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Agricultural Affidavit - Fauquier County

Agricultural Affidavit - Fauquier County

Agricultural Affidavit - Fauquier

PLANNING DIVISION 540-422-8210 ENVIRONMENTAL DIVISION 540-422-8240 FAUQUIER COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT COURT AND OFFICE BUILDING 29 ASHBY STREET, SUITE 310 WARRENTON, VIRGINIA 20186 540-422-8200 FAX 540-422-8201 AGRICULTURAL AFFIDAVIT ZONING ADMINISTRATION 540-422-8220 PERMITTING AND INSPECTIONS 540-422-8230 Certain land disturbing activities are exempt from the requirements of the Fauquier County Erosion and Sediment Control Ordinance. Included are those agricultural activities detailed in §10.1-560 of the Code of Virginia. Date: ___________________ Property Owner: __________________________________________________________________________ Owner's Address: __________________________________________________________________________ Owner's Phone Number: ____________________________________________________________________ Project Property Address: ___________________________________________________________________ Project Property PIN ____ - ____ - ____ - 000 I, the undersigned, verify that the land disturbing activity described below to be conducted at the above referenced project property falls within that group of activities listed in §10.1-560 (see page 2) that are exempt from the requirements of the Fauquier County Erosion and Sediment Control Ordinance. Brief description of project: _________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Area to be disturbed: ________ acres As owner, I grant right-of-entry to the project property to the agents and employees of Fauquier County for purposes of inspection, monitoring and verification of the project description. If at any time land disturbance activity on the project property exceeds 10,000 square feet and fails to qualify as an exemption, I understand that a Land Disturbance Permit and an Erosion and Sediment Control Plan may be required. By completing the following affidavit, I swear that the proposed land disturbing activity meets the agricultural exemption status of §10.1-560 of the Code of Virginia. Neither a Land Disturbance Permit nor an Erosion and Sediment Control Plan is required. STATE OF VIRGINIA COUNTY OF FAUQUIER, to wit: COMES NOW _____________________________________ (name), and after having been sworn, state that I have read and understand the above, have truthfully described the proposed use and affirm it to be exempt from the requirements of the Fauquier County Erosion and Sediment Control Ordinance. Owner Signature: ______________________________________ Date: _________________________ SUBSCRIBED and SWORN TO before me this ________ day of _______________, 20_____, by _________________________________________________. My Commission Expires: ________________________ __________________________________________ Notary Public

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