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Home My WebLink AboutWPO201500047 Application 2015-07-20 Albemarle �^ Community Development Department i Cot <, Inure Road Charlottesville,VA 22902-4596 alt± 'wr` "wr /oice: (434)296-5832 Fax: (434)972-4126 ,77.y Planning Application PARCEL / OWNER INFORMATION TMP 05800-00-00-01700 Owner(s): GREY PRESERVATION SOCIETY LLC Application# WPO2O1 500047 PROPERTY INFORMATION Legal Description I ACREAGE *� Magisterial Dist. Samuel Miller Land Use Primary Residential-- Single-family (incl. modular home Current AFD Not in A/F District v Current Zoning Primary Rural Areas 7.1 APPLICATION INFORMATION Street Address 875 DRY BRIDGE RD CHARLOTTESVILLE, 22903 Entered By anielle Roth Application Type Water Protection Ordinances 7/20/2015 Project The Pants Project - VSMP Received Date 07/16/15 Received Date Final Submittal Date Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Stream Buffer Development Request Stormwater Management/BMP Plan Erosion and Sediment Control Plan APPLICANT / CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell O.rrerrApptiart GREY PRESERVATION SOCIETY LLC PO BOX 7143 CHARLOTTESVILL 22906 ✓nrnary C:rtse. NATE WILSON 4223 EARLYSVILLE RD EARLYSVILLE VA .22936 4344664894 Signature of Contractor or Authorized Agent Date Name 'NeiOf 11414;, Virginia Stormwater Management Program (VSMP) Jill Application for Albemarle County - Project Name: e / Lpie/ed.- (The name should be the same as ears on lansPP plans) Is this an amendment to an approved plan? Yes 0 No 0 Is this a revision or resubmission for review? Yes 0 No 0 County File Number: (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. 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. - /7, /B Brett-64 *i.ie Utiken Tax Map&Parcel Print Name of Property Owner Signature f Owner Date ‘1*t-kV-Ick.61.etAft IA It.NP- Tax Map&Parcel Print Name of Property Owner Signature of Owner Date TParcel 6 i'qe %Si6/f Pitkb i 7/J/�5 ax Map&Pace Print Name of Property Owner Signature of Owner Date P rtY g Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: " Print Name 'bre R /brie /)arkul Address /Zi/ h4,1G JP. City Oh/kb/kV/4. State VA' Zip 22901 Daytime Phone 44) 244 •0 mm E-mail batartn0 Qol .COM 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft 0 B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed i.47 Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than l $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 O C. Registration Statement on the official DEQ form. O 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. O 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. O 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 I A TG 14/1$0^/ Al.Address #223 ear/rile. Il City f24,/ J yt/IG State VA Zip 22956 Daytime Phone(43w) 44—11/P/ E-mail_____fiate aihrr .e 9iyj4/r/GQm *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ I z,S0'di) Date Paid 1-13-(5- By who? Ar—i rrc (.-GC. Receipt# O C°1-"R Ck# ' ° y: /1.5'3 B r� 4 � 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 Nome Noise STORMWATER POLLUTION PREVENTION PLAN The Pants Project 8.0 Inspections&Corrective Action Log(make additional copies as necessary) Qualified Inspector Company/Organization: Arterra Design Name: Matt Crane Telephone Number: 434.981.4961 Qualifications: Class A Contractor's License Inspection Schedule Discharges to surface waters: ❑ Once every 5 business days;or ►5 Once every 10 business days and no later than 48 hours following a measurable storm event. Discharges to impaired waters,surface waters within a TMDL watershed,or exceptional waters: ❑ Once every 4 business days;or ❑ Once every 5 business days and no later than 48 hours following a measurable storm event. Inspection Date TBD Measurable Storm Event Insert Date&Rainfall Amount of Last Measurable Storm Event(if applicable) Best Management In Compliance Corrective Action Needed; Date Corrective Practices(BMPs) with SWPPP? Responsible Party Action Taken Erosion&Sediment Controls ®Yes 0 No (Section 4.0) Pollution Prevention Practices ®Yes ❑ No (Section 5.0) Stormwater ®Yes ❑ No Management Controls (Section 6.0) 0 NA Certification "I certify under penalty of law that I have read and understand this document and that this document and all attachments were prepared in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." / Operator Name: Al .41-1-e.,) �C 1AJ_ , Inspector Name: Aid/# � Signature: — Signature: Date: d 7/) S/1 ( Date: C7y1,-1/4.- 07/2014, Rev. 1 Single Family Residence, CPoD, SWPPP Nome ,vare STORMWATER POLLUTION PREVENTION PLAN The Pants Project SINGLE FAMILY RESIDENCE COMMON PLAN of DEVELOPMENT or SALE STORMWATER POLLUTION PREVENTION PLAN(SWPPP) For Construction Activities At: The Pants Project 863 Dry Bridge Rd Albemarle County,VA 22903 Latitude: 38°02'43.1" N(decimal degrees) Longitude:78°37'36.3"W(decimal degrees) Construction Activity Operator: Arterra Design&Construction 4223 Earlysville Road Earlysville, VA 22936 SWPPP Preparation Date: April 22, 2015 CERTIFICATION "I certify under penalty of law that I have read and understand this document and that this document and all attachments were prepared in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fineand imprisonment for knowing violations." Operator Name: /1/1 a±) Ylv�-✓'' �QI�.. Title: �1-:t31 CO • f Signature: f�� Date: 0 7 07/2014, Rev. 1 Single Family Residence, CPoD, SWPPP