HomeMy WebLinkAboutWPO201800051 Application WPO VSMP 2018-06-26 Albemarle Cour, 401
t,,w; Community Development Department
NS...ire Road Gh arl ottesv ille.VA 22902-4596
Voice: i434)296-5832 Fax:1.434)972-4126
lit Planning Application
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PARCEL/ OWNER INFORMATION
TMP 04600-00-00-01800 Owner(s): HAUGH, CHARLES R&E 3 OGLESBY JR T
Application# WP0201800051
'PROPERTY INFORMATION
Legal Description I PARCEL A
Magisterial Dist. Rivanna Land Use Primary Residential -- Single-family(incl. modular homes 4,
_ —
Current AFD Not in A/F District r;1 Current Zoning Primary Neighborhood Model District
APPLICATION INFORMATION
Street Address 12571 SEMINOLE TRL CHARLOTTESVILLE, 22911 Entered By
Jennifer Smith w
Application Type Water Protection Ordinances 1E/26/2018
Project BROOKHILL VSMP FOR BLOCK 4 (APARTMENTS) - VSMP- DIGITAL
Received Date 106/26/18 I Received Date Final Submittal Date Total Fees 2250
Closing File Date Submittal Date Final Total Paid 2250
Revision Number
Comments
Legal Ad
FSLIB APPLICATION(s)
Type !SubApplicatioi Comment
Stormwater Management/BMP Plan 06/26/18
Erosion and Sediment Control Plan 06/26/18
!APPLICANT / CONTACT INFORMATION
ContactType I Name Address —I CityState rZip Phone F'horieCell
Apht HAUGH, CHARLES R.&E OGLESBY MT 435 PARK ST CHARLOTTESVILL 22901
- s-v z—taz: RYAN y AUGER,P.E. 28 BLACKWELL PARK LANE, W AFtRE NT ON,VA 20187 5403494500
1.1 •ALAN TAYLOR-RIVERBEND 455 SECOND STREET SE. CHARLOTTESV1LL 22903 4342454932
Signature of Contractor or Authorized Agent Date
0110+' �✓
.AF
Virginia Stormwater Management Program (VSMP) 411,N%
Application for Albemarle County
Project Name: Brookhill Virginia Stormwater Management Plan for Block 4(Apartments)
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes 0 No 1)11
Is this a revision or resubmission for review? Yes 0 No IN
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.
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.
HAUGH, CHARLES R& E J
04600-00-00-01800 OGLESBY JR TRUSTEES
Tax Map&Parcel Print Name of Property Owner Signature of'wner *Jo-..mak f4-.1^.-q.‘• Date
CROCKETT CORPORATION C/O t
04600-00-00-01900 HAUGH &HELVIN I 4111/
Tax Map&Parcel Print Name of Property Owner Signature of3., w•4...14.- Date
HAUGH, CHARLES R& E J j
04600-00-00-018A0 OGLESBY JR TRUSTEES
Tax Map&Parcel Print Name of Property Owner Signature off weer f)� 1 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 Charlottesville 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
IJ B. All Fees [Code section 17-208]
For new or modified plans;Total acres proposed to be disturbed 16.64
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;$150
❑ C. Registration Statement on the official DEQ form.
❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403.
❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ 1. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Ryan Yauger,P.E.
Address 28 Blackwell Park Lane,Suite 201
City Warrenton State VA Zip 20187
Daytime Phone(540 ) 349-4500 E-mail ryauger@bohlereng.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPOCOO Lg
Fee Amount$ Date Paid By who? Receipt# Ck# By:
7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2
Virginia Stormwater Management Program (VSMP)
®ice Ej
Application for Albemarle County IOW-
Project Name: Brookhill Virginia Stormwater Management Plan for Block 4(Apartments)
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No El
Is this a revision or resubmission for review? Yes ❑ No El
County File Number: WPO201800051 (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
04600-00-00-01800 OGLESBY JR TRUSTEES 4 9/20/18
Tax Map&Parcel Print Name of Property Owner Signature ofO W nct oUnruak P4`.- c- Date
CROCKETT CORPORATION C/O
04600-00-00-01900 HAUGH&H ELVI N it 9/20/18
Tax Map&Parcel Print Name of Property Owner Signature of' , +.-404- Date
HAUGH, CHARLES R& E J
04600-00-00-01 8A0 OGLESBY JR TRUSTEES r ' 9/20/18
Tax Map&Parcel Print Name of Property Owner Signature of: 00414-14-• 1 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 Charlottesville 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
4
19 B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed 16.64
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;$150
❑ C. Registration Statement on the official DEQ form.
❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403.
❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of allplans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Ryan Yauger,P.E.
Address 28 Blackwell Park Lane,Suite 201
City Warrenton State VA Zip 20187
Daytime Phone(540 ) 349-4500 E-mail ryauger@bohlereng.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
7/1/14, Revised: 7/10/14, 1/7/14 Page 2 oft