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HomeMy WebLinkAboutWPO201800019 Application WPO VSMP 2018-03-07Y ' , Virginia Stormwater Management Program (VSMP) Application for Albemarle County t.,, •. Project Name: River Run Stream Restoration The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 10 Is this a revision or resubmission for review? Yes X No eir County File Number: /0/90 2 Q L7e-O )f (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 providedfor 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. 48-B-1 City of Charlottesville 2/9141" Tax Map&Parcel Print Name of Property Owner ignature of Owner Date 6201-02-1 Riverrun Property Owners Associatior 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 City of Charlottesville Address 305 4th Street, NW City Charlottesville State VA Zip 22903 Daytime Phone(434) 970-3876 E-mail stephensm@charlotEesville.org 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 2.02 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;$150 la C. Registration Statement on the official DEQ form. O D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. E. Stormwater Management Plan satisfying the requirements of code section 17-403. F. Pollution Prevention Plan satisfying the requirements of code section 17-404. G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. 0 J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Ecosystem Services J Attn: Kip Mumaw, PE Address 1739-A Allied St City Charlottesville State VA Zip 22903 Daytime Phone(540) 239-1428 E-mail kip@ecosystemservices.us When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: River Run Stream Restoration 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 0 No 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. 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. 48-B-1 City of Charlottesville Tax Map&Parcel Print Name of Property Owner Signature of Owner Date 1J,62D1-02-1 Riverrun Property Owners Associatior s aJ/Tax Map&Parcel Print Name of Property Owner Signature of Owner Date rr 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 Address City State Zip Daytime Phone( ) E-mail 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 2.02 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 51,700 250 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 E 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. 0 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. O 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 Ecosystem Services Attn: Kip Mumaw, PE Address 1739-A Allied St City Charlottesville State VA Zip 22903 Daytime Phone(540) 239-1428 E-mail kip©ecosystemservices.us 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 kit Community Development DepartmentiteAlbemarleCounty401McIntireRoadCharlottesville.VA 22902-4596 Voice: (434)296-5832 Fax:(434)972-4126 Planning Application‘"w PARCEL / OWNER INFORMATION TMP 062D1-02-00-00100 C,.,ner(s): RIVERRUN PROPERTY OWNERS ASSOCIATION INC Application# W1'0201800019 PROPERTY INFORMATION Legal Description 1 RIVERRUN 3 COMMON AREA Magisterial Dist Rio Land Use Primar, Forest Current AFD Not in A/F District Current Zoning Primary R6 Residential Eli APPLICATION INFORMATION Street Address Entered By Jennifer PritchRApplicationTypeWaterProtectionOrdinances 13/19/2018 Project River Run Stream Restoration - VSMP Received Date 03/15/18 Received Date Final Submittal Date I Total Fees Closing File Date I Submittal Date Final L Total Paid' Revision Number Comments COUNTY PROJECT-NO FEES Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Stormwater Management/BMP Plan 03/15/18 Erosion and Sediment Control Plan 03/15/18 APPLICANT / CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell RIVERRUN PROPERTY O'NNE RS 182 SPOTNAP RD STE Al CHARLOTTESVILL 22911- KIP PE - ECOS,STEM SEFACES 1739-- .1._LIED ST CHARLOTTESOLL 22903 5402391428 Signature of Contractor or Authorized Agent Date NW" Ivry dir Al Virginia Stormwater Management Program (VSMP) Application for Albemarle County r:Y Project Name: River Run Stream Restoration 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 0 No 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. 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. 48-8-1 City of Charlottesville 2h/47' Tax Map&Parcel Print Name of Property Owner ignature of Owner Date 62D1-02--1 Riverrun Property Owners Associatior 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 City of Charlottesville Address 305 4th Street, NW City Charlottesville State VA Zip 22903 Daytime Phone(434) 970-3876 E-mail stephensm@eharlottesville.org 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 El B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 2.02 Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 290 145 20 I 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;$150 C. Registration Statement on the official DEQ form. E l D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. i1 E. Stormwater Management Plan satisfying the requirements of code section 17-403. D F. Pollution Prevention Plan satisfying the requirements of code section 17-404. G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. E H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. CI te F- 2 Additional information if not provided on plans and documents: N Z Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) W 0 O a * Print Name Ecosystem Services I Attn: Kip Murnaw, PE Cr 0 j U UV Address 1739-A Allied St 0 City Charlottesville State VA Zip 22903 Daytime Phone(540) 239-1428 E-mail kip@ecasystemservices.us When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 oft