2502.0239 Excephon WAIVER APPLICATION CBPEK EBW 25.05 An application for Exception is required for new, non-water-dependent development, redevelopment, and construction within 50' of the Resource Protection Area (RPA). A Water Quality Impact Assessment is required for revicw of ALL activity in the RPA. APPLICANT/AGENT INFORMATION: Name: Chase Grogg Phone: 757-565-1677 ex.202 Mailing Address: 205 Bulifants Blvd. Ste E City/State/Zip: Willamsburg, VA 23188 Email: yopenoccourcascon PROPERTY OWNER INFORMATION: Name: Eric Rosser Jr. Phone: 540-293-2524 Mailing Address: 15031 Fox Branch Lane City/State/ Zip: Midlothian, VA 23112 Email: eross002@gmal.com PROPERTY INFORMATION: Tax Map or RPC: 24349 E911 Street Address: Not Assigned Date Lot Recorded: April 14, 1981 Nearest Water Body: York River Distance to Feature: 50' Sq Ft. of Encroachment: 1,544 DETAILS OF REQUEST: Proposed construction of a single family home, detached garage, and drainfield DIRECTIONS TO THE PROPERTY: PRIVACY. ACTSTATEMENT Information provided in the Chesapcake Bay application will be used in the permit revicw process and is a matter of public record once the application is filed. Disclosure of the requested information is voluntary. but it may not be possible to evaluate the permit application or to issue a permit if the information requested is not provided. CERTIFICATION: I am hereby applying for all permits typically issued by Department of Environmental Quality, Virginia Marine Resource Commission, U.S. Army Corps ofEngineers, Chesapeake Bay process, and/orl Local Boards for the activities Ihavedescribed herein. Iagree to allow the duly authorized representatives ofa any regulatory or advisory agency to enter upon the premises of the project site at reasonable times to inspect and photograph site conditions, both in reviewing ap proposal to issue a permit and after permit issuance to determine compliance with the permit. In addition, certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the or persons who manage they system or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate. and complete. am aware that there are significant penalties for submitting false information, including the possibility of finc and imprisonment for knowing violations. Bvc . RB A S6 - - 2-21-35 Printed Name Signature Date Reviscd 2/2025 CONDITIONS FOR GRANTING WAIVER (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. Proposed structure is a small house located in a small area that is the least encumbered by existing site wetlands. Due to the proposed house being a raised construction a small detached garage is proposed in another upland area. 2. Reasonable and appropriate conditions arc imposed, as warranted, that will prevent the allowed activity from causing a degradation of water quality. Mitigation has been proposed around the proposed impacts to reestablish the existing vegetation and treat water run off. Rain barrels will also be placed as a way to slow down stormwater run off and utilize the water in another way. 3. Granting waiver will not confer applicant any special privileges that are denied to other property owners subject to its provisions and arc similarly situated. Lot was platted in 1981 or earlier and thus the request is in line with a lot with preexisting conditions. 4. Waiver is in harmony with purpose and intent of Ordinance and not of substantial detriment to water quality. The proposed location of the house has been placed in an area that limits wetland disturbance on the lot. Existing site conditions limit potentially high ground areas to place ap proposed. house and associated driveway and drainfield. 5. Waiver not based on selr-imposed/created conditions or circumstances. Lot was platter prior to RPAI regulations. 