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Home My WebLink AboutWPO201700001 Application 2017-01-06 Albemarle Corr '�`l 401 ,tire Community o d Ch Char! ti Department s 'rw ..ice• (434)295-5832 Fax (434)972-4126 4 •-- 31 Planning Application PARCEL] OWNER INFORMATION TMP 03281-OO-C4-00100 Owner(s): TOWN PROPERTIES!LC Application# W O2O1700001 PROPERTY INFORMATION Legal Description 1 HOLLYNEAD TOWN CENTER CA LOT 1 A Magisterial Dist.ZRIO E Land Use Primary Unassigned .--I Current AFD :Not in A/F District 0 Current Zoning Primary,Planned Development Mixed Commercial APPLICATION INFORMATION Street Address Entered By Application TypeJennifer frooi,Smith . ,Water Protection Ordinances Project Hollymead Towncenter Block c4(Hollymead Walk) Received Date 01/06/17 Received Date Final Submittal Date Total Fees 2700 Closing File Date Submittal Date Final Total Paid 2700 Revision Number Comments Legal Ad r SUB APPLICATION(s) Type Sub Applicatio Comment Storinwater Nanagament/ Plan 01/06/17 Erosion and Sediment Control Plan 01/06/17 APPLICANT /CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell OrartA re ITOWN PROPERTIES LLC 1778 HEARTHGLOW LANE i CHARLOTTESVILL 22901 - anr1 a ry Contact _JEREMY SWINK '200 GARRETT STREET,SUITE CHARLOTTESVILL +22902 4349757445 571309504 Signature of Contractor or Authorized Agent Date .0V Mkt - Virginia Stormwater Management Program (VSMP) Application for Albemarle County t� Project Name: of19w►cd.L, "'�wn CcAltr &Luca (The name should be the same as it appears ears PP on plans) Is this an amendment to an approved plan? Yes ❑ No E Is this a revision or resubmission for review? Yes ❑ No V(1. County File Number: (to be provided by the County for new applications) The following are required elements of new applications ffrom 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 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 ent upon the property as required to ensure compliance with the approved plans and permits. 3ZbA-Cy- 1 Sri, Chw' roW;444 )v,,�, ✓� ' f��-- Tax Map&Parcel Print Name of Property Owner gnature of Owner I5ate AA-S%1 -y2 cs t- 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 �Ut..•, SAL Address 2 00 n r‘,Plr i `jv. City C1.cr\rare-y.,.vd Uk, State VC Zip V.. b2-- Daytime Phone(51t) 3b' c"O'V E-mail 5wtr4-P..J w L S ir. . V cr. — 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 • ❑ B. All Fees [Code section 17-208] ' 2.0 For new or modified plans;Total acres proposed to be disturbed 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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. O E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Sr l V4. Sw 1Y4 V Address Zoo C/.4t 5} S„ 6 City lr�`o�-�1lpu�Kv State \I f t Zip 2Z° L. Daytime Phone(S'"1) 30c% r b'1 > E-mail t r,1t,jw S "'\wvri-..r . *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY �r`, WPO# Lin ll�y� Fee Amount$`7 L Date Paid 'I Lk In By who?SV4�1�i 1 I 1/ q.)f- b Receipt#_I( Ck# —1 By . 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2