DECEIVEN NOV 26:2024 Reneu 2410D24 EXCEPTION APPLICATION CBPEC 24.4l And applicotion) for Exception is required for new, non-water-dependent a development, redevelopment, and construction within 50' of the Resource Protection Area (RPA). APPLICANT/AGENTINFORMATION: Name: Hugheflizaberla WSormcb Mailing Address: 127LaaGmact 22 City/State/Zip: Mprktoum PROPERTY QPNERNEPRMATON: Lineo-B: PhlipeTrust Name:, LEPhillips Trust Phone: 757-377-2884 23692 Email hmsghun.cow Phone:. 804-694-7862 Mailing Address: ClPhilips Enegy PO.BOK 2a6 Clamsb-Bntk 33062 City/State/Zip: Glovcésler Pent, Va 0306a Email: Eisllgp242SIOR PROPERTYINFORMATION: Tax Map OrRPC: 12063 Date Lot Recorded: 3/29/1937 Distance to RPA Feature: DETAILS OF REQUEST, Satakopht DIRECTIONS TO THE PROPERTY: 1352Laurens Zoo. E911 Street Address: 1357 Lauren's Road Nearest Water Body: Vofk Riyer Sq Ft. ofEncroachment: 12985.F ANAGTACTSTATAINTE Infurmation pruvided in the Chesapeake Hay application willl be used in the permit revicw process andi isamatter of public rucord once the: applicarion is filed. Disclusure of the ceyuestud information is voluntary. but it may not be posible tu cvaluate the CEKTIC.ANTION:1: am hereby applying for all permits typically issued by Department of invironmental QQualiry, Viryinia Macine Resource Commission, U.S.. rmy Corps of lingincers, Chesapeake Hay pracess, and/orlncal Wetlands Boards for the activitics - have described herein. 1 agree ms allow the duly auchorized representatives of any regulatory or: advisory aguncy to enter upon the premiss of the pruject site at ruasonable cimes toi inspect and photograph site canditions, both in revicwinyar propusalt to issuc: a permit and after permit issuance to determine compliance with the permit. In addition,Ieertifyt under penalry nflawt that this document and all: atmchments were pruparud under my direction or supervision in accordance with a system designed to ussure that qualificd personnel properly gather and evaluate thei information submittud. Bascd on my inquiry of the person ur persons who manage thuy system or those persons diretlyreponsible fur gathering the information, the information submitted i, to the bost of my knawledge and belief, truc, accurate, and cumplere. am: ayaru chat therc arc: significant penalics for submitting permit application ort mi issue a permit ift thei information requested is not provided. false information. including the possibility of fine and imprisonmyny for! knowing viclatiune., Elz-larl.2Mamiz Printed! Name Trustee Signarure AVilaL Walon Ruisinn2/7125 CONDITIONS FOR GRANTING EXCEPTION (Sec. 5.5-14) Required by Code - please provide any input as to how your project complies. 1. Requirements shall be minimum necessary to afford relief. Slilt enerachmat inlo I0O'EPA MepeesilatD 64 ollacatin home hhich.khs btH 196HTaey Ianerlalap M mLD praplnty ew/laLePH, which Cam beuses to lacodle Ylio- Actesshy SHucr, 2. Reasonable and appropriate conditions are imposed, as warranted, that will preveat the allowed activity from causing a degradation of water quality. WenEhpy treRs lasdshrubs Ip-purpeses CyMifigahen b 3. Granting exception will not confer applicant any special privileges chat are denied to other property owners subject to its provisions and are similarly situated. lae propose pjefmibles ArexmakT mb IQ'EPA. a amhuebeen fan hore mhisie AHEy 4. Exception is in harmony with purpose and intent of Ordinance and not ofsubstantial Applicus hak Buaak g Nuherous OTlas pjects ligh detriment to water quality. We AAD AlemAhna 2lfze Ais paapaty wde ab Clpbapealbe) By AAs thbanhies bnymne 5. Exception not based on self-imposed/created conditions or circumstançes. Taaphcey one beme ppcessihhng Dhe AEA-atume 5 90Hf buipe- Solarh e hoapplic Yong AR Ao Belfmmpakpe an Credte Cogiana Shst hNCSAREL RaempHon. Da 6. Othes findings, as appropriate and required by Gloucester County. Please use additional sheets if neresoryprcompleting the questions above. Revisim2/3B OBREC 24-440 24116024 DECEIVEN NOV-26:2024 BAReNeE Project #:. 