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Home My WebLink AboutWPO201700014 Application WPO VSMP 2017-02-13Albemarle Courf-r Planning Appikation �w Community Development Department 401 --*tire Road Charlottesville, VA22902-4596 ce : (434) 296-5832 Fax : {434} 972-4126 TMP1 03200-00-00-01 011 Owner(s): UNIVERSITY OF VIRGINIA' REAL' ESTATE FOUNDATION Application* [-W-P-02 1 700 PROPERTY INFORMATION Legal Description ACREAGE TOVIVN CENTER M Magisterial Dist. IWO Land Use Primary CommerCial Current AFD Mit Current Zoning Prima Planned Develo meet IndUsirlal Park APPLICATION INFORMATION Street Address 995 RESEARCH PARK BLVD CHARLOTTESVILLE, 22911 Entered By !Jennifer Smit Application Type Water P 'n Ordinances �13ar2C17 Project JUVA Resea h ark: Town Center Four Received Date Received Date Final Submittal Date Total Fees 2250 02f 1OJ17 Closing File Date Submittal Date Final B Total Paid 2250 Revision Number Comments Legal Ad i I SUB APPLICATION(s) Type, Sub Appllicatio I Comment Stormwater Management/BMP Plan :02/10/17 «x.,«eiitotrtrtslia «: fl2/ lib/17... _ ..... .. ........« . ......... ............... APPLICANT / CONTACT INFORMAT ON � Phow , _P neCelt 6i3 R 1► i!F L ES7A7E R D SOX 440218 CHARLOTresviLL 22904 .. ............... ... t..........«.............�.�...............a.:. ......... .. a P*naay Canted ERIC WOOLLEY, P.E. 1220 EAST HIGH STREET CHARLOTTESVILL 1.22902 4349730045 . Signature of Contractor or Authorized Agent Date on Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: UVA Research Park: Town Center Four (The name should be the same as i1 appears on plans) Is this an amendment to an approved plan? Yes ® No 0 Is this a revision or resubmission for review? Yes 0 No County File Number: WP0200600087 (to be provided by the County for new applications) The following are required elements of new applications (from code section 17-4011. For revisions or amendments, please indicate which items are being amended. Signatures must be provided for any submission. ® A. Signature of the PropgM 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 compiled with, nod 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. 03200-00-00-006AO Univ, of VA Real Estate Foundation •- i SS �ej I .11 -If Tax 1j•j-f- Tax Map & Parcel Print Name of Property Owner Signature of Owner Date rr{ ( 03200-00-00-019J1 Univ. of VA Real Estate Foundation„ 3 Tax Map & Parcel Print Name of Property Owner Signature of Owner _ Date 03200-00-00-019GO Univ. of VA Real Estate Foundation Tax Map & Parcel Print Name of Property Owner Tax Map & Parcel Print Name of Property Owner Contact Information for the Owner(s) to receive correspondence: Print Name Nat Perkins Signature �s Owner Signature of Owner Date Date Address One Boars' Head Pointe City Charlottesville State Virginia Zip 22903 Daytime Phone (434) 982-5304 E-mail wp2t@eservices.virginia.edu 7/1/14, Revised: 7/10/14, 1/7/14 Page 1 oft 19 ® B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be distur d 12.5 � G 416ck4,cv/e Cat) w Acres to be disturbed Total Fee Fee Due with this Application Fee with Transfer or 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 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than 100 $6,100 $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. Rl 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 Eric Woolley, P.E. Address 220 East High Street City Charlottesville State Virginia zip 22902 Daytime Phone(434) 973-0045 E-mail ewoolleyQwoolley-eng.eom *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 # Zell ' / 7+ Fee Amount �� Date PI Vaid: By who? f � A ffm1 - Receipt # W)O Ck#-4MI?3 By: 711/14, Revised: 7/10/14,1/7/14 Page 2 of 2 Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: UVA Research Park: Town Center Four (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ® No ❑ Is this a revision orYes ® No ❑ X011 klA County File Number: WP02006 0087 (to be provided by the Countyfor new applications) Y�RGIN�A The following are required elements of new applications ffr-om code section 17-4011. 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. 03200-00-00-006AO Univ. of VA Real Estate Foundation Tax Map & Parcel Print Name of Property Owner Signature of Owner Date 03200-00-00-019,11 Univ. of VA Real Estate Foundation Tax Map & Parcel Print Name of Property Owner Signature of Owner Date 03200-00-00-019GO Univ. of VA Real Estate Foundation 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 Chris S Address One Boars' Head Pointe City Charlottesville State Virginia Zip 22903 Daytime Phone (434) 982-3777 F -mail cds7c@eservices.virginia.edu 7/1/14, Revised: 7/10/14, 1/7/14 Pagel of ® B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 12.5 Acres to be disturbed Total Fee Fee Due with this Application Fee with Transfer or 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 1 $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. 0 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. W] 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 Eric Woolley, P.E. Address 220 East High Street City Charlottesville State Virginia Zip 22902 Daytime Phone ( 434) 973-0045 E-mail ewoolley@woolley-eng.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 Fee Amount $ WPO # Date Paid By who? Receipt # RECEIVrar) OM N OEVELOP7/1/14, Revised: 7/10/14,/7/14 Page 2 of 2