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HomeMy WebLinkAboutWPO201500079 Application 2015-10-06 Communrty Development Department Albemarle Cot 'ty _IcIntire Road Charlottesville.V4 22902.43 '4111wVolce.(434:23.-E3'32' Fax (434 972-4122- N'y'‘ eeeieyra Planning Application !PARCEL / OWNER INFORMATION 08600-00-00-10200 GREER, MICHAEL L JR OR GENA I Application# WP0201500079 LPROPERTY INFORMATION Legal Descriptive BUNOORAN FARM H3 Magisterial DE.-`• Samuel Miller Land Use Primary Unassigned 1;1 Current L'7: Not in A/F District PrHTiary Rural Areas APPLICATION INFORMATION Street Address un,..sile Roth Tr Application Type Water Protection Ordinances 110;6,42015 Projazt Bundoran Farms, Lot H3-R VSMP Received Date 10/01/15 Re se:ved Date F ra jttal Date Total Fees 209 Closing Rtle Date [ Subn-mttal Date Final ] Total Paid 209] Revision Number Comments Legal eci SUB APPLICATION(s) Sub Appitcatto I Cornmert Erosion and Sediment Control Plan stream Buffer Development Request r P1 nagetneitt/BMP Plan CONTACT INFORMATION Name Abbress cState a LI, T ph,,,e neej CiFEER MCHFL L IR OR DSfl L RDERS 1r CT 16997 CHRIS MULLIGAN 914 MONTICELLO RD ,,T,HLRLOTTEELILL 22302 4249770205 C gnature of Contractor or Authorized Agent Date Virg Stormwater Virginia er N�'anagement Program (VSMP) Application for Albemarle County Niter- If ti Project Name: Bundoran Farms - Lot H3-R - Greer Property (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes El No 121 Is this a revision or resubmission for review? Yes ❑ No WI 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. ® 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. 86-102 Michael &Gena Greer l 1 9 / �,. 9,30 1,5 Tax Map&Parcel Print Name of Property Owner Signature o`•wner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date 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 Steve Nicholson Address P.O. Box 290 City Ivy State VA Zip 22945 Daytime Phone(434) 825-4087 E-mail steve.nicholson@mapleridgegroup.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 ' f7 B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 1.85 Ac. 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 G6 C. Registration Statement on the official DEQ form. G� 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. ❑ 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 Chris Mulligan Address 914 Monticello Rd. City Charlottesville State VA Zip 22902 Daytime Phone(434) 977-0205 E-mail CMulligan@roudabush.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# t l Fee Amount Sl ate Paid -% By who? OILMIK v_s Receipt# i0101 l Ck#q J�5 By • 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2 ' General Permit fo? ischarges of Stormwater from Const tion Activities (VAR10) Registration Statement (Please Type or Print All Information) 1. Construction Activity Operator(The permit will be issued to this operator, and the Certification in Item#13 must be signed by the appropriate person associated with this operator[see the instructions]): Name: Michael&Gena Greer [Contact: Steve Nicholson] Mailing Address: P.O. Box 290 City: Ivy State: VA Zip: 22945 Phone: 434-825-4087 Email address(if available): steve.nicholson@mapleridgegroup.com Indicate if DEQ may transmit the permit electronically: Yes V No 2. (Must be included for renewals of coverage only)Existing Permit Coverage#: 3. Location of Construction Activity: Name: Bundoran Farms Lot H3-R Address: Hightop Drive City: North Garden State: VA Zip: 22959 County: Albemarle County DMS to the nearest 15 seconds: Latitude 37°58' 20" Longitude -78°41' 7" Location of all Offsite Support Activities to be Covered Under the Permit: Name: N/A Address: City: State: Zip: County: If street address unavailable: Latitude Longitude 4. Status of Activity: Federal ❑ State❑ Public❑ Private Ft(Check one only) 5. The Nature of the Construction Activity(e.g.,commercial, industrial, residential,agricultural,oil and gas,etc.): Single Family Residential 6. Name of the Receiving Water(s): Northfork Hardware River/Middle James -Buffalo Hydrologic Unit Code(HUC): 02080203 (Receiving waters identified as impaired on the 2008 305(b)/303(d)Water Quality Assessment Integrated Report or for which a TMDL WLA has been established for stormwater discharges from a construction site shall be noted in an attached list.) 7. If the discharge is through a Municipal Separate Storm Sewer System(MS4),the name of the municipal operator of the storm sewer: N/A 8. Estimated Project Start Date(mm/dd/yyyy): 11/01/2015 Estimated Project Completion Date(mm/dd/yyyy): 05/31/2015 9. Total Land Area of Development(to the nearest one-tenth acre): 21.2 Acres Estimated Area to be Disturbed(to the nearest one-tenth acre): 1.9 Acres 10. Is the area to be disturbed by the construction activity part of a larger common plan of development or sale?YesE/No❑ 11. Are nutrient offsets intended to be acquired for this activity?Yes❑ NoRfr Under considerations 12. A stormwater pollution prevention plan (SWPPP) must be prepared in accordance with the requirements of the General Permit for Discharges of Stormwater from Construction Activities prior to submitting this Registration Statement. By signing this Registration Statement the operator is certifying that the SWPPP has been prepared. 