24110020 G WATER QUALITY IMPACT ASSESSMENT Required for all eveopmany/teepment in the Resource Protection Area; CBPO5.5-11 As site drawing, which shows the following, must be attached to this water quality impact assessment: 1. Location of the components of the RPA, including the 100' buffer area; 2. Location and nature ofany proposed encroachment into the buffer area, including type of paving material, areas ofclearing or grading, location of any structures, drives, or other impervious cover, sewage disposal systems or 3. Type and location of proposed best management practices to mitigate the proposed encroachment; Location of existing vegetation onsite, including the number, type of trees, caliper, and other vegetation to be reserve drainfield sites, and wells; removed in the buffer to accommodate che encroachment or modifications; and Type, size, and location of replacement vegetation. APPLICANT/AGENTINFORMATION: Name: Huphifilberk wformicz Mailing Address: aLobap Ciry/State/Zip:- 14orbtewm Mur 2342 Email:. auZA)DoA Phone:. 77-377-2864 PROPERTY QWIERI INFORMATION: WBPkPlps Throst Name: LfPhilips Thust Mailing Address:. CloPhilps Enenqy City/State/Zip:. Gloucebes Dbat, LA Email:. Fhi1p1h2km Phone: 604-044-2842 PO.BOX 726 23062 PROPERTY INFORMATION: Tax Map OrRPC: 12063 Date Lot Recorded: 3/29/1937 E911 Street Address: 1357 Lauren's Ra Nearest Water Body: York River Revise3/3124 Site Conditions falgindadacmtany Existing topography: Flat with guthshgehApoag: A Rakng Soils:, 28Aand 29B Runfrh Loamy Geology.. fipe Gond. Fill Materials (source and composition): Total Amount of Disturbed area (sq f):. 5,323 Total Amount of Cleared Area (sq f):. 5,323 Existing Vegetation: Tocal Amount ofUnderbrush Removed (sq f): C) Number ofHealthy Trees Removed: 0 Number ofTrees Limbed or Pruned: 0 Types: Ty T yk T: Alityahon NmkwDasDiwyDad Trees Removed: o Proposed TegemtionMitgation Measures: Number ofNew Canopy Trees Proposed: Number ofNew Uaderstory Trees Proposed: a I Canops Z 3 Samay Number ofNew 41400 Shrubs Proposed: 3 1,24841,600 Proposed. Erosion & Sedimeatation Control Practices: Sile Fencing Inlet Protection Tree Protection Temporary Construction Entrance Temponry/Petmanent Seeding Sediment Trap LJ Straw DaRe MIATVE) Mulching Other: Proposed BaulinigmantPastice: Dry Well(s) Other: Infiltration Trench(es) V'egerated Filter Strip(s) Grass Swale(s) Revnu3/304 5 Wastewater (Septic) Element: Attach legible, clean copy of Health Department approval information - to include calculations and dimensions. Description of potential impacts of the proposed wastewater systems including and proposed mitigated measures for these impacts:. AA PRIVACYACTS STATEMENT: Information provided in the Chesapeake Bay application will be used in the permit review process and is a matter of public record once the application is filed. Disclosure oft the requested information is voluntary, but it may not be possible to evaluate the permit application or to issue a permit if the information CERTIFICATION: I: am hereby applying for all permits typically issued by the DEA, VMRC, U.S. Army Corps of Engineers, Chesapeake Bay process, and/or local Wetlands Boards for the activities Ihave described herein. Iagree to allow the duly authorized representatives ofany regulatory or advisory agency to enter upon the premised of the project site atreasonable cimes to inspect and photograph site conditions, both in reviewing proposal toi issuea a permit and after permit issuance to determine compliance with the permit. In addition, I certify under penalty of! law that chis document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel propedly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is, to the best ofr my knowledge and belief, true, accurate, and complete.Iam aware that there are significant penalties for submitting false information, including the possibility of fine and requested is not provided. imprisonment for knowing violations. DizuhehAP.y Printed Name 12024 Date' Signatuxe Revisuu 3/3124 OFFICE USE ONLY Project #: 24110024 Received by: BeNiFePaia 215.0Reripts #: Date Received: 1/24124 ReviewvingAuthoriy: Hearing Date: Lot recordation date verified with Clerk's Office OYES Date: COMMISSION DECISION: APPROVED: Approval is valid for 36 months from the date of approval Conditions/Comments/Findings Met: DENIED: **Please be advised that you may appeal the Chesapeake Bay Preservation & Erosion Commission's decision, in writing, to the Circuit Courto of Gloucester County within. 30 days of the date of this Commission's decision. Comments: Commission Chairman or Environmental Staff Signature Date Mitigation plan required: D YES Mitigation plan approred: Date mitigation completed: Amount of surery required: Date posted: Payor Name: Payor Address: Date surety released: Revision 2/3034 NO square foot minimum Dated: Entitled: Inspected by: Receipt #: Phone #: STAFF ANALYSIS (OFFICE USE ONLY) Staffresponses to applicant information provided on reverse page 1. 2. 3. 4. 5. 6. Reviewed by: Date: ReMirtom372024