Loading...
HomeMy WebLinkAboutWPO201700015 Application 2017-03-20 Virginia Stormwater Management Program (VSMP) Application for Albemarle County ��RGINIA Project Name: Ivy Creek Nutrient Bank Stream Restoration - Phase 1 (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No k4 Is this a revision or resubmission for review? Yes ❑ No County File Number: WPO201700015 (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. aft 44-34C David & Melissa Slutzky 7/,SJ/ 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 David Slutzky Address 1705 Lambs Road City Charlottesville State VA Zip 22901 Daytime Phone(434) 989-5888 E-mail david@fermataenergy.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 AT B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 2.44 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;$150 C. Registration Statement on the official DEQ form. 611 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. 0 E. Stormwater Management Plan satisfying the requirements of code section 17-403. F. Pollution Prevention Plan satisfying the requirements of code section 17-404. it G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. Llij H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Brian Wagner of Ecosystem Services, LLC Address 209 2nd St. SW Suite 209A City Charlottesville State VA Zip 22902 Daytime Phone(804) 432-6805 E-mail brian@ecosystemservices.us *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# ©/ D©/9 1 b— l7 Z /�/ " ///�y /2tv Fee Amount$ � Date Paid 3�3who? / rLeeceipt#k%rSS Ck#2 1( 2 v By: 6 fil� 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2 Community ment Depar /,i " ', e narle ,Uf LI401 McIntire Road Charlottesville,VA 22902-4 siiroi v Voice: Plannin A lication t434)2 96-5832 Fax:(434)972-4- PARCEL I OWNER INFORMATION Owner(s): SLUTZKY, DAVID OR MELISSA Application # WP020170001 PROPERTY INFORMATION Legal Description I ACREAGE Magisterial Dist. [Jack Land Use PrimaryResidential S- le-famm �(incl.modular Current AFD [Not kr A/F District Current Zoning Primary Rurai Areas APPLICATION INFORMATION Street Address 1705 LAMBS RD CHARLOTTESVILLE, 22901 Entered Application Type Water Protection Ordinances Judy rtir, I:j2j13/20177 Profs Ivy Creek Nutrient Bank Stream Restoration-VESCP Received Date 02/13/17 Received Date Final Submittal Date 02/24/17 Total Fees 4 Closing File Date Submittal Date Final Total Paid 4 Revision Number Comments Legal Ad SUB APPLICATION(s) ,_Type: Su Application Cixnment Stormwater Management/BMP Plan 02/24/17 / � ��.. «.+..$�u:..s ..t.aj 'uN .�»Yi...a.ua. ....Ha. e..a..s..a.. .u.....e .a..........u...ua....... .....uae....reas at.....Y APPLICANT/CONTACT INFORMATION / M 1 Pftopec, a ny Ap t t 4 +r. =",,rte' '% "r �1, y/m. , ; $ " ' j. . h,. 3 x, !!!s r Applicant DAVID SLUTSKY ` . ...L'.!.........„,....... 1705 LAMBS ROAD CHARLOTTESVILL 22401 4349895888 Primary Contact BRIAN WAGNER OF ECOSYSTEM SERVICE 209 2ND ST., SW SUITE 209A CHARLOTTESVILL 22902 8044326805 Signature of Contractor or Authorized Agent Date Nwe `rr00 of AL/F Virginia Erosion and Sediment Control Program (VESCP) A" / Application for Albemarle County ® t (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: Ivy Creek Nutrient Bank Stream Restoration - Phase I (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 66 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. 44-34C David & Melissa Slutzky • • 404/3 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 David Slutzky Address 1705 Lambs Road City Charlottesville State VA Zip 22901 Daytime Phone(434) 989-5888 E-mail david@ermataenergy.com fe_ftv►40..Qvter5y.ZoON 7/1/14,Revised: 7/10/14, 1/7/15 Page 1 oft MI 4111.1‘10 B. All Fees [Code section 17-207] Total acres proposed to be disturbed 4.30 Acres to be disturbed Total Fee Less than 1 $150 per review More than 1 q2.0.9per review afie)wAst) • Of\12-t-Y-. OVA Odt6 For amendments to an approved plan;$200 per review Variances;$150(per request) Exceptions;$240 Mitigation Planigi Construction Record Drawing;$300 O C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. CI D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. E l E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. CI F. 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 picot and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Brian Wagner of Ecosystem Services, LLC Address 209 2nd St. SW Suite 209A City Charlottesville State VA Zip 22902 Daytime Phone(804) 432-6805 E-mail brian@ecosystemservices.us *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$45Z) Date Paid 01/13/17 By who? k co Sp-rem .1--ediaReceipt# 0 8 3<31 Ck# /8 9"" By: / 7/1/14,Revised: 7/10/14, 1/7/15 Page 2 of 2 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. Titl formation: (applicable to any type of plan) fsroject title. Titles should be appropriate. It should be a mitigation plan, not a tormwater 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) Exi g conditions plan view information: (applicable to any type of plan) existing topography(as shown on other final plans in process if applicable) WPO buffer limits; 100' from stream or wetland bank, 200' from reservoirs, or /floodplain limit if greater [17-317] floodplain limits, including 100yr flood limits for any channel with a drainage area of 50+acres [18-32.6.2d, 18-30.3] 51) all existing easements (access, drainage, sight, sanitary easements, etc.) with deed book references, locations and dimensions [18-32.6.2] all critical slopes (typically shaded) [18-32.5.2] Proppsed plan view information: (applicable to final site plans, road and drainage plans) / proposed topography(as shown on other final plans in process if applicable) 113D all proposed permanent easements, dimensioned and labeled. On a mitigation plans these would typically be; ?SP conservation easements firs any permanent easements proposed on other final plans. Dist ances: outlined and/or shaded areas of buffer disturbance, with acreages labeled,matching the disturbances shown on the erosion control plan and other final plans. Mit' ation: ` kel outlined and/or shaded areas of mitigation, with acreage labeled —Afor plantings,mitigation area is equal to double (2x)the disturbed