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Home My WebLink AboutWPO201800090 Application Erosion Control Plan 2018-04-28 Virginia Erosion and Sediment Control Program W","'"*fp Application for Albemarle County (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: Project Maintenance Plan for Lochridge Lane (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No FE Is this a revision or resubmission for review? Yes ( ' No ED County File Number: Not yet Assigned (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. ® A. Signature of the 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. 45-34D Glen or Lorraine Seitz -�-� //2/020/E3 Tax Map&Parcel Print Name of Owner ', S�ignature of O e . Date V`c-K�ut it/.21.//r 45-36 Charles&Vickie Adkins L /(74-frif Q' Tax Map&Parcel Print Name of Owner ature of Owner _bez.ate 45-36J Matt Sin9elton& Elizabeth Muse '"UV,Q,, A 1211 g Tax Map&Parcel Print Name of Owner Signature of Owner D Tax Map&Parcel Print Name of Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Matt Singleton Address 705 Lochridge Lane City Earlysville State VA Zip 22936 Daytime Phone( ) E-mail mattsingletonmusic@gmall.com 7/1/14,Revised:7/10/14, 1/7/15, 10/17/18 Page 1 of 2 ® B. All Fees [Code section 1 7-207] Total acres proposed to be disturbed G 41} Acres to be disturbed Total Fee Less than 1 $150 per review Fee of$150 has bee provided More than 1 $300 per review For amendments to an approved plan;$200 per review Variances;$150(per request) Exceptions;$240 Mitigation Plan; $150 Construction Record Drawing;$300 El C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Dustin Greene Address 172 South Pantops Dr City Charlottesville State VA Zip 22911 Daytime Phone(434) 977-0205 E-mail dgreene@roudabush.com *When applications and plans are reviewed, but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY �] WPO# �� 7 1 Q Fee Amount$ {SO✓Date Paid /2 2)1( By who? J�I(C►CG (�(ti. Receipt# '1111513 Ck# ` 2c By: J 1 7/1/14. Revised 7/I0/14 1/7/is. 10/17/1 R Pave 2 of 2 t Fee Received RECEIVED Re ivad Date JAW 1 7 ',' ,(i lrl � �� COMMUNITY Received By DEVELOPMENT WC./ 601 �`:Albemarle Cour.'- Community Development Department _ 4011- - re Ro ad Charlottesville,VA22902-4596 r'i T 1 ; I Planning Application ::(434)298-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMP 04500-00-00-O34D0 Owner(s): SEITZ, GLEN R OR LORRAINE B Application# WP0201800090 PROPERTY INFORMATION Legal Description I IF BELL ESTATE(BELL HAVEN)5 Magisterial Dist.'Ric, HI Land Use PrimaryiResidential -- Single-family(incl modular homes i Current AFD Not in A/F District L+j Current Zoning Primary Rural Areas L: APPLICATION INFORMATION Street Address 690 TANNERS LN EARLYSVILLE,22936 Entered By Type Judy Martin •+, Application yp Water Protection Ordinances Project Project Maintenance Plan for Lochridge Lane- VESCP Received Date 12/04./18 Received Date Final Submittal Date Total Fees 150 Closing File Date '' - Submittal Date Final Total Paid 150 Revision Number Comments - F. i i Legal Ad "_.-- ---_.—_____. I 1 , SUB APPLICATION(s) Type .- ' .- I,Sub Applicatlo Comment Stormwater Management/BMP Plan 12/04/18 ` Erosion and Sediment Control Plan 12/04/18 ' '' APPLICANT /CONTACT INFORMATION ContactType .,I, Name ' ' , - •Address, - - . .. - ,CityState ...Zip...'.. . Phone . ic,PhoneCell a+' rtA prr _ SEITZ GLEN ROR LORRAINE'B 690 TANNERS LANE - I EARLVSVILLEVA i 22936. ' ,' t 3 ._rt: 7rvnary[anted DUSTIN GREENE 172 SOUTH PANTOPS DRIVE CHARLOTTESVILL 22911 4349770205 Signature of Contractor or Authorized Agent Date • Virginia Erosion and Sediment Control Program (VESCP) r 4 12 Application for Albemarle County �'7 ®f ' (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: Project Maintenance Plan for Lochridge Lane (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No FE Is this a revision or resubmission for review? Yes 0 No ED County File Number: Not yet Assigned (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011 For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. VA. Signature of the 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. 45-34D Glen or Lorraine Seitz a/ao/g Tax Map&Parcel Print Name of Ownersignature of OukutA, Date 45-36 Charles&Vickie Adkins t& ,/,7i..fr .S;� Tax Map&Parcel Print Name of Owner t Owner t 45-36J Matt Sin elton&Elizabeth Muse Lk '$ Tax Map&Parcel Print Name of Owner Signature of Owner D Tax Map&Parcel Print Name of Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Matt Singleton Address 705 Lochridge Lane City Earlysville State VA Zip 22936 Daytime Phone( ) E-mail mattsingletonmusic@gmail.com 7/1/14,Revised:7/10/14, 1/7/15, 10/17/18 Page 1 of 2 Lig B. All Fees [Code section 17-207] Total acres proposed to be disturbed 0.35 Acres to be disturbed Total Fee Less than 1 $150 per review Fee of $150 has bee provided More than 1 $300 per review For amendments to an approved plan;$200 per review Variances;$150(per request) Exceptions;$240 Mitigation Plan;$150 Construction Record Drawing; $300 SI C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Dustin Greene Address 172 South Pantops Dr City Charlottesville State VA Zip 22911 Daytime Phone(434) 977-0205 E-mail dgreene@roudabush.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# _By: 7/1/14. Revise&: 7/10/14. 1/7/15. 10/17/1 R Pane 2 of 2 Fee Received Received Date RECEIVED -1L DEC 0 6 7' Received By COMMUNITY oRVELOPMENT