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Home My WebLink AboutWPO201900024 Application 2019-03-28 Community Development Department } Albemarle Cour ' 401t -eRoadCharlottesville,VA22902-4596 I :(434)296-5832 Fax:(434)972-4126 .•' Planning Application PARCEL / OWNER INFORMATION Th1P 06900-00-00-02000 Owner(s): AUGUSTA PROFESSIONAL PARK LLC Application# WP0201900024 'ROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist, LWhite Hall Land Use Primary Forest E. Ls Current AFD LNot in A/F District In Current Zoning Primary Rural Areas El ►PPLICATION INFORMATION Street Address Entered By Application Type Water Protection Ordinances Jennifer Pritch 4 2019 Project Hillcrest Vineyard and Winery- VSMP Received Date 03/28/19 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad A UB APPLICATION(s) Type Sub Applicatio Comment PPLICANT / CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell ,re!Apprrart AUGUSTA PROFESSIONAL PARK LLC PO BOX 300 LYNDHURSTVA 22952 5408361383 -pry.ortn:t TOM SHUMATE JR 1000 WEST MAIN ST WAYNESBORO, 22980 5409422990 Date ignature of Contractor or Authorized c oent �Ot 1L/ ,�' Virginia Stormwater Management Program (VSMP) Yw "� Application for Albemarle County ``�. tollig '' \,,,: Project Name: Hillcrest Vineyard and Winery-WPO 201900 (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 ® No 0 County File Number: (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. 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. 1 I p TM 69-20 Augusta Professional Park, LLC • / 3-d�lo-1 I Tax Map&Parcel Print Name of Owner - igna ., 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 Mike McGinnis Address 373 Mt. Torrey Rd City Lyndhurst State VA Zip 22952 Daytime Phone(540) 836-1383 E-mail mmcginnis@r717.net Revised 07/24/18 Page l of 2 ❑ B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 2.06 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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Tom Shumate Jr. /Elam Summey Address 1000 West Main St. / 128 West Bruce St CityWaynesboro/Harrisonburg State VA Zip 22980/22802 Daytime Phone(540) 942-2990 E-mail tomjr@tomshumatesurveyor.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn.Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: Revised 07/24/18 Page 2 of 2 RECEIVED MAR2B2Q19 COMMUNITY DEVELOPMENT AS pania�aa VO1 J 1 a}ea panieoe penteoeH aad