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Home My WebLink AboutWPO201800014 Application WPO VSMP 2018-02-26 - Albemarle Cou -ini Community Development Department 401' tireRoad Charlottesville,VA 22902-4596 Ce:(434)296-5832 Fax:(434)972-4126 a Planning Application PARCEL/ OWNER INFORMATION IMP 07800-00-0O-073AB Owner(s): ALBEMARLE LAND LIC Application# WPQ2OI800014 PROPERTY INFORMATION Legal Description (ACREAGE LOT 2 Magisterial Dist.iRivanna + Land Use Primary Unassigned Current AFD Not in A/F District E Current Zoning Primary,Planned Development Mixed Commercial [APPLICATION INFORMATION Street Address Entered By Application Type ter Protection Ordinances Buck Smith 12/2672018 Wa Project Received Date 02/23/18 Received Date Final Submittal Date 02/26/18 Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Appdicatio Comment Erosion and Sediment Control Plan I 02/26/18 APPLICANT /CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell ow.troccrwt ALBEMARLE LAND LLC ' 1195 RIVERBEND DR i CHARLOTTESVILL i 22911 Frrmsary Cwrta.-t pJUSTIN SHIMP 201 EAST MAIN ST.,SUITE N CHARLOTTESVILL .22.902 4349536116 Signature of ContractororAuthorized Agent Date A ' or At% Vir inia Stormwater Management Program SMP wry*1 Application for Albemarle County '' Project Name: }-04se,(\ p a4C 14 es!, (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ NAL Is this a revision or resubmission for review? Yes El No1� County File Number: SDP 0.011 - (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. El 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. 78-73-MCA,ii/<' i/o-/ i-f ;yr 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)` to receive correspondence: Print Name 1-t`UQ`(Y��C 1.Q� \ L� Address HS ei ior.6erri J City '( rl 4Sve'I Q.., State V P' Zip 227I Daytime Phone( ) E-mail 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 0 B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed L-1. 1-15 5 Gim) 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;$150 C. Registration Statement on the official DEQ form. Of D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. C1 E. Stormwater Management Plan satisfying the requirements of code section 17-403. �7 F. Pollution Prevention Plan satisfying the requirements of code section 17-404. i ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name JA,m yl & )mf Address go 1 F ,( ��, ��1r1A1VC City NAA rt432.2i\X a, State VA. Zip 9\a9 O0� Daytime Phone(L139) 15 74,3-1011 tp E-mail `)j IA 511 1 ,i S1A ,v� — J& yl.Q A U 9. , *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. 14 u °17® a q (hs 7�25N�� FOR OFFICE USE ONLY . WPO#.240/r/.• 000 (Y Fee Amount$ 09D D Date Paid' )3 ay who? Sh Ill D Receipt# Ck# ,t/ By;,j Ot (/ 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2 > Virginia Stormwater Management Program (VSMP) ' Application for Albemarle County •, t Project Name: j P t'i '). C h i)fG (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No GS Is this a revision or resubmission for review? Yes IN No 0 County File Number: l) 2-D t O 00 0) (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. 0 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. 7 $ —7 3 Pg Gabw..id Tu iz-no- 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name CIGt1012t t Tl t R Address 14 Zg (12.e- i -t eti- City CkcW,d-t- .4V1 I<u-t State iLv fl }-'Lip 22q CI Daytime Phone(`(3y) $� -li 'l E-mail 1- O I ZIP rt 1�Ol�l C1�� C� P5 7/1/14.Revised:7/10/14. 1/7/14 Pane 1 oft ❑ B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 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;$150 17 C. Registration Statement on the official DEQ form. pi D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. cZr E. Stormwater Management Plan satisfying the requirements of code section 17-403. Pi F. Pollution Prevention Plan satisfying the requirements of code section 17-404. .e7 G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name J USI f S v,t f Address qt.2 E , {-}i CJr In S-I- City CLOIit-tG ekvi.4u_ State Yrr Zip 22-9 0 2-- Daytime -Daytime Phone� els 3 Le lip E-mail 1� -j S- n� S h imp_ 1 volA.i U�. ) *When applications and plans are reviewed,but not approved,and and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid Ry who? Receipt N By 7/1/14.Revised:7/10114. 1/7/14 Page 2 of 2