HomeMy WebLinkAboutWPO201500049 Preconstruction Form 2015-08-29 Request for Pre-construction Meeting and Grading Permit
from Albemarle County 14"
Approved Plan Number: WPO- 2.015 -000`11
Approved Plan Name: JARODIuS C 1tr4► %/Sv' P Rift? R,wv
(Plans must be approved prior to a pre-construction meeting.)
Bond approved date: RI 18(1.01S
(Bonds must be approved and posted prior to a pre-construction meeting or permit.)
Responsible Land Disturber:
Print Name: SCO71 So-1
State Certification Number: 1j"702.‘i
Address Zo0 C9044417 S74167 SuCl E t
City C4'A440114( U M State Zip 20l
Daytime Phone(411,t.j Z'(' • q(;' E-mail SOai 53(,471Ati(,4M? r►�,wit.4 • c.4,4,
Primary Contractor:
Print Name eparoM G cAogitocri0J
Address 1713 40,0 SIGya
City C 4f-t(Df “et State 1114 Zip ZZh03
Daytime Phone( 141 Gif51 • yq t3 E-mail 914011.44414)4604 e, L .Govt
Permit Issuance and First Year Maintenance Fees: (Request must include payment)
Total acres proposed to be disturbed is contained on the approved plan and application:
VSMP:
Acres to be disturbed F e at Grading Permit
Less than 1 C$63.80 , I V a g "
1 and less than 5 5394.06
5 and less than 10 $748.00 C —
10 and less than 50 $990.00
50 and less than 100 $1,342.00 �+-e quoin+ '.&t l
100 and more $2,112.00
For plans exempt from VSMP,VESCP fees were paid with the application. C 5r "c'*r (3\e\
7/1/14,Revised: 8/29/14 Page 1 of 3
Person(s)to attend the Pre-construction Meeting:
Names(type or print) Firm Contact Number or email
c% tl t 3 144 tIA.ta, 0,0,4-11m,K- stwe2o w4,+03(vo 4 S(pw►f+1 c. . C444.
we►Uzuori L171uc (2ttJ o .0 774,k.hhs os14o1o ¢Gn,nic. .
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The second part of the application fee is required to be paid with this request. This fee amount is;
FOR OFFICE USE ONLY Permit Issued Date
By who?
7/1/14,Revised: 8/29/14 Page 2 of 3
Information for Permit applicants;
9-Month Permanent Stabilization Deadline:
Code Sec. 17-808 Duty to stabilize denuded areas with permanent vegetation within nine months after
commencing land disturbing activity
A. When permanent vegetation required.The owner shall install on all denuded areas on the site within nine(9)
months after the date the land disturbing activity commenced,except for areas that the administrator
determines are necessary parts of the construction that are subject to an active building permit and areas where
erosion is prevented by a non-erosive surface,including,but not limited to,the following surfaces: (i)
roadways and sidewalks covered by gravel,asphalt pavement,or concrete; (ii)trails or paths covered by
gravel,stone dust,or mulch; (iii)buildings and other permanent structures; and such other surfaces that the
administrator determines would adequately provide a permanent barrier to erosion.
(see code 17-808 for information about possible extensions)
Notice to Comply and Permit Revoked for Overdue Fees
Late fees will incur interest,and enforcement actions per code section 17-210.
(1) Owners with late payments of fees required by 17-207C6 will be issued a Notice to Comply(NTC). The notice
gives 7 days to make payments.
(2) At the end of the NTC time period,the permit will be revoked,and a Stop Work Order will be issued for
working without a current permit.
Disturbed Area Reductions
Acreage for the purpose of fee computations will be the entire permitted acreage. This is the disturbed acreage on
approved plans. If fees are to be reduced,an application for plan amendment must be made,and areas reduced by
changes in limits of disturbance and appropriate plan changes. Such amendments must be approved prior to the fee
due date. Amendments to remove disturbed areas can only be approved when such areas are completely stabilized and
all erosion control measures(including traps and basins)removed.
Refunds
The County does not have a refund program. Fees will not be refunded based on completion within the year. Fees will
not be pro-rated at payment,other than the first year VSMP fee as indicated in code section 17-209B.
Re-inspection Fees
Re-Inspection Fees will be charged for inspections following a Notice to Comply or a Stop Work Order. Fees are$250
per inspection,or as given in code sections 17-207 and 17-208.
7/1/14,Revised: 8/29/14 Page 3 of 3
COMMONWEALTH OF VIRGINIA
State Water Control Board
629 East Main Street, Richmond, Virginia 23219
RESPONSIBLE LAND DISTURBER
Scott J Carlson
; 444 CERTIFICATE NUMBER
t '� 37024
- b,.; EXPIRATION DATE EVIRGINIANVIRONDEPPARTTAL ENTY T OF
F
= : ..
'_ .:
1/17/2018
This certificate is for your records and should be kept in a safe location.Please detach the above certificate and the two
wallet size cards below. It is your responsibility to ensure that your certification is kept current and that you meet the
requirements for re-certification before the expiration date.
COMMONWEALTH OF VIRGINIA COMMONWEALTH OF VIRGINIA
State Water Control Board State Water Control Board
629 East Main Street,Richmond,Virginia 23219 629 East Main Street,Richmond,Virginia 23219
RESPONSIBLE LAND DISTURBER RESPONSIBLE LAND DISTURBER
Scott J Carlson Scott J Carlson
Certificate Number ,q 4 m Expiration Date Certificate Number
37024 *w�, ,;►�� i Expiration Date
1/17/2018 37024 1/17/2018