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WPO201600024 Application WPO VSMP 2016-05-06
Virginia Stormwater Management Program (VSMP) j� � , Application for Albemarle Countyret • , Project Name: Texas Roadhouse-Charlottesville (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 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. B Rio � ,,� 7' 76.4÷Acii Map 61, Parcel 123 Rio Associates Limited Partnership i ,!' /) ��,' S.6 Tax Map&Parcel Print Name of Property Owner Si: ir of ri caner 4y014.4R_pJ s.to 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: Les �Y ' 4:f?2,_611Print Name Rio Associates Limited Partnership LP c/o Dumbarton Properties -- Address taZagle612 D311 j4JeST 8t 4(1 spepr (1, city 6/e„) a�g L3 cad o State VA Zip Daytime Phone(804) 266 4969 E-mail lim@dumbartonproperties.com • ® B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 0.85 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;$150 ® C. Registration Statement on the official DEQ form. O D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Andre Pimentel, GreenbergFarrow Address 153 Cordaville Road, Suite 210 City Southborough State MA Zip 01772 Daytime Phone(857) 305 0597 E-mail apimentel@greenbergfarrow.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 1 ,L. 2S �A 7D� g�/ /C47Date Received: ./ r lake Paid: I Received by: �= �j�;, •— Intake: Forward M nagement Analyst � ��`'( `if?G:11 t' REQUEST TO ESTABLISH A BOND APPROVED PLAN #WP0201600024 PROJECT NAME: Texas Roadhouse, Charlottesville, VA (As listed on the approved plan) All parcels in the project, including any off-site work if easements are not provided, and current owners. Use a separate sheet if more owners are required.Owner and tax map information must be correct,and plans must be approved prior to bond estimates being prepared. 4?,¢gyp d Aa p LLQ, ids �.•aasP TAX MAPs i PARCELs: 0610o-o0-00-123o0OWNER'S NAME:a, 3A N,% 1D_Mii..0y6e-oa ,%7 SIGNATURE: 7). date: 67.2 4/ 4 TAX MAPs/PARCELs: OWNE AME: SIGNATURE: date: TAX MAPs/PARCELs: OWNER'S NAME: SIGNATURE: date: TAX MAPs/PARCELs: OWNER'S NAME: SIGNATURE: date: TAX MAPs/PARCELs: OWNER'S NAME: SIGNATURE: date: NOTE: If ownership of the property is in the name of any type of legal entity or organization including, but not limited to the name of corporation, partnership, limited liability company, trust, association,etc., documents acceptable to the County_ must be submitted certifying that the person signing above has authority to do so. E. The requested estimates are; V ❑ VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; $0 fee VSMP Erosion and Sediment Control, Stormwater Management and Mitigation per Water Protection Ordinance section 17-208; $250 fee required ❑ Subdivision (roads, drainage,etc.)per Subdivision Ordinance section 14-435; & Water& Sewer per Subdivision Ordinance section 14-435; $269 fee required A bond estimate will be prepared by the plan reviewer. The estimate must be sent to the owner. Please provide contact information. EMAIL: phubert@greenbergfarrow.com Paula Hubert OR REGULAR MAIL ADDRESS: 224-310-5072 Re.used 6120/2014. 11/3/2015 21 South Evergreen Avenue Suite 200 Arlington Heights, IL 60005 t: 847 788 9200 ATLANTA LOS ANGELES NEW JERSEY CHICAGO NEW YORK GreenbergFarrow DALLAS BOSTON COLUMBUS WISCONSIN BENTONVILLE PHILADELPHIA FRESNO MEMPHIS SHANGHAI MEXICO CITY Letter of Transmittal August 24,2016 To Ana D. Kilmer Project Texas Roadhouse Albemarle Square Charlottesville,VA Management Analyst Project* 20140710.0 Community Development Department 401 McIntire Road From Brandon Goldberg Charlottesville,VA 22902 Tel 434.296.5832 x3246 We are sending you the following enclosures via Air Express-Priority for your approval: Copies Date Description One(1) 8/24/16 Request to Establish a Bond Form,Signed by the Property Owner ............................................................ One(1) 8/24/16 $250 VSMP Fee,GreenbergFarrow Check#1942 Message Ana, Enclosed,for your review and approval,you will find the above listed items relative to the bonding requirements for the proposed Texas Roadhouse at 455 Albemarle Square. Should you have any questions or need additional information, please don't hesitate to contact Paula Hubert via phone,224- 310-5072,or email,phubertgreenbergfarrow.com. Thank You, Brandon Goldberg If enclosures are not as noted,please contact sender Copies Paula Hubert,GreenbergFarrow Albemarle -auntyCcmmunit;, DevelopmentDepartrr 401 McIntire Road Charlottesville.VA 22902-4f Voice : (434)296-5832 Fax:(434)9724 Planning Application [PARCEL j OWNER INFORMATION TMP 06100-00-00-12300 O yrier((S;; RIO