The URL can be used to link to this page

Home My WebLink AboutWPO201900016 Application WPO VSMP 2019-03-07 " • CommunityDevelopment Department �%.,IAlbemarle Cour..�-. 401I '" eRoad Chrlottesvil e,VA2290&4596 ""`" :(434)296-5832 Fax:(434)972-4126 ,1 tpianning Application PARCEL/ OWNER INFORMATION TMP 01700'00-.00-.02 00 Owner(s): BAILEY,,MELLSSA LYNN Application# WP02 01 900016 , PROPERTY INFORMATION Legal Description lACREAGE , , it Magisterial Dist,IWhtte,Hall j Land Use Primary Residential -Single-family (incl. modular homes LTj Current AFD Not in A/F District 1.711 Current Zoning Primary Rural Areas p f.i APPLICATION INFORMATION Street Address 4S39 FREE UNION RD FREE UNION, 22940 Entered By t y Jennifer PritcF''.y_,;'I ApplicationType Water,Protection.Ordinances CTJ 3/7/2019. Project 4389 Free Union Road'Erosion Control Plan-VESCP Received Date 03/05/19 . Received Date Final Submittal Date , Total Fees 300 Closing File Date Submittal Date Final • Total Paid 300 Revision Number " Comments ;: ...• ,„ ,.. Legal Ad 1. • ", • !(^: •. • r 1II ' t 6 (`. SUB APPLICATION(s) Stormwater Management/BMP Plan 1 03/05/19 Erosion and Sediment Control Plan 03/05/19 i``:. ,1.* • >»' s� a APPLICANT /CONTACT INFORMATION n;ContactType :•,`. Name, _ •...,.Address: '!'7 .. ,..r.-CityState: . "n _gip ,; 5 Phone.._. !'PhoneCell,. drea AppLart BAILEY`MELISSA LYNN , +14841 FREE:UNION ROAD FREESUNIONVA 122944r :4344698586 _,.,...__.ns...»_.�..__ E _.__::..: �...... .._..... __._ UT_.-_ DR.—... ........<.............:5.__....... ......._....:a_..._....._`___...::.1............._..._.,:_.:�._....__....._ Prbnary CmotaK ]EREMV L FOX 172 50 UTH PANTO PS OR,STE CHARLOTTE5v1LL 122911 43 49 7 9 8 121 w ,1 • 4 T t Signature of Contractor or Authorized Agent Date Virginia Erosion and Sediment Control Program (VESCP) rot„ Application for Albemarle County fty 'moo(This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and-the DEQ General Permit) Project Name: 4389 FREE UNION ROAD EROSION CONTROL PLAN (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No 0 Is this a revision or resubmission for review? Yes ❑ No M 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. 111 M 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 evelo went on the subject property. I hereby grant the County of Albemarle the right to enter upon the pro e as re Inked to ensure compliance with the approved plans and permits. �`� `�I� 17-021 „Irlpp kcjui..wth'isn Tax Map&Parcel Print Name of wner Signature of 0 '/ Date Tax Map&Parcel Print Name of Owner Signature of Owner t� Date Tax Map&Parcel Print Name of Owner Signature of Owner Date Tax Map&Parcel Print Name of Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name MATTHEW HOVEY Address City State Zip Daytime Phone(434) 989-8586 E-mail mxhovey90@yahoo.com 7/1/14,Revised:7/10/14, 1/7/15, 10/17/18 Page 1 of2 • B. All Fees [Code section 17-207] Total acres proposed to be disturbed 3.86 Acres to be disturbed Total Fee Less than 1 $150 per review 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;$300 ® C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. /It ❑ F. Construction Record Drawings (as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name JEREMY L. FOX Address 172 SOUTH PANTOPS DR. STE. A City CHARLOTTESVILLE State VA Zip 22911 Daytime Phone(434) 979-8121 E-mail JFOX@ROUDABUSH.COM *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. • FOR OFFICE USE ONLY WPO#�(2-01�A-,xl`�o'/ ��Y t`10llbi , 1 Fee Amount$ Date Paid �ll�l By who? I �f{41441 V !L*it Receipt# I l- +®a Ck# 44 By: VP solea 7/1/14, Revised: 7/10/14, 1/7/15, 10/17/18 Page 2 of2 Fee Receive. . . Re ved DtG RECEIVED COMMUNITY Reopiveq By DEVELOPIORNT PPHON (434)977-0205 Eo, FAX(434)296-5220 FAX ROUIDABUSH, GALE &ASSOCIATE,,-INC. LAND SURVEYING A PROFESSIONAL CORPORATION ENGINEERING Serving Virginia Since 1956 LAND PLANNING 914 MONTICELLO ROAD CHARLOTTESVILLE,VIRGINIA WILLIAM J.LEDBETTER,L.S. 22902 DAVID A.JORDAN,L.S. DAVID M.ROBINSON,P.E. BRIAN D.JAMISON,L.S. AMMY M.GEORGE,L.A. KRISTOPHER C.WINTERS,L.S. TO: Albemarle County Engineering DATE: 5 March 2019 JOB#: 19.0320 X Attached under separate cover via the following items: #of Copies Date Job# Description 2 03-05-19 19.0320 4839 Free Union VSMP Plan 2 03-05-19 19.0320 4839 Free Union SWM PPP These are transmitted as checked below: For Approval/Signature _For your use _Please return _As requested Resubmitted w/revisions x Review/Comment For Bids due Other REMARKS: SIGNED: COPY TO: LogamP-.O'Day If enclosures are not as noted, kindly notify us at once.