The URL can be used to link to this page

Home My WebLink AboutWPO201800013 Application WPO VSMP 2018-09-05 • ti oc,.fir.. ' Virginia Stormwater Management Program (VSMP) Application for Albemarle County 4,i . IFAl►f Project Name: Virginia Stormwater Management Plan for Roam Improvement Plan Phase 1 (State Route 643 Polo Grour (The name should be the same as it appears on plans) &Brookhill Section Is this an amendment to an approved plan? Yes ❑ No 0 Is this a revision or resubmission for review? Yes 0 No El County File Number: WP0201800013 (to be provided by the County jor new applications) The following are required elements of new applications ffrom code section 17-401]. 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. HAUGH, CHARLES R& E J 04600-00-00-01800 OGLESBY JR TRUSTEES 9/5/18 Tax Map&Parcel Print Name of Property Owner Signature of Owner ..kr..ck P„s....,a,, Date CROCKETT CORPORATION C/O / 04600-00-00-01900 HAUGH&HELVIN r .r 9/5/18 Tax Map&Parcel Print Name of Property Owner Signature of ►+" Date HAUGH, CHARLES R& E J 04600-00-00-018A0 OGLESBY JR TRUSTEES / 4 9/5/18 Tax Map&Parcel Print Name of Property Owner Signature of= Date Tax Map& Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Alan Taylor Address 455 Second Street SE< Suite 400 City Charlottesvillle State VA Zip 22903 Daytime Phone(434) 245-4932 E-mail alan@riverbenddev.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 oft 1 i ❑ 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; $150 ❑ C. Registration Statement on the official DEQ form. El D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. El H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Ryan Yauger, P.E. Address 28 Blackwell Park Lane, Suite 201 City Warrenton State VA Zip 20186 Daytime Phone(540) 349-4500 E-mail ryauger@bohlereng.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2 COUNTY OF ALBEMARLE Department of Community Development : 401 McIntire Road Charlottesville,Virginia 22902 VSMP Application Completeness Check Project Title: Y le.\ \\ P e.00,6 \NP`NtrrW R File Number: I0)0 7.1018-00013 Date: 2.\(Lelia Reviewer: Your application has been checked for completeness per section 17-409 of the County Code. All items must be received and correct for the application to be deemed complete. ❑ This application is complete and plan review has begun ❑ This application is not complete. Please provide the missing items checked below. Received Correct Y N Y N N/A ❑ Completed application ❑ 0 0 rgt 0 Signatures of the Property Owners for each parcel affected 0 0 0 Ir 0 Correct Fees Paid ❑ 0 0 ❑ Registration Statement on the official DEQ form, with correct LDA ❑ 0 0 11 ❑ Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ ❑ ❑ o Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ 0 0 ❑ Pollution Prevention Plan satisfying the requirements of code section 17-404. The EPA template should be used. 0 0 0 ❑ k Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. The EPA template should be used. 0 ❑ 0 ❑ I Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. 0 0 ❑ ❑ li4 Requested Variations or Exceptions as provided in code sections 17-407 and 408, if applicable. (SSF,MMT,etc) 0 0 0 ❑ Ai Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. ❑ 0 ❑ Comments: ■ Albemarle Co.„.)ty Nnti re community Development Department isditcl Road Charlottesville.VA 22902-4596 , Voice:t434)296-5832 Fax:(434)972-4126 11 Planning Application PARCEL/ OWNER INFORMATION TMP 04600-00-00-01800 Owner(s): HAUGH, CHARLES R&E OGLESBY 3R T Application# WP0201800013 PROPERTY INFORMATION Legal Description I ACREAGE PARCEL A Magisterial Dist. Rivanna Land Use Primary Residential--Single-family (incl. modular homesEl Current AFD Not in A/F District . Current Zoning Primary Neighborhood Model District .71 • 1APPLICATION INFORMATION Street Address 2571 SEMINOLE TRL CHARLOTTESVILLE,22911 Entered By Jennifer SmithE Application Type Water Protection Ordinances 12/16,12018 Project BROOKHILL VSMP FOR ROAD IMPORVEMENT PLAN Received Date 02/12/18 Received Date Final Submittal Date Total Fees 2250 Closing File Date