13. Certification: "I certify under penalty of law that I have read and understand this Registration Statement 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." Print Name: u GI" Title: Signature: Ark_ th Date: CI_ 'S O. IS (Please sign in I .The perso igning this form must be associated with the operator identified in Item#1 above.) Mail to: Department of Environmental Quality, Office of Stormwater Management, 10th Floor, P.O. Box 1105, Richmond, VA 23218 (DEQ 199-146)(08/13) I INSTRUCTIONS for FORM DEQ 199-146` General Permit Registration Statement -Construction Activity Stormwater Discharges General Hydrologic Unit Code(HUC)is a watershed unit established in the most recent A Registration Statement must be submitted to the Department of Environmental version of lrginia's 6"'order national watershed boundary dataset. Quality to register for coverage under the General Permit for Stormwater Section 7 Name of MS4 Operator Discharges from Construction Activities. If the stormwater is discharged through a municipal separate storm sewer Section 1 Construction Activity Operator Information system(MS4),enter the name of the operator of the MS4.The name of the "Operator"means the owner or operator of any facility or activity subject to the MS4 operator is usually the Town, City, County, Institute or Federal facility Stormwater Management Act and regulations. In the context of stormwater where the construction activity is located. associated with a large or small construction activity, operator means any Section 8 Estimated Project Start Date person associated with a construction project that meets either of the following Enter the date(Month/Day/Year)the projected is expected to start. two criteria:(i)the person has direct operational control over construction plans Estimated Project Completion Date and specifications, including the ability to make modifications to those plans Enter the date(Month/Day/Year)the project is expected to be complete. and specifications or(ii)the person has day-to-day operational control of those activities at a project that are necessary to ensure compliance with a Section 9 Total Land Area of the Development stormwater pollution prevention plan for the site or other state permit conditions Enter the total area(to the nearest one tenth acre)of the development(meaning (i.e., they are authorized to direct workers at a site to carry out activities the total acreage of the larger common plan of development or sale). Include required by the stormwater pollution prevention plan or comply with other the total acreage of any offsite support activities to be covered under the general permit conditions). permit. The entities who are considered operators will commonly consist of the owner or Estimated Area to be Disturbed developer of a project(the party with col ibul of project specifications)and the Enter an estimate of the total number of acres(to the nearest one tenth acre)to general contractor(the party with day to day operational control of the activities at be disturbed. Include in the Estimated Area to be Disturbed the area of the project site which are necessary to ensure compliance with the state disturbance that will occur at off-site support activities to be covered under the permit). Contractors and subcontractors who are under the general permit. supervision of the general contractor are not considered operators and would Section 10 Larger Common Plan of Development or Sale not need to submit a registration statement. Give the legal name of the Indicate if the area to be disturbed by the construction activity is part of a larger operator,do not use a colloquial name.Enter the complete address and phone common plan of development or sale. Larger common plan of development or number of the operator.The permit will be issued to this operator. sale defines a contiguous are where separate and distinct construction may be Section 2 Existing General Permit Coverage Number taking place at different times on different schedules.Plan is broadly defined as For reapplications only,indicate the existing general any announcement or documentation,including a sign,public notice or hearing, permit coverage number for sales pitch, advertisement, drawing, permit application,zoning request,etc., or the project.This section does not need to be completed for new projects applying for state permit coverage. physical demarcation such as boundary signs,lot stake,and surveyor markings indicating that construction activities may occur. Section 3 Location of Construction Activity Information Section 11 Nutrient Offsets Enter the activity's official name and complete street address,including city(or town),county(if not located within a City),state and ZIP code. Indicate if nutrient offsets are intended to be acquired in accordance with§62.1- 44.15:35 of the Code of Virginia.If the acquisition of offsets is being considered but If the site lacks a street address,enter the city(or town),county(if not located