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Home My WebLink AboutWPO201900026 Application 2019-04-05 a�'�•i i;ommunity Development Department ,+ I Albemarle Count 401 Road Charlottesville,V.A22902-459i3 e - f° Voice.: (434)296-5832 Fax:(434)972-4125 iti PlanningApplication >«�:��' PP PARCEL/ OWNER INFORMATION Th1P 07800-00-00-005A0 Owner(s): PANTOPS CORNER LC Application# WPO2OI 900026 PROPERTY INFORMATION Legal Description !ACREAGE ; ; Magisterial Dist. Rivanna ji Land Use Primary Residential -- Single-family (inci nodular honied, Current AFD 1N�ot in A/F District Ft Current Zoning Primary(Highway Commercial L APPLICATION INFORMATION Street Address Entered By — -- !Jennifer Smith!: Application Type 1 Water Protection Ordinances J 4/s12o1.9 Project WAWA- OUTPARCEL AT PANTOPS CORNER- VSMP Received Date 04/05/19 Received Date Final Submittal Date Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Stormwater Management/BMP Plan 04/05/19 Erosion and Sediment Control Plan 04/05/19" APPLICANT / CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell r3e}rer1.4? -ant PANTOPS"CORh1ER LC .12704 CRIMSON COURT SUITE• HEPIRICOV?, - 23233- rim.,)C=r a=t ?RYAN PERIQNS,P.E. 1700 WILLOW LAWN DRPJE, RICHMOND,VA '23223 8046724703 p_d'r_.st REBKEE PARTNERS PANTOPS, LLC 2800 PRESTOht AVENUE,SUITE RICHMOND,VA 23221 8044190740 • Signature of Contractor or Authorized Agent , Date Virginia Stormwater Management Program (VSMP) „ Application for Albemarle CountykinGito Project Name: Wawa-Outparcel at Pantops Corner (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No IN Is this a revision or resubmission for review? Yes 0 No IN 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. ❑ 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. 07800-00-00-005A0 Rebkee Partners Pantops, LLC 4- Kt Tax Map&Parcel Print Name of Owner at of`Ow 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 Rebkee Partners Pantops, LLC Address 2800 Patterson Avenue, Suite 200 City Richmond State VA Zip 23221 Daytime Phone(804)_419-0740 E-mail psprouse@rebkee.com Revised 07/24/18 Page 1 of 2 ❑B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 1.63 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 $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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Ryan Perkins, P.E. Address 1700 Willow Lawn Drive, Suite 200 City Richmond State VA Zip 23223 Daytime Phone(804) 672-4703 E-mail ryan.perkins@kimley-horn.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn.:Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO Di 9 Fee Amount$b3M Date Paid 4 f 9y who? Receipt#1 JBy:1 __ Revised 07/24/18 Page 2 of 2