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Home My WebLink AboutWPO201800065 Application WPO VSMP 2018-08-16 S �•xf Virginia Stoiinwater Management Pr'ogr'am (VS1VEP) Application for Albemarle County Project Name: UV (11 i ISS (..o -ci (The name shouldhe same as it appears pP on plans) Is this an amendment to an approved plan? Yes ❑ No q/ Is this a revision or resubmission for review? Yes ❑ No C�1/ County File Number: (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. R"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. 91A- 4R WI/born Dr Cot) VV g 61148 Tax Map&Parcel Print Name of Property O Signature of Owner Date G-a qlA-7 VVl1,1lclrn 7. Cr J�hkw n oho�� Tax Map&Parcel Print Name of Property Oer Signature of Owner Date Cr4. Enkivusas �t J Cr; fi, elide Tax Map&Parcel Print Nine of Propertyc' ner Signature of Owner Date CI-C4 Eh-kr� S g qIA-q Wia ,U. Cra A1~ir SIntI'S Tax Map&Parcel Print Name of Property irgrier Signature of Owner Date Contact Information for the Owner(s)Cr�o receive correspondence: Print Name Wi [II urn D. Address P.C). 1 154 City Chi-Io-4r.SVIt State Up Zip Age(p Daytime Phone(4) AAA - 03(.c4 E-mail s[it QI :Craj c�9 Cm MaiI , � 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 ❑ E. 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 town approved plan; $200 per review Variances; $150(per request) Mitigation Plan;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name LO- n- Y_.t.(� Address P.B . 1k Lo 15L0 City Cnc y-J014-eSVI State UP) ZipC�io��Ot-p Daytime Phone(44) 5)- O3S7 E-mail +. N° n() Cira b4.1 Idtis .CC-Wl *When applications and plans are reviewed, but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2 ------ --- --- u Community Development Department Albemarle County "_.1 !; Ir:t,re Road Charlottesville.V:A22902-4596 296-5832 Fax:L434)972-4126 972-4126 ,,, Planning Application Orr (PARCEL,OWNER INFORMATION Tr1F 091A0-00-O0-00600 Ov,ner;s : AVON PROPERTIES LLC Application# WP0201800065 PROPERTY INFORMATION e.al L=-rription 113715 to rla Lilt Scottsville Land Use Primary' Unassigned Current AFD Not in A/F District Current Zoning Primar, Planned Residential Development APPLICATION INFORMATION Street.Lddress Entered By Application Type Water Protection Ordinances Jennifer PritchE1 Sj 21,:'2018 Project Avinity Lots 6-9 - VSMP Received Date 08/17/18 ,, Fecei._d Date Final Submittal Date Total Fees 145 Closing File Date Submittal Date Final Total Paid 145' Revision Number Comments ,a. Legal Ad SUB APPLICATION(s) Tipp Sub.Applt atio Comment Erosion and Sediment Control Plan 08/17/1 8 Stornxvater Management/BMP Plan 08/17/18 'APPLICANT /CONTACT INFORMATION ContactTppe I Name State I Zip Phone PhoneCell 1,:t.r-:+cpc rt AVON PROPERTIES LLC P 0 BOX 1 2902 4342420364 rimnry�.er.= T HOFFM.AN PO BO,:6156 CH-��_TTE= iL'.. -- -r 4345310357 Signature of Contractor or Authorized Agent Date LAIQt 1 f 8,tyi At ' ' \ Virginia Stormwater Magement Program (VSMP) Application for Albemarle County Project Name: U V (ll i Lok LP -9 (The name shouldhe same as it appears ears pP on plans) Is this an amendment to an approved plan? Yes ❑ No q/ Is this a revision or resubmission for review? Yes ❑ No q/ County File Number: (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. R4. 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. Cry Er>l,Afvuso_s b ql (Q WiL yam D. Crz).q 1r1i p Tax Map&Parcel Print Name of O*rferSignature of Owner Date e_1p`"`sm brie C1111-7 V(iI lcrn D. 6 8 h o i i 8 Tax Map&Parcel Print Name of Property OV*fier Signature of O6vner Date En"klEvu q I A-6 yvi ,ar~, , .e) colle Tax Map&Parcel Priinntt Name�ooff Property ner Signature of Owner Date aci rNAcri GIA-9 i arnI Cr S AN/Lc 8Ik(L J►S Tax Map&Parcel Print Name of Propertyner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name VAI UL am D. Cr Address P.O. i-Y City Ckcu IQ-rSVI State U1) Zip 910(.0 Daytime Phone(434) AAA - 03104 E-mail L,Uij9 u tOrr\CA ra @ Mcu.I ,(gym 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 ❑ B. All Fees [Code section *1,11 -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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer, consultant or agent) Print Name Address P.C) . 633( Col SL, City ChcirlLt'SVI State UP) Zip 00q 0Lp Daytime Phone(4*) 531- 0.5S-7 E-mail +, hOf irrarm Orcis1 c1tr5 .COrn *When applications and plans are reviewed, but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2