HomeMy WebLinkAboutWPO201900003 Application WPO VSMP 2019-01-17 Albemarle C-----inty Community Development Department
'• -1:McIntire Road Charlottesville,VA22902-4596
Voice.(434)296-5832 Fax.(434)972-4126
Planning Application - -",-
IPAFICEL7 OWNER INFORMATION
TMP ' 056A1:7,01-00702600''.- Owner-(s): SM CHARLOTTESVIILELLC
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Application# VVPQ201900003, -
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PROPERTY INFORMATION
.. ,Legal Description 1 ACRWE,B T. , ' , ' ''' '' , :i : , ,' .
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Magisterial Dist.1-14h,iio-iiW1177-7.7,01 : ---,----- - - - - • • - • ,-. t
Land Use Primary Residential--Single-family (incl. modular homesW.
Current AFD Not hi:AIF:District i:Lij Current Zoning Primary R6 Residential
APPLICATION INFORMATION
Street Address 1330 PLEASANT GREEN ST CROZET,22932 Entered By
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•-- Buck SMAI6j
Application Type Water Protection Ordinances i n 2;f2019.
Project PLEASANT GREEN - F -bx,st,,i..-!tri.i0,••,_
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Received Date 1„01/1.711,9 i Received Date Final l' ' "•`,'"'": ', ,,'I Submittal Date I ! Total Fees 2250
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Closing File Date 1.:;.,r7::;--,t7','7, 771 Submittal Date Final!— ' ' ' ' 'i Total Paid 2250
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Revision Number
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SUB APPLICATION(s)
- -; .- 5 .!,-, .- --,Ciimment „ . .-„... .:-.',-,„. ; I
15t.aOki*latei.;:platiageinerilt/IT1P Plan V'','': ::"i 01/22/-1 . ,:,,..,.'"::-2 '',„ :,,,,.,.:-5„,,"... ''''',,-,:-.. ,.,,;'-','{.„`.:'„'„-7, , ,,:.,;;" ,._'..:_...',',.'.';':1.,,,;':;,',.::::,-,,z. '''•':..,.':;(..,:,-,,c,:l.,„";
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APPLICANT/CONTACT INFORMATION ,
,, COntattTyP6,,d ,...:-.•,,..i, ,,,f::••••-4:•-•••Naitie,. ' , - :,-- .'- A I,:,-' '',. ,i'.Attdress.,'' -'': „1'... r,,,CityState ;. ,,I;„ Zip .,. I,::-..,Thbrte' :: 1,.:PlibneCei I I
LOid, 0,==it Ii.7.; :51'1'C'HARiP:n*SioiLL .1..1C. '•S:-.:: ,""-"r.' '::::':i',11:7i0,pLAZA:AMERICA'DK,STE.V,i?RESTON VA';:i'-':'1'' ,, 11201.90-;• ''', ':',,,'",.,',. ." 4-''''',:',,"'f.'::x".•:',1::'',-'A::''' ''l
PriertzlY Cerald COLLINS ENGINEERING 200 GARRETT STREET,SUITE 'CHARLOTTESVILL 122903 4342933719 ;
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Signature of Contractor or Authorized Agent Date ,
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Virginia Stormwater�- --inagement Program (VSMP) 8 elk*Et
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Application for Albemarle County -
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Project Name: PLEASANT GREEN - PHASE I
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No WI
Is this a revision or resubmission for review? Yes ❑ No IZI
County File Number: li'Pô 010 co 3 (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 pon the property as required to ensure
compliance with the approved plans and permits.
56A1-01-(26-30) SM CHARLOTTESVILLE, LLC 1/tb
Tax Map&Parcel Print Name of Owner gnature of Owner Date
Tax Map&Parcel Print Name of Owner Signature of Owner 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 SM CHARLOTTESVILLE, LLC
Address 11710 PLAZA AMERICAN DRIVE, SUITE 1100
City RESTON State VA Zip 20190
Daytime Phone( ) E-mail
Revised 07/24/18 Page 1 of 2
1 B. All Fees [Code si, pn 17-208]
For new or modified plans; 1.otal acres proposed to be disturbed 12.11 AL:-
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;2_)k/- $300
50 and less than $6,100 g3,050 $450
100
100 and more $9,600 $4,800 $700
For(minor)amendments to an approved plan;$200 per review
Variances;$150
Mitigation Plan;$150
® C. Registration Statement on the official DEQ form.
® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
® E. Stormwater Management Plan satisfying the requirements of code section 17-403.
• F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name COLLINS ENGINEERING
Address 200 GARRETT STREET, SUITE K
City CHARLOTTESVILLE State VA Zip 22903
Daytime Phone(434) 293-3719 E-mail scott@collins-engineering.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date.of county comments,the application will be deemed withdrawn.Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#Apt po6 6 3
Fee Amount$ a.CZ) Date Paid 064 By who?-6//2S L 29 '"1"a2=4A,..-Receipt# f C/'GC Ck#26 By. OGI�j/
Revised 07/24/18 Page 2 of 2
Virginia Stormwater Management Program (VSMP) 's4 I� i
Application for Albemarle County :N,,
��RGIC1�p'''
Project Name: PLEASANT GREEN PHASE I
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No WI
Is this a revision or resubmission for review? Yes ® No ❑
County File Number: WP0201900003 (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)
Bysigning this application as the owner,I herebycertifythat all requirements of theseplans and permits will be
g g PP q
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.
56A1-01-25 TO 31 SM CHARLOTTESVILLE LLC 2/25/2019
Tax Map&Parcel Print Name of Owner :ign. - of Owner Date
56A1-01-36;A; B SM CHARLOTTESVILLE LLC 2/25/2019
Tax Map&Parcel Print Name of Owner :ignature of Owner 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 SM CHARLOTTESVILLE LLC
Address 11710 PLAZA AMERICAN DR, SUITE 1100
City RESTON State VA Zip 20190
Daytime Phone(571 ) 309-5043 E-mail swinkjw@stanleymartin.com
Revised 07/24/18 Page 1 of 2
Y � `
®B. All Fees [Code section 17-208]
For new or modified plans;Total acres proposed to be disturbed;12..7 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 $6,100 $3,050 $450
100
100 and more $9,600 $4,800 $700
For(minor)amendments to an approved plan;(MI-per review
Variances;$150
Mitigation Plan;$150
❑ C. Registration Statement on the official DEQ form.
¢I D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
® E. Stormwater Management Plan satisfying the requirements of code section 17-403.
m F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings (as-builts)for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) _
Print Name SCOTT COLLINS-COLLINS ENGINEERING
Address 200 GARRETT STREET, SUITE K
City CHARLOTTESVILLE State VA Zip 22902
Daytime Phone(434) 293-3719 E-mail scott@collins-engineering.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn.Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By
Revised 07/24/18 Page 2 of 2