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Home My WebLink AboutWPO201800043 Application 2018-06-05 to'~'' / 1 �r''� itt� Community bevelopmentDepartment ,.x..r.,_ -1 Albemarle Court 401 Di eP.oad Charlottesville,VA22GD2-459"a d 'I 1 :(434)29B-5E32 Fax:(434)972-4128 4�'+ 'PPlanning Application PARCEL I OWNER INFORMATION TAP 04300-00-00-024A0 Owner(s): LIBERTY HALL FARM HOLDINGS LLC Application# WP0201800043 PROPERTY INFORMATION Legal Description ! ACREAGE LIBERTY HILL Magisterial Dist.!Jack Jouett Land Use Primary,Unassigned • Current AFD Moorinan's River_ ii Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address 2711 LIBERTY HALL LN CHARLOTTESVILLE, 22901 - J Entered By A lication Type _ v Judy Martin ,.; PP yP Water Protection Ordinances T 616�2018 Project Liberty Hall Agricultural Pond - VESCP Received Date 06/05/18 Received Date Final Submittal Date Total Fees 300 Closing File Date . ' Submittal Date Final Total Paid 300 Revision Number Comments - ... Legal Ad •A. . SUB APPLICATION(s) ' . Type • Sub Applicatio . . Comment Stormwater Management/BMP Plan 06/05/18 • Erosion and Sediment Control Plan ' , . 06/05/13 ' . APPLICANT /CONTACT INFORMATION • ContactType , , Name Address CityState Zip Phone PhoneCell t�rrre'r,+Cp?ii_.a-. LIBERTY.HALL FARM HOLDINGS LLC ; " 2340 HOMESTEAD FARM RD, • FREE UNION VA 22940 . .4ppti=_rt GREY MCLEAPI 2340 HOMESTEAD FARM ROAD cFREE UNION,VA.. 22940 Primer/Curt-d I P MUMA'A',PE 1739-A ALLIED STREET CHARLOTTESVILL 22903 5402391428 Signature of Contractor or Authorized Agent Date Virginia Erosion and Sediment Control Program (VESCP) e "® '� Application for Albemarle County PV:107 PI;or (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: Liberty Hall Agricultural Pond (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes D No WI Is this a revision or resubmission for review? Yes 0 No ll 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 i 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. • 43-24A Liberty Hall Farm Holdings, LLC 6/1/2018 Tax Map&Parcel Print Name of Property Owner Sign re w 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 `f e Address 2-3 Ll 0 \t-cAi✓\e5-l-e�o� �—a�.�• GQ ` ,n City ��e V `d1/� State V r� Zip 2-2-9 4 Daytime Phone( ) E-mail 7/1/14,Revised:7/10/14, 1/7/15 Page 1 of 2 m B. All Fees [Code section 17-207] Total acres proposed to be disturbed 3.40 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;$300 m C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. El D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. 0 F. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Kip Mumaw, PE Address 1739-A Allied Street City Charlottesville State VA Zip 22903 Daytime Phone(540) 239-1428 E-mail kip@ecosystemservices.us *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/15 Page 2 of 2 WI B. All Fees [Code section 17-207] Total acres proposed to be disturbed 3.40 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;$300 m C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. O D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ F. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Kip Mumaw, PE Address 1739-A Allied Street City Charlottesville State VA Zip 22903 Daytime Phone(540) 239-1428 E-mail kip@ecosystemservices.us *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/15 Page 2 of 2