ASSOCIATES LIMITED PARTNERSHIP C/O DUMBARTON PRC Application # WPO201600024 PROPERTY INFORMATION Legal Descriptier ACREAGE ALBEMARLE SQUARE Magisterial Dist. Rio Lar-c L_sa Primary Commercial Current AFD Not in A/F District 1 Currert Zoning Primas. Planned Development Shopping Center APPLICATION INFORMATION Street Address 1100.ALEEr 1-RLE SQ CHARLOTTESVILLE, 22901 Entered lic_tron T� Judy Martin APP Type Water Protection Ordinances Project Texas Roadhouse - VESCP Received Date 04/04/16 -; _^ Date Final :.,Ernittal Date 04/04/16 Total Fees( 1 Closing File Date Submittal Date Final i Total Paid k 1 Revision Number Comments Legal Ad SUB APPLICATION(s) �_ -- TypeSub Ali tion Stormwater Management/BMP Plan 04/04/16 Erosion and Sediment Control Plan 04/04/16 (APPLICANT / CONTACT INFORMATION Cort,ctT,F- :ip Ff PHmar. nta:.r D E r I'Er _..._ - r - :LLE F:LE, SicJnature of Contractor or _-uthorized L.clent Date ` :1L8F,r Virginia Erosion and Sediment Control Program (VESCP) r 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: Texas Roadhouse -Charlottesville (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes El No 171 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 reguiXed to ensur compliance with the approved plans and permits. Rie /�S�as �� �J Nio 01--c Map 61, Parcel 123 Rio Associates Limited Partnership }; 3 - Zg—f/p Tax Map&Parcel Print Name of Property Owner Si` /atur of Owner dokDate 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 R. A--S,Coc.a-�P� j ,s, '/ 61 .fac.4Q Address ((/� City Aaktn1C1 State v Zipo?3)-)-8 / Daytime Phone(cb ) ` - 4q7 E-mail tb ^- p p es, t 7711 • • S ..... ,®, 0 B. All Fees [Code section 17-207] Total acres proposed to be disturbed 0.85 Acres to be disturbed Total Fee Less than 1 $150 per review More than 1 $300 per review - For amendments to an approved plan;$200 per review Variances;$150(per request) Exceptions;$240 Mitigation Plan;$150 Construction Record Drawing;$300 ❑ C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ F. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Andre Pimentel, Civil Project Manager-GreenbergFarrow Address 153 Cordaville Road City Southborough State Ma Zip 01772 Daytime Phone(857) 305 0597 E-mail apimentel@greenbergfarrow.com *When applications and plans are reviewed, but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# V 1 �� Date Paid�1� Fee Amount$ bei) t �b By who?� gr Receipt# i o ,]'I 1(40Ck# t v 3 By: Eat— YCSvi► I c o a ^I 11 11i A A 11,7 11c r-- •. _r.. y • • RF�E�tiED COMMUNITY APR© 4 1016 DAVE�PNITY M6NT Albemarle County Engineering Erosion and Sediment Control Plan checklist for plan reviewers Updated 1 Dec 2014 An erosion and sediment control plan is a document which illustrates the measures used to control erosion and sedimentation during construction. All measures follow the Virginia Erosions and Sediment Control Handbook. 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. Application information: x Completed WPO application and fees, with owners signature [County Code 18-314.3.2, 18-32.3.9, 17 Article II] Erosion Control plans require a Water Protection Ordinance (WPO) application and original owner's signature. No review is provided without application, owner signature and fees. This is true even for revisions. It is important that the owner be aware of comments and re-submittals, and this is the county assurance. N/A Copies of federal and state permits for any wetland or stream disturbance. (Army Corps, VDEQ, etc) [17-604, 18-32:1.2, 14-311] VSMP: x SWPPP, PPP, SWMP approvals obtained where necessary. In most cases, the erosion control plan will not be submitted independently, but will be part of a Stormwater Pollution Prevention Plan(SWPPP). Unless exempt, it will be approved with the SWPPP. Title information: x Project title. Titles should be appropriate. It should be an erosion control plan, not a stormwater plan, or site plan, etc. In some cases a WPO package will contain a stormwater plan and a mitigation plan, but they should be on separate sheets with keys and page titles. x Professional seal, with original signature and date for professionally prepared plans. x Content: The erosion control plan must not contain information regarding permanent improvements that do not also appear on other plans. Erosion control plans are temporary documents that are discarded after projects are complete. Existing conditions plan view information: x accurate current existing topography at the time of submittal, including all existing site features, and any recent disturbances, all at a legible scale x date and source of the topographic information: All topography should be at least visually field verified by the designer within the last year. Adequate erosion control cannot be designed without accurate topography and drainage areas. N/A WPO buffer limits; 100' from stream or wetland bank, 200' from reservoirs, or floodplain limit if greater. N/A No buffer disturbances without WPO Program Authority approval and a mitigation plan. N/A floodplain limits, including 100yr flood limits for any channel with a drainage area of 50+acres. 