Submittal Date Final Total Paid 2250 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Erosion and Sediment Control Plan 02/12/18 Stormwater Management/BMP Plan 02/12/18 'APPLICANT /CONTACT INFORMATION ContactType Name Ackkess CityState Zip Phone PhoneCell OwreriAppivcarq HAUGH, CHARLES R E J OGLESBY IRT 435 PARK ST CHARLOTTESVILL 22901 -on ry Cmsrtact RYAN YAUGER,P.E. 28 BLACKWELL PARK LANE. ' WARRENTON,VA 20187 5403494500 zcziicert ALAN TAYLOR 455 SECOND STREET SE. CHARLOTTESVILL 22903 4342454932 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) 41' t Application for Albemarle County tk�a,�w : Project Name: Brookhill Virginia Stormwater Management Plan for Road Improvement Plan(Polo Grounds Road&Brookhill (The name should be the same as it appears on plans) Section 1) Is this an amendment to an approved plan? Yes 0 No 1,33 Is this a revision or resubmission for review? Yes 0 No IR County File Number: LORD D 20 \3 (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. 04600-00-00-01800 Haugh,Charles R&EJ Oglesby Jr Trustees / L j t 9 g Y A 'a � Tax Map&Parcel Print Name of Property Owner _' , „ —. to wner ••I*0•-Xa _ 04600-00-00-01800 Haugh,Charles R&Elizabeth Ann Oglesby S / I ((1^�� I$ Tax Map&Parcel Print Name of Property Owner n (�.► ate 04600-00-00-01900 Crockett Corporation CIO Haugh&Helvin L--�1 � a11� Tax Map&Parcel Print Name of Property Owner $]gu$tur, er f...e..i� rvi......,..... Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Alan Taylor Address 455 Second Street SE,Suite 400 City Charlottesville State VA Zip 22903 Daytime Phone(434 ) 245-4932 Email alan@riverbenddev.com 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 IJ B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 14.10 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 $4,500 $300 an ess an $6,100 -RP $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. ❑ 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 Ryan Yauger,P.E. Address 28 Blackwell Park Lane,Suite 201 City Warrenton State VA Zip 20187 Daytime Phone(540 ) 349-4500 E-mail ryauger@bohlereng.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 I n WPO#_ 1_ _l_ Fee Amount Q a Date Pai • VC t who?_W1-d Receipt#I ).(0 DC) Ckit1 l UA Yt_ By: 3S, 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 'f AL Virginia Stormwater Management Program (VSMP)® Application for Albemarle County ' `rRG1NlP Project Name: Virginia Stormwater Management Plan for Roam Improvement Plan Phase 1 (State Route 643 Polo Grounds (The name should be the same as it appears on plans) & Brookhill Section 1) 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: WP0201800013 (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. ❑ 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. „ , HAUGH, CHARLES R & E J J04600-00-00-01800 TR TEEi_- vg�:� Tax Map & Parcel Print Name of Property Owner Signature of�wr[ef Date CROCKETT CORPORATION C/O 04600-00-00-01900 HAUGH & HELVIN Tax Map & Parcel Print Name of Property Owner Signature of e:- p� +�" : Date HAUGH, CHARLES R & E J 04600-00-00-018AO OGL SBY JR TRUSTEES Tax Map & Parcel Print Name of Property Owner Signature of*Jkm F w Date Tax Map & Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s) to receive correspondence: Print NameAlan Taylor Address 455 Second Street SE< Suite 400 City Charlottesvillle State VA Zip 22903 Daytime Phone (434) 245-4932 E-mail alan@riverbenddev.com 7/1/14, Revised: 7/10/14, 1/7/14 Page 1 of 2 ❑ B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed El ■ p 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 $700 For (minor) amendments to an approved plan; $200 per review Variances; $150 (per request) Mitigation Plan; $150 Registration Statement on the official DEQ form. 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 Ryan Yauger, P. E. Address 28 Blackwell Park Lane, Suite 201 City Warrenton Daytime Phone (540 ) 349-4500 State VA Zip 20186 E-mail ryauger@bohlereng.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 $ Date Paid By who? Receipt # Ck# By: 7/1/14, Revised: 7/10/14, 1/7/14 Page 2 of 2