within a City) and the latitude and longitude in degrees, minutes, seconds is not certain,select"under consideration." (DMS)to the nearest 15 seconds of the approximate center of the site(example Section 12 A stormwater pollution prevention plan(SWPPP)must be prepared 37°30'15"N 77°20'15"W). in accordance with the requirements of the General Permit for Discharges of Location of Offsite Support Activities Stormwater from Construction Activities prior to submitting this Registration Thisgeneral Statement.By signing this Registration Statement the operator is certifying that permit also authorizes stormwater discharges from support activities (e.g.,concrete or asphalt batch plants,equipment staging yards,material storage the SWPPP has been prepared. areas,excavated material disposal areas,borrow areas)located on-site or off-site Section 13 Certification provided that (a)The support activity is directly related to the construction site The operator identified in Section 1 of this Registration Statement is that is required to have general permit coverage for discharges of stormwater responsible for certifying and submitting this Registration associated with construction activity;(b)The support activity is not a commercial Statement. Please sign the form in INK. State statutes provide for operation serving multiple unrelated construction projects by different operators, severe penalties for submitting false information.State regulations require and does not operate beyond the completion of the construction activity at the this Registration Statement to be signed as follows: last construction project it supports; and (c)Appropriate control measures are For a corporation:by a responsible corporate officer.For the purpose of this identified in a stormwater pollution prevention plan and implemented to address part,a responsible corporate officer means:(i)a president,secretary, the discharges from the support activity areas. treasurer,or vice-president of the corporation in charge of a principal business function,or any other person who performs similar policy-making or decision- Provide the information required for each off-site support activity seeking coverage.If an off-site support activity is going to be covered by this permit the making functions for the corporation;or(ii)the manager of one or more total land area of the off-site support activity and area to be disturbed by the off- manufacturing,production,or operating facilities,provided the manager is site support activity need to be included in the Estimated Area to be Disturbed authorized to make management decisions that govem the operation of the (Section 8). regulated facility including having the explicit or implicit duty of making major Section 4 Status of Activity capital investment recommendations,and initiating and directing other Indicate the appropriate status(Federal,State, Public,or Private)of the comprehensive measures to assure long-term compliance with environmental activity. laws and regulations;the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for Section 5 Nature of the Construction Project permit application requirements;and where authority to sign documents has Indicate the nature of the construction project (commercial, residential, been assigned or delegated to the manager in accordance with corporate agricultural,oil and gas,etc).This list is not all inclusive. procedures. Section 6 Name of Receiving Water(s) For a partnership or sole proprietorship:by a general partner or the Enter the name of the receiving water(s) for all stormwater discharge(s), proprietor,respectively. including any stormwater discharges from off-site support activities to be For a municipality,state,federal,or other public agency:by either a principal covered under the permit. Receiving waters identified as impaired on the executive officer or ranking elected official.For purposes of this part,a 2008 305(b)/303(d)Water Quality Assessment Integrated Report or for which principal executive officer of a public agency includes:(i)the chief executive a Total Maximum Daily Load(TMDL)Waste Load Allocation(WLA)has been officer of the agency or(ii)a senior executive officer having responsibility for established for stormwater discharges from construction activities shall be the overall operations of a principal geographic unit of the agency. noted. The Department of Environmental Quality reserves the right to request additional information not directly addressed by the Registration Statement if,in its discretion,a facility or operation poses a potential impact on water quality. (DEQ 199-146)(08/13) 4 it 14,1 COUNTY OF ALBEMARLE o..,.;,) Department of CommunityDevelopment 401 McIntire Road,North Wing 11 i'r.. Charlottesville,Virginia 22902-4596 Erosion Control Agreement Number Tel.(434)296-5832•Fax(434)972-4126 EROSION AND SEDIMENT CONTROL AGREEMENT FOR SINGLE FAMILY RESIDENCE CONSTRUCTION Building Permit# B2015-01394-SF) Zcrc-ti344 N111Z Tax Map/Parcel 08600-00-00-10200 S2csc-ctn.?'