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HomeMy WebLinkAboutWPO201400069 Application 2014-11-26 L tin/ Virginia Stormwater Management Program (VSMP) f4ellT Application for Albemarle County . Project Name: North Rivanna WTP Improvements (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No U Is this a revision or resubmission for review? Yes a No 0 County File Number: W PO201400069 (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. I 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. 32E-1A Rivanna Water and Sewer Authority 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 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 Charlottesville VA 22902 City State Zip 434 977-2970 dmarch@rivanna.org Daytime Phone( ) E-mail 7/1/14,Revised:7/10/14 Page 1 of 2 softie B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 0.80 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 $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 • C. Registration Statement on the official DEQ form. MI D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. MI E. Stormwater Management Plan satisfying the requirements of code section 17-403. MI F. Pollution Prevention Plan satisfying the requirements of code section 17-404. In G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. PI I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Bret Edwards C/O Hazen and Sawyer Address 4011 WestChase Blvd., Suite 500 City Raleigh State NC Zi P27607 DaytimePhone 919 833-7152 bedwards@hazenandsawyer.com ( ) E-mail *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14, Revised:7/10/14 Page 2 of 2 • xsov Virginia Stormwater Management Program (VSMP) Application for Albemarle County Arger- Project Name: North Rivanna WTP Improvements (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No • Is this a revision or resubmission for review? Yes U No 0 CountyFile Number: WPO201400069 (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. C 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. 32E-1A Rivanna Water and Sewer Authoritya _ /0—7-/4 Tax Map&Parcel Print Name of Property Owner Signa re 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 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 Cit Charlottesville Y State VA Zip 22902 434 977-2970 dmarch@rivanna.org Daytime Phone( ) E-mail 7/1/14, Revised:7/10/14 Page 1 of 2 w 1 *°1410° '44111011 MI B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 0.80 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 $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 II C. Registration Statement on the official DEQ form. e D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. MI E. Stormwater Management Plan satisfying the requirements of code section 17-403. IN F. Pollution Prevention Plan satisfying the requirements of code section 17-404. PI G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. • I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Bret Edwards C/O Hazen and Sawyer Address 4011 WestChase Blvd., Suite 500 City P Raleigh State NC Zi 27607 Daytime Phone(919) 833-7152 E-mail bedwards@hazenandsawyer.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$/c0•I Date Paid/Oh JI YBy who? Q A y�411 Hn C 1014 1111(Reieipt#q7 y Si 2 Ck# 9 3 273,: C Se W r 74-1 7/1/14,Revised:7/10/14 Page 2 of 2 Sue Virginia Stormwater Management Program (VSMP) Application for Albemarle County • rrr. Project Name: North Rivanna WTP Improvements (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No e Is this a revision or resubmission for review? Yes a No 0 County File Number: WPO201400069 (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. 32E-IA Rivanna Water and Sewer Authority (65, _, 11-74 � 4- 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 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 Zip22902 434 977 2970 dmarch©rivanna.org Daytime Phone( ) E-mail 7/1/14,Revised:7/10/14 Page 1 of 2 Sol M B. All Fees[Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 0"80 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 $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 NI C. Registration Statement on the official DEQ form. IN D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. e E. Stormwater Management Plan satisfying the requirements of code section 17-403. e F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation PIan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ® L Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Bret Edwards C/O Hazen and Sawyer Address 4011 WestChase Blvd.,Suite 500 City Raleigh State NC Zi 27607 P Daytime Phone(919) 833-7152 E-mail bedwards@hazenandsawyer.corn *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14 Page 2 of 2 Community epartment Albemarle Coksjoety 401 Intire Road CharlottesvilleVA, 2D2902-4596 r' P - Planning Application VOice:(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMP 032E0-00-00-001A0 Owner(s): RIVANNA WATER&SEWER AUTHORITY Application # WP0201400069 PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. Rio Land Use Primary Public Current AFD Not in A/F District Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address 230 ST IVES RD CHARLOTTESVILLE, 22911 Entered By Todd Shifflett Application Type Water Protection Ordinances 08/13/2014 Project North Rivanna WTP Improvements Received Date 08/12/14 Received Date Final Submittal Date Total Fees 145 Closing File Date Submittal Date Final Total Paid 145 Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sub Applicata Comment 'APPLICANT/ CONTACT INFORMATION ContactType dame Address CityState q Zi Phone PhoneCell Owner/Applicant RIVANNA WATER 8&SEWER AUTHORITY 695 MOORES CREEK LANE CHAR LOi uESt%ILL 121902+30 Primary Contact BREI EDWARDS C/O HAZEN AND SAWY 4011 WESTCHASE BLVD.,SUI RALEIGH,NC 27607 9198337152 Signature of Contractor or Authorized Agent Date vase Virginia Stormwater Management Program (VSMP) . Application for Albemarle County , Project Name: North Rivanna WTP Improvements (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No El Is this a revision or resubmission for review? Yes ❑ No C 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. RI 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. 32E-1A Rivanna Water and Sewer Authority J9Y 14„,k. 6 _ 6,l4 O 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 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 VA 22902 Y State Zip 434 977-2970 dmarch@rivanna.org Daytime Phone( ) E-mail 7/1/14,Revised:7/10/14 Page 1 of 2 O B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 0.91 Acres to be Total Fee Fee Due with this Fee with Transfer or disturbedlication 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 $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 M C. Registration Statement on the official DEQ form. II D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. MI E. Stormwater Management Plan satisfying the requirements of code section 17-403. IN F. Pollution Prevention Plan satisfying the requirements of code section 17-404. IN G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Bret Edwards C/O Hazen and Sawyer Address 4011 WestChase Blvd., Suite 500 City Raleigh State NC Zip 27607 Daytime Phone(919) 833-7152 E-mail bedwards@hazenandsawyer.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Q/ Fee Amount$)L$ 0 4 Date Paid 9.)414 By who? �VC+I'N4 4,4,Receipt##9/ 7 cCk#9 �O 1p By: C, SewQ.r 7/1/14,Revised:7/10/14 Page 2 of 2 sloe sod August 8, 2014 Mr. Glenn Brooks County of Albemarle Department of Planning and Community Development 401 McIntire Road Charlottesville, VA 22902-4596 Re: E&S Plan Stormwater Management Plan North Rivanna WTP Dear Mr. Brooks: The Rivanna Water and Sewer Authority is proposing upgrades to the North Rivanna Water Treatment Plant. As such, we offer for review an erosion and sediment control plan and a stormwater management plan for the North Rivanna Water Treatment Plant (WTP) additions. The improvements of this amendment include the construction of a new granular activated carbon (GAC) facility. In addition to the proposed facility, improvements to existing roadway and sidewalk will be included in this project. Minor grading will also take place, but for the most part the new GAC facility and associated roadway will be constructed closely to existing grade. Please find attached two (2) copies of drawings illustrating the additional work to the North Rivanna WTP, a descriptive Erosion and Sedimentation Control and Stormwater Management Plan, a Stormwater Pollution Prevention Plan and Pollution Prevention Plan, a Virginia Stormwater Management Program (VSMP) application, and the associated $145 review fee check. Please do not hesitate to contact me should you require any additional information or have any questions. Sincerely, HAZEN AND SAWYER, P.C. Bret T. Edwards, PE Principal Engineer