4 ® • New Albemarle County Engineering E&SC Plan Checklist Page 2 of 4 N/A Floodplain undisturbed. Disturbances require a Special Use Permit or Floodplain Development Permit. x all existing easements (access, drainage, sight, sanitary easements, etc.) with deed book references, locations and dimensions x all critical slopes (typically shaded) Zoning Ordinance buffers shown and protected undisturbed. Disturbances require Planning approval of a waiver. Proposed plan view information: Grading: X proposed topography at minimum 2' contour intervals—tied into existing contours, as well as all proposed site features in later phases. (Sites with less than 6' of grade change should consider using smaller contour intervals.) These should agree with other final plans. x proposed slopes are all 2:1 (horizontal:vertical) or flatter {Design Manual, section 8} N/A proposed slopes steeper than 3:1 have low maintenance(not grass) ground cover specified on the plan {Design Manual, Section 8} existing critical slopes are not disturbed,unless a waiver or exemption has been granted for the disturbance. [18-4.2, 14-304] Retaining Wall Plans approved. Any walls supporting roads or necessary infrastructure require engineered plans (not generic manufacturer's details) and computations. {Design Manual, section 8} This will also be required where walls are close to property lines and there is the danger of affecting neighboring property, either during construction,with later failures, or with pedestrian or vehicle safety. final contour shapes and slopes ensure no un-drained pockets or stagnant pools Narrative: narrative and project title (Narratives are now optional, and not reviewed by the County, other than noting whether they are not seriously in error, like a boilerplate with another County's name on it.) project description existing site conditions description adjacent areas description oft-site areas descriptionincluding any off-site areasfor borrow; waste or other disturbance: special use permit for cut greater than 5O,000cy in RA zoning soils descriptions. County erosion control notes stormwater runoff considerations: thiscan refer to the stormwater management plan sediment basin design computations summary for each sediment basin sediment trap design computation summary for each sediment trap Erosion and sediment control measures: x limits of clearing and grading encompassing all disturbances, entrances, staging and parking areas, areas where sediment laden runoff will cross, or any construction related activities. This must match any landscaping and conservation plans submitted with site plans r✓ Albemarle County Engineering E&SC Plan Checklist Page 3 of 4 x a construction entrance (CE) draining to a sediment trap or basin x dust control symbols (DC) x temporary and permanent seeding symbols (TS, PS) x existing drainage divides x existing vegetation, with trees to be saved located by drip lines. This must match any landscaping and conservation plans. N/A protection provided for all stages/phases of construction,from initial land clearing to final grades and hardscapes. This is our most important item. Plans which show only inlet protection on proposed drainage systems,which are only possible to install upon completion of grading, may be denied without further review. x no erosion control measures in the way of construction access or grading. Diversion dikes or silt fence are not placed in the middle of the site, or through access or grading. Sediment traps are not under or on top of fill material or held up by retaining walls. Construction entrances are not on fill, etc.If the concept for site protection is not adequate in this regard,further review of the plan may not be possible. x existing soil boundaries are shown with labels. Areas already disturbed are indicated, with constructed fill depth or cut noted. x critical erosion areas are identified; areas of constructed slopes, areas near property lines x adjacent off-site disturbances are shown with erosion control facilities x a stockpile location. N/A where cut or fill balances have a 10,000 cubic yard deficit or