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Home My WebLink AboutWPO201800083 Application 2018-11-03 74...-5,.1.7A: , Community Development Department Albemarle Coun'' ' I 401 Pinintire Road Charlottesville,VA22902-4598 (434)298-5E32 Fax:(434)972-4128 Planning Application PARCEL/ OWNER INFORMATION TMP -1)5/3B0-00-0B-013100 Owner(s): FITZWATER, ERIC C OR CONNIE F Application# WP020180008. .. - PROPERTY INFORMATION .., , Legal Description MERIWETHER HILL 2 Et 1 .. Magisterial Dist.ISaibuel Miller 1:', . Land Use Primary!Residential -- Single-family(incl. modular homesEl Current AFD Not in A/F District 7 Current Zoning Primary Village Residential APPLICATION INFORMATION Street Address 2750 MERIWETHER DR CHARLOTTESVILLE,22901 Entered By nifer Pritcl- Application Type Water Protection OrdinatiCes -- ''. 12 Jen 7 11,1.3,.201.8 Project Meriweather kin Water Main Replacement Project- VESCP Received Date 11/13/18 Received Date Final Submittal Date 11/13/18 Total Fees 300 Closing File Date Submittal Date Final Total Paid 300 Revision Number ' Comments : A.: . . „ . . ' Legal Ad ' .-- , . . , • A ' , , . . . 1 , 1 , . .7.1 SUB APPLICATION(s) Type Sub Applicatio Comment Erosion and Sediment CoUtrOI,Plan '-; , 11/13/18 , _' '. • .,, - '' : . . , , ': • , : .: " - . . - , . APPLICANT /CONTACT INFORMATION ' ContactType Name . Address CityState Zip Phone PhoneCell Orme I./Applicant:: FITZWATER,.ERIC C OR CONNIE F, ' •. :. 12750 FIERIWETHERZV CHARLOTTESlaL 22901 . 4349774511 • . . Primary Czr.tar.t WARREN WILCZYNSKI- MICHAEL &AKER 272 BENDL(ROAD,STE 400 VIRGINIA BEACH, 23452 7576315451 , . . . Signature of Contractor or Authorized Agent Date Virginia Erosion and Sediment Control Program (VESCP) 6.4.1411Vtt Application for Albemarle County :=a� ' (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: Meriwether Hill Water Main Replacement Project(ACSA Project No.2017-11) (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No EZ Is this a revision or resubmission for review? Yes 0 No WI 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. V 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. Various Refer to the Attached Summary Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Notes: 1) The project alignment is predominantly contained within existing public(I/DOT)road rights-of-way. 2) In areas where private properties will be affected, permanent utility easements will be secured in the name of the Albemarle County Service Authority,prior to construction. These easements will encompass all disturbances, construction activities and erosion and sediment control features related to this project. By way of these permanent utility easements,Albemarle County will have unrestricted access to private properties to ensure compliance with the approved plans and permit,without the need for additional permissions. Refer to attached plats. Contact Information for the Owner(s)to receive correspondence: Print Name Albemarle County Service Authority (Attn:Jeremy M. Lynn, PE) Address 168 Spotnap Road City Charlottesville State VA Zip 22911 Daytime Phone(434) 977-4511, Ext. 114 E-mail jlynn@serviceauthority.org 7/1/14,Revised:7/10/14, 1/7/15 Page 1 of 2 11111111 ® B. All Fees [Code section 17-207] Total acres proposed to be disturbed 1.014 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;$300 ® C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. I] D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ID F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Michael Baker International, Inc. (Attn:Warren Wilczynski, ENV SP ) Address 272 Bendix Road, Suite 400 City Virginia Beach State VA Zip 23452 Daytime Phone(757) 631-5451 E-mail warren.wilczynski@mbakerintl.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY 1 F WPO#Catb1 Fs'O(�O 5 cq Q 1 Fee Amount$ OO' Date Paid t 1 t3I�o By who? / 1 V� Receipt# 117 (a9 Ck# S57-/ I By: J P 7/1/14,Revised:7/10/14, 1/7/15 Page 2 of 2