HomeMy WebLinkAboutWPO201800012 Application 2018-01-31 • . .
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-:(4.,71"141xN Albemarle Col . ' ty Community Development Department
• IcIntire Ro ad Charlottesville,VA 22992-4596
• . ,. _IF, - Voice:(434)296-5832 Fax:(434)972-4126 •
Application
PARCEL/ OWNER INFORMATION
TMP 12100-00-00-09200 Owner(s): MURRAY,JAMES B JR FL DAVID W KUDRAVETZ TRS; KEENE LAN
Application# I WP0201800012 . .
PROPERTY INFORMATION
Legal Description ACREAGE • . ' .
Magisterial Dist. Samuel Miller mri Land Use Primary - 17i
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Current AFD Not in A/F District. Current Zoning Primary kural Areas .7.1
APPLICATION INFORMATION
Street Address 1463 PLANK RD ESMONT, 22937 Entered By
'Jennifer SmithE
Application Type Water Protection Ordinances 1.-72/1 —201-8-
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Project GREENMONT HOPWORKS- VSMP
Received Date 01/3,1/18 Received Date Final Submittal Date Total Fees 1350
Closing File Date • Submittal Date Final Total Paid 1350
Revision Number " •
Comments
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SUB APPLICATION(s) '
Type ,Sub Applicatio -.. : . Comment
Stormwater Management/BMP Plan 01/31/18
.. . . . -, .. ,ErosiOn'aud Sediment Control Plan • ' 01/31/18 " - . ." .
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APPLICANT /CONTACT INFORMATION
ContactType . Name Address CityState Zip .Phone PhoneCell
Ow r.z r/'.43.-,rAi:a nt MURRAY,JAMES B JR 8...DAVID'A' 427 PARK STREET . CHARLOTTES'ALL 22902
Perna ry CDr.tr.:2 JUSTIN SHIMP 201 E.MIN STREET,SUITE N CHARLOTTESVIIL 22902 4349536116
.4;:p1i:m nt JAMES B.MURRAY JR 427 PARK ST. CHARLOTTESVILL 22902 4349719080
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Signature of Contractor or Authorized Agent Date
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Virginia inia Stormwater Management Program ram (VSMP) ' `
• Application:for Albemarle County: �._�1 �''
::7 '''. '-' ' '1 '-.:Dpi.vityr:;K:t; '
Project Name•
ram, ,�
he name should be'(Tthe same as,:'happems.on plans).
Is this an:amendment to an approved plan? Yes El . No
Is this a revision or resubmission for review?:Yes 0 No k
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11-1:: . : : County_File Number: J D :p2 O_I)QO Q 1 4,_.(to be_provided by the Coivtty for new applications)
The following are required elements of new applications:ffrotn code section 17-4011. For revisions or
amendments,please indicate:which items are being amended Signatures must be provided for any ,,..
submission.
: . A. Si _ ature of the Property Owner for each arcel:bm P Y p (Required with every submission or revision,NOT
TO• BE SIGNED BY AN AGENT OR CONSULTANT)
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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.
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1 a 1:. ,' \JOIfts._Dr-.MV_YY+ I'..t w :Ifs VI g
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.
Tax Map"&Parcel Print Name of Property Owner :Signature:of Owner Date
Contact:Information for the Owner(s)to receive correspondence:..
:: :. ::Print Name J _ /vi ve vra.y ,
;c�w►cs
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Address y Z? (�oi.ft .:Sf
City: (.IN ::VA p;Z,:
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Daytime Phone`(cP(.),*M7_'R71,. 0$D,_,_E-mail r Q Cc el - '.
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'N� t,,.�e. il,e�u!'ti,r�s.
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7/1' /14;Revised:7/1O/14, 1/7/14 Page 1 Of
,;,❑B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed I .5 7
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 17356) $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;$150
gi C. Registration Statement on the official DEQ form.
IXD. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
0 E. Stormwater Management Plan satisfying the requirements of code section 17-403.
gf F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
fi G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Justin Sh t m{) -
Address 201 C,,.an Ma:LA
St. �UtL M U
City _.0 l t x-ov1\LQ State VA Zip � l 02—
Daytime Phone(LOt) (95 3-G91(1p E-mail • StV 1S Sh1[fl
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY W.
WPO# _�//
Fee Amount$ D'te'Paid/�,�( ./ y who? Shin/ Receipt# Ck# C�L By:.) •1 Y l��2,6(46
) 56,6 op
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