more,plans should not be approved without a waste area identified. This must be on-site, or on another approved and permitted site. (Don't make the inspectors chase trucks to find the dump site violation.) x a staging and parking area, or other construction related areas x diversion dikes are used to direct drainage to traps and basins x silt fence is not used across contours in place of diversion dikes. x silt fence is limited to areas of sheet flow with 1/4 acre per 100ft of level on-grade silt fence. Plans showing only silt fence, without sediment trapping measures, should not be approved unless they meet this criteria and fill dirt is minimal. x all swales and low points at the perimeter of the site have a sediment trap or basin. Silt fence in swales is typically not adequate. Check dams do not substitute for traps. Diversions which travel more than 100ft, or go in and out of swales, are usually not maintainable in the field. If the concept for site protection is not adequate in this regard, further review of the plan may not be possible. temporary slope drains (TSD) or diversions are provided to prevent discharge over disturbed or fill slopes x inlet protection (IP) on all inlets N/A culvert inlet protection(CIP) on all culvert inlets N/A outlet protection(OP) on all outlets N/A all watercourses are protected and encroachments minimized N/A stream crossing (USC,SC)and diversions are provided at all stream crossings. N/A adequate channels (MS-19)provided for each outfall (see Design Manual for minimum content) x all traps and basins are shown with proposed contours. Simple boxes or symbols are not sufficient, in most cases, to determine layout or bond amounts. For each trap; x drainage area is 3 acres or less Albemarle County Engineering E&SC Plan Checklist Page 4 of 4 sized for total drainage area, including those for in-line upstream facilities wet storage is 67cy or more dry storage is 67cy or more x wet storage is 4' deep or less x wet storage side slope is 1:1 or flatter x dry storage side slope is 2:1 or flatter stone weir is 6ft per acre of drainage area embankment and stone weir height is 5' maximum from outside toe embankment top width is adequate (see table 16 reference) x 2:1 length:width ratio for flow path For each basin; (GB 3.14) N/A sized for total drainage area, including those for in-line upstream facilities N/A wet storage is 67cy or more N/A dry storage is 67yr or more N/A wet storage side slope is 1:1 or flatter N/A dry storage side slope is 2:1 or flatter N/A embankment 15' high or less from downstream toe N/A principle and emergency spillways sized per handbook requirements N/A embankment has 1' freeboard during 25yr storm with emergency spillway N/A embankment has 2' freeboard during 25yr storm without emergency spillway N/A trash rack/anti-vortex device specified per handbook requirements N/A riser anchor size specified per floatation computation N/A dewatering device sized for 6+hr drawdown of dry storage: 3"dia. minimum N/A safety fence and signs stating"danger, quick sand, do not enter"provided if near any residential properties, or public access N/A structures and embankment match permanent design for facilities to be converted to permanent stormwater management facilities N/A embankment top width is adequate (see Design Manual reference details) N/A 2:1 length:width ratio for flow path. Baffles specified only on temporary structures (p.III-79). Baffles are a big hassle in construction, and should not substitute for properly dimensioned design if at all possible. Details: N/A a paved construction entrance detail (see Design Manual reference details) for projects in the development areas over 10 acres a typical section for each temporary channel or diversion,referenced from the plan sheets. Existing ground should be shown at the maximum cross-slope on the plan. details and copies of Program Authority permissions for any variances. Mass or Early Grading: mass grading Planning approval. (This is also called rough or early grading plans which contain only approximate finished grades and culverts necessary to grade)Mass grading can only be permitted within planned developments where a concept grading plan was approved with the rezoning. The agent(Director of Planning)needs to formally determine that the grading plan is in general conformity with the approved rezoning plan. Otherwise, an initial site plan needs to be approved prior to issuance of a grading permit. Issuance of a grading permit at the initial site plan stage, as apposed to after final plan approval, requires specific approval from the County Engineer. F