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Home My WebLink AboutWPO201800032 Application WPO VSMP 2018-05-09 41114- Albemarle Counl'AfCommunity Development Department 401 th-. +ire Road Charlottesville.VA 22902-4596 Safe Nose:(434)296-5832 Fax:(434)972-4126 .41"•—••• Planning Application PARCEL FONVNER INFORMATION IMP 04600-00-00-03000 Own er(s); COUNTY OF ALBEMARLE SCHOOL BOARD ATTN: SUPERINTENE Application# WP0201800032 PROPERTY INFORMATION Legal Description ACREAGE BAKER-BUTLER ELEMENTARY Magisterial Dist, Rivanna ivj Land Use Primary Public Current LFD Not in A/F District w Current Zoning Primary'Rural Areas APPLICATION INFORMATION Street Address ;2740 PROFFIT RD CHARLOTTESVILLE,22911 Entered By Judy Martin Application Type Water Protection Ordinances 15/44018 Project NIFI - Baker Butler VSMP Received Date r05/09/18 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number • Comments Legal 4d r [SUB APPLICATION(s) • Type Sub Applicatio Comment i Erosion and Sediment Control Plan 05/09/18 Stormwater Managernent/BMP Plan 05/09/18 .....„. .„ . , ...... ...... ...........„.............. ..... APPLICANT / CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell '4P D`:a 71: COUNT i OF ALBEMARLE SCHOOL BOARD 401 MCINTIRE ROAD CHARLOTTESVILL 22902 1:- CA--:.szt STE',E HOFFMANN:PROJECT MANAGER FACILITIES S. ENVIRONMENTAL 401 MCINTIRE 4349959479 Signature of Contractor or Authorized Agent Date of AL ,1z Virginia Stormwater Management Program (VSMP) ®sr Application for Albemarle County " i�R(AKS�' Project Name: NIFI -Baker Butler (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes El No IE Is this a revision or resubmission for review? Yes El No a County File Number:W' )l8-Jc1 (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 u;on the property as quir d to ens compliance with the approved plans and permits. ir ,// 04600-00-00-03000 County of Albemarle School Board / / ' / % ? 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Steve Hoffmann, Sr. Project Manager, FES/PMD, County of Albemarle Address 401 McIntire Road City Charlottesville State VA Zip 22902 Daytime Phone(434) 872-4501 E-mail shoffmann@albemarle.org 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of2 ❑ B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 0.436 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;$150 0 C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name John Anderson, PE, CDD/Engineering, County of Albemarle(VaRRM .xls) Address 401 McIntire Road City Charlottesville State VA Zip 22902 Daytime Phone(434) 296-5832 E-mail janderson2@albemarle.org *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2