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Home My WebLink AboutWPO201600084 Application WPO VSMP 2017-03-27 Virginia Stormwater Nlaaagernent Program (VSIVIP) Application for Albemarle County Project Name: Lord Byrd Reside-ice (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 93 is this a revision or resubmission for review? Yes 0 No 0 County File Number: WPO-201600084 Go be provided by the County for new applications) The folio:ging are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures'must he provided for any suhntision. A. Siznature of the Procerr; 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 requirement.of these plans and permits will be complied with, and I have the authority to authorize the land disturbing activities and development on,he subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approsed plans and permits. 02900-00-00-0450 Bred,Stephen or Jill Lord j ? �1I i- 0- - - 1 Tax Map& Parcel Print Name of Property Owner S'i attire of Owner )ate 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 Contact Information for the Owner(s)to receive correspondence: Print Name Bryd, SteQhen or Jill Lord Address 411 1st St N City CharlottesvilleState VA lip 22902_ Daytime Phone( ) E-mai: Revieed:1/IO/14. 1P '4 Pelee I oft Albemarle County Engineering Mitigation Plan checklist for plan reviewers 17 Feb 2014 (Use the latest checklist from the Team Services engineering forms site) A mitigation plan is a document required by County Code Chapter 17,the Water Protection Ordinance which illustrates stream buffer disturbance and the measures proposed to alleviate or compensate for it. Reference key; [Square Brackets] are County Code references, {Curved Brackets} are policy references, and(regular parenthesis)are explanatory. Links to reference documents are provided where possible. Title information: (applicable to any type of plan) V Project title. Titles should be appropriate. It should be a mitigation plan, not a / stormwater plan, or erosion control plan, etc. �/ Professional seal, with original signature and date for professionally prepared plans Content: Mitigation Plan (per the Water Protection Ordinance) Exiting conditions plan view information: (applicable to any type of plan) ✓✓ ,existing topography(as shown on other final plans in process if applicable) V WPO buffer limits; 100' from stream or wetland bank, 200' from reservoirs,or floodplain limit if greater [17-317] /J lk floodplain limits, including 100yr flood limits for any channel with a drainage area of ��Sp� 50+ acres [18-32.6.2d, 18-30.3] ?-,� - ----�� all existing easements (access, drainage, sight, sanitary easements, etc.)with deed book Ri"" /' references, locations and dimensions [18-32.6.2] �/ all critical slopes(typically shaded) [18-32.5.2] Proposed plan view information: (applicable to final site plans, road and drainage plans) `Ny- ( 7__ — proposed topography(as shown on other final plans in process if applicable) ��r'� all proposed permanent easements, dimensioned and labeled. On a mitigation plans these would typically be; *SW 9 conservation easements . L,k • any permanent easements proposed on other final plans. Dis rbances: outlined and/or shaded areas of buffer disturbance, with acreages labeled,matching the disturbances shown on the erosion control plan and other final plans. Mitigation: outlined and/or shaded areas of mitigation, with acreage labeled for plantings, mitigation area is equal to double(2x)the disturbed area 0 I Pc- for channel restoration, 1' of restored channel for every 100sf of disturbed buffer. stations at every 50' min. with existing and proposed cross-sections provided for 67 restoration planting plan for mitigation areas per Riparian Buffers Guidance Manual by CBLAD or the latest policy available from the Design Manual detail provided for typical spacing(i.e. 20'x20'detail with placement). '/ native plants used with species, size,planting condition condition specified Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: Lord Byrd Residence (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes No Is this a revision or resubmission for review? Yes ® No O County File Number: WPO-201600084 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011 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. 02900-00-00-0450, ,Bryd, Stephen or Jill Lord Tax Map&Parcel Print Name of Property Owner Si, . re of Owner J7I 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 Prim Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Bryd, Stephen or Jill Lord Address 411 1st St N City Charlottesville State VA 7ip 22902 Daytime Phone( ) E-mail 7/1/14. Revised: 7/10/14. 1/7/14 Page I of 2 i,,,; Albemarle lunta,r Community Development Departrr ,1' 401 McIntire Road Charlottesville,VA 22902-4! law Voice:(434)296-5832 Fax:(434)972-4- Planning Application PARCEL J OWNER INFORMATION TMP 02900-00-00-04500 Owner(s): BYRD,STEPHEN CALDER OR JILL MARIE LORD Application # WPC,201 600084 PROPERTY INFORMATION Legal Description I ACREAGE Magisterial Dist. White Hall fj Land Use Primary Forest Current AFD [oorniatt's River Current Zoning Primary [Rural Areas [APPLICATION INFORMATION Street Address Entered Judy Martin Application Type [Water Protection Ordinances I2/19/2016 tid Project Lord Byrd Residence-VSNP Received Date 12/19/16 Received Date Final Submittal Date 12/27/16 Total Fees 13 Closing File Date Submittal Date Final Total Paid 13 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Application Conwnent Erosion and Sediment Control Plan 12/27/16 5.... e JPPAn ... 12127/16 APPLICANT/CONTACT INFORMATION ContactType J Name Arickess CityState Zip I Phone ... : �..�.. .,......�.,,,5at.,'141-441217.$,T . .. PhoneCf� $1 PH ! � � Vick �2Z${ + , Primary Contact CLINT. HISFFLETTJTIMMONS GROUP 608 PRESTON AVENUE CHARLOTTESVILL 22903 4343271690 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) Application for Albemarle County _ ++ Project Name: Lord Byrd Residence (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No ge Is this a revision or resubmission for review? Yes 0 No fia 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. 02900-00-00-0450 Bryd,Stephen or Jill Lord 12/5/16 Tax Map&Parcel Print Name of Property Owner y . .1 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 Bryd,Stephen or Jill Lord Address 411 1st St N City Charlottesville ( � State VA Zip 22902 Daytime Phone 6 5 ZZ ZZ.-- I E-mail '11i Y�t Ldp�4: it i c5"- L,, 7/1/14.Revised:7/10/14. 1/7/14 Pam 1 of 2 err✓ '4✓ ®B. All Fees[Code section 17-208] For new or modified plans;Total acres proposed to be disturbed Z•5 14‘• 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 1401 $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 0 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. 0 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. O 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 Clint Shifflett-Timmons Group Address 608 Preston Avenue City Charlottesville State VA zip 22903 Daytime Phone(434) 327-1690 E-mail Clint.Shifflet@timmons.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 1 '^ WPO# Fee Amount al/ 50i to Paid 0) W By C C i.J rc Receipt# ( q' Ck# gaol- By: 3S 7/1/14.Revised:7/10/14. 1/7/14 Pace 2 of 2