6. Other findings, as appropriate and required by Gloucester County. Please use additional sheets if necessary for completing the questions above. Revised 2/2025 Project #: WATER QUALITY IMPACT ASSESSMENT Required for all development/redevelopment in the Resource Protection Area; CBPO 5.5-11 A site drawing, which shows the following, must be attached to this water quality impact assessment: Location of the components oft the RPA, including the 100' buffer area; Location and nature of any proposed encroachment into the buffer area, including type of paving material, areas of clearing or grading, location of any structures, drives, or other impervious cover, sewage disposal systems or reserve drain field sites, and wells; 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 removed in the buffer to accommodate the encroachment or modifications; and Type, size, and location of replacement vegetation. Setbacks in accordance with Zoning regulations. APPLICANT/AGENT INFORMATION: Name: Chase Grogg Phone: 757-565-1677 ex. 202 Mailing Address: 205 Bulifants Blvd. Ste E City/State/Zip: Williamsburg, VA 23188 Email: cgrogg@landtechresources.com PROPERTY OWNER INFORMATION: Name: Eric Rosser Jr. Phone: 540-293-2524 Mailing Address: 15031 Fox Branch Lane City/State/Zip: Midlothian, VA 23112 Email: eross002@gmal.com PROPERTY INFORMATION: Tax Map or RPC: 24349 E911 Street Address: Not Assigned Date Lot Recorded: April 14, 1981 Nearest Water Body: York River Revised 2/2025 Site Conditions (of site and adjacent lands): Flat B/D Existing topography: Hydrology: Rating Soils: Lumbee Sandy Loam Geology: Fill Materials (source and composition): None Total Amount of Disturbed area (sq ft): 17,240 Total Amount of Cleared Area (sq ft): Existing Vegetation: Total Amount ofUnderbrush Removed (sq ft): Types: Number of Healthy Trees Removed: 15 Types: Number of'Trees Limbed or Pruned: Types: Number of Dea/Dying/Diseased Trees Removed: Types: Proposed Vegetation Mitigation Measures: Number of New Canopy Trees Proposed: 18 Types: Number of New Understory Trees Proposed: 36 Types: Number of New Shrubs Proposed: 54 Types: Proposed Erosion & Sedimentation Control Practices: Silt Fencing Temporary Construction Entrance Straw Bale Barrier(s) Inlet Protection Iemporay/Permanent Seeding Mulching Trec Protection Sediment Trap Other: Proposed Best Management Practices: D Dry Well(s) Infiltration Trench(es) Vegctated Filter Strip(s) Grass Swale(s) Other: Rain Barrels Revised 2/2025 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: PRIVACY ACT 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 of the requested information is voluntary, but it may not be possible to evaluate the permit application or to issue a permit if the information requested is not provided. CERTIFICATION: I am hereby applying for all permits typically issued by the DEA, VMRC, U.S. Army Corps of Engincers, Chesapcake Bay process, and/or local Wetlands Boards for the activities I have described herein. I agree to allow the duly authorized representatives of any regulatory or advisory agency to enter upon the premised of the project site at reasonable times to inspect and photograph site conditions, both in reviewing proposal to issue a permit and after permit issuance to determine compliance with the permit. In addition, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualificd personnel properly 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 of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalt.ics for submitting false information, including the possibility of fine and imprisonment for knowing violations. EEz 0.Wfow u G 63-27-25 Printed Name Signature Date A Revised 2/2025 OFFICE USE ONLY Project #: Received by: Fec Paid: Rcceipt #: Date Received: Reviewing Authority: Lot recordation date verified with Clerk's Office YES C Date: Project Mcets Zoning Setbacks: Yes No Date Verified: STAFF DECISION: APPROVED: (Approval is valid for 36 months from the date of approval) CODE REFERENCE/COMMENTS: DENIED: **Please be advised, you may appeal the Staff decision, in writing, and apply for Exception to be heard in front of the Chesapeake Bay Preservation & Erosion Commission (new application and fees apply) CODE REFERENCE/COMMENTS: Environmental Staff Signature Date Mitigation plan required: - YES NO square foot minimum Mitigation plan approved: Entitled: Dated: Date mitigation completed: Inspected by: Amount of surety required: Date surety released: Date posted: Receipt #: Payor Name: Phone #: Payor Address: Revised 2/2025 STAFF ANALYSIS (OFFICE USE ONLY) Staff responses to applicant information provided on reverse page 1. 2. 3. 4. 5. 