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Home My WebLink AboutWPO201800052 Application WPO VSMP 2018-06-27 t ~� Albemarle CounC. CommunityDevelopmen22902-tmerd - 4D9 btr'^tire Road Gharlottesville.VA229O2-4596 4, :(434)296-5832 Fax:(434)972-4126 -4 Planning Application Swot *ted • PARCEL/ OWNER INFORMATION IMP 056A2-O1-OO-O3O Owner(s): UNIVERSITY OF VIRGINIA COMMUNITY Application# WP021 1800052 PROPERTY INFORMATION Legal Description 107/09/2007 DB 3454 PC 083(CERTIFICATE OF PLAT) Magisterial Dist. Land Use Primary Halt Forest Current AFD ,Not in A/F District + Current Zoning Primary Downtown Crozet District w; (APPLICATION INFORMATION� �� Street Address Entered By Judy Martin+ Application Type Water Protection Ordinances 1,1,1 J 6f27f2018 Project Birchwood Placa#-UVA Federal Credit Union-VSMP Received Date 06/26/18 Received Date Final Submittal Date Total Fees 290 Closing File Date Submittal Date Final Total Paid 290 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sth Applicatio Comment Stormwater Management/BMP Plan 06/26/18 Erosion and Sediment Control Elan 06/26/18 APPLICANT /CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCeil owr UNIVERSITY OF VIRGINIA COMMUNITY 3300 BERT MARDRIVE CHARLOTTESVILL 22901 P .many C._rtact ALAN FRANKLIN PE 427 CRANBERRY LANE CROZET,VA. 22932 4342958177 Signature of Contractor or Authorized Agent Date r f brae Virginia Stormwater Management Program (VSMP) 4:4 Application for Albemarle County �lAQT3�P Project Name: Birchwood Place-UVA Federal Credit Union (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes Ci No gif Is this a revision or resubmission for review? Yes E:. No If County File Number:\ KrZ ;F. (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. EI 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. 0i14-01-Co-O3 564(13%1'40 VallevvumAAtkolat (-)a,\I---6\\\N 014/r Tax Map&Parcel Print Name of Property weer Signature gffOwner4 � ate ('( s-k-d1, ( U 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 University of Virginia Community Credit Union Address 3300 Berkmar Drive City Charlottesville State VA Zip 22901 Daytime Phone(434) 964-2001 B-mail �' 1 SM -d-t-tbALCOckuatIlicW u ym r . ti RECENED JUN 2 6 2018 COMMUNITY 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft DEVELOPMENT 400 l B. All Fees[Code section 17-208] For new or modified plans;Total acres proposed to be disturbed . 7 6 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 O/C. Registration Statement on the official DEQ form. DID. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. E(E. Stormwater Management Plan satisfying the requirements of code section 17-403. EI/F. Pollution Prevention Plan satisfying the requirements of code section 17-404. 62/G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. C] H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. is 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 Alan Franklin PE Address 427 Cranberry Lane City Crozet State VA Zip 22932 Daytime Phone(434) 295-8177 E-mail alan@AlanFranklinPE.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 S Date Paid By who? Receipt# Ck# By 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2