Loading...
HomeMy WebLinkAboutWPO201800031 Application WPO VSMP 2018-09-17 Virginia Stormwater Management Program (VSMP) - Application for Albemarle County ar_ Project Name: Hollymead Town Center Hotel (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No Is this a revision or resubmission for review? Yes iiif No 0 County File Number: WPO 2018-00031 (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. 32-41-D5 HTC Hotel,LLC ?///77/� Tax Map&Parcel Print Name of PropertyOwner tgnature 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 Neil Patel Address 8901 Brook Rd. City Glenn Allen State VA Zip 23060 Daytime Phone(804) 553-8395 E-mail HTCHoteILLC©gmail.com 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft Pi B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 1.94 ac 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;$150 C. Registration Statement on the official DEQ form. EJ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. • F. Pollution Prevention Plan satisfying the requirements of code section 17-404. G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. • I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Justin Shimp Address 201 E. Main St.Suite M City Charlottesville State Virginia Zip 22902 Daytime Phone(434) 227-5140 E-mail Justin@skimp-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 oft i S of Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: Hollymead Town Center Hotel (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No WI Is this a revision or resubmission for review? Yes ® No 0 County File Number: WPO 2018-00031 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401J. 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. 32-41-D5 HTC Hotel, LLC 'ic . 6/25/2018 Tax Map&Parcel Print Name of Property Owner ',_ c :),„1"1 dem gnature 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 Neil Patel Address 8901 Brook Rd. City Glenn Allen State VA Zip 23060 Daytime Phone(804) 553-8395 E-mail HTCHoteILLC@gmail.com 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft • B. All Fees[Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 1.94 ac 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. EI 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 Justin Shimp Address 912 E. High St. City Charlottesville State VA Zip 22902 Daytime Phone(434) 227-5140 E-mail Justin@shimp-engineering.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 ,. Ibk . Community Development Department Aemarle Couni-t 401 M +ire Road Ch arl ottesv ill e.VA 22902-4596 :(434)29&-5832 Fax:(434)972-4126 A. ......•-r Planning Application PARCEL/ OWNER INFORMATION TMP 03200-00-00-04105 Own e r(s): HTC HOTEL!LC Application# WP0201800031 !PROPERTY INFORMATItJN Legal Description I ACREAGE Cl B HOLLYMEAD TWNCENTER HOTEL SITE Magisterial Dist Rio [ J Land Use Primary Open Current AFD Not in A/F District n Current Zoning Primary Planned Development Mixed Commercial V . _ [APPLICATION INFORMATION Street Address Entered By , - Judy Martin ri Application Type Water Protection Ordinances E 1 57erlo le Project Hollymeade Town Center Hotel- VSMP Received Date 05/07/18 Received Date Final Submittal Date 05/08/18 Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number Comments ... Legal Ad ..., _ 1SUB APPLICATION(s) Type 1 Stil)Apc4icaho • Comment 'Erosion and Sediment Control Plan 05/07/18 Stormwater Management/BMP Ilan 05/07/18 !APPLICANT /CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell 10v.neriAggicart HIC HOTEL LLC 8901 BROOK ROAD 'GLEN ALLEN VA 23060 I=olzi.,:srt NEIL PATEL 9901 BROOK ROAD GLEN ALLEN,VA. 23060 804553 8395 Prtrn a ry Z.2,ts zt JUSTIN SHIMP 201 E.MAIN ST.,STE.14 CH.ARLOTTESVILL 22902 4342275140 1 i ..........„,., Signature of Contractor or Authorized Agent Date S I 04 104 � Virginia Stormwater Management Program (VSMP) '►':' ► Application for Albemarle County Project Name: Hollymead Town Center Hotel (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 66 Is this a revision or resubmission for review? Yes 0 No 0 County File Number: (to be provided by the Countyfor 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. 32-41-D5 HTC Hotel,LLC 2 G //7 Tax Map&Parcel Print Name of Property Owner ignature 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 Neil Patel Address 8901 Brook Rd. City Glenn Allen State VA Zip 23060 Daytime Phone(804) 553-8395 E-mail HTCHoteILLC©gmail.com 7/1/14,Revised:7/10/14,1/7/14 Page 1 of 2 PI B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 1.94 ac Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $20 1 and less than 5 $2,700 $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 g C. Registration Statement on the official DEQ form. O D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. g E. Stormwater Management Plan satisfying the requirements of code section 17-403. g F. Pollution Prevention Plan satisfying the requirements of code section 17-404. g 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 Justin Shiny Address 201 E. Main St Suite M City Charlottesville State Virginia Zip 22902 Daytime Phone(434) 227-5140 E-mail Justin@skimp-engineering.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# • A t. Fee Amount$1, ,7/i Lim Date PaidV1-la By who? ( tit i# Receipt# Ck# BY: g8621v41/4Mhcl e 7/1/14,Revised:7/10/14, 1/7/14 Page 2 oft