area Vd for channel restoration, 1' of restored channel for every 100sf of disturbed buffer. e °' //4 stations at every 50' min. with existing and proposed cross-sections provided for Co restoration planting plan for mitigation areas per Riparian Buffers Guidance Manual by CBL AD or the latest policy available from the Design Manual yrdetailprovided for typical spacing(i.e. 20'x20'detail with placement). native plants used with species, size,planting condition condition specified Albemarle County Engineering Mitigation Plan Checklist / Page 2 of 2 V maintenance narrative and schedule on plan,including a completion date. ✓ areas restored or replanted for mitigation must be protected in easements or by maintenance agreements if they are not in a buffer. (This is a rarity,as all planting should be /buffer restoration or reclamation. Noted exceptions are TJSWCD easement areas.) s./ all concentrated discharges treated or extended to adequate channels to preserve buffers. • • Virginia Erosion and Sediment Control (VESCP) "' ► Program h g Application for Albemarle County .p44054; frinco`- (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: Ivy Creek Nutrient Bank Stream Restoration -Phase I (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 0 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. 44-34C David&Melissa Slutzky ° ' .a)12-0- 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 David Slutzky Address 1705 Lambs Road City Charlottesville State VA - Zip.22901. Daytime Phone(434) 989-5888 E-mail david@,grmataenergy.com 7/1/14,Revised: 7/10/14, 1/7/15 Page 1 of 2 ® B. All Fees [Code section 17-207] Total acres proposed to be disturbed 4.30 Acres to be disturbed Total Fee Less than 1 $150 per review More than 1 $30 per review \'(•60 ,1nC.`tA26. For amendments to an approved plan;$200 per review Variances;$150(per request) Exceptions;$240 Mitigation Plan, Construction Record Drawing;$300 ® C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. D D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Brian Wagner of Ecosystem Services, LLC Address 209 2nd St. SW Suite 209A City Charlottesville State VA Zip 22902 Daytime Phone(804) 432-6805 E-mail brian@ecosystemservices.us *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14.Revised:7/10/14, 1/7/15 Page 2 of 2 ti I'o f DEPARTMENT OF THE ARMY US ARMY CORPS OF ENGINEERS • NORFOLK DISTRICT "6' FORT NORFOLK 803 FRONT STREET NORFOLK VA 23510-1011 Western Virginia Regulatory Section February 22, 2017 NAO 2017-00253 David Slutzky 1705 Lambs Road Charlottesville, Virginia 22901 Dear Mr. Slutzky This is in regard to your Department of the Army permit application number NAO-2017-0253 to do stream restoration in unnamed tributaries to Ivy Creek. Work will be completed as per plans on file at this office. Work will occur on your property, Albemarle County, Virginia. Your proposed work as outlined above satisfies the criteria contained in the Corps Nationwide Permit(s) (27) attached. The Corps Nationwide Permits were published in the February 21, 2012 Federal Register notice (77 FR 10184) and the regulations governing their use can be found in 33 CFR 330 published in Volume 56, Number 226 of the Federal Register dated November 22, 1991. Provided the project specific conditions (above) and the Nationwide Permit General Conditions (enclosed) are met, an individual Department of the Army Permit will not be required. In addition, the Virginia Department of Environmental Quality has provided an unconditional §401 Water Quality Certification for Nationwide Permit Number(s) 27. A permit may be required from the Virginia Marine Resources Commission and/or your local wetlands board, and this verification is not valid until you obtain their approval, if necessary. This authorization does not relieve your responsibility to comply with local requirements pursuant to the Chesapeake Bay Preservation Act (CBPA), nor does it supersede local government authority and responsibilities pursuant to the Act. You should contact your local government before you begin work to find out how the CBPA applies to your project. Enclosed is a "compliance certification" form, which must be signed and returned within 30 days of completion of the project, including any required mitigation. Your signature on this form certifies that you have completed the work in accordance with the nationwide permit terms and conditions. SPECIAL CONDITIONS 1. Take pre and post construction photos of the stream enhancement work. 2. Monitor the stream enhancement work for 2 years to ensure work and stream is stable. This can be done through visual observations and photos submitted to this office once per year unless there are issues. This verification is valid until the NWP is modified, reissued, or revoked. All of the existing NWPs are scheduled to be modified, reissued, or revoked prior to March 18, 2017. It is incumbent upon you to remain informed of changes to the NWPs. We will issue a public notice when the NWPs are reissued. Furthermore, if you commence or are under contract to commence this activity before the date that the relevant nationwide permit is modified or revoked, you will have twelve (12) months from the date of the modification or revocation of the NWP to complete the activity under the present terms and conditions of this nationwide permit unless discretionary authority has been exercised on a case- by-case basis to modify, suspend, or revoke the authorization in accordance with 33 CFR 330.4(e) and 33 CFR 330.5 (c) or (d). Project specific conditions listed in this letter continue to remain in effect after the NWP verification expires, unless the district engineer removes those conditions. Activities completed under the authorization of an NWP which was in effect at the time the activity was completed continue to be authorized by that NWP. If you have any questions, please contact me at (434) 973-0568 or Vincent.d.pero@usace.army.mil Sincerely, PERO.VINCENT.D.I27077 Digitally signed by PERO.VINCENT.D.1270778255 DN:c=US,o=U.S.Government,ou=DoD,ou=PKI, ou=USA,cn=PERO.VINCENT.D.1270778255 82 5 5 Date:2017.02.22 13:52:29-05'00' Vincent D. Pero Western Virginia Regulatory Section