- 62.CtS-013ci$- st Subdivision Bundoran Farms Phase Section Block Lot H3-R Zoning RA A$150 fee is required with this agreement In lieu of submitting a formal erosion and sediment control plan for development of this single family residence and/or appurtenant structure, I agree to comply with the requirements of the Albemarle County Water Protection Ordinance, County Code Chapter 17, the Virginia Erosion and Sediment Control Law, Virginia Code, Title 62.1, Chapter 3.1, Article 2.3, and Erosion Control Regulations 9VAC25-840, and the Virginia Erosion and Sediment Control Handbook, latest edition. I agree to provide erosion control measures in accordance with the Handbook standards and specifications in order to protect against the transport of soil and sediment off of the property. I further agree to comply with additional requirements determined necessary by the Program Authority. Such requirements shall be based on established conservation standards and shall represent the minimum practices that Albemarle County deems necessary to provide adequate control of erosion and sedimentation on or resulting from this development. At a minimum, the following to the following measures will be implemented: 1. Silt fence, sediment traps and other protective measures shall be provided in areas where sediment from disturbed areas may leave the site, and must be properly installed before land disturbance. These measures must remain installed and maintained until adequate stabilization is achieved as determined by the Program Authority. 2. All erosion measures are subject to inspection periodically and after each runoff-producing rainfall event. Any necessary repairs to maintain the effectiveness of the erosion control devices and cleanup of sedimentation must be made immediately. If erosion control measures are found to be inadequate, or in need of repair, by a county inspector, you will be notified. A fee of$150 will be charged for each reinspection that is necessary. 3. A temporary stone construction entrance shall be provided wherever traffic will be leaving a construction site and where there exists the possibility of transporting mud directly onto a road or other paved area. 4. All denuded areas on the site shall be stabilized within seven (7) days of final grading with permanent vegetation or a protective ground cover suitable for the time of year. Temporary soil stabilization shall be applied within seven (7) days to denuded areas that may not be at final grade but will remain dormant (undisturbed) for longer than thirty(30) days. 5. A permanent stabilization/vegetative cover shall be established on all denuded areas within nine(9) months of the start of clearing or grading. Unless documented in writing to the Program Authority at the start of land disturbance, the nine (9)months shall be measured from the permit issuance date. If an extension is necessary and construction extends for more than a year, a permit renewal fee of$150 will be required. 6. During construction of the project, soil stock piles and borrow areas shall be stabilized, covered, or protected with sediment trapping measures. 4* - * *IOW 7. All storm sewer inlets that are operable during construction shall be protected so that sediment-laden water cannot enter the storm water conveyance system without first being filtered or otherwise treated to remove sediment. 8. All temporary erosion and sediment control measures shall not be removed until disturbed areas are stabilized. After stabilization is complete, all measures shall be removed within 30 days, unless otherwise authorized by the Program Authority. Trapped sediment and the disturbed soil areas resulting from the disposition of temporary measures shall be permanently stabilized to prevent further erosion and sedimentation. I further understand that failure to comply with such requirements within three (3) working days, following notice by a county official, could result in a citation for violation and may require the submission and approval of a formal erosion control plan with an appropriate performance bond as provided in Section 17-414 of the Albemarle County Water Protection Ordinance. I hereby agree to be responsible for carrying out each of the duties and responsibilities enumerated above, as well as all other requirements of Albemarle County's erosion and sediment control program. I also hereby agree to maintain responsibility for this permit regardless of the sale of the property prior to completion of the work covered by this permit. Landowner Responsible Land Disturber Print Name C e L (--pre et- Print Name 41::4 41 5itc,v,45 i Address 30c3 Eox m bane, Address 1285/ /x+'49 6;,,1 R 4 City avQ2-031 r' v.I(tate Ai., _Zip 22a02_ City c„iy5v11 k State Vq Zip 2Z' 3 G Phone Number -0 j1 2- J—Ig S Phone Number 7 3? tIO6—8-13c1 5 Signature 00.l� o W— Date. ©. I S Signature Date 47-30-II I hereby 4' the Cou t of Albemarle the right to enter upon subject RLD Cert.Number K`Y V O Z o O property for inspections to ensure compliance. { Comments/Additional Requirements from Plan Approving Authority: Office Use Only APPROVED BY Date I Original: Engineering Inspector Copies: Building Permit File Landowner/Authorized Agent 09/07,Revised 03/09,10/14,05/15