HomeMy WebLinkAboutWPO201900018 Application 2019-03-07 Albemarle Count
:.ommunity Devement Department
401 Mc Road Charlottesville,VA 22902-4596
Voice: (434)296-5832 Fax:(434)972-4126
At,r174:- Planning Application
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PARCEL/ OWNER INFORMATION
TMP 076M1-00-00-01500 Owner(s): PEABODY SCHOOL, THE
Application# WP02019000113 •
PROPERTY INFORMATION
Legal Description MILL CREEK INDUSTRIAL PARK PARCEL 5
Magisterial Dist. Scottsville Land Use Pruner, Semi-public
Current AFD Not in A/F District '4" Current:oiling Primary Planned Unit Development
APPLICATION INFORMATION
Street Address 1232 STONEY RIDGE RD CHARLOTTESVILLE,22902 Entered By
Jennifer Smith
Application Type Water Protection Ordinances
I 3/11/2019
Project PEABODY SCHOOL - VSMP
Received Date 03/07/19 1 Received Date Final Submittal Date Total Fees 200
Closing File Date I Submittal Date Final Total Paid 200
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub Applicatio Comment
Stormwater Management/BMP Plan 03/07/19
Erosion and Sediment Control Plan 03/07/19
APPLICANT / CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhorteCell
Ownerikpaiirzrt PEABODY SCHOOL,THE 1232 STONEY RIDGE RD CHARLOTTESVILL 22902-
.
Pnnlary Contact SCOTT COLLINS - COLLINS ENGINEERING 200 GARRETT STREET,SUITE CHARLOTTESVILL 22902 4342933719
4plimant PEABODY SCHOOL 1232 STONEY RIDGE RD CHARLOTTESVILL 22902 4342966901
Signature of Contractor or Authorized Agent Date
cif
Virginia Stormwater Management Program (VSMP)Application for Albemarle County eAttm,
110-s
Project Name: PEABODY SCHOOL
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No E
Is this a revision or resubmission for review? Yes ❑ No E
County File Number: (to be provided by the County for new applications)
The following are-required elements of new applications[from code section 17-401J. For revisions or -
amendments,please indicate which items are being amended. Signatures must be provided for any
submission.
E 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.
76M1-15 PEABODY SCHOOL b �f f
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
Tax Map&Parcel Print Name of Owner Signature of Owner Date
Contact Information for the Owner(s)to receive correspondence:
Print Name PEABODY SCHOOL
•
Address 1232 STONEY RIDGE ROAD
City CHARLOT�]fES,//VILLE State VA/ Zip 22902
•
Daytime Phone(�1�7 ) 2-96- 99f Email ct'6-D,•%i1de(tV/.ea4, Jry a/ ory
RECEIVED
MAR 0 7 2019 •
COMMUNITY
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Revised 07/24/18 Page 1 of 2
®B. All Fees [Code section 17-208] 0.a,
For new or modified plans;Total acres proposed to be disturbed fah AC
Acres to be Total Fee Fee Due with this Fee with Transfer or
disturbed Application modification of permit
Less than 1 $290 t$1,45 $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;$200 per review
Variances;$150
Mitigation Plan;$150
O C. Registration Statement on the official DEQ form.
D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
E E. Stormwater Management Plan satisfying the requirements of code section 17-403.
❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name SCOTT COLLINS-COLLINS ENGINEERING
Address 200 GARRETT STREET, SUITE K
City CHARLOTTESVILLE State VA Zip 22902
Daytime Phone(434) 293-3719 E-mail scoff@collins-engineering.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn.Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO
Fee Amount$a W Date Paid /7'9 By who? II I I LY/ ipt# Ck#3`t8 f By:
Revised 07/24/18 Page 2 of 2
Fee Received
Zoo,e�
Received Date
RECEIVED 311- l Lc9
MAR 0 7 2019 Receives
COMMUNITY
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