HomeMy WebLinkAboutWPO201600084 Preconstruction Form WPO VSMP 2017-06-02 V?.t2 Con 0.1 pcc -�
Request for Pre-construe n Meetingr
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and Grading Permit
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from Albemarle County
Approved Plan Number: WPO- 2016 - 00084
Approved Plan Name: Lord Byrd Residence
(Plans must be approved prior to a pre-construction meeting.)
Bond approved date: 06/02/2017
(Bonds must be approved and posted prior to a pre-construction meeting or permit.)
Responsible Land Disturber:
Print Name: Ken Williams, Williams Loader Service
State Certification Number: 37432
Address 4104 Ruritan Lake Drive
City Palmyra State VA Zip 22963
Daytime Phone(434)589-3759 E-mail ken@williamsloaderservice.com
Primary Contractor:
Print Name Justin Walton, Project Manager, Element Construction
Address 101 East High Street
City Charlottesville State VA Zip 22902
Daytime Phone(434) 806-5410 E-mail justin@elementbuild.com
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 Fee Due at Grading Permit
Less than 1 $63.80
1 and less than 5 $594.00
5 and less than 10 $748.00
10 and less than 50 $990.00
50 and less than 100 $1,342.00
100 and more $2,112.00
For plans exempt from VSMP,VESCP fees were paid with the application.
7/1/14,Revised: 8/29/14 Page 1 of 3
N111.01 *114101
Person(s)to attend the Pre-construction Meeting:
Names(type or print) Firm Contact Number or email
Justin Walton Element Construction 434.806.5410
Kelsey Cox Element Construction 404.210.4735
Ken Williams Williams Loader Service 434.589.3759
Anne Pray Pray Design Associates 434.242.7642
Jeff Dreyfus Bushman Dreyfus Architects 434.295.1936x234
Stephen-Byrd Owner
(1anaief) -efel Owner
(there may be some additional attendees)
LLtrJr SNIFFee;TT T 4d'j 13 (rrwuP `j39-. 327- ibaO
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 applicts; *Iwo'
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$250
per inspection,or as given in code sections 17-207 and 17-208.
7/1/14,Revised: 8/29/14 Page 3 of 3
Albemarle County Water Protection Ordinance t$
Request regarding development in a stream buffer %,„„',41
Required Information for application;
1'A. Signature of the Property Owner for each parcel: (Required, NOT TO BE SIGNED BY AN AGENT,
BUILDER,CONSULTANT,or anyone other than the owner)
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.
24 - 45 * _ 17, I5' 16
Tax Map&Parcel gnature of Owner Dat
Contact Information for the Owner to receive cospondence: r /�
Print Name 3 1 y a. �171, I 1 L Kt
Address 411 I`i �. t .
City C VLO4 W IVState v )I Zip U.10Z-
1/A----
Phone(1]h � \E-mail 111,416a U 1O . c/,lti,
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1,1{A description or drawing of the proposed disturbance. (Typically this is a driveway,house, garage,
grading activity, etc. It does not matter that it may be theoretical or exploratory. Any additional
information,like a professional stream or buffer assessment,will be helpful.)
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
7/1/2014
Nowie
ALBEMARLE COUNTY STREAM BUFFER RESTORATION INITIATIVE
Planting Plan
Date: 12• IC I . Za I(o` -
Name: Cc,o/T- J n,Fc.01-E — ,iw
7T- - / w,.,s (JnouP
Address: BOO$ ?RES•ry.-) 1'�. � �u rrE ZOO , Gwcc.e VZ2963
Phone Number: `7'34/- 32.-7- /6 I0
Email address: C/i^'T . CM/Cr—ter Mt4avS . Cdr'^
Length and Width of Buffer Restoration Project: 1•$1 v DOA ES t 14 0'151-32: M-L v kP-4 es r 39 t' x b7
Square Feet: M-1 F1 0 ill ML ZS,t bto ftl. Acres: • 6°1 kG
Planting Plan: (Sketch attached? tit, No)
Applicant has choice of planting one of the following:
o For every 400 square foot unit or fraction thereof plant one(1)canopy free measuring 1 '/"-
2" caliper or a large evergreen 6 feet in height, one (1)understory tree measuring 3/"-1 1/2"
caliper or one evergreen 4 feet in height, and one(1)small shrub 15"-18" in height- (total
equals 327 stems/acre).
o For every acre or fraction thereof plant 1,210 hardwood and/or pine seedlings on
approximately 6'X6' centers without tree tubes and mats
4 For every acre or fraction thereof plant 600 hardwood and/or pine seedlings on approximately
8'X8'centers with tree tubes and mats.
Total number of plants to be installed: 39 6 vyi tV a E3 + Mit-rs
Size and type of all plants to be installed: /-"- - 16
Method of installation (contractor,volunteer) eo NitAvrrn.
Number and placement of signs to be installed:
Anticipated planting dates: 3)2018
Estimated Cost: a , o o o . 0 6
Planting Plan approved by:
'sage *inse
ALBEMARLE COUNTY STREAM BUFFER RESTORATION INITIATIVE
Inspection and Approval for 50% Reimbursement
Date of plant installation: Date of inspection:
Inspected by:
Are the correct number of plants installed?
Are the correct size and type of plants installed?
Are receipts attached for plant purchase?
Was planting performed properly?
Are receipts or documentation attached for planting labor?
Do plants appear healthy?
Are signs installed properly?
Actual cost of project:
Is project approved for reimbursement? Yes No Explanation
Reimbursement total:
Reimbursement payment information: