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HomeMy WebLinkAboutWPO201000068 Application 2018-09-05 „r k. V Comunity Development Department {' Albemarle o un 401 I�tr_Intire Roadm Charlottesville;VA22902-4596 �/11 a 5 5-.4 1 :(434)296-5832 Fax:(434)972-4126 r'-;! =' :Planning Application . PARCEL/ OWNER INFORMATION . Th1P 07800=00-00-015C0 Owner(s): ALBEMARLE COUNTY SERVICE AUTHORITY . Application# WP0201800068 PROPERTY INFORMATION Legal Description ,9/24/14 Deed of Dedication DEI4538/2g4-.248 acres dedicated to public use for public street purposes(TM78-15C1) Magisterial Dist.IRivanna r} Land Use Primary:Commercial 1 ll Current AFD 1Not in:A/F District ® Current Zoning Primary Highway Commercial APPLICATION INFORMATION Street Address CHARLOTTESVILLE, 22911 Entered By 1-1 Application Type — (Jennifer P.ritci PP yP Water Protection Ordinances :9 5 2018 Project ACSA Operations Center Expansion Parking"Lot Expansion-VSMP Received Date 09/05/18 Received Date Final Submittal Date 09/05/18 Total Fees 145 Closing File Date Submittal Date Final Total Paid ' 145 Revision Number ' Comments' "* Legal Ad A SUB"'APPLICATION(s) • Type Sub-.Applicatio • Comment Stormwater Management/BMP Plan 09/05/18 Erosion and Sediment Control Plan ' 09/05/18 ' - • , . _ • _APPLICANT /CONTACT INFORMATION ContactType Name Address CitjState Zip . Phone PhoneCell or+r.e:;Aroticert. ALBEMARLE COUNTY SERVICE AUTHORITY ' 169 SPOT NAP ROAD CHARLOTTESVILL 22911 4349774511 • rrnery Costa=t DEREK MARSHALL '4805 LAKE BROOK DR STE 200 GLEN ALLEN,VA 23060 8042053337 , Signature of ContractororAuthorized Agent Date OF AL Virginia Stormwater Management Program (VSMP) Application for Albemarle County "4,�`*�„011, Project Name: ACSA Operations Center Expansion Parking Lot Expansion (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No Is this a revision or resubmission for review? Yes 0 No ED County File Number: (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. l 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 enter upon the property as required to ensure compliance with the approved plans and permits. / 07800-00-00-015C0 Alexander J.Morrison 9 1/i 2 Tax Map&Parcel Print Name of Property Owner Sign a 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Alexander J. Morrison Address 168 Spotnap Road City Charlottesville State VA Zip 22911 Daytime Phone(434) 977-4511 E-mail amorrison@serviceauthority.org Fee Received II�S:a' RECEIVED Received Date SEP05 2010 • ma' s f IS COMMUNITY DEVELOPMENT Received By 7/1/14,Revised:7/10/14,1/7/14 Page I oft EI B. All Fees [Code section 17-208j For new or modified plans;Total acres proposed to be disturbed 0.42 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;$150 1 C. Registration Statement on the official DEQ form. t] D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. l G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Derek Marshall Address 4805 Lake Brook Drive,Suite 200 City Glen Allen State VA Zip 23060 Daytime Phone(804) 205-3337 E-mail drnarshall@dewberry.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USEIJ ONLY - �WPO# �/ � /- ��1i1i l l Fee Amount$ (_1 Date Paid q I6I�VBy who? !•"e. Receipt# 1 15 I1[Q ad/55/4'`� By: 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2