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Home My WebLink AboutWPO201400061 Application 2014-07-10 Virginia Erosion and Sediment Control Program (VESCP) g, '1 Application for Albemarle County Required Elements of this application[from code section 17-4021: Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. 0 A. 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 / — k ' -� c} 7— / Tax Map&Parcel Signature of Owner Date Tax Map&Parcel Signature of Owner Date Tax Map&Parcel Signature of Owner Date Tax Map&Parcel Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name / f/V/0 Le i S Address c7 1/1-"'i�/ City rid\,-,/ f State �i'4, Zip 2 vi' Daytime Phone( ) E-mail ❑B. All Fees [Code section 17-207] Total acres proposed to be disturbed • Acres to be disturbed Total Fee Less than I $150 per review More than 1 $300 per review ❑ C. Registration Statement on the official DEQ form (attached). 7/1/2014 Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name 1)/t 1/-/C, V V . -71W Address 6 City / - State V4 Zip a-2-732- Daytime Phone('J3V --'v??1 E-mail ,/p-1„ .76 7 /1 c 49- *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owners signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/2014 Albemarle County Planning Application **NW Community Development Department 401 McIntire Road Charlottesville„ VA 22902 -4596 Voice: (434) 296 -5832 Fax: (434) 972 -4126 TMPI 42700 -00 -00 -00660 j owner(s): SEVEN OAKS ALBEMARLE LLC Application #1 WP0201400061 PROPERTY INFORMATION Legal Description ACREAGE WOOD Magisterial Dist. White Hall: Land Use Primary Unassigned Current AFD Not in A/F District Current Zoning Primary Rural Areas kPPLICATION INFORMATION Street Address Application Type Water Protection Ordinances Project Iseven Oaks Albemarle LLC Received Date 06/27/14 Received Date Final Submittal Date 06/30/14 Closing File Date Submittal Date Final Revision Number Comments Legal Ad APPLICATION(s Entered By Judy Martin 06/30/2014 Total Fees 150 Total Paid 150 Type I Sub Applicati Comment Erosion and Sediment. Control Plan APPLICANT CONTACT INFORMATION ContactTyp2 Name Address CityState Zip Phone PhoneCell 4wner1APp11cant SEVEN OAKS ALBEMARLE LLC I I )94 LANDFILL RD `EDINBURG VA ;22824 Primary Contact DAVID WYANT :4686 GARTH ROAD i CROZET, VA. € 22932 :4349603978 : Signature of Contractor or Authorized Agent Date f 'Vow Application for Review of Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & Stream Buffer Mitigation Plan X Erosion & Sediment Control Plan ❑ Stormwater ManagementBMP Plan ❑ E &S Plan Amendment (Previous Plan # ❑ E &S Plan with Variance # of Variances ❑ E &S Plan Resubmittal WPO Application # — ❑ SWM Plan Amendment (Previous Plan # } ❑ Request for Exception ❑ SWM Plan Resubmittal WPO Application # 0 ❑ Stream Buffer Mitigation Plan 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: V rC) 'n'/ rp/ , k. / �1��''�, y? X` : � Tax map and parcel: 7— / — l ,.y Zoning: jk A Amount of Land Disturbance: Q, / Acres Location of property (landmarks, intersections, or other): Contact Person (Who should we call /write concerning this project ?): ,r t city ' State Address Zip Y fi Daytime Phone C___) - Fax # (_) E -mail t E Owner of Record 5— 0'-, t/ Address /�" /t. f d f f= ? t City °r - i r / ` ! State Zip Daytime Phone (_} L ° Fax # (_) E -mail Contractor Address City Daytime Phone (_) Fax # {_) Plan Preparers Address City Daytime Phone L_} Fax # {_) State Zip E -mail State Zip 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 ManagementlBMP 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 compliance with the approved plan. Signature of Owner, Contr Purchaser Date Print Name L %? Daytime phone number of Signatory FOR OFFICE USE ONLY WPO # / jL Fee Amount $ j Date Paid `r ZT rBy who? _ ✓ n ef jTi° Receipt # t Z' t Ck# Revised November 14, 2011 Page 1 of 3 .*.�..�,.,.. `+r "ware 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 (REMSPECTION 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 ................... (...$15:Op:e r 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.......... $1001per 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, 2411 Page 2 of 3 Q 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) ....... ............................... lid. " 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