6. Reviewed by: Date: Revised 2/2025 GENERAL NOTES 1. THIS PLAT WAS PRODUCED WITHOUT THE BENERT OF A TITLE REPORT AND REFLECTS ONLY. THOSE ENCUMBRANCES, EASEMENTS AND SETBACKS AS SHOWN IN P.B. 18, PG. 94. NECK ROAD 94) ELEVATIONS SHOWN HEREON ARE IN FEET AND ARE GPS DERMED (NAVD88). WETIANDS AS JENKNS! SHOWN DEUNEATED BYMSA EP:2.48- SAPBEPON AND RLD LOCATEDEY THIS FIRM. THIS FIRM MADE OARN- NO ATTEMPT TO LOCATE UNDERGROUND UTILITES. 5. PARCEL UES IN FLR.M. ZONE "AE" (ELEV 7) & ZONE VE" (ELEV 9) ACCORDING To e COMMUNITY PANEL #51073C0220F. DATED OCTOBER 21, 2021. 1.570' RD E 16790 EXISTING CONCRETE %. tor SERVED PRVATE WATER AND SEWER (DESIGNED BY OTHERS). OF CROSS EP:2.48- N IEIRDE CONTRACTOR TO LE K FROM FROM DWELLING GRADE FOUNDATION. SITE ENSURE STORMWATER RUNOFF IS DIRECTED AWAY BM:2.41 e CONTRACTOR TO ADO 8' 8. TOPOGRAPHIC DATA AS SHOWN IS BASED ON CURRENT FIELD SURVEY. (SURVEY NAIL) S 0753'20" W LENGTH OF PIPE TO ON END 9. CONTRACTOR SHALL DETERMINE EXACT FINISHED FLOOR ELEVATION AFTER 4.07 OF EXISTING EXTENDING PIPE EXCAVATION. . BOTH SIDES 1. BENCHMARK ELEVATION. OF NAL), BASED. ON NAVD88. 30 FROM 25 TO PROPOSED RESIDENCE SHOWN AEE OFF OF PLANS PROVIDED BY CUENT. ALL EXISTING DIMENSIONS TO BE CONFIRMED BY CONTRACTOR PRIOR TO CONSTRUCTION. TREE UNE E EXISTING GRAVEL PF EXISTING GRAVEL 3 e DRIVE TOSERVE EROSION & SEDIMENT CONTROL NOTES DRVE 3 AS CONSTRUCTION 3 6 ENTRANCE ALL EROSION AND SEDIMENT CONTROL MEASURES SHALL BE E oP N & INSTALLED AND MAINTAINED IN ACCORDANCE WITH THE ZONE AE P VRGINIA EROSIONS AND SEDMENT CONTROL HANDBOOK 1992 (EL7) l6 THIRD EDITION. THE CONTRACTOR SHALL BE THOROUCHLY 9 OABIALA FAMILIAR WITH ALL APPUCABLE MEASURES CONTAINED THEREIN 8 a a WHICH MAY BE PERTINENT TO THIS PROJECT. 15.5 X 4 SITE INFORMATION EDGE RPA TAX MAP # 53-217 S - WETLANI AS TOTAL AREA: *78,408 SF. / +1.80 AC. OUD DE o TANF NT EXISTING IMP ouS AREA: 1,969 SF. / 0.045 AC. (GRAVEL DRME) AAMTATS TVATON PROPOSED IMPER RVOUS AREA: 5,633 S.F. / 0.129 AC. CONSTRUCTION OF SILT FENCE PROPOSED IMPER ous WITHIN WETLANDS: 2,545 SF. / 0.058 AC. LE ARIN NG WITHOUT WIRE SUPPORT PROPO D M MOUS WITHIN LIMITSTYP DEQI 50 RPA: 3,088 S.F. / 0.071 AC. 3 3 11 & DRVE GV FETEA C-PCM-0428 PROPOSED IMPERMIOUS WITHIN 100 RPA: o S.F. / 0 AC. V DISTURBED AREA: 17,240 S.F. / 0.396 AC. ZONE MEMENT ZONING DISTRICT: C-2 o (EL7) PROPERTY IS LOCATED IN AN RPA AS SHOWN NN 33X329 a à a IATERCIONE M * NTABLE NA WETLAND IMPACT I AREA 7,000 SF./ 0.161 AC. LEGEND. RESIDENCE SEFIEVATION BUILDING SETBACK (SBL) Q CLOCATON PROPOSED IS APPROIMATE WELL AND SUE ro CHANGE) DRIVEWAY OSED FFE: MN - PER GLOUCESTER COUNTY ZONING ORDINANCE a HVAC UNIT (PROPOSED) 47.9 & AHBACK FRONT: 30 OP OVERHEAD POWER UNE 30 20 o Y R REAR: 30 IRF - IRON ROD FOUND 30 E S 1 SIDE: 15' IPF PIPE FOUND MAPH53-217 d 6 IRON TAX +78,408 S.F. A ARRA EXISTING ADDRESS: FELD DEUNEATED 1. B0 V 4 E y 0 OSITME DAANACE 4 WETILANDS DCR HOMES LLC So: Lim Wa TRAP SECS DEVICE HOUSE ADDRESS NOT YET ASSIGNED 9 RPA (APPROX.) MST JENKINS NECK RD. 1NSH230000412 (DEED) BANVW GLOUCESTER, MRGINIA PF 8 E "AE" EDGE OF RPA IN ZONE WETLANDS XXXXXXXXXXX (EL7) MITIGATION TABLE: 5,633 SF. / 400 S.F. 18.0825 CREDITS ZONE VE" 3 N 79454 XXXXXXXXXXXPA MTIGATION MEASURE ary. (NEEDED) (EL9) # 215.49 (E ZONE PETERG CLOTH SECTIONAA LNE IRF "AE" NATIVE CANOPY TREES 18 ONT (EL7) NATMVE UNDERSTORY TREES 36 ZONE VE" 898 P 09 NATIVE SHRUBS 54 EDGE P.B. OF 18 WATER PG. 94 PER- DE (EL9) 95X . CONTRACTOR/OWNER TO COORDINATE WITH COUNTY PLANNING OFFICE YORK RIVER PAA & FOR REQUIREMENTS ON MITIGATION PLANTING. FIELD LOCATED- EDGE OF WATER ZECTIONBA 40 80 DEQ STONE CONSTRUCTIONI ENTRANCE Scole: 0 E ADETE GNY SOURCE VA DoNC. MOESC TOS C-SCM-03-1 DATE: 9/21/2023 NO. DATE REVISION / COMMENT / NOTE DRAWN BY: MG PLOT PLAN OF 1 06/18/2024 REVISED CLEARING LIMITS, WELL LOCATION, & DRAINFIELD R TAX MAP#53-217 8 RG9 PROJECT No. 23-231 2 REVISED AND V. 12/23/2024 PROPOSED HOUSE GARAGE LOCATION CHASE GROCS FOR LANDTECH Ue. Ne. 3845 FILE NAME: 23-231.DWG ROSSER, ERIC D JR 3 12/30/2024 REVISED PROPOSED GARAGE LOCATION RESOURCES, INC. 02/27/2025 REFERENCES: 4 01/10/2025 REVISED SILT FENCE ANTS P.B. 18, PG. 94 YORK 5 02/11/2025 ADDED A SECOND PAGE FOR MITIGATION hE 4s 45 a" ( DISTRICT GLOUCESTER COUNTY VIRGINIA 6 02/27/2025 REVISED MITIGATION TABLE (sn) an on