'unty Community Development Department 401 McIntire Road Charlottesville,VA 22902 4596 Planning Application Voice:(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMP 1.3600-00-00-027A0 Owner(s): Application # WP0201400007 ALBEMARLE COUNTY SERVICE AUTHORITY PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. Scottsville Land Use Primary Forest Current AFD Not in A/F District Current Zoning Primary APPLICATION INFORMATION Street Address Entered By Application Type Water Protection Ordinances Judy Martin 102/12/2014 Project Scottsville GAC Updates Received Date 02/12/14 Received Date Final Submittal Date 02/12/14 Total Fees 450 Closing File Date Submittal Date Final Total Paid 450 Revision Number Comments Legal Ad SUB APPLICATION(s) ,Type I Sub Applicati J Comment j Erosion and Sediment Control Plan Stoirmvsrater;Mara ement BMP_.Plan=°'.° ,;:.. .. . .. .:: .. :.. .. jAPPLICANT/ CONTACT INFORMATION ContactT Name I Address CityState Zip Phone j PhoneCell owner/Applicant_.: : ALBEI1M E<£AUNTY SERVICE'Ath*AI-=168 SPOTNAP ROAD. j CIIARt QTTESVTtt 1229,11 Primary Contact BRET EDWARDS C/O HAZEN&SAWYER 4011 WESTCHASE BLVD.,STE RALEIGH, NC 27607 9197558588 Plan Preparer HAZEN AND SAWYER 4011 WESTCHASE BLVD.,STE RALEIGH, NC. 27607 9198337152 Signature of Contractor or Authorized Agent Date - Application for Review of Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & r,agh 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. SCOTTSVILLE GAC UPDATES Project Name: 136-27A,136-27B RA Tax map and parcel: Zoning: 0.75 Amount of Land Disturbance: Acres SCOTTSVILLE WATER TREATMENT PLANT:663 JAMES RIVER ROAD,SCOTTSVILLE,VA Location of property(landmarks,intersections,or other): BRET EDWARDS C/O HAZEN AND SAWYER Contact Person(Who should we call/write concerning this project?): 4011 WESTCHASE BLVD.SUITE 500 RALEIGH NC 27607 Address City State Zip Daytime Phone 919 755-8588 Fax# 919 833-1828 BEDWARDS @HAZENANDSAWYER.COM yt' ( ( ) E-mail ALBEMARLE COUNTY SERVICE AUTHORITY Owner of Record 168 SPOTNAP ROAD CHARLOTTESVILLE VA 22911 Address City State Zip 434 977-4511 Daytime Phone Fax# y ( ) ( ) E-mail Contractor Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer HAZEN AND SAWYER,P.C. 4011 WESTCHASE BLVD.SUITE 500 RALEIGH NC 27607 Address City State Zip 919 833-7152 919 833-1828 BEDWARDS @HAZENANDSAWYER.COM 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 prope . I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance ith t app ve 1 . Sign re of Ow r,Contract Purchaser Date aVi/All �LtS in ilAV/e/- 4'1314- 6( 7 ;170 x ,20‘ Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# 1 1 - FtgL,___ id. t Fee Amount$I bah Date Paid-y4'`it By who? :A I� '_V'rt Receipt# 9110 A Ck# q009 r Revised November 14,2011 Page 1 of 3 Nosy 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 c150 per revie2 (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 10. Permit 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) 150.00 18. SUBTOTAL EROSION CONTROL PLAN $ Revised November 14,2011 Page 2 of 3 STORMWATER MANAGEMENTBMP 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 INVOICLD TO THE LANDOWNER) 24. Mitigation Plan $150 (TO BE PAID AT TIME OF APPLICATION) 300.00 25. SUBTOTAL SWM/BMP PLAN $ 450.00 TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 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